ICSI (Intracytoplasmic Sperm Injection) Treatment in India for Bangladesh

ICSI Treatment in India for Bangladesh Patients | Costs & Hospitals

For couples in Bangladesh facing challenges with conception, the dream of starting a family can sometimes feel distant. The journey to parenthood, especially when advanced reproductive technologies like ICSI are considered, often brings with it questions about quality of care, specialist expertise, and the overall treatment experience abroad.

Many patients from Bangladesh are now looking towards India for advanced fertility treatments. India offers a compelling combination of world-class medical infrastructure, highly skilled fertility specialists, and a broad network of accredited hospitals across major cities, providing diverse options for international patients.

The trust in India's medical system stems from its established reputation in medical tourism, offering comprehensive care pathways from initial consultation to post-treatment follow-ups. Indian fertility clinics and hospitals are equipped with cutting-edge technology and adhere to international treatment protocols, ensuring safety and efficacy.

India stands as a prominent destination for those seeking advanced fertility solutions, including ICSI.

What is ICSI (Intracytoplasmic Sperm Injection)?

Intracytoplasmic Sperm Injection, or ICSI, is an advanced fertility procedure often performed as part of In Vitro Fertilization (IVF). It is primarily used to address severe male infertility issues. During ICSI, a single, healthy sperm is carefully selected and injected directly into the cytoplasm of an egg in a laboratory setting. This direct injection facilitates fertilization when natural sperm-egg interaction is hindered, overcoming barriers such as low sperm count, poor sperm motility, or abnormal sperm morphology. After successful fertilization, the resulting embryo is then transferred to the woman's uterus.

Different Scenarios for ICSI Treatment

When is ICSI Treatment Required?

• Severe male factor infertility, including very low sperm count (oligozoospermia).
• Poor sperm motility (asthenozoospermia), where sperm struggle to move effectively.
• Abnormal sperm morphology (teratozoospermia), affecting their ability to fertilize.
• Previous unsuccessful fertilization with conventional IVF, despite good egg and sperm quality.
• Obstruction in the male reproductive tract preventing sperm from being ejaculated (obstructive azoospermia).
• Non-obstructive azoospermia, where sperm production is very low or absent, requiring surgical retrieval.
• Cases where only a limited number of eggs are retrieved, making direct sperm injection more efficient.
• Use of frozen sperm that may have reduced viability after thawing.

Pre-Treatment Evaluation for ICSI

• Detailed Medical History: Review of both partners' health, past fertility treatments, and genetic history.
• Semen Analysis: Comprehensive assessment of sperm count, motility, morphology, and other factors.
• Hormonal Blood Tests (Female): To assess ovarian reserve (e.g., AMH, FSH, LH, Estradiol).
• Hormonal Blood Tests (Male): To check testosterone levels and other relevant hormones if male factor is suspected.
• Ultrasound Scans (Female): To evaluate uterine health, ovarian structure, and antral follicle count.
• Infectious Disease Screening: Blood tests for HIV, Hepatitis B and C, and other communicable diseases for both partners.
• Genetic Screening: Karyotyping, Y-chromosome microdeletion testing for men with severe male factor infertility.
• Uterine Evaluation (Female): Hysteroscopy or saline sonohysterography to check for any uterine abnormalities.

How the ICSI Treatment is Performed

The ICSI procedure is a precise laboratory technique performed as an integral part of an IVF cycle. The overall process involves several stages, ensuring careful management from initial stimulation to embryo transfer.

Recovery Process After ICSI/IVF

Following the egg retrieval, women may experience mild cramping, bloating, and light spotting for a few days. It is generally advised to rest and avoid strenuous activities. After embryo transfer, a period of rest is also recommended, but most daily activities can be resumed within a day or two, avoiding heavy lifting or vigorous exercise. The clinic will provide specific instructions for medication, activity restrictions, and the date for a pregnancy test, typically about two weeks after embryo transfer. Emotional support is also crucial during this waiting period.

