{"id":564,"date":"2019-04-30T06:59:30","date_gmt":"2019-04-30T04:59:30","guid":{"rendered":"https:\/\/www.coparentalys.com\/blog\/?p=564"},"modified":"2019-04-30T06:59:30","modified_gmt":"2019-04-30T04:59:30","slug":"difference-entre-fiv-classique-et-fiv-avec-isci","status":"publish","type":"post","link":"https:\/\/www.coparentalys.com\/blog\/2019\/04\/30\/difference-entre-fiv-classique-et-fiv-avec-isci\/","title":{"rendered":"Diff\u00e9rence entre FIV classique et FIV avec ISCI"},"content":{"rendered":"<h1><span style=\"color: #ff9900;\"><b>Diff\u00e9rence entre FIV classique et FIV avec ISCI<\/b><\/span><\/h1>\n<p>Parmi les solutions qui s\u2019offrent au couple en cas de difficult\u00e9 \u00e0 procr\u00e9er, il y a la FIV ou la f\u00e9condation in vitro. Si la m\u00e9thode classique reste largement connue, le proc\u00e9d\u00e9 avec ISCI rivalise ne cesse aujourd\u2019hui de s\u00e9duire gr\u00e2ce \u00e0 son taux de r\u00e9ussite \u00e9lev\u00e9. Quelles sont les r\u00e9elles diff\u00e9rences entre ces deux proc\u00e9d\u00e9s\u00a0?<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<h2><span style=\"color: #339966;\"><b>F\u00e9condation in vitro, c\u2019est quoi\u2009?<\/b><\/span><\/h2>\n<p>La f\u00e9condation in vitro est l\u2019une des techniques de procr\u00e9ation m\u00e9dicalement assist\u00e9es les plus courantes. Elle consiste \u00e0 f\u00e9conder l\u2019ovocyte en laboratoire et \u00e0 transf\u00e9rer l\u2019embryon vers l\u2019ut\u00e9rus pour s\u2019y d\u00e9velopper. Cette m\u00e9thode est apparue vers les ann\u00e9es\u00a070 et n\u2019a cess\u00e9 d\u2019\u00e9voluer jusqu\u2019\u00e0 l\u2019heure actuelle.<\/p>\n<p>La FIV s\u2019adresse \u00e0 tous les couples souhaitant avoir un enfant, mais qui pr\u00e9sentent un probl\u00e8me m\u00e9dical ne leur permettant pas de procr\u00e9er naturellement. Il peut s\u2019agir d\u2019une maladie g\u00e9n\u00e9tiquement transmissible ou d\u2019un souci de f\u00e9condit\u00e9 li\u00e9s \u00e0 l\u2019un des deux partenaires.<\/p>\n<p>Au cours des ann\u00e9es, la m\u00e9decine continue d\u2019\u00e9voluer, passant de la FIV classique \u00e0 la FIV avec ISCI. Bien que les deux techniques aboutissent \u00e0 un r\u00e9sultat similaire, elles pr\u00e9sentent une l\u00e9g\u00e8re diff\u00e9rence dans leur mode op\u00e9ratoire.<\/p>\n<h2><span style=\"color: #339966;\"><b>Diff\u00e9rence entre FIV classique et ISCI<\/b><\/span><\/h2>\n<h3><b>La FIV classique, comment cela se passe\u2009?<\/b><\/h3>\n<p>Dans une FIV classique, la premi\u00e8re \u00e9tape consiste \u00e0 stimuler la production des ovocytes qui serviront ensuite \u00e0 la procr\u00e9ation. Apr\u00e8s la stimulation, le m\u00e9decin proc\u00e8de \u00e0 la ponction de l\u2019\u0153uf dans le but de le mettre en contact avec les spermatozo\u00efdes pr\u00e9alablement recueillis.<\/p>\n<p>La f\u00e9condation a lieu dans un tube fin o\u00f9 l\u2019ovocyte est mis en relation avec pr\u00e8s d\u2019une centaine de milliers spermes normaux. La s\u00e9lection se fait naturellement et seuls les gam\u00e8tes les plus solides arrivent \u00e0 p\u00e9n\u00e9trer la membrane ext\u00e9rieure de l\u2019ovule et r\u00e9ussissent \u00e0 le f\u00e9conder.