ICSI technique has been greatest boon for a male with very low sperm count to father his biological child. Here, hormonal injections are used for stimulating the woman's ovaries. The injections are timed according to her period dates. Her response to the injections is judged by Trans-vaginal sonography. When they reach the mature stage, the eggs are retrieved by aspirating the fluid from the follicles. Egg retrieval is done through the vagina under general anesthesia and sonography guidance. On a special microscope with a micromanipulator, a single sperm is picked up in fine micro needle and injected manually into the oocyte. Embryos are transferred after 48 to 72 hours. The couple can expect a 30-40% chance of conception per cycle. In azoospermic (no sperms) men with an obstructive / non-obstructive pathology sperm can be aspirated directly from the epididymis (PESA) or from the testis (TESA) and used for ICSI. Almost miraculously, PESA or TESA with ICSI gives the same results as with ejaculated sperms (30-40% per cycle).
Low Sperm Count.
Severe endometriosis and Polycystic Ovarian Syndrome.
Failed Previous IUI / IVF cycles.
Infertility due to any cause refractory to conventional medical and surgical management.