Talking about the post delivery bleeding which is an important clinical situation which can have some serious consequences on the health of woman if not managed properly at the same time, Dr Shivani Sachdev Gour, Gynaecologist and IVF Expert, SCI Healthcare shares her views on how one can manage the situation. She says that its management involves an aggressive approach which includes resuscitation of the compromised mother and also to find out the cause of bleeding. This involves oxygen administration, bimanual massage of uterus, immediate intravenous fluid administration and certain injections to contract the uterus which can stop the bleeding. If the blood loss is excessive, the woman might need blood transfusion. If the bleeding persists even after massage and injections then there may be some retained placental tissue or there might be a traumatic cause for which the patient needs to be shifted to the operating room and complete exploration of the genital tract is required by an expert and experienced assistants for evidence of any injury.  She lists out absence of blood transfusion facilities and ignorance of illiterate women is the factors contributing to excessive bleeding after delivery. It can cause infection, blood transfusion reactions, thrombosis and failed lactation. In order to prevent post delivery bleeding one should pay proper attention to nutrition and a balanced diet should be taken daily.


After the delivery of baby, there is bleeding from the uterine bed from where the placenta is detached. This bleeding is stopped by effective contraction of the uterus. Bleeding after delivery may continue for about a month but becomes lesser in amount and pinkish in the later days. It consists of blood and shedding of the uterine lining. Excessive post delivery bleeding is an important clinical situation which can have some serious consequences on the  health of the woman  if not managed properly  at the right time. It can occur either  after a vaginal birth or following cesarean section.


In medical terms Post delivery bleeding has been defined as excessive if the blood loss following vaginal delivery is more than 500ml or in case of C Section  more than 1 Litre. But sometimes  blood loss even less  than this cut off may be poorly tolerated by the mother if she is anemic. It  is a clinical emergency which has to be dealt with immediately in the form of fixed protocol. This is defined as PPH(Post Partum Haemorrhage) drill which has to be followed by the attending obstetrician along with the team members.


There can be different causes of excessive bleeding after delivery which can be according to the time period of presentation after delivery. Excessive bleeding  within 24 hours of delivery  is called primary postpartum hemorrhage or bleeding. If it occurs after 24 hrs till 6 weeks of delivery it is known as secondary hemorrhage or bleeding. Immediately after delivery of the baby, the uterus starts contracting and retracting,the placenta separates and the natural process of contracting of the uterus stops the bleeding. For the uterus to contract effectively, the placenta should be completely removed.  If  the uterus  is contracted properly then trauma to genital organs has to be ruled out like uterus, cervix and vagina or from episiotomy. Sometimes there may be a delay  in the delivery of placenta which  may be more than 1hour leading to excessive bleeding. Post delivery bleeding after 24hours of delivery is usually due to infection in uterus or other parts of genital tract. It may also be due to retained bits of placenta or membranes.


There are other causes that intensify the bleeding post delivery such as presence of coagulation defects, multiple pregnancy, excessive liquor, pre existing anaemia, preence of uterine fibroids, uterine malformation or prolonged labour. Also infection due to prolonged leaking is a contributing factor.



Management of post delivery bleeding  involves an aggressive approach which  includes resuscitation of the compromised mother and also to find out the cause of bleeding. This  involves  oxygen administration, bimanual  massage of uterus, immediate intravenous fluid  administration  and certain injections to contract the uterus  which can stop the bleeding. If the blood loss is excessive, the woman might need blood transfusion. If the bleeding persists even after massage  and injections then there may be some retained placental tissue or there might be a traumatic cause for which the patient needs to be shifted to the operating room and complete exploration of the genital tract is required by an expert and experienced assistants for evidence of any injury.  Any  laceration or tear can be repaired and one should look out  for any blood collection(hematoma).



Excessive bleeding after delivery is an important cause of maternal morbidity and mortality worldwide. It is taking a high toll especially in the rural population due to lack of proper care during pregnancy and delivery. Absence of blood transfusion facilities and ignorance of illiterate women are contributing factors. Excessive bleeding may cause infection, blood transfusion reactions, thrombosis and failed lactation. Late complication may be a deficiency of hormones due to deficient blood supply to pituitary gland during shock.



