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Low sperm count, want baby, need information about ICSI. Will it help? - Online Doctor Chats

Date : 26-Mar-2013
User rating for this question
Very Good Posted in: Infertility Problem
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
User:hello doctor XXXXXXX here
User:i marred in the yr 2010 april month
User:we thought to have baby after 2 yrs
User:but later i came to know that i have a very low sperm count
User:by undergoing semen analysis test
User:even my wife has irregular cycles problem
User:my overall sperm count is 1lalk/ml
User:and healthy sperm count is 0000/ml
Doctor:the counts mentioned is very low
User:ya i know
User:my personal gynecologist is suggesting for us to go for ICSI
User:cud u suggest more abt this pls
Doctor:normally, for fertilisation to occur the counts of sperms should be above 40 lakh, per ml at least
Doctor:and the healthy and motile should be above 40 %
Doctor:so when 40 million sperms are deposited during sex, in the vagina, the sperms flows up, into the fallopian tube and a single sperm fertilises the female egg
Doctor:but only a few thousands , are able to reach the fallopian tube out of the 40 lakh + sperms
Doctor:In ICSI, the semen of a male, is purifed and sperms are separated
Doctor:the nucleus of the sperm is then injected into the ova of the female
Doctor:this is achieved outside the uterus, after collecting multiple ova from the female partner
Doctor:multiple eggs are induced after gving progesterone and HCG injections , and fertility medications
Doctor:once the injection is done, the fertilisaed ova , are then checked if they are sucessful
Doctor:once the embryos are at least a few cells large in size, they are deposited into the uterus , where normal pregnancy is follows
Doctor:this is a brief explanation of ICSI - (Intra Cytoplasmic Sperm Injection)
User:how safe is this?
Doctor:IN layman terms , it is called Injecting a single sperm into an egg
Doctor:this is not a major procedure, and there is no risk to life , it is very safe
Doctor:in case, you mean the chances of success, it depends on actual condition of the sperms and the medical condition of the mother. Lastly the experience of the doctors is also important
User:approx what is the success rate?
Doctor:Extra embryos produced can be frozen for later attempts at pregnancy.
Doctor:The fertilization rate per egg using ICSI is about 70% despite the sperm being terrible,
Doctor:the fertilization rate per infertile couple is over 99% if the wife has adequate eggs, and the pregnancy rate per treatment cycle is over 50%.
User:does baby born with this procedure will be normal?
Doctor:The babies born are physically, mentally, and genetically completely normal, no matter how poor or miserable the sperm of the father.
Doctor:this procedure is done , in specific cases, where the chances of normal fertilisation is very very poor,
Doctor:and this is the last procedure, that can be done to have a child of their own
User:i feel i shud go for this
User:coz i have a very low count
Doctor:yes, that would be the right option
User:healthy sperm count is 0000 only
User:in my case
User:will it be successful
Doctor:yes, defintiely
User:i heard this is a very expensive treatment
Doctor:for a sucessful procedure, even a single non motile sperm is also enough
Doctor:Yes, it is
Doctor:the cost for the whole procedure, may cost from 1 - 1.5 lakhs
User:can u personally suggest any gud specialist
Doctor:May i know where you live ?
User:i stay in bangalore
Doctor:You can consult Dr XXXXXXX A XXXXXXX at Bangalore Assisted Conception Centre ,
Doctor:ADDRESS ; No.: 6/7, Kumarakrupa Road, High Grounds,
Bangalore - 560 001.
Doctor:another unit of the same hospital, is at #909, 47th Cross, 9th Main, 5th Block
Jayanagar, Bangalore – 560 041
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