Icsi

ICSI or intracytoplasmic sperm injection is a step in the in vitro fertilization (IVF), where a single sperm is injected into a mature egg. After the egg is fertilized, the embryo is placed in the uterus to continue its growth into a fetus.

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How many times can a person undergo IVF in total?

Query: Hello doctor, How many IVF can one person undergo in total? We have attempted three ICSI with negative results. Each time, the embryo failed to develop more than four days, once developed only up to morula stage on day five. My wife is 30 years old with AMH 4.5 with type-2 diabetes. Next, what can w...  Read Full »


Dr. Balakrishnan. R

Answer: Hello, Welcome to icliniq.com. How are you doing today? There is no limit to the number of times you can do ICSI (intracytoplasmic sperm injection). But if I may advise, why not try to correct the underlying cause for the failure of a healthy embryo growth? An AMH of 4 or more means she has plenty...  Read Full »

Would my low sperm count have an adverse effect on IVF and ICSI?

Query: Hello doctor, I am a 39-year-old male with a low sperm count of 1.9 million. My blood work shows that I have a high FSH. Our doctor highly suggested that I get genetic testing done before we proceed with an IVF or an ICSI. I would like to know why he would suggest that.  Read Full »


Dr. Ashok Kumar Choudhary

Answer: Hello, Welcome to icliniq.com. I would like to inform you that the low sperm count and high FSH (follicle-stimulating hormone) are indicative of organic disorders of the testes. In other words, the parameters indicate the possibility of either a partial or a complete testicular failure. The g...  Read Full »

Is it acceptable to have mitochondrial embryo donation above 40 years of age?

Query: Hi doctor, I am considering mitochondrial embryo donation. However, prior to doing so, I am wondering about a home hormonal balancing option as I found online. Which do you suggest for attempting first? I am 44 years old with an AMH of .5 ng/mL, six follicles located in the ultrasound, an FSH level...  Read Full »


Dr. Sameer Kumar

Answer: Hello, Welcome to icliniq.com. In your case, medical treatment for raising AMH (anti-mullerian hormone test) levels can be offered before opting for an IVF (in-vitro fertilization) or ICSI (intracytoplasmic sperm injection) procedure. Also please share the online hormonal balancing option whic...  Read Full »

Are IVF and ICSI needed to get pregnant with PCOS?

Query: Hi doctor, I am a 32 year old female, and I weigh 57 kg. I am work in a bank, which keeps me out of home from 9 AM to 7 PM. I was diagnosed with PCOS, and I have a 1.5 mm intramural fibroid on the posterior wall of the uterus since two years. I am taking Glyciphage SR 500 since then, and it has kep...  Read Full »


Dr. Sathawane Aparna Milchand

Answer: Hi, Welcome to icliniq.com. It is not necessary to go for IVF (in vitro fertilization). IVF has more success rate than IUI (intrauterine insemination) during infertility. I suggest trying IUI few more times, but chances of success are less. So, you have to take the decision. Nowadays with advance...  Read Full »

Is it safe to do tubal ligation reverse surgery now?

Query: Hi doctor,I have had tubes tied for about seven years now and had a tummy tuck before four years. Now, I would like to get tubal ligation reverse surgery done. I was wondering is it safe to have the procedure done. Please explain.  Read Full »


Dr. Balakrishnan. R

Answer: Hi,Welcome to icliniq.com.There is no problem in going for tubal recanalization. But as in any surgery, reversal of tubal integrity will not be 100%.The tube may look open and normal, but once damaged by previous surgery, the inner lining of the tube will not be perfect. Just like a patchworkwas don...  Read Full »

After embryo transfer, how to confirm pregnancy?

Query: Hi doctor, I had my (frozen) embryo transfer 15 days ago. I have gone through ICSI and having PCOD. I am using Progesterone six tablets orally and two Gestone tablets vaginally. My doctor advised me to take a complete bed rest for a few days. But, my situation cannot support me to have rest. I am ...  Read Full »


Dr. Balakrishnan. R

Answer: Hello, Welcome to icliniq.com. First, let me say do not get so tensed about the result. We always hope to be within that 40% to 45 % positive cases, but always be ready for the remaining 55% to 60% negative too. After embryo transfer, the best method to confirm is serum beta-hCG on day 13 or 14...  Read Full »

Does alcohol consumption affect sperm production and sperm count?

Query: Hello doctor, I did a test, and the result was low sperm count. After taking the prescribed drugs, it went from low to zero. I need help.   Read Full »


Dr. Samer Samer Juma Ali Altawil

Answer: Hi, Welcome to icliniq.com. Thanks for consulting us. I reviewed your results (attachment removed to protect the patient's identity). I found that you have issues with your testis, which is in the failure stage and does not produce enough sperms, and testosterone is low. I am sure you took supplemen...  Read Full »

Do I need ICIS for IVF?

Query: Hi doctor, I have recently had a semen analysis in anticipation of doing IVF with my wife. The two parameters showed up as low are the percentage of normal morphology and motility index. I will attach the semen analysis results along with this query. My questions are the following. Am I considered s...  Read Full »


Dr. Purushottam Sah

Answer: Hi, Welcome to icliniq.com. Your total motility is normal and the morphology is low. To improve normal morphology, please stay away from heat, chemical, smoking, alcohol and cold compress the testes daily for five minutes. My advice is to take vitamins C, E, B complex, folic acid, zinc and eat more ...  Read Full »

Can I conceive this month based on my reports?

Query: Hello doctor, I am 24 years old and married for 4 years now. I am 5.2 and obese. This is my scan report. Can you please tell me if I can conceive this month? I previously had PCOS. Currently, I am using ayurveda medicines. I heard that delayed ovulation rupture does not cause pregnancy. Also, my hus...  Read Full »


Dr. Neha Singh Rathod

Answer: Hi, Welcome to icliniq.com. I have gone through your query and reports (attachment removed to protect patient identity). Since your husband has teratospermia (sperm with abnormal morphology), he will have to meet andrologist and get started with medications. For you, I suggest Folic acid sup...  Read Full »

Can we opt for IUI or ICSI to conceive?

Query: Hi doctor, My wife and myself have been married for one year and seven months. We started regular coitus about eight months ago for at least two to three times per week. Her cycle occurs every month, but ranges between 26 to 29 days. We are unable to conceive. Her hormonal profile and pelvic US are ...  Read Full »


Dr. Sweta Singh

Answer: Hi, Welcome to icliniq.com. Having gone through the reports (attachment removed to protect patient identity), I feel you and your wife have a good chance of conception with IUI (intrauterine insemination). However, I would like to suggest you get your wife's tubes tested by means of a hysterosalping...  Read Full »

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