It is very important that one is in good health at time of delivery. Proper attention should be paid to nutrition and a balanced diet should be taken daily. Also green leafy vegetables and fruits should be included. Apart from this, one should take all the supplements prescribed to her especially iron tablets. During antenatal period one should get her hemoglobin checked frequently and any deficiency should be treated.

High risk pregnancies should be delivered at a tertiary centre. In cases of previous caesarean delivery the chances of adherent placenta increase so any USG showing the likelihood of adherent placenta must be followed by an MRI and a senior obstetrician should be involved.



Ms. Pooja writes her experience about her treatment at SCIIVF Hospital, the best IVF Centre Delhi.


Mrs. Pooja writes to us:

I’m Pooja from Punjab and married for 10 years. I got married at the age of 23. I’m the first daughter in my family so everyone was expecting me to tell them the ‘good news’ about my pregnancy but conceiving a baby became a nightmare for me. Our visits to doctors were never ending and I had to swallow a lot of tablets on top of it, the pressure from the family kept me worried.

My husband was very supportive and took me to almost all the fertility clinics and gynecologist around Punjab but none of it worked well for me. Some doctors were very kind and some weren’t. Several scans and numerous reports failed on us instantly. I was suffering from Tube blockage and had also gone through a surgery to remove the tube blockage. But I failed to conceive even after that and tried IUI a couple of times. When we looked back, we had already crossed 7 years of marriage and I had entered into my thirties.


I have read a lot of articles on the internet about the difficulties of conceiving after the age of 30. I was depressed, my husband was worried and we were not able to lead a normal life till we met Dr. Shivani Sachdev Gour . A close friend of mine suggested me to try the famous IVF centre Delhi  and out of no hopes we took an appointment with the Dr. Shivani Sachdev Gour .

Today, I feel glad that I met my favorite doctor who helped me to become a mother. Yes, I’m the mother of the one-month-old cute little princess. We have named her Hanvi. I would like to share my experience with the doctor and how fortunate I am to have come across the most approachable, patient and friendly doctor.

I was married at the right age so I couldn’t adjust to the fact that I might be infertile. At a young age, it was too difficult for me to consider myself as infertile. First few years of marriage, we tried to have a baby but later realized that it didn’t  work out and there was something genuinely wrong with us. It was already 4 years of our marriage and that is when we started searching for the right doctor to treat us.

We considered references from everyone and went through the endless number of painful tests. We also had our hopes on astrologers and believed their predictions. Followed their instructions, wore different types of strings and pendants. Upon the suggestions of the astrologer, we shifted our house and moved to a new house. And what not, I ate all sorts of powders and medicines and visited every temple.

Our life turned out to be worst and we were desperate in having a baby. I and my husband discussed only treatments and doctors and our outings were planned only to meet the doctor and for sonography scan schedules. Our days passed on by discussion only about my ‘most fertile days’. And finally, the expectations and the hype would come to an end when I got  my period. Depression followed me instantly and again the month began with desperate planning with a new doctor.

Having spent almost 7 years in finding out the right doctor, we, fortunately, I heard about IVF centre in Delhi  and consulted Dr. Shivani Sachdev Gour . The doctor understood the level of frustration we were going through and energized me. I was suffering from mood swings sometimes extremely high and sometimes extremely low. I was keeping myself away from the outside world and restricted from talking to anyone. The doctor helped me to come out of my difficult situation quite easily and quickly. She is more than a doctor. She understood my mental and physical state and my treatment went well.

About the Clinic:

I should definitely mention about the clinic which was calm, neat and maintained well. The staffs at the clinic were also well behaved and they carried a smile on their face all time. I did not feel like entering a strange place. The nurses, staffs and every employee there did their job perfectly well. The atmosphere at the clinic was very healthy and I no more felt like a patient!

The tests I went through before IVF:

Tests and treatments were never new to me. I had gone through several of them. However, the place where you are being tested matters a lot. To my luck, everything seemed perfect at the IVF centre in Delhi . I was hoping for miracles to happen and eventually agreed to all the basic tests before IVF.

Firstly, my age was not a big concern. Good preconception health is very important for IVF pregnancy. Conditions like diabetes, asthma, and hypertension were analyzed and thankfully I did not have any of these chronic medical conditions. Obesity can result in unsuccessful pregnancy so my ideal weight was checked and the doctor suggested me a weight management program. I was obese and it could have been because of the intake of too many tablets, powers and all. The doctor put me on a month long weight management plan that helped me get back in shape. I had to follow a strict diet and restricted myself from eating canned products, junk food, and chicken. Forgoing my favorite food to get pregnant was not a big deal for me.

