Hello everyone. I would like to discuss my ICSI procedure. I´ve been learning ICSI method for a year within my thesis, that focused on interspecific ICSI (specifically mouse oocytes and goat sperm). My problem is, that i can not reach satisfying numbers of viable injected oocytes. A lot of oocytes break and flow out during an injection. If they survive, some of them die later during cultivation in incubator. I hope you can understand, that I´m still a rookie, but I hope you can give me some good advices. The procedure is as follows:
- PMSG stimulation
- hCG stimulation (48 h after PMSG)
- Isolation of oocytes (16-17h after hCG)
- --- for isolation: M2 medium (10ml M2-HEPES + 10 mg BSA, stored in 4°C, filtered, heated to 36,8°C 1/2 h before use)
- Removal of cumulus cells - in drops of hyaluronidase (2 mg HYA + 2 ml PBS, heated before use)
- --- I have always been careful about this step for limited time (few seconds) that oocytes spend in drops. If cumulus cells have been removed, oocytes are washed in fresh drops of same M2 medium. Then oocytes are moved to drops of culture medium - usually MEM (40 mg BSA + 10 ml MEM + Na pyruvate gentamicin 100 μg).
- Oocyte "rest" - in 4well in MEM medium in incubator with 5% CO2 . Recovering from isolation for 1/2 h.
- ICSI - oocytes are moved from MEM to M2 medium. First in fresh drops outside, then M2 drops in manipulation dish (covered with mineral oil).
- Sperm that is used for this procedure is frozen, so it is thawed and moved to M2 medium (centrifuged and washed from cyroprotectants)
- Piezo system is used for this procedure. Injection pipette contains minimal amount of mercury. Pulses regulation depending on oocytes condition. Trying to use the bigger pulse for breaking through ZP and smaller pulse to get into cytoplasm. Than pull injection pipette slowly from oocyte.
Could you please tell me, if there is any critical thing in this procedure that could cause this problem. My master uses same protocol (except that he is a pro with many years of experience). I really understand that it is most likely my "hands" that make mistakes. So this is a little bit challenge for me, but I believe that you can understand that everyone had to start and learn.
Thank you all for your answers :)