ICSI Treatment in Chennai (A Breakthrough Procedure)
WHAT IS ICSI ?
ICSI (Intra cytoplasmic sperm Injection) is the best method of fertilization. It is the process of injecting the selected best quality sperm in to the mature egg. ICSI Process involves usage of specialized manipulators and microscope for pickup of selected sperms.
The hollow needle is used to inject the selected sperms in to the inner part of the egg (Cytoplasm). Approximately 70 -85% of eggs injected with best quality sperms show evidence of fertilization which is really good.
PATIENTS SELECTION – WHO REQUIRES ICSI?
This procedure has been considered a breakthrough in the management of patients with below mentioned conditions.
- Men with low sperm count / poor motility.
- Increased number of abnormal sperms.
- Previously failed IVF CYCLE.
- TESA Retrieved sperms – Testicular aspiration of sperms.
- For females where total number of eggs retrieved is less than 5.
IVF/ ICSI – THE PROCESS DAY TO DAY
In assisted reproduction, chances of conception can be increased by stimulating the ovaries to produce required number of eggs. This is termed as super ovulation and can be brought about by using drugs (Gonadotrophins) which mimic the action of the body’s natural hormones. Drug doses and combinations are calculated for each individual depending on a number of factors Including age, medical history, body mass index, antral follicle count (number of follicles on Day 2) and hormone values AMH, Estradiol, FSH. Details will be given to each patient in the form of an individual “Protocol” letter by the medical staff.
The following is a list of drugs, commonly prescribed by the consultants, with a brief description of their actions and possible side effects. Prescription and administration details are specific to each individual and will be fully explained by the medical staff.
IVF / ICSI CYCLE
Typical daily schedule for an IVF / ICSI Cycle looks like
|InjGonapeptyl / InjLupride||Day 01||InjGonapeptyl|
|InjGonapeptyl / blood test and
Doppler scan / dilatation
|Day 02||InjGonapeptyl / blood testing for specific hormones|
|InjGonapeptyl||Day 03||InjGonapeptyl + Inj. Menogon / Recagon / vaginal scan|
|InjGonapeptyl||Day 04||InjGonapeptyl + Inj. Menogon / Recagon|
|InjGonapeptyl – stop oral contraceptive||Day 05||InjGonapeptyl + Inj. Menogon / Recagon|
|InjGonapeptyl||Day 06||InjGonapeptyl + Inj. Menogon / Recagon + Blood Testing|
|InjGonapeptyl||Day 07||InjGonapeptyl + Inj. Menogon / Recagon|
|Inj. Gonapeptyl||Day 08||InjGonapeptyl + Inj. Menogon / Recagon / vaginal scan +|
|InjGonapeptyl PERIODS||Day 09||InjGonapeptyl + Inj. Menogon / Recagon / vaginal scan|
|Day 10||InjGonapeptyl + Inj. Menogon / Recagon / vaginal scan|
|Day 11||InjGonapeptyl + Inj. Menogon / Recagon / vaginal scan|
|Day 12||InjGonapeptyl + Inj. Menogon / Recagon / vaginal scan|
|when follicles are mature around 19mm – 20 mm , HCG will be given. Egg collection takes place 35-37 hours later|