Blood test:                                                                                                                                           

My blood group was verified and several screenings were done to check if there were any conditions that could harm my pregnancy. I and the husband were tested for HIV, Syphilis, Hepatitis B, and C. Our genetic health issues were also addressed and previous illnesses like chicken pox, measles was noted.

Ovarian Reserve Testing:

This was done to check the quality of my egg. The doctor told me that due to the age of women, the ability to conceive decreases and there can be an increased case of miscarriage. This test helped to check the quality, quantity, and the potential of the egg.

The level of FSH, LH, and Estradiol: I’m familiar with these terms since I’m used to hearing this over and over again. The follicle stimulation hormone (FSH), Luteinizing (LH) and the level of estradiol are monitored on the 3rd day of the menstrual cycle. This is mainly done to find out the fertility potential.

Anti-Mullerian Hormone test (AMH): This test was done to determine the number of eggs that were remaining. This test can be done anytime during the menstrual cycle.

Uterus: This is a mandatory test before IVF. A sonosalpingography is done. The mock transfer is also done to determine the length and direction of the uterus. This test helps the doctor to analyze the condition of the uterus and improve the success rate of the IVF.

Semen Analysis: Men are lucky as they don’t have to go through physical pain. The semen of the men is analyzed and reviewed. The quality of the sperm helps in successful IVF. I got a green flag there and my husband did have healthy sperms that will result in successful pregnancy.

Every time I visited IVF Centre in Delhi , I was welcome with a warm smile and never felt lost. There have been times where I visited the clinic all alone and I never felt neglected. My silly questions were answered patiently by the receptionist and Dr. Shivani Sachdev Gour  was always there to answer my smallest questions.

IVF Centre Delhi


We are not experts:

Yes, we are not expert but we have to right to understand the procedure and process so you can ask as much as questions to your doctors. IVF centre in Delhi  offers different levels of treatment and they provide different solutions to each and every patient.

Here are few questions I asked them

  • Do you have individual treatment for each patient?
  • Why do you suggest me to go with IVF?
  • How do you decide which treatment is best for me?
  • What will be the success rate?
  • Will there be any complications during my pregnancy?
  • What are the risks involved in IVF treatment?
  • Can I contact you in the case of emergencies?
  • What is the cost of the treatment?
  • Will you explain the procedure before the treatment?

How did I prepare for IVF?

It took me 9 years to realize that IVF was meant for me. Husband and I discussed it with Dr. Shivani Sachdev Gour  and decided that it will work for us. The doctor helped us understand the process and the procedure and my health was monitored periodically. I remember the doctor repeating her statement over and over again if the IVF is successful, you will be pregnant. This statement of hers was my energy! I was told by the doctor to maintain good health so that the success rate increases.

I was very careful and concentrated on my daily routine. I ate good food and included healthy fruits and vegetables in my diet. This helped me to maintain and support my hormones and my reproductive system. The early stage of development was very crucial and if it is not taken care the right way, it can become stressful. My husband helped me to follow my diet routines and we followed healthy practices to stay fit. I was physically and mentally prepared for the treatment.

IVF  procedure:

It was tedious during those days but now I feel happy that I had gone through this procedure. Dr. Shivani Sachdev Gour  monitored me closely during the entire process until my childbirth. Her care and encouraging words have helped me to conceive without any complications.

Ovulation: The doctor monitored my ovaries and the timing of the egg release. She made sure my ovaries are producing good quality of eggs and my hormone levels are maintained. I was on medication to balance my hormones.

Egg Retrieval: I experienced mild discomfort but it was completely okay. A thin needle was passed through the vaginal walls and with the use of vaginal ultrasound the fluid was removed. The egg was isolated from the follicular fluid and was transferred to the incubator.

Fertilization: The sperm sample of my husband was secured and the egg was mixed with the most active sperm and was kept in the incubator again. The doctor closely monitored the growth of the embryo (And yes, that was my little princess Hanvi).

Embryo transfer: The final step when the embryo (my little one) was transferred to my uterus and I was on  rest for two days.

