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ICSI Treatment in New Delhi for Bangladesh Patients | Hospitals & Cost

For many couples in Bangladesh facing infertility, the dream of starting a family can come with unique challenges. Concerns about access to advanced reproductive technologies, the availability of experienced specialists, and the overall cost of treatment often lead to exploring options beyond their immediate borders. The journey to parenthood can feel overwhelming, but clarity and expert guidance are available.

New Delhi has emerged as a preferred destination for international patients seeking fertility treatments like Intracytoplasmic Sperm Injection (ICSI). The city’s well-established medical infrastructure, coupled with its proximity and connectivity to Bangladesh, makes it a practical choice. Patients often choose New Delhi for its specialized clinics that focus on delivering high-quality reproductive care.

Trust in New Delhi's medical fraternity for ICSI is built on its accredited hospitals and dedicated fertility experts. These facilities are equipped with modern laboratories and experienced embryologists crucial for successful ICSI outcomes. Patients can expect a coordinated care environment, ensuring comprehensive support from initial consultation through to post-treatment follow-ups within the city.

New Delhi offers a supportive and advanced setting for ICSI treatment.

What is Intracytoplasmic Sperm Injection (ICSI)?

Intracytoplasmic Sperm Injection, or ICSI, is an advanced fertility procedure used primarily in cases of male infertility or when conventional in vitro fertilization (IVF) has been unsuccessful. It involves injecting a single, healthy sperm directly into the center of a mature egg. This precise micro-manipulation technique bypasses potential barriers to fertilization, significantly increasing the chances of successful embryo creation. ICSI addresses issues such as low sperm count, poor sperm motility, or problems with sperm binding to the egg, offering hope to couples who might otherwise struggle to conceive.

Related or Complementary Procedures with ICSI

While ICSI is a specific procedure, it is often performed as part of a broader IVF cycle and can be combined with other techniques:

  • Standard ICSI: The direct injection of a single sperm into an egg, typically used for male factor infertility or previous fertilization failures.
  • PICSI (Physiological ICSI): Involves selecting sperm based on their maturity and ability to bind to a hyaluronan-coated dish, mimicking natural binding to the egg.
  • IMSI (Intracytoplasmic Morphologically Selected Sperm Injection): Utilizes a high-magnification microscope to select sperm based on their detailed morphology, aiming for the healthiest sperm.
  • Sperm Retrieval Techniques: For men with azoospermia (no sperm in ejaculate), surgical methods like TESA (Testicular Sperm Aspiration), PESA (Percutaneous Epididymal Sperm Aspiration), or MESA (Micro-Epididymal Sperm Aspiration) are performed to retrieve sperm directly from the testes or epididymis for ICSI.
  • Preimplantation Genetic Testing (PGT): May be recommended alongside ICSI to screen embryos for chromosomal abnormalities (PGT-A) or specific genetic disorders (PGT-M) before transfer.
  • Embryo Freezing (Cryopreservation): Any high-quality embryos remaining after the initial transfer can be frozen for future use, eliminating the need for a full ICSI cycle again.

When is ICSI Treatment Recommended?

  • Severe male factor infertility, including very low sperm count (oligozoospermia) or poor sperm motility (asthenozoospermia).
  • Abnormal sperm morphology (teratozoospermia), where sperm have an unusual shape.
  • Failure of fertilization in a previous conventional IVF cycle.
  • Cases where only a small number of eggs are retrieved.
  • Couples using surgically retrieved sperm due to obstructive or non-obstructive azoospermia.
  • Unexplained infertility after other diagnostic tests yield no clear cause.
  • When using frozen sperm that may not be as robust for conventional IVF.

Pre-Treatment Evaluation for ICSI

  • Comprehensive medical history and physical examination for both partners.
  • Hormonal blood tests for the female partner to assess ovarian reserve (e.g., AMH, FSH, LH, E2).
  • Semen analysis for the male partner to evaluate sperm count, motility, and morphology.
  • Infectious disease screening (e.g., HIV, Hepatitis B and C, Syphilis) for both partners.
  • Uterine evaluation for the female partner, which may include ultrasound, hysteroscopy, or hysterosalpingography (HSG).
  • Genetic screening for both partners if there is a family history of genetic disorders.

How Intracytoplasmic Sperm Injection (ICSI) is Performed

The ICSI procedure is a detailed process that typically follows these key stages, although specific protocols may vary slightly based on individual patient needs and clinic preferences.

1. Ovarian Stimulation

The female partner undergoes controlled ovarian hyperstimulation using injectable hormones for about 10-14 days. This stimulates the ovaries to produce multiple mature eggs, which is monitored through regular ultrasounds and blood tests.

2. Egg Retrieval

Once the eggs are mature, a minor surgical procedure called transvaginal ultrasound-guided egg retrieval is performed under light sedation. A thin needle is guided through the vagina to aspirate fluid from the ovarian follicles, collecting the eggs.

3. Sperm Retrieval and Preparation

On the same day as egg retrieval, a sperm sample is collected from the male partner. If needed, sperm can be surgically retrieved directly from the testes. The sample is then processed in the lab to isolate the healthiest and most motile sperm.

4. ICSI Procedure (Microinjection)

Under a high-powered microscope, a single healthy sperm is carefully selected and injected directly into the cytoplasm of each mature egg using a fine glass needle. This step ensures fertilization, especially when sperm quality is a concern.

