IMSI is particularly useful in cases where there are concerns about sperm quality. It is recommended for:

• Previous IVF failures

• High levels of sperm abnormalities

• Poor embryo development

• Unexplained infertility

• Initial Consultation: Meet with a fertility specialist to discuss infertility issues and determine if IMSI is a suitable treatment option.

• Ovarian Stimulation: The woman receives hormone injections to stimulate the ovaries to produce multiple eggs.

• Egg Retrieval: Eggs are collected from the ovaries using a minimally invasive procedure under ultrasound guidance and local anesthesia.

• Sperm Collection: The man provides a semen sample, or sperm is retrieved directly from the testicles if necessary.

• Sperm Preparation and Selection: Sperm is prepared by washing and selecting the most viable cells. Using the high-powered microscope, biologists can examine the internal structure of the sperm and select those without morphological abnormalities.

• Sperm Injection: A selected sperm is injected directly into each mature egg using a fine needle.

• Fertilization and Embryo Development: The fertilized eggs are monitored for successful fertilization and allowed to develop into embryos.

• Embryo Transfer: One or more embryos are transferred into the woman’s uterus using a small catheter, typically 3-5 days after fertilization.

• Pregnancy Test: A pregnancy test is conducted about two weeks after the embryo transfer to determine if the procedure was successful.

• By selecting sperm without morphological abnormalities, IMSI may:

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• Increase the chances of successful implantation of the embryo

• Decrease the likelihood of miscarriage

• Improve overall pregnancy outcomes