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Intracytoplasmic Sperm Injection (ICSI)

At JCRM, we offer ICSI (intracytoplasmic sperm injection) in conjunction with our IVF program to those patients requiring this service. In this procedure, single sperm are injected into single eggs. We only need a number of sperm corresponding to the number of eggs needing insemination. Reasons for its use include low numbers/absent sperm, cases with severely depressed motility, or other sperm parameters. We only utilize ICSI in those patients where we feel it is absolutely necessary, unlike many programs that use this procedure in most cycles. ICSI has revolutionized the treatment of male factor infertility, but in addition to added cost there is a a slightly increased incidence of genetic abnormalities associated with its use. We would assume that the genetic abnormality resulting in low sperm count will likely be passed on to male offspring. Overall these risks are small and will be discussed on a case-by-case basis.

Sperm retrievals are offered to patients with azoospermia (no sperm in the ejaculated specimen), Kleinfelter’s, and to male patients with tubal obstruction most commonly associated with prior vasectomy. We do this as an in office procedure, to be utilized in conjunction with IVF and ICSI. This is an alternative to vasectomy reversal and can be a most effective way to achieve a pregnancy in those patients as well.