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Fertility treatments

ICSI (intracytoplasmic sperm injection)

A type of IVF where an embryologist injects a single sperm directly into each egg. It's the main treatment for male fertility problems.

How long

Same as IVF

Typical private cost

+£1,300–£1,500 on IVF

NHS

Included when clinically needed

Where to get it93 UK clinicsFind

Who it's for

  • Low sperm count, or sperm that don't move or aren't shaped normally
  • Sperm collected surgically, e.g. after a vasectomy
  • Previous IVF where few or no eggs fertilised
  • Using frozen eggs, or some frozen sperm
  • Some embryo testing (PGT) cycles

Key facts

  • Treatment is the same as IVF – only the fertilisation step changes.
  • Success rates are very similar to IVF, so the HFEA doesn't publish them separately.
  • There's no evidence ICSI helps if there's no sperm problem – it just adds cost.

What happens

  1. 1

    Same as IVF

    Stimulation, monitoring, egg collection and embryo transfer all follow the IVF process.

  2. 2

    Sperm injection

    In the lab, each mature egg is injected with one selected sperm.

  3. 3

    Embryo development

    Fertilised eggs grow for 2–6 days before transfer or freezing.

How long it takes: As for IVF: 4–6 weeks per cycle.

Success rates

  • Similar to IVF for the same age group. See IVF and each clinic's statistics.

Each clinic's published rates – compared with the UK average – are on its profile in the clinic finder.

Costs

Usually £1,300–£1,500 on top of the IVF price.

Examples from published UK price lists (November 2026)
WhatPriceClinic
ICSI (on top of IVF)£1,300ARGC
ICSI fee£1,500Herts & Essex
IVF with ICSI£6,100Concept Fertility
IVF + ICSIfrom £6,975TFP Fertility
Full UK price guide

NHS funding

  • Included in NHS IVF where it's clinically needed.
NHS funding by nation

Risks and side effects

  • The usual IVF risks.
  • A small chance eggs are damaged during injection.
  • Boys conceived may inherit their father's fertility problem if it has a genetic cause – genetic testing may be offered first.