Both ICSI (Intracytoplasmic Sperm Injection) and TESA (Testicular Sperm Aspiration for vasectomy) are available at our Florida Fertility Clinic
When male infertility is the problem in the couple’s inability to conceive, In Vitro Fertilization with Intracytoplasmic Sperm Injection (ICSI) is recommended. It may also be recommended if the woman’s egg quality is poor or if IVF procedures have not worked in the past after several attempts. In addition, some couples may choose ICSI to give them the best possible chance when doing IVF. If there is a problem with low sperm counts, poor motility or morphology, ICSI can often times result in the successful fertilization of the woman’s eggs after they are retrieved through IVF .
While ICSI is often used for low sperm counts or poor sperm morphology, it may also be used for other reasons such as a failed vasectomy reversal or cases of severe azoospermia in which testicular sperm aspiration is needed. Patients with infertility related to juvenile diabetes may also benefit from ICSI . In brief, ICSI is a cure for male infertility as long as we are able to retrieve sperm.
Intracytoplasmic Sperm Injection first involves of separating sperm from its semen. The healthiest looking sperm are then selected and prepared. Once this is complete, a single sperm is manually inserted or injected into each egg by using a microscopic needle. Without ICSI, the sperm and eggs are traditionally placed into a dish in the lab and allowed to fertilize naturally. Since the sperm is injected directly into the egg with ICSI, it is considered a manual form of fertilization. Pending the sperm and eggs are viable and healthy, fertilization is most likely to occur after ICSI. Fertility specialists are generally left with a higher amount of healthy, viable fertilized eggs (embryos) to implant into the uterus via the cervix following this procedure .
Fertilization with ICSI is usually performed immediately after the eggs are retrieved or within a few hours. The following day, the embryologist and Dr. Shaykh will be able to let you know how many eggs were successfully fertilized. On the 2nd day, we should be able to see the embryos start dividing. During days 3-5 the embryos should continue to divide and the number of cells will increase. The general time frame from egg harvesting to IVF implantation is typically 3 or 5 days depending on the quality and amount of the embryos .
Severe cases of male infertility have been successfully treated with ICSI in our IVF lab, which have resulted in many successful pregnancies. In combination with our low cost IVF, patients are able to save quite a bit of money by traveling to our clinic versus having IVF with ICSI in South Florida or elsewhere .
Is ICSI painful for the male?
There is absolutely no pain involved in this procedure. Sperm samples are produced by the male himself via masturbation into a specimen jar. The only discomfort that would be experienced is a muscle strain during ejaculation or other normal discomfort that can be experienced during stimulation or stressing of the penile muscles. Men can produce many sperm per ejaculation. The healthiest and strongest sperm are selected for this procedure to aid in the success of conception.
Does ICSI damage the sperm?
Sperm are carefully extracted from semen by our experienced embryologist. In most cases, they are not damaged at all. Removing sperm from semen can actually increase fertilization success since there is nothing separating the sperm from the egg.
Does ICSI make for a Better IVF Success Rate?
Yes, in many cases the success rate for IVF conception does increase with this method in the case of male infertility or poor egg quality. In some cases, it works on the first attempt and most or all of the eggs are able to be successfully fertilized.
There are occasions; however, where the sperm quality is just too poor to be able to successfully fertilize the egg, or the male may have a genetic problem with his sperm however, this is rare. If there is a severe problem with the sperm or the male produces no sperm at all; your physician may recommend using an anonymous sperm donor or donor sperm as an alternative.
In addition to ICSI, we also offer treatments for male infertility. In some cases, Dr. Shaykh may recommend hormone replacement therapy to increase the amount or quality of the sperm produced .
After male hormone testing has been performed, a treatment plan can be recommended. Sometimes, lifestyle or dietary changes are also recommended as part of a comprehensive treatment plan for infertility in men .
In addition, males who are carriers for genetic diseases may benefit from pre-implantation genetic diagnosis (PGD) which is also known as pre-implantation genetic testing. With PGD testing, the embryos are biopsied and sent to a genetic testing lab to be evaluated. PGD can identify any potential genetic problems with the embryos prior to implantation in the woman thus reducing the miscarriage rate and increasing the chances of a healthy viable pregnancy .
Our reproductive endocrinology laboratory has been certified by CAP as meeting the highest standards in quality for a laboratory. CAP is a national accreditation agency responsible for overseeing the performance of many types of laboratories. CAP certification requires on premises laboratory inspections and rigid adherence to quality control standards.
The reproductive endocrinology infertility practice of Dr. Marwan Shaykh serves two locations, Florida and Southwest Virginia. Both our Florida and Virginia infertility clinic locations use the same skilled endocrinologist, infertility specialist, and offer a full array of advanced reproductive technologies.
Our reproductive endocrinology laboratory has be certified by CAP as meeting the highest standards in quality for a laboratory. CAP is a national accreditation agency responsible for overseeing the performance of many types of laboratories. CAP certification requires on premises laboratory inspections and rigid adherence to quality control standards.
The reproductive endocrinology infertility practice of Dr. Marwan Shaykh serves two locations, north Florida and southwest Virginia. Both our Florida and Virginia infertility clinic locations use the same skilled endocrinologist,infertility specialist, and offer a full array of advanced reproductive technologies.