Sperm defragmentation testing and PICSI

[Here4ivfinfo]

I've had consultations privately and on the NHS over the last week after two failed transfers. We have male factor infertility. The private Dr brought up doing a sperm defragmentation test and moving forward with PICSI. The NHS Dr indicated that this was not necessary and that if we moved to private to only do PGTA testing on the embryos. She said that implantation probably only failed because they were chromasomally abnormal. I then had a quick google only to find that PICSI doesn't not improve your odds of conceiving or live birth. So I'm wondering aside from making more money, why do clinics offer sperm defragmentation testing? What's the point of finding out the reason if you cannot change the outcome? Or am I wrong and does anyone have information or experience with PICSI?

Thanks! xx

[JA-fnuk Partner Nurse Fertility Network UK]

Hope you get some replies to your post Meantime take a look at hfea.gov.uk -Treatments for more information about the test you mention So you can make a more informed decision about the best way forward

Thinking of you

Janet - Partner

[Here4ivfinfo in reply to JA-fnuk]

Thanks. It’s PIMSI that they would be considering doing, dependent on the result of the tests. This is due to us having 19 blastocysts on day 3 and 6 by day 5. I just spoke to an embryologist. The clinic said they don’t do much PIMSI. Only 17 people in 2022 with the outcomes similar to ICSI. I guess it’s hard to compare outcomes unless all the ICSI people had the same quality of sperm as the IMSI people.