IVF or ICSI: which one do you actually need?
In IVF the sperm fertilises the egg on its own. In ICSI a single sperm is injected into the egg. The choice usually depends on the semen report.
In conventional IVF, eggs and prepared sperm are placed together in a culture dish and fertilisation happens naturally. It works well when sperm count and motility are normal.
In ICSI, an embryologist injects one selected sperm directly into each mature egg using a micromanipulator. This is the preferred route for low count, poor motility, abnormal morphology, surgically retrieved sperm (TESA/PESA) or after a previous fertilisation failure.
ICSI does not make a poor-quality egg better, so it is not automatically the stronger option. It solves a sperm-side problem.
We decide after reviewing the semen analysis together with your egg reserve and history — and we explain the reason in plain language before the cycle begins.