ICSI in Delhi
A single sperm is injected directly into each egg under a micromanipulator.
What ICSI involves
Intracytoplasmic sperm injection is used when sperm cannot fertilise an egg on their own. Under a high-powered microscope, the embryologist selects one sperm and injects it directly into the egg's cytoplasm. Everything before and after is the same as a standard IVF cycle.
ICSI transformed the outlook for severe male factor infertility. It is also used after unexpected total fertilisation failure in a previous IVF cycle, and when only a small number of eggs are collected and every one matters.
Who this is for
- Very low sperm count, poor motility or abnormal morphology
- Azoospermia, where sperm are retrieved surgically by PESA or TESA
- Previous IVF cycle with complete or near-complete fertilisation failure
- Frozen-thawed or surgically retrieved sperm, and very small egg numbers
Not everything on this list means you need this treatment. The workup comes first, and the recommendation follows from what it shows — not from what was booked before you arrived.
Step by step
Egg retrieval
Identical to a standard IVF cycle — stimulation, monitoring and a day procedure.
Sperm preparation
The sample is processed and the most structurally normal, motile sperm are identified.
Injection
Each mature egg is injected individually with a single selected sperm.
Culture and transfer
Fertilisation is checked at 18 hours, embryos are grown to blastocyst and one is transferred.
Your results, in writing
Whatever the outcome of ICSI, you leave each stage with the findings written down — what was done, what was found, what it means, and what the options are from here. Reports are issued the same day wherever the laboratory allows it.
Case study: A normal female workup, and an unexamined male factor
31 and 36, Dwarka · two years trying · all female tests normal
What she came in with
Two years of investigation focused entirely on her. Hormones, tubes, uterus, thyroid — all normal, repeatedly. Her husband had been told a semen report was 'slightly low' and left at that.
What the workup showed
A repeat semen analysis to WHO criteria showed a concentration of 3 million/ml with 12% progressive motility and 1% normal forms. A DNA fragmentation index of 34% was high. A scrotal ultrasound found a grade 2 varicocele.
What we did
Three months of varicocele repair, antioxidants and lifestyle correction improved fragmentation to 19% but left the count severely reduced. An IVF cycle with ICSI followed, injecting each of the eleven mature eggs individually.
Outcome
Nine eggs fertilised, four reached blastocyst. A single transfer produced an ongoing pregnancy; three blastocysts remain frozen.
The point of this case
Two years and a great deal of money were spent investigating the partner who did not have the problem. A semen analysis costs very little and takes two days.
Illustrative case. This is a composite of presentations commonly seen in this practice, written for explanation — it is not the record of an identifiable patient, and no individual's details are used. Outcomes vary, and nothing here is a prediction of what will happen in your case.
What is different about having this done here
Performed by senior embryologists on every mature egg
IMSI and PICSI available where sperm morphology or DNA fragmentation is the issue
Fertilisation report shared with you the morning after retrieval
Combined with surgical sperm retrieval in the same sitting where needed
Treated by the consultant, not by a rotating team
Dr. Tiwari performs the scans, the procedure and the follow-up herself, and looks after any pregnancy that results. Over a long treatment course that continuity is the difference between being known and being processed.
- MBBS, MS (Obstetrics & Gynaecology), FNB (Reproductive Medicine)
- Over ten years in reproductive medicine and gynaecological surgery
- Consultations and scans at Mother's Hope, Katwaria Sarai; theatre work at SHE Delhi Hospital, Greater Kailash II
- Itemised costs given in writing before anything begins
Areas we see patients from
Both locations are in South Delhi. Patients travelling from further out have appointments grouped to cut down the number of trips.
- ICSI in Katwaria Sarai
- ICSI in Greater Kailash
- ICSI in Hauz Khas
- ICSI in Munirka
- ICSI in Ber Sarai
- ICSI in Safdarjung Enclave
- ICSI in Vasant Kunj
- ICSI in Vasant Vihar
- ICSI in R.K. Puram
- ICSI in Green Park
- ICSI in Malviya Nagar
- ICSI in Saket
- ICSI in Chittaranjan Park
- ICSI in Kalkaji
- ICSI in East of Kailash
- ICSI in Nehru Place
- ICSI in Lajpat Nagar
- ICSI in Kailash Colony
- ICSI in Defence Colony
- ICSI in Alaknanda
Questions about ICSI
Is ICSI better than normal IVF?
Not for everyone. Where sperm parameters are normal, ICSI gives no advantage and adds cost. It is clearly better where there is a male factor or a history of fertilisation failure.
What is the fertilisation rate with ICSI?
Typically 70–80% of mature eggs fertilise. Not every fertilised egg becomes a usable blastocyst.
Are ICSI babies at higher risk?
Large studies show a small absolute increase in certain congenital anomalies, which is thought to relate to the underlying male infertility rather than the technique. We discuss this honestly and offer genetic screening where relevant.
Talk it through before you commit
Consultations run for a full hour. Bring any previous reports — they are reviewed properly, not repeated.