PICSI & ICSI Treatment

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ICSI & PICSI – Advanced Sperm Selection Techniques for Enhanced Fertility Outcomes

At Jananam Fertility Centre, we offer cutting-edge fertility treatments designed to maximize the chances of conception for couples facing male infertility challenges. Intracytoplasmic Sperm Injection (ICSI) and Physiological Intracytoplasmic Sperm Injection (PICSI) are advanced sperm selection techniques used in In-Vitro Fertilization (IVF) to improve fertilization rates and embryo quality.

By integrating state-of-the-art technology with personalized patient care, we ensure that every couple has the best possible chance of achieving a successful pregnancy.

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Understanding ICSI and PICSI – Key Differences

ICSI (Intracytoplasmic Sperm Injection)

ICSI is an advanced form of IVF where a single sperm is directly injected into a mature egg under a high-powered microscope. This method bypasses natural fertilization barriers, making it particularly beneficial for men with sperm-related issues.

  • Oligospermia: Extremely low sperm count
  • Asthenospermia: Poor sperm motility
  • Teratospermia: Abnormal sperm morphology
  • Fertilization Issue: Sperm cannot penetrate the egg naturally
  • IVF Failure: Previous cycles failed due to fertilization issues
  • Surgical Sperm Retrieval: PESA/TESE due to azoospermia

PICSI is an advanced version of ICSI that mimics natural sperm selection by choosing sperm based on their ability to bind with hyaluronic acid (HA), a substance found in the egg’s outer layer. This ensures only mature, genetically stable sperm are used, improving embryo quality and implantation success.

PICSI is beneficial for:
  • Couples with recurrent pregnancy loss due to poor sperm quality.
  • Men with high sperm DNA fragmentation, which can cause embryo development issues.
  • Cases where previous IVF cycles resulted in poor embryo quality.
  • Unexplained infertility, where traditional methods have not worked.
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ICSI vs. PICSI

ICSI vs. PICSI – A Detailed Comparison

Feature ICSI (Intracytoplasmic Sperm Injection) PICSI (Physiological ICSI)
Sperm Selection Method Randomly selected under a microscope Selected based on hyaluronic acid (HA) binding, mimicking natural selection
Best for Male infertility (low sperm count, motility, or abnormal shape) Couples with recurrent pregnancy loss, poor embryo quality, or high sperm DNA fragmentation.
Risk of Genetic Abnormalities May use immature or DNA-damaged sperm Reduces risk by selecting genetically stable sperm
Success Rate 50–70% fertilization rate per cycle Higher implantation success, lower miscarriage rate
Who Should Consider? Couples with male infertility, failed IVF cycles, or surgical sperm retrieval Couples with multiple IVF failures, poor embryo quality, or unexplained infertility

Who Should Consider ICSI & PICSI?

These techniques are ideal for couples experiencing:

  • Severe Male Factor Infertility Including low sperm count, poor motility, or abnormal sperm morphology.
  • Unexplained Infertility – When standard fertility tests do not reveal a clear reason for conception difficulties.
  • Previous IVF Failures – When conventional IVF cycles have not resulted in fertilization.
  • Use of Surgically Retrieved Sperm – In cases where sperm is obtained via TESE (Testicular Sperm Extraction) or PESA (Percutaneous Epididymal Sperm Aspiration).
  • Recurrent Pregnancy Loss – When miscarriage is linked to poor sperm selection and genetic abnormalities.
  • Egg Freezing & Fertility Preservation – When high-quality sperm selection is necessary for optimal embryo freezing outcomes.
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How to Prepare for ICSI/PICSI Treatment

ICSI (Intracytoplasmic Sperm Injection)

Proper preparation can significantly impact the success of ICSI/PICSI cycles. Here are some important steps:

  • Maintain a healthy diet rich in antioxidants, folic acid, and protein.
  • Reduce stress levels through yoga, meditation, or counseling.
  • Avoid smoking, alcohol, and excessive caffeine intake.
  • Ensure hormone levels are balanced through necessary medications.

  • Consume zinc, selenium, and vitamin C-rich foods to improve sperm health.
  • Maintain an active lifestyle but avoid excessive heat exposure (e.g., hot tubs, saunas).
  • Reduce alcohol and tobacco consumption, as they affect sperm quality.
  • Get tested for sperm DNA fragmentation, if required.
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ICSI & PICSI Process

  • Semen Analysis – Evaluating sperm count, motility, morphology, and DNA fragmentation.
  • Ovarian Reserve Testing – Checking the quantity and quality of eggs.
  • Hormonal & Genetic Testing (if necessary).

  • The female partner receives hormone injections to stimulate multiple egg production.
  • Ultrasound scans and blood tests track follicular growth.
  • An HCG trigger injection is given when the eggs are ready.

  • A minimally invasive ultrasound-guided procedure is performed under mild sedation.
  • The collected eggs are transferred to our state-of-the-art embryology lab.

  • ICSI: Sperm is randomly selected under a high-magnification microscope.
  • PICSI: Sperm are tested for their ability to bind to hyaluronic acid, ensuring only mature, healthy sperm are chosen.

  • The selected sperm is injected into the egg, and the fertilized embryos are cultured for 3 to 5 days.
  • AI-powered time-lapse embryo monitoring helps select the best-quality embryos.

  • A high-quality embryo is transferred into the uterus using a fine catheter.
  • The procedure is painless and requires no anesthesia.

  • Patients can resume normal activities with minor restrictions
  • A pregnancy test is conducted after 12–14 days to confirm the outcome.

Post-Treatment Care & Lifestyle Changes

  • Follow doctor’s advice on medications to support implantation.
  • Avoid heavy lifting or strenuous exercise for a few weeks.
  • Focus on a balanced diet rich in proteins, whole grains, and leafy greens.
  • Get adequate rest and avoid stress, as mental health impacts fertility outcomes.
  • Engage in light physical activity like walking to improve blood circulation.

Success Rates of ICSI & PICSI

  • Age of the woman – Women under 35 have better success rates.
  • Sperm Quality – High-motility sperm improve embryo development.
  • Uterine Receptivity – A healthy endometrium increases implantation chances.
  • Underlying Fertility Conditions – Conditions like PCOS, endometriosis, and genetic issues can influence outcomes.

At Jananam Fertility Centre, we use AI-based embryo grading, blastocyst culture, and advanced sperm selection techniques to improve the success rate of IVF with ICSI/PICSI.

Why Choose Jananam Fertility Centre for ICSI & PICSI?

  • Advanced IVF Lab
  • Experienced Fertility Specialists
  • Ethical & Transparent Approach
  • Compassionate Support

Take the Next Step in Your Fertility Journey

If you’re considering ICSI/PICSI, let Jananam Fertility Centre guide you with compassion, expertise, and cutting-edge reproductive technology.

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