Q: If a male has oligospermia with the sperm count being 1-2 million/ml and the female is normal, is IVF (In Vitro Fertilisation) possible? If yes, then what is the tentative cost and time involved?

A:Normally 50,000 actively motile sperms are required per egg for fertilisation. Therefore, a sperm count of 4-5 million with adequate motility can be accepted for IVF. In such a case, you could try getting an ICSI done, which is a specialised form of ART. Intra Cytoplasmic Sperm Injection (ICSI) is an ART wherein under high magnification the sperm is introduced within the cytoplasm of the egg. If there has been failure of IVF more than twice, those having low sperm count with low motility, and obstructive azoospermia, ICSI can be attempted with sperm collected surgically. Fertilization rate is 72-75%. In these cases pregnancy rate is 45%. Elderly patients having repeated implantation failure may benefit by processing techniques like assisted hatching and partial Zona dissection. The cost varies across the country and various centres. In India it may cost Rs. 40,000 which includes all investigations, ultrasonography and procedure of IVF during one cycle. The cost of medicines is additional and ranges between Rs. 25,000 to Rs. 40,000 depending on individual ovarian response.


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