Intracytoplasmic Sperm Injection (ICSI) – In this procedure a small glass needle is used to inject a single sperm directly into the egg. This procedure is technically very difficult requiring experienced personnel. The personnel at the Fertility Institute of Hawaii are some of the best trained in the world for technical IVF procedures such as ICSI.
ICSI is most commonly used when the man has a low sperm count or poor sperm quality. However, it can be used for other conditions as well. For men who don’t produce any sperm in their ejaculate but are able to produce sperm in the testes, doctors can also now remove sperm directly from the testes using an outpatient surgical procedure. The retrieved sperm can then be used in the ICSI procedure to inseminate the egg.