Dr. Shivani Sachdev Gour  was gentle with me and she kept telling me that my eggs were good and the embryo is perfectly fine. She even told me to talk to the embryo. Her confidence passed on some positive energies and the result was positive this time. Had I not gone to IVF centre in Delhi , it would have been a different story. They gave us a meaning to our life and I’m holding my little one who is the gift for our love and relationship.

Apart from the treatment and the tedious wait time, couples like us need a faith and trust the doctors can pass on to us. The confidence just works on the very first meeting with them. Apart from the medical terms, the personal touch of every doctor is very important. We are at an extreme stage of our life in complete depression and the positive words from the doctor keep us energized.

What I liked about IVF centre in Delhi  is the way the staffs behave. They understand the needs of every patient and are happy to help us. I was not passed on from counter to counter like a lifeless parcel. I was being guided and told the right thing to do. There was someone to guide and help us throughout the process which eased away from our pain. Their smiling faces bring a lot of happiness. I admired Dr. Shivani Sachdev Gour ’s clarity of speech and her personal care and affection.

During my childbirth:

Throughout my pregnancy, Dr. Shivani Sachdev Gour  from IVF centre in Delhi  was very helpful. She helped me understand the symptoms and took good care of me. Regular scans and checkups went well without any problem. I came to the clinic when I had mild pain during my 9th month and the doctor came to help me immediately. She insisted that I have a normal delivery and taught me few exercises. And yes, with her advice I was able to deliver my baby through the normal way.

The clinic is very affordable for normal people. The doctors are service minded and will not cost you a bomb. The front desk team is very friendly and you can easily book appointments as per your convenient schedule. Overall I had a great experience here.

How did I feel?

To be frank, my aim was just to get pregnant and my mind was occupied only with the thoughts of pregnancy. The physical pain during the tests and the treatment did not affect me or the husband at all; however, my emotions played a rollercoaster. The treatment is all about waiting. You have to wait for an appointment, wait for results, wait for your name to be called, wait to become pregnant, wait to become a parent and you need to just keep waiting for something good to happen. I was frustrated whenever I had to hear something negative. I was depressed when someone points their finger at me and commented: “I’m childless”.

My husband was my only strength who gave me the complete support and yes, our parents too supported us whenever we needed them. My friends who have already gone through IVF and have experienced their success and failure blessed us with their comforting words and they encouraged us throughout our treatment and the tough journey. I felt nice talking to my friends who have already gone through the same process. It made some sense to talk with someone who really did understand what I was referring to.

Husband and me: How was our relationship?

The problem of infertility cannot be managed alone! It is a problem that needs to be faced as a couple and my husband took extraordinary care of me. For the past 9 years, I had shed tears all time when he would come back home with the result of blood test and the not-so-good scan reports. He consoled me, stayed with me throughout the procedure. He was with me whenever I needed him. We discuss a lot about treatment and the procedure and he appreciates me whenever I feel low. We shared our emotions and managed it so well and it also helped us to strengthen our relationships. Our relationship got stronger as we faced the difficult times of our life together. We did not take quick decisions but discussed before deciding on anything.

Life lessons learnt

Our lives cannot be predicted and it chooses unusual ways to teach lessons. Infertility is one such kind. As a woman, I have become stronger and healthier. I am able to look after myself and concentrate on my health along with my little ones. I have been dreaming of having a baby and in my dreams, I have planned to grow them well. Now, I’m able to execute the plan. I’m able to easily deal with the arrows life throws at me. I’m able to deal with the relationships in a clever way. I have also learned that life teaches us lessons during our difficult times. This has helped me analyze my inner strengths.

My advice:

If I was able to conceive at the age of 33, I’m sure you can all conceive easily. Do not worry about infertility. There are new treatment and procedures that will help you to have a baby.

  • Before you go for tests and treatment, learn about the success rate of the clinic and take suggestions and advice from your friends and relatives. Take references from people you know and who have already have experienced the services.
  • Ask the doctor about the various treatments and understand how it works. This will help you to stay fit and healthy.
  • Learn to deal with your emotions and do not get depressed. Stay strong and live happily. There are a lot of opportunities so look for the best.
  • If you have faced multiple failures, talk to Shivani Sachdev Gour from IVF centre Delhi  who can give you the best suggestion and also a solution to help you have a child.

