Dr Jasdev Singh
Intracytoplasmic Sperm Injection (ICSI)
A single sperm is injected into each mature egg in the lab, helping fertilisation happen when sperm numbers or movement are low.
Fertility Treatments
Helping fertilisation happen when sperm need extra help
ICSI stands for intracytoplasmic sperm injection. It is done as part of IVF. After egg collection, an embryologist (a laboratory specialist) selects a healthy looking sperm and injects it directly into each mature egg.
ICSI means fertilisation is possible even when very few sperm are available.
Dr Jasdev explains whether ICSI is needed in your case, as it does not add benefit for every couple.
A plan that starts with your results
Your age, history, test results and goals are reviewed before any treatment is suggested.
Clear reasons for each step
You will know why a test or medicine is recommended, what it can do and where its limits are.
Care that stays connected
Reviews are planned around how you respond, your cycle timing and your next decision.
What ICSI offers you
- A way to fertilise eggs when sperm count or movement is low
- An option after poor fertilisation in a past IVF cycle
- The use of sperm retrieved surgically or from frozen samples
How your care is planned
Every stage answers three questions: what is happening, why it matters, and what comes next. The plan is reviewed at each stage and adjusted when needed.
Review semen results and any previous fertilisation reports
Plan an IVF cycle with egg collection
Inject each mature egg and follow embryo growth
How ICSI works
The first steps are the same as IVF: hormone injections, monitoring scans and egg collection under sedation. In the lab, each mature egg is held steady under a microscope while one sperm is injected with a fine needle. The next day, the embryologist checks which eggs have fertilised. The embryos then grow for a few days before transfer or freezing.
When ICSI may be suggested
ICSI is usually advised for a low sperm count, poor movement or unusual shape, and when sperm has been collected surgically. It may also be used after poor fertilisation in a previous IVF cycle, or with frozen eggs.
What to expect
For the woman, the experience is the same as an IVF cycle. For the man, a fresh sample is given on the day of egg collection, or a frozen or surgically retrieved sample is used. You will hear about fertilisation the following day.
How Dr Jasdev works with you
He brings together experience in fertility and gynaecology, and he explains things in plain language. Advice is based on current evidence and on what matters to you. You will always know what the next step is and why it has been suggested. He sees couples from Kuala Lumpur and across Malaysia, as well as some who travel from neighbouring countries.
What to bring to your appointment
Your records help Dr Jasdev understand your history quickly, so more of the visit can go to your questions. If you cannot find everything, bring what you have.
- All semen analysis reports, including any DNA fragmentation tests
- Records of previous IVF or ICSI cycles
- Details of any sperm retrieval surgery
What couples often ask about ICSI
Most couples arrive with several questions. These common ones can help you plan what to ask.
Do we need ICSI, or would standard IVF work?
Does ICSI affect the health of the baby?
What happens if no eggs fertilise?
How is the sperm chosen?
Your questions about ICSI
What is ICSI?
ICSI is a laboratory technique used within IVF. One sperm is injected directly into each mature egg to help fertilisation.
Who is ICSI suitable for?
Couples with significant sperm problems, surgically retrieved sperm, or poor fertilisation in a previous IVF cycle. For many other couples, standard IVF works just as well.
What tests are needed before ICSI?
A recent semen analysis, the usual IVF tests for the woman, and infection screening for both partners. Hormone or genetic tests for the man may be advised in some cases.
Is ICSI painful or risky?
ICSI happens in the lab, so there is no extra discomfort. The risks are mainly those of IVF. A small rise in some birth conditions has been reported, often linked to the sperm problem itself, and this is discussed openly.
Why see Dr Jasdev for ICSI?
He recommends ICSI only when it is likely to help and explains the reasons, so you understand what is being done and why.
How do I book?
Call or WhatsApp the clinic, and bring your semen analysis reports to the first visit.
This page is general information and does not replace a consultation. Whether a treatment suits you, and its risks and timing, should be discussed with Dr Jasdev based on your own history.
Find out whether you need ICSI
Book a consultation to review your semen results and treatment options.