Intracytoplasmic Sperm Injection (ICSI) with Testicular Biospy

The journey begins with a first medical consultation and various tests, where a fertility expert will closely examine your medical background and explore possible treatments. To customise your treatment for better success, you might undergo further evaluations, including blood work, semen analysis (if applicable), and a uterine ultrasound, among other tests. Once these results are evaluated, a subsequent meeting with your doctor will take place to tweak and lock in your tailored treatment strategy. Then, a patient coordinator assigned to you will outline the associated costs in detail, awaiting your consent to proceed.

During your IVF journey, ovarian stimulation plays a key role by encouraging your ovaries to produce multiple eggs instead of the single egg that’s typically released during a natural menstrual cycle. This step involves taking fertility medications containing hormones like FSH (Follicle Stimulating Hormone) and LH (Luteinizing Hormone) for about 8-14 days. These hormones stimulate your ovaries to develop multiple follicles, with each one potentially housing an egg. Throughout this phase, you’ll undergo regular monitoring, including blood tests and ultrasound scans, to track the development of the follicles and adjust your medication dosage as needed. The aim is to collect a sufficient number of healthy eggs to enhance the chances of successful fertilisation after they’re retrieved and combined with sperm in the lab. You might experience some side effects from the medication, such as bloating, mood swings, or discomfort at the injection sites, but these are typically temporary and manageable.

This procedure, conducted by an experienced IVF doctor under ultrasound guidance and sedation, takes about 15 to 20 minutes. On the same day, our team will work with you to schedule the embryo transfer, and the eggs obtained will be placed into a specialised culture medium.

The Testicular Sperm Aspiration (TESA) or Testicular Sperm Extraction (TESE) procedures can be performed either on the same day as the egg retrieval or on a different day, as decided by the doctor managing the treatment. If done on a different day, the collected sperm or testicular tissue can be frozen until the ICSI procedure. These procedures are usually done under local anaesthesia, but can also be performed under sedation based on the patient’s preference and medical advice.

We carefully analyse and prepare the collected semen sample in the lab, selecting the strongest, most active sperm for fertilisation.

In ICSI cycles, each mature egg is injected with a pre-selected sperm by our embryologists to maximise fertilisation rates. Following successful fertilisation, your embryos are nurtured in a specialised incubator under constant monitoring (Embryoscope®), using advanced technology to assess their development.

Your doctor will place one or two embryos into your uterus in the hope of achieving a pregnancy. Any surplus viable embryos will be frozen for future use. After the embryo transfer, you’ll need to wait 12 days for a pregnancy test.