I did not realize my health condition till I met Dr. Shivani Sachdev Gour . She helped me understand why I failed to conceive which was not explained to me in the past 9 years. My family is complete now. We are happy and our parents are happy.

Today, holding my little one in my arms, I would like to tell all those couples like us who are not able to conceive the normal way, not to feel bad as we are all special people. Though it is late, we must feel glad that there are opportunities that will make us “happy mothers”!Each time my little one smiles at me, I ask myself “why did I take so long to visit IVF Centre Delhi ?” If I had been to them earlier, miracles would have happened a long time back.




“IVF Treatment is successful, safe &affordable at SCI IVF Hospital”

Why IVF Treatment ?

IVF Treatment is the highly successful procedure. For pregnancy to happen, a woman must be ovulatory with patent fallopian tubes and around the time of ovulation( midcycle) semen with good number of viable sperms must be deposited in vagina.

What is IVF Treatment?

In Vitro Fertilization is a  process where  fertilization of gametes (fusion of egg and sperm )is done outside the body in laboratory under specialised lab environment .When embryos are formed after fertilization they are transferred back into uterus of the woman.

Procedure of IVF Treatment?

An  IVF treatment cycle involves few stepwise procedures :

(1) Case selection and screening tests of the couple.

(2).  Ovarian stimulation of woman to form multiple eggs in ovaries by giving hormone injections.

(3) Egg retrieval procedure.

(4) Fertilization of eggs with washed semen sample

(5) Embryos formed under lab environment are transferred back into uterus.

Succes rate of IVF Treatment

Internationally, the IVF success rate are around 30-40% . The factors to look out for are ; quality control of IVF centre chosen ,   success rate of the centre , Ivf laboratory conditions & expertise of the IVF specialist doing the procedure . Lastly, success depend very much on couple’s profile like age of wife & husband and quality of their gametes.

How long to wait for a reado of IVF treatment

Usually 1-2 months are adequate to bring back hormonal profile and physical fitness to normal and IVF can be tried again.

Your chances are quite good with IVF treatment  as this technique has the highest success rate (around 40%) ; although if not successful in first attempt, you can go for second or third attempt to improve the success rates further.

Is the IVF Treatment procedure painfull.

No, IVF treatment is not painful, egg retrieval is done under anaesthesia.

Side effects of IVF Treatment?

Medications used under guidance of IVF specialist are safe and has minor side effects lasting  for short duration only. However in rare circumstances ovarian hyper stimulation syndrome (OHSS)can occur and has to be managed stringently.

Pregrancy test in IVF Treatment?

       Pregnancy test can be performed roughly after 14 days of embryo transfer.

Embryo Transfer is restrictive?

No bed rest is recommended after embryo transfer.

Embryo Transfer complications any?

You need to take all your prescribed medication on time to ensure good implantation.

Embryo Transfer puts intercourse restrictions?

There is no restrictions per se for intercourse.

What is Artificial Insemination?

Artificial insemination is a process whereby sperms are deposited directly into female reproductive tract after semen is washed and prepared in laboratory.

What is assisted reproducive technology?

Assisted reproductive technology comprises  of all techniques where gametes are brought outside the body and fertilisation is done in lab conditions.

 What is Sperm Motility?

        Sperm motility is a parameter to assess the fertilisation potential of a sperm. To assess its ability to reach the egg and enter inside.

Why is IVF Treatment so important?

IVF offers success to all those cases of infertility where natural conception is not possible by all means and where everything fails to get a  pregnancy , thereby it is becoming popular choice among infertile couples when nothing else works.

How much does IVF treatment costs?

In Vitro Fertilization costs may vary depending upon various factors for example using self gametes or donor gametes from ART
banks. Also in certain cases a pre IVF laparoscopy or hysteroscopy may be needed which can change the cost of treatment. On
average, around Rs. 1 to  2 lacs is the usual expense in all. Success rate is around 40% globally.

Signs of Infertility in Women

Irregular menstrual cycles, genital Infections, and increasing age are some of the signs of infertility in woman. Tubal blockage, uterine tuberculosis, polycystic ovarian disease and poor ovarian reserve are some common causes of infertility in woman.

Can Infertility in Females be cured?

          Yes with latest ART techniques available infertility in females can be cured.

How to improve female infertility?

Woman should plan timely for pregnancy. They should avoid & get treated for the genital infections .   Lifestyle modifications are also needed to optimise their fertility potential.

