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Intracytoplasmic Sperm Injection (ICSI)- What Is It and How Does It Proceed?

ICSI is a revolutionary term in terms of fertility treatments. It is a VIP pass for sperm, allowing them direct access to eggs without swimming there, pretty cool right? 

Simply put, it involves injecting a selected sperm (the healthiest of the lot!) into a mature egg under a microscope, bypassing all the road bumps such as low counts or motility that may prevent fertilization by natural means. 

The induction involves a series of hormonal treatments that open the gate to the opening oocytes in the ovaries. This involves a short procedure for aspiration, during which the eggs are taken. Meanwhile, sperm is collected from the male partner or a donor. With the use of an ultra-thin needle, an embryologist injects the sperm into the egg. Fertilization will then take place, and the developing embryo will be watched for a few days before being transferred to the uterus of the woman, hopefully leading to a pregnancy.

Side Effects of Intracytoplasmic Sperm Injection (ICSI): Myth or Fact?

Intracytoplasmic Sperm Injection Common Myth or Fact

Myth

  • ICSI always guarantees a successful pregnancy.
  • ICSI drastically increases the risk of birth defects.
  • Babies born through ICSI are less healthy.
  • ICSI is only for male infertility issues.
  • Women experience severe long-term side effects after ICSI.
  • ICSI leads to infertility in children born through the procedure.
  • ICSI is riskier than traditional IVF.

Fact

  • While ICSI improve fertilization rates, the success of pregnancy depends on factors like egg quality and maternal age.
  • The risk is slightly higher (1-2%), but this is often due to underlying infertility issues, not the procedure itself.
  • Most babies born via ICSI are perfectly healthy and grow up with no major health issues.
  • While it’s primarily used for male infertility, ICSI can also help with unexplained infertility or previous failed IVF cycles.
  • Most side effects are short-term, such as bloating or mild discomfort after egg retrieval. Long-term effects are rare.
  • Sons may inherit genetic infertility from their fathers if it’s hereditary, but this is not caused by ICSI itself.
  • Both procedures have similar risks, like OHSS and multiple pregnancies. ICSI is just more specialized.
  • While generally safe, there are minor risks like infection or rare developmental delays in children.

Are There Short-Term Side Effects of ICSI for Women ?

According to Origyn IVF Intracytoplasmic Sperm Injection (ICSI) has proved to be a safe and effective procedure, but being a medical procedure, there are some short-term side effects associated with it. Most of them are due to the process of retrieving eggs and hormonal treatments, not due to the actual ICSI procedure. Here’s what you might experience:

  1. Discomfort After Egg Retrieval

Ear naked needle in ovarian puncture, which makes one feel cramps or sore for a day or two more. Mild spotting is common after the procedure but usually resolves quickly.

  1. Bloating and Abdominal Pain

Hormonally driven medicines usually used for egg production may also manifest into bloated or feels heaviness in an abdomen. This is because enlargement takes place temporarily in the ovaries during this process.

  1. Mood Swings and Fatigue

These hormonal things might make you feel more emotional than usual or a little tired. It is totally okay; your body is adjusting to treatments.

  1. Ovarian Hyperstimulation Syndrome (OHSS)

Rarely, there may be an excessive response to the fertility drugs, which develop into OHSS. Severe bloating, nausea, or shortness of breath, are the signs seen in this condition. Consult your doctor at once when it happens.

  1. Slight Risk of Infection

Although very rare, there is a minor chance of infection after egg retrieval. Your clinic will give you the main guidelines for preventing this risk.

Most of them are temporary and manageable anyway. Always be open with what you feel to your doctor if you happen to be feeling uncomfortable – they’re here for every step of the way with you. It is true that sometimes Intracytoplasmic Sperm Injection (ICSI) has some bumps along the road, but it is usually able to end beautifully.

Does ICSI Enhance the Likelihood of Giving Birth Defects in Babies?

Myth or Fact

This is one of the most common concerns for couples who are considering Intracytoplasmic Sperm Injection (ICSI). Let’s separate facts from myths. The idea that ICSI significantly raises the chances of having a baby born with a defect is a myth primarily, though there are some gray areas.

The Science Behind the Concern

Intracytoplasmic Sperm Injection (ICSI) involves manually injecting sperm into the egg, so it’s really the artificial manipulation of the natural selection that goes on through natural conception or even standard IVF. Some are worried that it may literally carry genetic defects just because the sperm used has abnormalities.

What Research Says

The likelihood of such defects is found to be under Intracytoplasmic Sperm Injection (ICSI)born babies slightly higher than natural born-babies by about 1-2%, in fact. However, this is a slight increase that, in fact, usually owes its source to infertility problems of both parents and not to ICSI procedures.

The Good News

Most babies conceived via ICSI are perfectly healthy now that clinics have started doing preimplantation genetic testing (PGT), which allows finding out whether embryos have chromosomal abnormalities.

So, Myth or Fact?

