ICSI is helpful in the most severe male factor cases, where there are:
In females, ICSI is helpful in the following cases:
This is same as detailed in IUI Section.
Treatment and Management:
As far as the female patient is concerned, the procedure is exactly similar to that of IVF. Acquisition of sperm and subsequent laboratory technique is different for ICSI. Sperm can be provided by the husband in the form of semen or acquired through operation.
Surgical aspiration of sperms is carried out by a very fine needle attached to a syringe which is pushed into the tube carrying sperm from testis to the penis or a piece of testicular tissue is obtained surgically and processed in the laboratory to release entrapped mature sperms.
Individual mature sperm is then picked with a very fine needle through a very elaborate equipment and injected into the egg which is collected in a similar manner as IVF. The rest of the procedure is similar as IVF.