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ICSI-IVF is the latest ART procedure where a single good quality sperm is picked up with a fine glass needle and is injected directly into each egg under micro-manipulator Very few sperm are required and the ability of the sperm to penetrate the egg is no longer important as this has been assisted by the ICSI technique.

In traditional IVF, the eggs and sperm are combined in a dish and the sperm prepares the egg ‘naturally’. However to have a possibility that this will happen, extensive quantities of effectively swimming ordinary sperm are required. For some couples, the quantity of appropriate sperm accessible might be exceptionally constrained or there might be different variables forestalling treatment, so regular IVF is impossible. ICSI has given a new hope to these couples.

IVF Process

Initial Consultation with Neelima Fertility Specialist


Blood Tests

Treatment Plan

Start of Treatment

The Process



The first step in the process is undergoing male and female Investigations.


Controlled Stimulation

ovaries of female partner are stimulated by injection and medication for 10-12 day This continues until the eggs are mature. The stimulation process is monitored through ultrasound scan and E2 level.



Trigger injection is given for egg release and patient is scheduled to egg retrieval in between 34-36 hours.


Oocyte (egg) retrieval

Under anesthesia vaginal ultrasound guided probe is inserted and the follicles are aspirated.



Each oocyte is injected with selected sperm of the partner.


Embryo transfer

Under the ultrasound guidance, three good quality embryos are carefully selected and carefully transferred through the vagina and cervix to the uterus, where implantation begins.


Beta HCG

After 15 days of transfer the female partner is asked to undergo beta HCG test to confirm the Pregnancy. If the pregnancy is confirmed then they are called after 15 days for viability scan.

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A Quick Question

For whom IVF – ICSI is suggested?

IVF – ICSI treatment is suggested for:
  • Females above 30 years of age trying to conceive.
  • Women experiencing unexplained infertility issues.
  • Females with blocked / damaged fallopian tubes.
  • Females who got their tubes removed (post sterlization or tubectomy)
  • Females who have ovulation disorders / low ovarian reserve / premature ovarian failure / uterine fibroids / endometriosis /  irregular periods / PCOS.
  • Three or more failed IUI’s
  • Male factors – low sperm count or no sperm count / bad semen quality / erectile dysfunction / ejaculatory problems / vericocele.