Risks and Success Rates of ICSI

• Multiple Pregnancies: A higher chance of conceiving twins or triplets if multiple embryos are transferred.
• Ovarian Hyperstimulation Syndrome (OHSS): A rare but serious complication from ovarian stimulation, causing swollen ovaries and fluid accumulation.
• Egg Retrieval Risks: Small risks of bleeding, infection, or damage to surrounding organs during the procedure.
• Ectopic Pregnancy: The embryo implants outside the uterus, typically in the fallopian tube.
• Birth Defects: A slightly increased, though still low, risk of certain birth defects compared to natural conception, particularly with male infertility factors.
• Emotional Stress: The entire process can be emotionally demanding for both partners.

The success rates for ICSI vary significantly based on several factors, including the woman's age, the cause of infertility, the quality of eggs and sperm, and the experience of the fertility clinic. Generally, ICSI success rates mirror those of conventional IVF. For women under 35, success rates can range from 40-55% per cycle. These rates tend to decrease with increasing maternal age due to declining egg quality. Long-term outcomes for children conceived through ICSI are generally positive, with extensive research showing similar health profiles to naturally conceived children.

Cost of ICSI Treatment in India

The cost of ICSI treatment in India is a significant factor attracting patients from Bangladesh. It is generally more affordable than in many Western countries, without compromising on quality or success rates. The total cost can vary based on the specific hospital, the specialist's fees, the need for additional procedures (like PGT or surgical sperm retrieval), medication protocols, and the number of cycles required.

A typical ICSI cycle in India can range approximately from INR 1,50,000 to INR 3,50,000.

Support Services for Your ICSI Treatment Journey in India

• Initial Consultation and Treatment Planning: Facilitated virtual consultations with Indian fertility specialists to discuss your case and treatment options.
• Travel and Accommodation Assistance: Guidance on visa applications, flight bookings, and arranging suitable accommodation near your chosen hospital.
• Language Interpreters: Provision of interpreters to ensure clear communication between patients and medical staff throughout the treatment.
• Dedicated Patient Coordinators: A point of contact for all your queries and logistical needs, from arrival to departure.
• Post-Treatment Follow-up: Coordination of virtual follow-up appointments with your Indian doctors after you return to Bangladesh.
• Financial Guidance: Clear breakdown of treatment costs and assistance with payment processes.

Required Documents for Your Medical Visit to India

• Valid passports for both partners with at least six months validity.
• Indian medical visa (e-medical visa is often available for Bangladesh citizens).
• Copies of all previous medical records, diagnostic reports, and fertility treatment history.
• Referral letter from your local physician, if available.
• Proof of financial solvency for treatment and stay.
• Accommodation details in India.
• Return flight tickets.

Preparing for Your ICSI Procedure in India

• Complete all recommended preliminary tests and evaluations as advised by the Indian specialist.
• Ensure all necessary documents are prepared and readily accessible for travel and hospital admission.
• Discuss medication protocols and any dietary or lifestyle changes required before arriving in India.
• Arrange for a companion to travel with you for support during your treatment journey.
• Understand the local culture and climate of your chosen Indian city to prepare appropriately.
• Confirm all appointments with the fertility clinic and specialists before your departure.

Recovery and Follow-Up Care After ICSI

• Adhere strictly to all prescribed medications and dosage instructions provided by your fertility doctor.
• Avoid strenuous physical activities, heavy lifting, and sexual intercourse for the advised period post-embryo transfer.
• Maintain a healthy and balanced diet, staying well-hydrated.
• Attend all scheduled follow-up appointments, including the pregnancy test, as advised by the clinic.
• Monitor for any unusual symptoms like severe pain, heavy bleeding, or fever, and report them to your medical team.
• Engage in stress-reducing activities and ensure adequate rest to support your body during this crucial time.

Ready to Take Your Next Step Toward Parenthood?

Embarking on the ICSI journey in India can offer hope and advanced medical care to couples from Bangladesh.