What is IVF-ICSI?

In Vitro Fertilization (IVF)

In Vitro Fertilization (IVF) is literally fertilizing an egg with sperms in the lab. This process entails the collection of the wife’s eggs after ovarian stimulation and the husband’s sperm and allowing them to fertilize in the Embryology Laboratory.
On the other hand, and in order to increase the chances of fertilization, a single sperm is directly injected into each of the retrieved eggs using a precision needle in a process called Intra-cytoplasmic sperm injection (ICSI).

ICSI can be especially helpful in the following cases:

• Low sperm count
• Poor sperm motility
• High amount of abnormal sperm
• Vasectomy
• Immunological factors
• Other conditions like failed fretilization of the egg during IVF

What are the steps and duration of an IVF-ICSI cycle?



Fertility medications in the form of injectables are prescribed to stimulate the growth of multiple follicles (each contains an egg) in the ovaries.
Follicle growth is monitored by frequent ultrasounds and hormone levels are checked by blood tests.

Step 2: Egg Retrieval

34-38 hours before the scheduled Egg Retrieval, a timed hCG shot, also known as a “trigger shot”, is administered to ensure ovulation takes place within a scheduled time frame.
The number of eggs retrieved depends on how the body has reacted to the medication.
The eggs are retrieved using a thin ultrasound-guided needle going from the vagina to the ovaries. The procdure lasts 15 minutes and is done under IV sedation. Afterwards, there may be slight discomfort similar to that of a heavy period which may last for a couple of days.

Step 3: Sperm Collection and ICSI

On the day of Egg Retrieval, a semen sample is provided by the husband. In case the husband could not or had azoopspermia techniques like TESA, Micro TESE… are helpful.

Step 4: Embryo Transfer

Embryo transfer takes about 15 minutes and is painless. It is usually done under ultrasound guidance to ensure the proper placement of the embryos inside the uterine cavity.