28/02/2026
โICSI failure is not bad luck โ itโs a diagnostic opportunity.โ
Implantation failure is multifactorial and should be evaluated systematically:
๐ฌ 1. Embryo Factor
Aneuploidy is the most common cause.
Consider PGT-A in selected cases.
Assess s***m DNA fragmentation when indicated.
๐ฅ 2. Endometrial Factor
Hysteroscopy to rule out chronic endometritis, adhesions, polyps.
Laparoscopy for endometriosis, fibroids.
Address hydrosalpinx or isthmocele if present.
Endometrial receptivity testing in specific scenarios.
๐งช 3. Immune & Metabolic Factors
APLA panel, lupus anticoagulant, beta-2 glycoprotein antibodies.
Thyroid antibodies.
Glycemic control (HbA1c).
A structured evaluation improves cumulative pregnancy rates and avoids repeated blind cycles.
ICSI success is science, not chance.