5. Embryo Culture

The fertilized eggs (now embryos) are placed in an incubator to grow and develop for 3-5 days. The embryologists monitor their development, assessing their quality and readiness for transfer.

6. Embryo Transfer

One or more selected embryos are gently transferred into the female partner's uterus using a thin catheter. This is a painless procedure, similar to a pap smear, and typically does not require anesthesia. Any remaining viable embryos can be cryopreserved for future use.

Recovery After ICSI and Embryo Transfer

Following the embryo transfer, patients are typically advised to rest for a short period. Mild cramping or spotting may occur, which is generally normal. Physical activity should be limited for the first few days, and strenuous exercise or heavy lifting should be avoided. Continued medication, usually progesterone, is prescribed to support the uterine lining and enhance the chances of embryo implantation. A pregnancy test is scheduled approximately two weeks after the transfer. Emotional well-being is also crucial during this waiting period, and clinics often provide support resources.

Potential Risks and ICSI Success Rates

  • Ovarian Hyperstimulation Syndrome (OHSS): A condition where ovaries become swollen and painful due to fertility medications, ranging from mild to severe.
  • Multiple Pregnancies: Transferring more than one embryo increases the risk of twins or triplets, which carries higher risks for both mother and babies.
  • Egg Retrieval Risks: Though rare, potential complications include bleeding, infection, or damage to surrounding organs during the retrieval procedure.
  • Psychological Stress: The emotional toll of fertility treatment can be significant, leading to anxiety, depression, and relationship strain.
  • Slightly Higher Risk of Birth Defects: While the overall risk is very low, some studies suggest a marginal increase in certain birth defects or genetic conditions with ICSI, though more research is ongoing.
  • No Fertilization: Despite ICSI, there is still a small chance that fertilization may not occur for all injected eggs.

ICSI success rates can vary significantly based on several factors, including the female partner's age, the underlying cause of infertility, the quality of eggs and sperm, the expertise of the fertility clinic, and the number of embryos transferred. On average, the fertilization rate with ICSI is about 70-85% of injected eggs. The live birth rate per embryo transfer generally ranges from 30% to 50%, often peaking for women under 35 and decreasing with age. It is important to discuss specific success rates and expected outcomes with your fertility specialist.

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Cost of ICSI Treatment in New Delhi

The cost of ICSI treatment in New Delhi is influenced by various factors, including the reputation and facilities of the chosen hospital or clinic, the experience of the fertility specialist, and the specific medications and diagnostic tests required. Additional procedures, such as sperm retrieval (if surgical), genetic testing, or embryo cryopreservation, will also affect the overall expenditure. New Delhi offers competitive pricing without compromising on advanced medical care and technology.

An ICSI cycle in New Delhi typically ranges from INR 1,50,000 to INR 3,00,000.

New Delhi vs. Global ICSI Treatment Costs

New Delhi provides a significantly more affordable option for ICSI treatment compared to many Western countries, making advanced fertility care accessible to a wider range of international patients. The table below illustrates a general comparison of ICSI costs.

Location Estimated ICSI Cost (USD)
New Delhi, India $2,000 - $4,000
United Kingdom $8,000 - $12,000
United States $10,000 - $18,000
Thailand $5,000 - $8,000
Turkey $3,500 - $6,000

Comprehensive Support Services for Your ICSI Journey

  • Assistance with medical visa applications and necessary travel documentation.
  • Guidance on suitable accommodation options ranging from budget-friendly to luxury.
  • Coordination for local transportation, including airport transfers and clinic visits.
  • Access to language interpreters to ensure clear communication with medical staff.
  • Facilitation of all appointments, from initial consultation to follow-up check-ups.
  • Support in coordinating post-treatment follow-up care or obtaining second opinions.

Essential Documents for Your ICSI Treatment in New Delhi

  • Valid passport with at least six months validity from your travel date.
  • Medical visa specifically for treatment in India.
  • All relevant medical reports and diagnostic test results from your home country.
  • Proof of marriage or civil partnership, if required by the clinic for fertility treatments.
  • Financial documents to show proof of funds for treatment and stay.
  • A referral letter from your local physician detailing your medical history and reason for seeking ICSI.

Preparing for Your ICSI Procedure in New Delhi

  • Engage in initial teleconsultations with New Delhi fertility specialists to discuss your case.
  • Follow any pre-cycle lifestyle recommendations, such as dietary adjustments or cessation of smoking.
  • Adhere strictly to any prescribed medications or supplements before your arrival.
  • Finalize your travel itinerary and ensure all bookings are confirmed.
  • Maintain open communication with your chosen clinic regarding your arrival schedule and any specific needs.

Aftercare and Recovery Following Your ICSI Treatment

  • Follow all post-embryo transfer instructions, including recommended rest and activity restrictions.
  • Continue taking any prescribed medications, such as progesterone, exactly as directed by your doctor.
  • Maintain a healthy and balanced diet, avoiding alcohol and caffeine.
  • Attend all scheduled follow-up appointments and pregnancy tests as advised by the clinic.
  • Seek emotional support if needed, as the two-week wait can be a challenging period.
  • Obtain a fitness-to-travel certificate from your doctor before planning your return journey to Bangladesh.

Ready to Take the Next Step Toward Parenthood?

Embarking on the ICSI journey in New Delhi can be a significant step toward achieving your family dreams. We are here to provide comprehensive support and expert guidance every step of the way.

Start Your Journey with Confidence

Reach out to us to learn more about ICSI in New Delhi and schedule your initial consultation.

Your path to parenthood begins here.

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