we did ICSI as part of our IVF protocol because my DHs sperm were misshapen, lazy and swimming in the wrong direction. So we needed that extra help of having the sperm put into the egg.
But if the swimmers you have know what they are doing, sounds like you won't need that extra procedure.
I think its horses for courses. and neither guarantees results iykwim.
We did ICSI because we had to but given the chance I would have tried straight IVF first. From what I have read (limited, because it just served to make me anxious and it was pointless to keep researching as I didn't have a choice in treatment) there may be a higher risk of birth defects associated with the process of ICSI. Every FS has a different opinion though so it's worth checking with yours.
My clinic also charges extra for ICSI so if yours does that may also be a factor for you.
Hi hun, we did ICSI as our FS wanted us to get pg asap because of our ages AND I had a pretty impressive fibroid growing in my uterus so time was of essence. I was 38 when I did my cycle. There was no issue with me (apart from the fibroid) and DF had a failed vesectomy reversal, but when they went in with the needle they found enough swimmers in there. There was no issue with DF's swimmwers quality. GL hun!
We did a combination of IVF and ICSI as I had so many eggs collected (30 in total) so my FS did a 50/50 split as we had no sperm issues- 15 were left to there own devices with IVF and 15 had ICSI. Of the 15 IVF ones we had 13 fertilise and the 15 ICSI we had 5 fertilise of the 18 fertilised we had 15 that matured - I don't know if it was the IVF or ICSI one's that didn't grow.
My FS chose both options just to see which would work better for us and it appears that in our case letting nature "take it's course" so to speak with IVF was a better result for us for fertilisation rates.
WE did a split too as DH's sperm quality was not good. There wasn't much difference in fertilisation/survival however.
If quality is not good and/or there's an issue with quantity then you might want to consider it. It is an extra expense of course.
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