ICSI is an advanced technique that is used together with IVF and involves the injection of a single sperm into the egg. It is used to assist fertilization for those couples who have been told that the sperm parameters are very poor and not suitable for IVF. Couples who have not achieved fertilization during IVF may also be considered for this type of treatment. Those undergoing ICSI have a similar programme of treatment as for IVF. Sperm is washed and purified, a single sperm is then selected to inject eggs. Extracted sperm from the testes is also suitable for ICSI in patients with severely impaired spermatogenesis (development).
It is suitable for patients with spinal cord injuries. Here, sperm is extracted and frozen (local anaesthetic or sedation).
It is indicated for patients undergoing prenatal genetic screening array CGH – see array CGH (the first in Africa and South Africa).