IVF Treatment increases chances of duplets and triplets?

Yes, IVF increase the chances of multiple pregnancies.

These inputs are shared by Dr. Shivani Sachdev Gour.

To reach out to her contact  at +91-120 4318757

Do you have an questions on IVF Treament, let us know we would love to clear your doubts

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SCI Test Tube Baby Centre
Zygon Square, 3rd Floor,
Plot no. – 1, Block – H-1A,
Sector – 63, Noida, Delhi/NCR


Infertility problem is growing rampant in couples nowadays.

Infertility’s one major causative factor for this is increased age in both partners, says Dr Shivani Gour Consultant fertility specialist and Director Of SCI IVF Hospital. More women work than ever before, and increasing number choose to delay starting a family until established in their careers.

Infertility has been attributed equally to men and women with 20% of infertility problems due to unknown factors. However men’s infertility is rapidly surpassing women’s .The decline in male infertility can be attributed to a number of factors like environmental toxins, medications, infections, diet, drug abuse, high fever, elevated testicular temperature, binge drinking, cigarette smoking and advanced age.

What perhaps is an underlying effect of these insults on the fertility of men is an increase in sperm DNA fragmentation. This can now be tested by DFI ( DNA fragmentation Assay Index), a value >30% indicates significant lack of fertility and increased chances of recurrent abortion. Presence of DNA fragmentation in sperms can also be a reason for unexplained infertility ( where no obvious reason can be determined and all tests results being normal). Best treatment for this factor is through ICSI  technique , a specialised IVF procedure where a single healthy sperm is directly injected into egg under microscope.

Women are even at higher risk of losing their fertility potential with advancing age. Female ovaries has a finite number of eggs which are depleting automatically as one ages. Warns Dr Shivani Gour to females who are delaying pregnany unnecessarily long due to professional reasons. Your biological clock is ticking !! So plan a pregnancy early and seek specialised treatment before it is too late, when only option left is donor eggs from ART Bank with IVF treatment.

Apart from this, there are other common reasons for infertility like ovulatory dysfunction, blocked fallopian tubes, low sperm counts. Those with straightforward ovulatory problems can consider themselves lucky as treatment for this is relatively simple. But best treatment for those with blocked fallopian tubes, severe male infertility and unexplained infertility is IVF/ICSI (Test Tube Baby Technique).

      Dr. Shivani Sachdev Gour

      MBBS, MD (Obstetrics & Gynaecology)

       Consultant Obs & Gynae and IVF Specialist

Dr. Shivani Sachdev Gour’s distinguished work has brought local and international attention to SCI Healthcare’s IVF programs. Through her medical expertise and dedication to excellence, hundreds of couples from around the world are now parents.


To have an appointement with Dr. Shivani Sachdev Gour, please fill your details. We will reach you with 2 business days.


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ICSI Treatment is one of the most popular technique for fertility treatment. ICSI Treatment is done best in SCIIVF by doctors with decades of experience.


What is ICSI Treatment?

It is a test-tube fertilization procedure in which a sperm is injected directly into an egg to achieve fertilization. ICSI is done for male infertility.

ICSI Treatment

What is the difference between ICSI and IVF?

Intracytoplasmic sperm injection (ICSI) differs from conventional invitro fertilization (IVF) in that the embryologists selects a single sperm to be injected directly into an egg, instead of fertilization taking place in a dish where many sperm are placed near an egg.


Who should be treated with ICSI?

