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Embryology and Andrology

Intracytoplasmic Sperm Injection (ICSI):
 

Intracytoplasmic sperm injection (ICSI) is a test-tube fertilisation procedure in which a sperm is injected directly into an egg to achieve fertilisation. ICSI is done for male infertility.

By injecting a single sperm directly into an egg, ICSI helps sperm overcome many of the natural barriers they would encounter when fertilising an egg.

Obstetrics and Gynaecology

Infertility Treatment and Counselling:

Infertility treatment helps couples, who are unable to conceive, with conception. There are various types of treatment methods based on the cause of infertility.

In the case of men, infertility can be treated by

  • Surgery, if the vas deferens is blocked or if there is swelling in the veins around the scrotum

  • Antibiotics, if the patient has an infection in his reproductive organs

  • Hormone treatments

  • Medications or counselling to deal with problems relating to ejaculation or erection.

  • Medications or fertility drugs in case of hormonal imbalance or problems related to ovulation

  • Surgery in case the fallopian tubes are blocked or similar such situations

Both men and women use assistive reproductive technology (ART) to solve infertility problems. These include,

  • Intrauterine insemination(IUI)- a process where sperm is collected from the man and injected directly into the uterus during the ovulation period.

  • In-vitro fertilization (IVF) - The sperm and egg are fertilized in a lab. Once fertilization occurs, the fertilized egg (now called an embryo) grows in a laboratory incubator for 1 to 5 days before it is transferred to the woman’s uterus (womb).

  • ICSI- Intracytoplasmic Sperm Injection is a procedure where a single sperm is injected directly into the cytoplasm of the egg. Once fertilization occurs, the fertilized egg (now called an embryo) grows in a laboratory incubator for 1 to 5 days before it is transferred to the woman’s uterus (womb). ICSI helps to overcome fertility problems, that are caused due to the following: The male partner produces too few sperm to do artificial insemination (intrauterine insemination [IUI]) or IVF.

    1. The sperm may not move in a normal fashion.

    2. The sperm may have trouble attaching to the egg.

    3. A blockage in the male reproductive tract may keep sperm from getting out.

    4. Eggs have not been fertilized by traditional IVF, regardless of the condition of the sperm.

    5. In vitro matured eggs are being used.

    6. Previously frozen eggs are being used.

  • Gamete intra-fallopian transfer(GIFT) or zygote intrafallopian transfer(ZIFT) - In GIFT, the sperm and egg are placed into the fallopian tube and made to fertilize. In case of ZIFT fertilised zygote is placed into the fallopian tube.

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