ICSI: When Is It the Best Option for Infertility?
Published on: 2025-06-18 | Written by: Dr. Asmaa Darwish, Gynecology, Obstetrics and IVF Specialist
Intracytoplasmic sperm injection (ICSI) is one of the most advanced assisted reproductive techniques that has changed the lives of thousands of couples. But is it the right choice for everyone? In this article, Dr. Asmaa Darwish, Obstetrics and Gynecology Specialist, explains when to consider ICSI, how the procedure works, its success rates, and how to prepare for it.
What Is ICSI?
ICSI involves injecting a single sperm directly into a mature egg using a specialized microscope. The fertilized egg is then implanted into the woman’s uterus.
According to Dr. Asmaa Darwish, this method is ideal for complex infertility cases and offers high precision and encouraging results.
When Is ICSI Recommended?
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Low or absent sperm count in the male partner
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Blocked fallopian tubes or uterine adhesions
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Failed attempts with natural conception or IUI
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Poor egg quality or ovulation issues
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Unexplained infertility after years of trying
ICSI vs. IVF: What’s the Difference?
| Aspect | ICSI | IVF |
|---|---|---|
| Fertilization | Sperm is injected directly into the egg | Eggs and sperm are mixed in a lab dish |
| Success rate | Higher in complex cases | Slightly lower, best for simpler cases |
| Cost | Relatively higher | Less expensive |
| Ideal use | Male factor infertility or repeated failure | Tubal blockage or ovulation disorders |
How to Prepare for ICSI
Dr. Asmaa Darwish recommends:
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Comprehensive testing for both partners (hormones, semen analysis, ovarian reserve)
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Medication to regulate ovulation cycles
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Adopting a healthy lifestyle and balanced diet
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Reducing psychological stress and maintaining regular follow-ups
Post-ICSI Care Tips
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Rest in the first few days after embryo transfer
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Avoid strenuous physical activity
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Closely monitor early pregnancy symptoms
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Take prescribed medications as directed by Dr. Asmaa Darwish
When to See a Specialist
If you've been trying to conceive for a year without success, have irregular cycles, or have a known reproductive issue, it’s important to consult Dr. Asmaa Darwish to explore your best fertility treatment options.