Intracytoplasmic Sperm Injection (ICSI) in Pune for Bangladesh Patients | Cost, Hospitals

Patients from Bangladesh often face deep concerns when considering advanced fertility treatments like ICSI. The journey can feel overwhelming, with questions about success rates, costs, and the quality of care available outside their home country. Finding a trustworthy and accessible option is a primary worry for many couples seeking to start a family.

For those exploring international medical avenues, Pune in India emerges as a compelling destination. The city has cultivated a reputation for its specialized medical facilities and a coordinated healthcare environment. Patients frequently choose Pune due to its blend of expert medical practitioners and patient-centric support systems.

Pune's medical infrastructure includes modern hospitals and highly skilled fertility specialists. These facilities offer advanced ICSI procedures with a focus on comprehensive care, from initial consultation to post-treatment follow-ups. The city's medical ecosystem is designed to ensure a smooth treatment journey for international visitors.

Pune provides a reliable and advanced medical environment for ICSI treatment.

What is Intracytoplasmic Sperm Injection (ICSI)?

Intracytoplasmic Sperm Injection, or ICSI, is an advanced assisted reproductive technology (ART) used to help couples overcome infertility, especially those with severe male factor infertility. During ICSI, a single sperm is carefully injected directly into an egg. This procedure is typically performed as part of an in-vitro fertilization (IVF) cycle, aiming to achieve fertilization when natural fertilization or conventional IVF has been challenging or is unlikely to succeed. It significantly improves the chances of fertilization in specific cases.

Different Approaches to ICSI Treatment

When Is ICSI Treatment Recommended?

• Severe male factor infertility, including low sperm count (oligozoospermia), poor sperm motility (asthenozoospermia), or abnormal sperm morphology (teratozoospermia).
• Previous failed fertilization in a conventional IVF cycle, despite good sperm and egg quality.
• When sperm is retrieved surgically from the testes or epididymis (e.g., TESA, TESE, PESA), which often yields a limited number of sperm.
• Couples using frozen sperm, as thawing can sometimes reduce sperm viability.
• In cases where preimplantation genetic testing (PGT) is planned for the embryos, to ensure only one sperm fertilizes each egg and avoids contamination.
• If only a few eggs are retrieved, ICSI can maximize the chances of fertilization for each available egg.

Essential Pre-Treatment Evaluation for ICSI

• Female Partner Evaluation: Ovarian reserve testing (AMH, FSH, LH, Estradiol), uterine assessment (ultrasound, hysteroscopy), and hormone profile.
• Male Partner Evaluation: Comprehensive semen analysis, hormone levels, and potential genetic screening for severe male factor infertility.
• Infectious Disease Screening: Blood tests for HIV, Hepatitis B and C, Syphilis for both partners.
• General Health Assessment: Complete blood count, blood group, thyroid function tests, and other necessary screenings to ensure overall health.
• Counselling: Pre-treatment consultation with a fertility specialist and sometimes a genetic counselor to discuss the process, risks, and expectations.

How the ICSI Procedure is Performed

The ICSI procedure is a precise laboratory technique performed as part of an IVF cycle, tailored to the couple's specific medical plan.

Recovery Process Following ICSI Treatment

Recovery from the ICSI procedure itself is minimal as the primary interventions are egg retrieval and embryo transfer. After egg retrieval, patients typically experience mild cramping or spotting for a few days. Rest is advised, and strenuous activities should be avoided for about a week. After embryo transfer, a period of reduced activity is recommended, though strict bed rest is generally not necessary. Patients are usually advised to avoid heavy lifting, intense exercise, and sexual intercourse for a short period. Follow-up appointments will include blood tests to confirm pregnancy, typically 10-14 days post-transfer, and subsequent ultrasounds to monitor early pregnancy development.

Risks and Expected Success Rates with ICSI

• Ovarian Hyperstimulation Syndrome (OHSS): A rare complication from fertility medications, causing swollen, painful ovaries. Mild cases are common, severe cases are rare but require medical attention.
• Multiple Pregnancies: Transferring multiple embryos increases the chance of twins or triplets, which carries higher risks for both mother and babies.
• Ectopic Pregnancy: Occurs when the embryo implants outside the uterus, usually in the fallopian tube.
• Failed Fertilization or Embryo Development: Despite ICSI, fertilization may not occur, or embryos may not develop as expected.
• Miscarriage: The risk of miscarriage after ICSI is similar to that of natural conception or conventional IVF, largely influenced by maternal age.

The success rates for ICSI are generally high for achieving fertilization, often reaching 70-85% of injected eggs. However, the live birth rate per cycle depends on many factors, including the female partner's age, the cause of infertility, the quality of eggs and sperm, and the clinic's expertise. For women under 35, live birth rates per ICSI cycle typically range from 40-50%, decreasing with age. It is crucial to have realistic expectations, as success is not guaranteed in a single cycle. Long-term outcomes for children born via ICSI are comparable to those conceived naturally or through conventional IVF.

Cost of ICSI Treatment in Pune

The cost of Intracytoplasmic Sperm Injection (ICSI) treatment in Pune is influenced by several factors. These include the specific fertility clinic's reputation and technology, the experience of the fertility specialist, the type of ovarian stimulation protocol used, and whether additional procedures like embryo freezing or genetic testing are required. Pune offers a competitive cost structure compared to many Western countries, without compromising on quality of care.

A typical ICSI cycle in Pune can range from INR 1,50,000 to INR 3,00,000 (approximately $1,800 to $3,600 USD), excluding additional medications or procedures.

Comprehensive Support Services for Your Treatment Journey in Pune

• Dedicated patient coordination for scheduling appointments and consultations.
• Assistance with travel arrangements, including visa guidance and accommodation suggestions.
• Language interpretation services to ensure clear communication with medical staff.
• Guidance on local transportation and logistical support within Pune.
• Post-treatment follow-up coordination, including medication advice and remote consultations.
• Emotional support and counselling resources for couples navigating fertility challenges.

Key Documents Required for Your Medical Visit to Pune

• Valid passport and medical visa for entry into India.
• All previous medical records, diagnostic reports, and fertility treatment history.
• Referral letters from your primary care physician or local fertility specialist, if applicable.
• Proof of funds or financial arrangements for treatment.
• Marriage certificate (often required for fertility treatments in India).
• Copies of any identification documents for accompanying family members.

Essential Steps to Prepare Before Your ICSI Treatment in Pune

• Complete all recommended pre-treatment evaluations and tests in your home country or upon arrival in Pune.
• Adhere to any dietary restrictions or lifestyle changes advised by your fertility specialist.
• Disclose all current medications, supplements, and allergies to your medical team.
• Plan for your stay in Pune, ensuring you have comfortable accommodation and access to necessary amenities.
• Arrange for a companion or support person to accompany you during your treatment period.
• Mentally and emotionally prepare for the treatment process, understanding potential outcomes and timelines.

Guidance for Recovery and Aftercare Following ICSI

• Follow all medication instructions carefully, especially those related to hormonal support post-embryo transfer.
• Attend all scheduled follow-up appointments, including blood tests for pregnancy confirmation and early ultrasounds.
• Avoid strenuous activities, heavy lifting, and intense exercise for the period advised by your doctor.
• Maintain a healthy and balanced diet, and stay well-hydrated.
• Monitor for any unusual symptoms like severe pain, heavy bleeding, or fever, and report them immediately to your medical team.
• Plan for a period of relaxation and emotional well-being to support your recovery and early pregnancy.

Ready to Explore Your Options for ICSI?

Understanding your path to parenthood with ICSI in Pune begins with expert guidance. Take the first step towards realizing your dream with trusted care.