Myth: Intracytoplasmic Sperm Injection (ICSI) hugely increases the chances of having babies with birth defects. As compared to natural conception, it has an insignificant increase but minuscule increasing scenarios can be ruled out by well-organized medical attention.

Will ICSI Bring About Any Long-Term Health Problems for Parents or Kids?

Most couples hoping to go for intracytoplasmic sperm injection (ICSI) tend to wonder about the long-term effects it may have upon application. And really, in line with Origyn IVF most studies indicate that ICSI is safe for both parents and children-but let’s look at it a little closer.

For Kids: What Does Research Say According to Origyn IVF?

Children derived through this method mostly grow healthy and happy without significant long-term health complications. However, there is a slightly higher risk for the following:

Mild Developmental Delays:

As stated by Origyn IVF Research indicated a mild delay in some cases; however, in most instances, as children grow, they catch up. 


Fertility Issues:

Boys born through this technique may inherit the same fertility problem as their fathers, especially if the infertility problem is considered to be genetic. Any increases in the above risks are generally associated more with the infertility factors of parents rather than the Intracytoplasmic Sperm Injection (ICSI) process itself.

Parents’ Concerns?

Risk on the whole was minor with regard to long-term problems for women being little if at all present. Most of these concerns are around the process of hormonal stimulation, which probably increases the chances of somebody experiencing some form of ovarian problem later on, though not proven to be as serious as ovarian cancer. 

Intracytoplasmic Sperm Injection (ICSI) long-term: for Men-typically nothing.

The Bottom Line

Generally, everyone agrees that ICSI has a slight increase in risk over natural conception-not high, just minor. Newer medicine, such as genetic testing, goes a long way in alleviating those risks. Most of all, discuss concerns with a fertility specialist for all peace of mind because they will guarantee you have all sorts of information.

INTRODUCTION: ICSI-PROCESSED EFFICIENCY AND RISKS

It is well known that many people avail of fertility treatments nowadays, and besides others, Intracytoplasmic Sperm Injection (ICSI) is one of the varieties of In Vitro Fertilization (IVF). There are some similarities associated with it, but also the success rate differs and there are risks involved in comparison to the same. Let’s analyze this.

Success Rates: How Do They Compare ICSI by I will take print out shoot videos then uploadIVF

Intracytoplasmic Sperm Injection (ICSI). This is quite useful for severe male infertility, where sperm counts are exceedingly low or sperm motility is very poor. The rate of success in terms of fertilization actually lies between 70-80% that varies according to egg quality and maternal age.

Standard IVF: In conventional IVF, an egg and sperm mix up in a laboratory for fertilization almost as it happens naturally. Fertilization rates are typically lower, at around 50-70% in most cases of male infertility.

ICSI gives an additional level of effectiveness in situations that might not fulfill the requirement for traditional IVF, and such a property makes it very appealing to couples.

Risks:

For Intracytoplasmic Sperm Injection (ICSI): There is a little more risk of passing the genetic factor of infertility to a male child because manual selection and injection of sperm are done. However, this risk can be reduced by pre-implantation genetic testing (PGT).

For Traditional IVF: Similar risks comprise multiple pregnancies and OHSS due to hormone stimulation and also apply to ICSI.

Selecting the Right Option

If the male is the cause of infertility, then ICSI is more likely to succeed. Couples suffering from infertility, but not a severe condition, can be treated by conventional IVF.

Both ways have their pros and cons; therefore, it is important to have a consultation with a fertility expert to choose what really is best for one’s specific case. Because, after all, the aim is the same: healthy and happy baby.

https://youtu.be/6d5ZLYp9hQE?si=BnXvdUwcMSGyTADU
About Dr. Rashmi Sharma:-

Dr. Rashmi Sharma is an IVF specialist Consultant Reproductive Medicine and Director Origyn Fertility & IVF New Delhi MBBS (BHU)MD(BHU)DNB, MNAMS, FICOG, Diploma IVF and reproductive Medicine (Kiel University, Germany) Web Editor, Indian Fertility Society (2024-26) Former HOD, IVF dept, Moolchand Hospital, Delhi (2009-13) and Max Hospital, Pitampura, Delhi  (2013-17), Director, Origyn Fertility & IVF, which has 4 branches across Delhi.

Origyn IVF has been accredited for 1-year fellowship in IVF and reproductive medicine along with an MSc in Clinical Embryology under Amity University and IFS Collaboration. Recipient of the “C. S. Dawn Award” for best paper presentation on her work on IVF /ICSI with genital tuberculosis, at All India Congress Of Obstetrics and Gynecology (AICOG 2010) Recipient of “Hall of Fame – Best IVF specialist in India – North” at Economic Times – National Fertility Awards,2019 and 2023 & 2024. 

Origyn IVF received “Best IVF center in North India” and “Most integrated team in IVF, India – North” at Economic Times – National Fertility Awards, 2019 & 2024 Recipient of “Best IFS Executive” at Fertivision – 2018, Kochi. Authored various chapters in infertility books of repute. Many national and international paper presentations and publications.