ICSI is mainly done for male infertility. You are recommended ICSI if-

  • You have a very low sperm count.
  • Other problems with the sperm have been identified, such as poor morphology (abnormal shape ) or poor motility (not moving normally)
  • You need sperm to be collected surgically from the testicles or epididymis; for example because you have had a vasectomy, you do not ejaculate sperm because you have extremely low sperm production.
  • During previous attempts at ivf there was failure of fertilization or an unexpectedly low fertilization rate.
  • You are using embryo testing.
  • You are using frozen sperm in your treatment which is not on optimum quality.What are the common reasons used for performing ICSI?ICSI is the latest of several micro-fertilization techniques that have been utilized predominately to overcome severe male subfertility, giving fertilization and term pregnancy rates similar to conventional in-vitro fertilization.
  • Absolute indication include
  • Use of epididymal or testicular sperm samples.
  • High titres of antisperm antibodies.
  • When only acrosomeless or immotile spermatozoa are avoidable.
  • Fertilization of oocytes prior to pre implantation genetic diagnosis.   For women-Women are given fertility drugs to stimulate ovaries and produce more eggs; as for ivf and progress is monitored through vaginal ultrasound scans and possibly blood tests
  • For men-The embryologist will examine the sperm under microscope and decide whether ICSI could increase chances of fathering a baby.
  • The eggs are then collecte4d using same procedure as ivf and each egg is injected with a single from the partner or donor. Rest of procedure is same as ivf.
  • ICSI Treatment-
  • Pre-treatment- Before your treatment starts, you will need to example various consent forms and may need to undergo various blood tests to screen for HIV, hepatitis B and C and HTLV virus.

How is ICSI Treatment carried out?

Next step depends on whether you are able to provide sperm without a medical procedure: –

  1. If you can, you produce a fresh sperm sample on the same day as your partner’s egg are collected.
  2. Sperm can be collected directly from the epididymis using a type of fine syringe. This is known as PESA.
  3. Sperm can also be retrieved from the testicles, a process known as TESA.
  4. It is also possible to remove tiny quantites of testicular tissue from which sperm can be extracted. This procedure is called TESE.
  5. If you have stored sperm, it will be removed from frozen storage, thawed and prepared.

A single is then injected into each egg.

Finally, if fertilization does take place; the embryo will be cultured in laboratory for upto six days and then between one and three of the best quality embryo will be transferred to the womb.

What are the advantages of ICSI treatment?

ICSI is a procedure which effectively eliminates the male infertility by introducing sperm cells directly into an egg.

ICSI is the perfect solution to the main causes of male infertility like low sperm count , poor motility, and poor sperm shape.

ICSI benefits extend beyond just acting as treatment for male infertility; but also for anyone who is paralysed or have had in irreversible vasectomy.

It is an option for couples who have tried and failed at standard IVF treatment.

What are disadvantages of ICSI treatment?

ICSI’S method of directly introducing sperm into an egg defeats the natural process of only a select few sperm making it to and fertilising an egg.This can be a disadvantage because the selection process is natural way of making sure that the best sperm, with the best genetic material are the ones with the best chance of fertilising the egg.Removing that selection process can lead to an incease risk of developmental and health issues for ICSIchildren; as well as higher health risks of miscarriage because of the poor genetic material involved.       Women 35-37 yr :   42%Women 41-42 yr : 20.4 %

One cycle of ICSI takes between four -six weeks to complete.  –

Embryo may be transferred in two to three days after fertilization, or five days after fertilization. Five days after fertilization the embryo will be at the blastocyst stage.

What is the cost of ICSI Treatment?

 It  can cost around RS 45000/- to Rs. 60000/-.


What are the fertilization and pregnancy success rate of ICSI Treatment?


ICSI often boosts in-vitro fertilization (IVF) success rates for coup[les dealing with male infertility.

ICSI Treatment success rates for live birth:-


Given below are birth rates, grouped by mother’s age, for couples that underwent an embryo transfer and had a diagnosis of male infertility.


Women under 35:   48.3 %

Women 35-37 yr  :   42%

Women 38-40  yr :   29.8%

Women  41-42  yr :  20.4 %

Over age 42 yr       :   7%


One key to ICSI’s success is that ICSI improves the odds of fertilization.


Approximately 50 to 80% of eggs are fertilized during the ICSI procedure.

How many days rest required after ICSI Treatment?


Embryo may be transferred in two to three days after fertilization, or five days after fertilization. Five days after fertilization the embryo will be at the blastocyst stage.

One cycle of ICSI takes between four -six weeks to complete.


For Further Information on ICSI Treatment you contact :

Dr. Shivani Sachdev Gourat :  

Email # info@sciivf.com


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SCI IVF Centre is a brand new, state-of-the-art IVF Centre located at Kailash Colony, South Delhi started in 2011. It provides comprehensive fertility services to both male and female patients as per the Government of India Guidelines and Policies. SCI IVF Centre is a unit of SCI Healthcare and is ISO 9001:2008 accredited.

SCIIVF Hospital
Address: A-1, Ground Floor, Kailash Colony
New Delhi 110048, India

Phone number : 011-41022905

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