Learn More About IHR’s ICSI

Intracytoplasmic Sperm Injection (ICSI)

Fertility Treatment that’s Optimized for Your Success

understanding ICSI

Used with IVF and eggs that are of good quality, ICSI is a successful treatment for men with impaired or very few sperm.IVF ICSI revolutionized the treatment of male infertility, allowing fertilization to occur even if only a few sperm are available. First developed by reproductive medical specialists in Belgium, ICSI is a specialized form of microinsemination to help couples overcome male infertility problems such as: low sperm counts, poor motility (or movement) of the sperm, poor sperm quality, or sperm that lack the ability to penetrate an egg. ICSI has become so successful that most treatments previously used for male infertility have been abandoned in its favor.

During routine IVF, eggs and sperm are combined and incubated together in order to achieve fertilization. ICSI is performed by the embryologist, who surgically inserts one sperm into each egg. This is done by perforating the membrane of the egg with a glass pipette containing a single sperm.

This procedure requires highly developed skills. Because only one sperm is needed per egg, even very small numbers of sperm can work. Even in men with no sperm in the ejaculate (azoospermia) ICSI can be used to achieve fertilization of an egg.  In these cases, we can offer a procedure called testicular sperm extraction (TESE), where our urologist extracts a small piece of testicular tissue that may contain sperm cells that can be used for ICSI. In a very high percentage of cases, azoospermic males can achieve fatherhood. Another surgical procedure may also be performed called Percutaneous Epididymal Surgical Aspiration (PESA)

Sometimes IVF with ICSI is done for "egg factor" cases - low ovarian reserve situations. This is when there is either a low number, or low "quality"of eggs (or both). In such cases, ICSI fertilization and pregnancy success rates tend to be lower. This is because the main determinant of IVF success is the quality of the embryos. The quality of the eggs is a crucial factor determining quality and viability of embryos.

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Experience fertility care that is optimized to your health and body with IHR

Dr. Cohen and his staff were a complete blessing to our family. We just welcomed our identical twin girls this past month, and we owe it all to Dr. Cohen and the staff at IHR.


After being devastated from 2 miscarriages at a previous clinic I switched to Dr. TK. I became pregnant on my first round of IVF with him and have 6 frozen embryos.


I am so glad my OB doctor recommended IHR to anyone with infertility issues or concerns.


At IHR, the nurses and ultrasounds techs and lab techs all knew me by name... I just felt like everyone there was really rooting for me.


After more than two years of trying without success, we pursued fertility treatment with Dr. Cohen.


I'm writing this review as my infant daughter naps nearby, which would not have been possible without Dr. Tur-Kaspa and the team at IHR.


I immediately felt like he was addressing ME and MY needs, as opposed to having a protocol that may have worked for the massess.


From the very beginning, we felt strongly supported and received the very best personalized care.


It can be overwhelming but I never felt any discomfort from any procedure I had done there and I knew each was getting us closer to our goal of becoming parents.


After having no luck on our own, a friend highly recommended that we go to IHR. I am happy to say that I am currently pregnant with my first child! I do not have enough kind words to say. Everyone at IHR was wonderful.

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