IVF with micro-injection: When to Prefer ICSI over IVF?

Despite the heaviness of the treatments, reproductive medicine can meet the desire of infertile couples for children. Faced with male infertility, in vitro fertilization (IVF) with micro-injection is generally preferred over conventional IVF.

When to prefer ICSI over IVF: Understanding male infertility?
Men don't like to talk about it. It's hard to say that his sperm is the source of the problem. This type of anomaly seems to question their masculinity when it has nothing to do with it.

When to prefer ICSI over IVF & What is a Spermogram?
The biologist examines the ejaculate, i.e. the collected semen sample, under a microscope. He estimates the number of spermatozoa and analyzes their morphology and vitality. According to the WHO, normal semen has at least 15 million sperm per ml, 30% of which are mobile and 15% of which are normal. Some have an elongated head, a round head, two heads or a flagellum, etc.

When to prefer ICSI over IVF: ICSI IVF-
As soon as there are significant sperm problems, IVF with ICSI (Intracytoplasmic sperm injection) is preferred over conventional IVF. It involves selecting a single sperm to fertilize the egg. The manipulation is carried out under a microscope. The spermatozoon, magnified 200 to 400 times, is aspirated in a pipette, then micro-injected inside the ovum, maintained itself by a micro-aspiration.

When to prefer ICSI over IVF: what are the chances of success?
Since in vitro fertilization with micro-injection known as ICSI exists and is offered to the couples, there are no longer many differences between conventional IVF and IVF with sperm selection. Everything happens as if the sperm is entirely normal. But obviously, IVF with ICSI has greater chances of success hence; ICSI over IVF is a better solution when we talk about male infertility.

ICSI over IVF: What if ICSI IVF doesn't work?
"We say, we did it all for nothing, but we must not give up hope," said Seema, 33, now six months pregnant with her 4th successful ICSI-IVF. Her husband's sperm had a problem. Three ICSI-IVF attempts already lead to failure. “The medical team explained to us that there was little chance that it would work, but we wanted to try a fourth IVF and we succeeded, said Seema and her husband.”

Each new attempt is in fact decided after discussion. When it stops, it's always the decision of the whole team including the doctors and biologists and explained well to the couple, who takes a review of everything that has happened, judge & then stops if the chances are almost zero.

When to prefer ICSI over IVF: Is sperm in danger?
In recent years, several studies have sounded the alarm: the quality of sperm is falling. Where does this alteration come from and what consequences for sterility?

Is it true that the quality of sperm is decreasing?
“Yes, over the past thirty years, we have observed a gradual decrease in the quality and quantity of sperm. In 1973, the sperm of a fertile, healthy man had on average 294 million sperm, and in 1994- 200 million, or a third less! The question is whether these changes translate into lower fertility."

Environmental factors are suspected :
Environmental factors & changes are too quick to suggest a genetic cause. The most likely assumption is that of exposure to environmental factors. The testicles are sensitive to heat, light, tobacco, drugs, etc. Obesity can also alter the production of gametes. "

To know more about when to prefer ICSI over IVF, why ICSI over IVF has a better success rate or about any other fertility problems and treatment, consult the best IVF specialist in India.