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Intracytoplasmic Morphologically Selected Sperm Injection

Get complete knowledge about IMSI (Intracytoplasmic morphologically selected sperm injection) Difference between IMSI & ICSI, success rate & when IMSI is recommended

  • Ivf (In Vitro Fertilization)

By Pankaj Kamble

2nd May '20

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Overview

There are many advanced techniques in the field of IVF which have greatly contributed in its popularity. One such technique is IMSI (Intracytoplasmic morphologically selected sperm injection).

This is a new sophisticated method of sperm selection where the sperm is selected using a high power magnification microscope. This microscope provides much greater magnifying power i.e. around 6000 times which is way better than ICSI technique that gives around 400 times.

Therefore, this technique allows scientists/biologists to assess the structure of sperm that is having the highest chance of achieving a successful fertilization and exclude the sperm with suspected abnormalities.

IMSI treatment is variation of ICSI which is useful in sperm selection for the process of fertilization. Here, the sperm selection is done on prior basis i.e. before microinjection takes place.

So, what is the exact difference between ICSI and IMSI?

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Difference between ICSI and IMSI

difference between ICSI and IMSI

According to Dr. Alex Polyakov, Clinical Director of Melbourne IVF,
 

ICSI and IMSI are similar techniques and both involve injecting a single sperm directly into an egg, the key difference lies in how the sperm is selected.
 

In ICSI, sperm are chosen under a microscope at a relatively low magnification. This allows the embryologist to assess basic characteristics of the sperm, such as size and shape, but doesn't provide a detailed view.

IMSI, on the other hand, uses a high-powered light microscope that can magnify the sperm up to 6000 times. This allows the embryologist to see fine structural details and better assess the sperm's quality, improving the chances of selecting a sperm that will result in a successful pregnancy.

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What is the procedure of IMSI?

To stimulate production of eggs in ovaries fertility drugs are to given female partners.

SELECTIONInitially, selection of sperm is done under a microscope having magnifying power 15 times more effective than ICSI.
DISCARDThe internal morphology of sperm can be easily examined with the help of sophisticated microscope and those sperms with abnormilites can be easily discarded.
INJECTIONThrough ICSI (Intracytoplasmic sperm injection) the sperm which is selected is injected into the egg. If successful then the eggs will be fertilized and embryos will be formed.
TRANSFERWith the help of a thin catheter one or three embryos are selected and inserted deep inside the uterus by the gynaecologist.

Now you surely must be wondering why IMSI is recommended?

When is IMSI recommended??

When is IMSI recommended?

Do you know what is the success rate of IMSI? Let's find out!

What are the Side Effects of IMSI?

IMSI (Intracytoplasmic Morphologically Selected Sperm Injection) is generally a safe procedure, but potential side effects can include discomfort or pain during the process, Ovarian Hyperstimulation Syndrome (OHSS), infection risk, the possibility of multiple pregnancies, and emotional/psychological impact. However, not all individuals will experience these side effects, and consulting with a medical professional is crucial for personalized guidance.

What is the Success Rate of IMSI?

Success rate of IMSI is believed to be higher than ICSI technique. However, depending on each individual case the success rate varies greatly.

There is 38% chance of achieving live birth with ICSI method but in case of IMSI the probability of achieving live birth would be between 30%-63%.

Generally, the risk associated with IMSI regarding miscarriage would be approximately 13% to 25%.

However, you should be aware about the fact that a woman’s age plays a very important role when it comes to fertility technique. Depending on the age, some of the eggs may be abnormal and therefore at the time of fertilization it may result in abnormal embryo.

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Frequently Asked Questions

Are there any risks or side effects associated with IMSI?

Can IMSI be used in combination with other fertility treatments?

Are there any restrictions or limitations to undergoing IMSI?

Does IMSI improve pregnancy rates or live birth rates?

Does IMSI increase the risk of multiple pregnancies?

Is IMSI suitable for all types of male infertility?

Are there any lifestyle changes that can enhance the effectiveness of IMSI?

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Question and Answers

Dear Sir, I trust this message finds you well. I am writing to seek further advice or guidance regarding a matter that has been concerning my wife and me deeply. Since our marriage in April 2024, we have encountered challenges in conceiving a child. Following consultations with a gynecologist, my wife underwent various tests, all of which returned normal results. However, based on the recommendation of the gynecologist, I underwent a semen analysis test. The results indicated a total sperm count of 45 million, falling below the normal range of 60 to 150 million. Additionally, the motility percentage was recorded at 0%, significantly lower than the normal range of greater than 25%. In search of a solution, I sought advice from two different medical professionals, both of whom prescribed distinct medications and treatments. The first doctor recommended a daily intake of one tablet each of YTIG and CQ10 (100gm). Conversely, the second doctor advised me to consume 10 drops of two different oils, Agnus castus and Damiana, with water twice a day. For your reference, I am a 34-year-old male, measuring 5 feet 11 inches in height and weighing 94 kilograms. Despite diligently adhering to the prescribed treatments, my wife has not yet conceived. Therefore, I would greatly appreciate any further advice or guidance you may offer on this matter. Thank you sincerely for your attention and assistance. Warm regards, Habib Bughio

Male | 34

According to the given information, it's advised for you to instance get the help of a fertility specialist. Since that time, they will be capable of performing a full examination and help you to develop for your particular case.

Answered on 16th Apr '24

Dr. Mohit Saraogi

Dr. Mohit Saraogi

Why am I unable to get pregnant

Female | 22

There may be several reasons to explain why you can't conceive. It is crucial that you go and get examined by a fertility doctor or a gynecologist and get your infertility cause to be diagnosed. Whether you opt for IUI or IVF, they will offer you counseling and explain the available methods to enhance your chances of conceiving.

Answered on 16th Apr '24

Dr. Mohit Saraogi

Dr. Mohit Saraogi

Hi, I am HIV positive and also gay. I want to have a baby with help of the IVF technique. Is this possible?

Indeed, HIV-positive persons can have a child conducting IVF, including same sex couples. Specialized reproduction techniques such as sperm washing could be used to eliminate the risk of HIV transmission.Talk to a fertility specialist, they can offer you a holistic approach and work in conjunction with your infectious diseases specialist to ensure successful conception and pregnancy treatment. HIV-positive individuals have viable parenting options due to the technological developments in reproductive and treatment technologies of HIV.

Answered on 18th Jan '24

Dr. Hrishikesh Pai

Dr. Hrishikesh Pai

Cost Of Related Treatments In Country