Back to all articles

Male‍‌‍‍‌‍‌‍‍‌ Infertility: IVF vs ICSI — Which One Should You Choose?

Male‍‌‍‍‌‍‌‍‍‌ Infertility: IVF vs ICSI — Which One Should You Choose?

For‍‌‍‍‌‍‌‍‍‌ most couples, the experience of becoming parents is straightforward. However, there are couples whose journey is quite different — it is a path filled with questions, tests, uncertainty, and sometimes silence.

Usually, after the diagnosis of male infertility, the following question is:

“Which is the best treatment - IVF or ICSI?”

And it’s not always that easy to get the point because both treatments sound similar, both use advanced lab tech, and both are considered as one of the ART methods.

However, there is a significant difference between the two - and by selecting the right one, you can save your time, emotional strength, and the work of your hands.

Therefore, let’s have a frank talk about this - without the use of medical terms, no pressure, and no sudden decisions.


Firstly, Why Do We Use IVF and ICSI in Male Infertility?

Both procedures are the last resort when natural conception is improbable due to:

Very few sperms in ejaculate
Lower sperm motility
Sperms with an abnormal shape
The problem of ejaculation
Sperms not reaching or penetrating the egg
Unsuccessful attempts at simpler drugs such as IUI

It may be hard for some men to accept, but the bright side is that: These are the treatments that make fatherhood a reality even in cases of extremely low sperm count or motility.


Male Infertility Treatments: IVF and ICSI Explained

IVF stands for in vitro fertilization, the technique where:

Along with direct retrieval from the female body, eggs are collected.

Then they mature spermatozoa and eggs are put together into a petri dish.

One of the sperms fertilizes the egg naturally.

The fertilized egg is implanted back into the uterus in a healthy and viable form.

So essentially, IVF is like mimicking nature artificially — just outside the body.

IVF can still be utilized when sperm count is low with compromised motility, but the sperms have to be capable of fertilizing the egg independently.

ICSI is a more advanced method.

The steps are similar to IVF, except for one major difference:

👉 Just one normal sperm is chosen and, by means of a micro-needle, it is directly injected into the egg.

This method removes the first obstacle in natural fertilization - it is particularly the case when:

The sperm are weak to move
Very few sperm are available
IPV is unsuccessful
The sperm shape is abnormal
There is very severe male infertility

With ICSI, sperm is literally handed the opportunity that nature may not provide.


So… Which One Is Better? IVF or ICSI?

There is no single answer to this question as it depends largely on the circumstance.

Condition IVF Works? ICSI Works?
Mild sperm issues ✔️ Yes ✔️ Yes
Moderate male infertility ❌ Not always reliable ✔️ Strong option
Very low sperm count ❌ Often fails ✔️ High success
Previous failed IVF ❓ Depends ✔️ Recommended
Zero sperm motility ❌ No ✔️ Yes
Using frozen sperm ❓ Sometimes ✔️ Preferred

Generally, ICSI is considered the most suitable option for male infertility from moderate to severe causes.

There might still be situations where IVF is suggested, for instance, when sperm parameters are only slightly affected.


Rates of Success: What Can You Anticipate?

Success is determined by the following factors:

The health of the sperm
The quality of the egg
The woman’s age
The quality of the embryo
The condition of the uterus

However, in cases of male infertility:

ICSI is usually the method that achieves higher fertilization rates in comparison to IVF.

It does not guarantee pregnancy — but it does make the step of fertilization and embryo creation more likely.


Why Would Doctors Recommend IVF First

A fertility doctor may advise IVF (not ICSI) in cases when:

The sperm count is normal, or slightly low
The motility is good
There are no structural abnormalities of the sperm

Usually, in such cases, the first trial is letting in vitro fertilization take place naturally in the laboratory.


When Would Doctors Recommend ICSI First?

Most of the time, the situation when ICSI is a must is as follows:

The sperm count is extremely low
The sperm movement is significantly impaired
The sperm have a very high rate of morphological abnormalities
Previously, a failure of IVF has occurred
Sperm retrieval needs to be done via surgery
Only frozen sperm is available

Thus, it achieves accuracy — by choosing the best sperm available.


Choosing the Right Option in Delhi

Both treatments can be carried out in laboratories with advanced technology in Delhi.

However, the important thing is to select a place that:

Services you by making the report transparent and easy to understand
Give treatments on your need not on necessity play
Offer openness, facilitation, and emotional support

Counselling through a detailed explanation of each step - is the method such as PRAVI Global IVF Polyclinic uses to keep communication going with couples to meet their understanding levels in:

Why help is necessary
What results to expect
How long it may take

Pregnancy is not the only goal here - but also understanding and trust all along the way.


Cost — A Real Question

Cost will differ depending on one's approach and requirements for treatment.

The clinic's policy is straightforward and quite transparent:

"Doctor, consultation and according to your problem and need, we cannot tell the total cost without consulting with the patient."

Each and every case is unique - so is every plan.

📍 PRAVI Global IVF Polyclinic — Lajpat Nagar, Delhi
Building Number 41, First Floor, Ring Road,
Block Q, Lajpat Nagar IV, New Delhi – 110024

📞 +91 80091 50040
📩 info@praviglobalivf.in

IVF vs ICSI for Male Infertility

Ready to Start Your Fertility Journey?

Our experienced team at Pravi IVF is here to support you every step of the way