Who is Suited to ICSI?
Couples that are infertile due to any of the following reasons may want to consider using ISCI with their IVF treatment. • Low sperm count • Poor sperm motility • Abnormally high amount of morphologically atypical sperm • Experienced fertilization failure for unknown reasons in a previous IVF cycle • Lack of any sperm in ejaculate due to CAVD, failed vasectomy reversal, failure to produce sperm, or an obstruction in the epididymus due to past inflammation • Retrograde ejaculation • Immunological factors Additionally, men who have been diagnosed with testicular cancer may choose to freeze a semen sample before undergoing treatment as this can later be used in ICSI. Success with ICSI While the fertilization rates with ICSI remains pretty high at between 60% and 70% depending on the quality of sperm used, pregnancy rates remain about the same as they do with IVF. Approximately 20% to 25% of couples undergoing ICSI and IVF will have a live birth. However, one concern among many experts is