ICSI Treatment in Gurgaon

TheFertilife offers ICSI treatment in Gurgaon under the direct care of Dr. Anshika Lekhi, an infertility expert with more than 13 years of experience. Now, ICSI stands for Intracytoplasmic Sperm Injection, which is a bit of a mouthful, so most people just say ICSI. It is a laboratory step that we do as a part of IVF. 

In simple words, the embryologist takes one single sperm and injects it directly inside one egg to help fertilisation happen. That's it. Most couples who need it have a male-factor problem, but it is also useful in some other situations – say, the fertilisation failed in a previous cycle, or we are planning genetic testing on the embryos.

Book My ICSI Consultation – Call or WhatsApp +91 95600 26697. Speak directly with Dr. Lekhi's team to schedule.

"One thing I always tell couples: ICSI isn't automatically the right add-on for every IVF cycle. It's a powerful tool for the right indication — and an unnecessary cost for the wrong one. My job is to tell you honestly which situation you're in, not to default to the more expensive option." — Dr. Anshika Lekhi

What is ICSI and How is It Different From IVF?

To understand ICSI you first have to understand how normal IVF fertilises the egg. In a conventional IVF, the egg and lots of sperm are simply placed together in a dish, and the sperm does its own job of getting inside the egg, exactly like it would in the body. Nature takes its course, just outside the body. 

Now in ICSI, we don't leave it to chance. The embryologist picks up one healthy sperm in a very fine glass needle, holds the egg steady with another pipette, and injects that single sperm straight inside the egg, all of this under a high-powered microscope. 

So you see, the only real difference between IVF and ICSI is this one fertilisation step. Everything else - the injections, the egg retrieval, the embryo transfer is exactly the same in both. People get confused thinking ICSI is some totally different treatment. It is not. It is just one technique used within IVF.

ASRM data shows that when there is no male factor, fertilisation rates are slightly better with normal IVF. ICSI gives an advantage only when there is a real reason to use it. So the costlier option is not always the better one for you. What suits you will depend on your semen analysis and your earlier cycles.

Do You Actually Need ICSI?

This is a question most clinics skip. But it is an important one. It affects both your result and your cost, so please do ask it.

ICSI is clearly the right choice when there is:

• Low sperm count, poor sperm movement, or abnormal sperm shape
• Azoospermia, that is, where sperm has to be taken out surgically
• A previous IVF cycle where fertilisation failed or was very low
• Frozen or thawed sperm or eggs, where normal IVF fertilisation tends to be lower

A plan for preimplantation genetic testing (PGT), because here ICSI keeps stray sperm DNA from contaminating the genetic sample

And then there are some grey-area cases where ICSI may help, decided one by one - unexplained infertility, older mothers, or a cycle that gave us very few eggs.

Now there is one more thing you should know. Big fertility bodies like the ASRM have said it very clearly. Using ICSI on every single IVF cycle, when there is no male factor and no other clear reason, does not improve your chances. Some large studies have even shown slightly lower implantation and live-birth rates compared to simple IVF in such cases. So when a clinic puts ICSI on your bill "just to be safe", you should ask them why. At TheFertilife, Dr. Lekhi takes that call from your actual semen analysis and your history. It is not added to every cycle as a default.