Intracytoplasmic Sperm Injection (ICSI)

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Molded by innovation, intelligence, and integrity — euroCARE IVF specialists provide you with the most comprehensive, modernized fertility care possible in North Cyprus.

A baby born as a result of IVF Cyprus with ICSI procedure

Intracytoplasmic sperm injection (ICSI) Cyprus is an in vitro fertilization (IVF) procedure in which a single sperm cell is injected directly into the egg.

All the steps involved in ICSI are the same as the steps followed in IVF except for the insemination method. ICSI uses one only sperm cell for a single egg, while IVF needs hundreds of thousands.

ICSI is used in severe cases of male infertility, after multiple failed IVF cycles, in FET (Frozen Embryo Transfer) or after Egg or Sperm cryopreservation.

Some of the reasons behind ICSI are unexplained infertility, advanced maternal age or few quality eggs collected.

Fertility Treatment in North Cyprus

Located in North Cyprus, euroCARE IVF, is the most prominent IVF clinic in the Turkish Republic of Northern Cyprus. Our fertility center strives to continually improve our clinical success rates — exceeding national averages. Our fertility doctors are renowned for developing a successful IVF program — with the highest pregnancy success rates in Cyprus.

At euroCARE IVF, we have helped countless families to enjoy the riches of parenthood — a dream they nearly lost sight of until they visited the leading fertility clinic in Europe. The team provides patients with comprehensive fertility evaluations and compassionate care — including fertility consultations, advanced fertility surgery, and cost-effective IVF treatment.

ICSI Treatment in North Cyprus

Known collectively as micro-manipulation, certain advanced techniques can be performed in addition to the standard in vitro fertilization (IVF) procedure. By isolating and injecting a single, healthy sperm cell directly into each egg, infertility specialists have made it possible to overcome some of the most severe cases of male factor infertility.

Intracytoplasmic sperm injection, or ICSI, allows our male fertility patients with very low sperm counts or high numbers of abnormal or non-motile sperm to successfully achieve a pregnancy with their partner. During the procedure, our euroCARE IVF doctors use powerful microscopes and precise equipment to select individual, healthy sperm cells and place them directly into the egg — instead of merely combining the prepared eggs and sperm in a laboratory dish and waiting for fertilization to take place on its own.

The ICSI Process

At euroCARE IVF, we carry out the ICSI Cyprus procedure for all IVF treatments to ensure only the best sperm is selected for fertilization — whether you are using your own eggs or donor eggs, your own sperm or donor sperm.

Step 1 | Testing

Initially the male partner will need to carry out the required tests, including testing for HIV, HBsAg, Anti-HCV, as well as a sperm analysis if he currently does not have any children or fertility issues are suspect.

Step 2 | ICSI Procedure

On the day of egg collection (during IVF treatment), the sperm sample is collected and prepared for the ICSI process. A single sperm is injected into each egg.

ICSI is performed under a microscope using multiple micromanipulation devices such as micromanipulator, microinjectors and micropipettes which all aid the egg fertilization. A pipette is used for holding and stabilizing the mature oocyte. Then a micropipette collects the single sperm and and inserts it into the egg.

ICSI provides the best opportunity for fertilization to occur though of course there are no guarantees that all eggs will successfully fertilize. The resulting embryos are then cultured in the lab and the best quality blastocyst embryos are selected for transfer to the recipient’s uterus when ready.

Since the ICSI procedure selects the best sperm to use in the treatment, low sperm count is generally not an issue.

However, if the male partner has fertility issues that are identified in the analysis or other tests then the ICSI procedure can also be combined with the following sperm retrieval procedures: Percutaneous Sperm Aspiration (PESA), Testicular Sperm Aspiration (TESA), Testicular Sperm Extraction (TESE), and Microdissection TESE.

Why Do We Offer Sperm Retrieval Methods

Sperm retrieval procedures are needed for men who have little or no sperm in the semen or for men who are not able to ejaculate.  In these cases, sperm can be collected from other parts of the reproductive tract. When there is no semen in the sperm it is called azoospermia. There are 2 main types:

Obstructive Azoospermia

This occurs when the testes creates sperm, however a block in the reproductive tract stops it from getting into the semen. (This is how a vasectomy works, it is surgery to create this block)

Non-Obstructive Azoospermia

This occurs when the body does not produce any sperm at all — or if the sperm results in such low levels that there is not enough to appear in the ejaculate.

For men with non-obstructive azoospermia, we do not recommend fine needle aspiration or the biopsy before MicroTESE because many studies have shown that MicroTESE yields the highest sperm retrieval rate. If no viable sperm is found by these retrieval methods then you may want to consider IVF treatment using one of our specially selected sperm donors.

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Resources:

Wikipedia Commons

Mayo Clinic

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