Intra cytoplasmic sperm injection (ICSI) treatment in India, brings patients from US, UK and other western countries. The demand for cheap and efficient healthcare is drawing medical tourists from western countries to our country for their surgeries. Desperate Americans, Canadians and British tourists lead the way for the growing medical tourism industry in India. Surgical procedures are charged at a mere fraction of the price for the same surgeries in the USA, making it much easier for uninsured families to manage expensive medical bills. . In fact, Indian doctors are considered to be among the best in the world and their high level of surgical expertise evolves from many years of training - after studying here, many doctors train and work in the UK and USA. The healthcare facilities are the most cost-effective in the world with private hospitals offering treatment at a fraction of the price of those in the western sides. Intra cytoplasmic sperm injection (ICSI) treatment in India is in high demand in India because of cost consideration with the best medical facilities.

What is ICSI?

Intracytoplasmic sperm injection (ICSI) is an assisted reproductive technology (ART) used to treat sperm-related infertility problems. ICSI is used to enhance the fertilization phase of in vitro fertilization (IVF) by injecting a single sperm into a mature egg. The fertilized egg is then placed in a woman's uterus or fallopian tube.

How is ICSI done?

ICSI is part of the whole IVF (In Vitro Fertilization) process. During a normal menstrual cycle, only 1 egg is usually recruited to mature in a capsule of fluid called a follicle. The maturation time of the egg inside the follicle is usually 10-14 days. Most follicles measure about 16 - 20 mm when the egg is mature. At this time during natural ovulation, the follicle ruptures and the egg is released. During IVF, fertility drugs are used to stimulate the ovaries and recruit a bunch of eggs. So instead of just one follicle maturing, a whole number of follicles are stimulated to grow. These follicles are monitored by ultrasound, and when they reach maturity the eggs are surgically retrieved. For retrieval, a fine needle is passed through the vagina and into the ovaries, where eggs are aspirated from the follicles.

The eggs are cultured for about 3 to 5 hours for final maturation in the laboratory. Concurrently the sperm is prepared. Sperm may be collected from an ejaculated specimen of semen, or prepared from a previously frozen surgically retrieved specimen. The eggs are then stripped of the cumulus cells (which are the sunburst array of cells around the egg) The cells are removed to assess the maturity of the egg, to better visualize the egg during the ICSI process, and to prevent the inadvertent injection of DNA from the cumulus cells into the egg. The stripping is done with an enzyme called hyaluronidase, which is normally found in the sperm heads. In normal fertilization it is this enzyme that allows the sperm to digest their way through the cumulus cells to the egg.

India offers various infertility treatment at Joint Commission International (JCI) accredited hospitals. The surgery cost is 60% to 70% less as compared to UK and US. Recently in India the rise has seen in infertility treatments because the costs have dropped drastically, making world class treatments affordable for everyone. If a person wants infertility solutions or any other procedure he can now easily afford it, as it costs have tumbled. Here, low cost is combined with surgery success rates on par with anywhere in the world and this is one of the reason of growth of medical tourism concept. The most preferred destination for intra cytoplasmic sperm injection (ICSI) treatment is India.

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