<\/p>\n<p>Suite \u00e0 ce processus, il peut y avoir 5 \u00e0 6 \u0153ufs f\u00e9cond\u00e9s et, apr\u00e8s le transfert, l\u2019un des embryons poursuivra son d\u00e9veloppement dans l\u2019ut\u00e9rus. Cette technique offre un taux de r\u00e9ussite avoisinant les 24\u00a0% et le nombre d\u2019enfants n\u00e9s de la FIV est estim\u00e9 \u00e0 4 millions en 2012.<\/p>\n<h3><b>La FIV avec ISCI, de quoi s\u2019agit-il\u2009?<\/b><\/h3>\n<p>La FIV avec ISCI ou Intra Cytoplasmic Sperm Injection signifie une f\u00e9condation r\u00e9alis\u00e9e \u00e0 partir de la micro-injection. Cette technique de <a href=\"https:\/\/www.coparentalys.com\/blog\/2023\/08\/03\/insemination-femme-seule-comment-faire-un-enfant-en-etant-celibataire\/\">procr\u00e9ation m\u00e9dicalement assist\u00e9e<\/a> s\u2019est d\u00e9velopp\u00e9e \u00e0 partir de 1992 afin de r\u00e9soudre les probl\u00e8mes de fertilit\u00e9 masculine. Elle se r\u00e9v\u00e8le efficace en cas d\u2019oligozoospermie (insuffisance) ou d\u2019asth\u00e9nozoospermie (mauvaise mobilit\u00e9).<\/p>\n<p>La FIV avec ISCI commence par la stimulation ovarienne dans l\u2019objectif d\u2019avoir de l\u2019ovocyte de bonne qualit\u00e9. Lorsque l\u2019ovule arrive au stade de maturit\u00e9, l\u2019extraction se fait par ponction et l\u2019\u0153uf subit un traitement pour le d\u00e9nuder de ses membranes ext\u00e9rieures.<\/p>\n<p>Avant de proc\u00e9der \u00e0 la culture, les spermatozo\u00efdes sont \u00e9galement trait\u00e9s et pr\u00e9s\u00e9lectionn\u00e9s afin d\u2019avoir une meilleure chance de r\u00e9ussite. Chaque ovule re\u00e7oit ensuite un spermatozo\u00efde de qualit\u00e9 et les pr\u00e9-embryons non utilis\u00e9s feront l\u2019objet d\u2019une cryopr\u00e9servation ou vitrification. Ce proc\u00e9d\u00e9 consiste \u00e0 les congeler dans de l\u2019azote liquide en vue d\u2019une utilisation ult\u00e9rieure.<\/p>\n<h3><b>Qu\u2019est-ce qui distingue la FIV classique de la ISCI\u00a0?<\/b><\/h3>\n<p>Qu\u2019il s\u2019agisse de la m\u00e9thode classique ou par micro-injection, la f\u00e9condation in vitro aboutit au m\u00eame r\u00e9sultat\u00a0: la naissance d\u2019un b\u00e9b\u00e9. Ces deux techniques disposent de nombreux points communs comme la stimulation ovarienne, l\u2019extraction de l\u2019ovocyte ou la f\u00e9condation en dehors de l\u2019ut\u00e9rus.<\/p>\n<p>Cependant, la diff\u00e9rence entre ces deux proc\u00e9d\u00e9s r\u00e9side dans la technique de r\u00e9alisation. En FIV classique, les ovocytes sont mis en contact avec de nombreux spermatozo\u00efdes pr\u00e9s\u00e9lectionn\u00e9s. Les gam\u00e8tes les plus r\u00e9sistants arriveront \u00e0 f\u00e9conder l\u2019\u0153uf et \u00e0 franchir la membrane ext\u00e9rieure. Ce qui complique la r\u00e9alisation et la r\u00e9ussite de cette technique.<\/p>\n<p>Lors de la FIV ISCI, l\u2019ovocyte est pr\u00e9alablement d\u00e9nud\u00e9 de sa membrane ext\u00e9rieure et chaque \u0153uf re\u00e7oit un spermatozo\u00efde fertile. Cela accroit le taux de r\u00e9ussite et la chance des ovules d\u2019\u00eatre f\u00e9cond\u00e9. En cas d\u2019\u00e9chec, les autres embryons congel\u00e9s peuvent \u00eatre r\u00e9utilis\u00e9s.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<h2><span style=\"color: #339966;\"><b>Limite de la FIV<\/b><\/span><\/h2>\n<p>Comme toute autre proc\u00e9dure m\u00e9dicale, la FIV pr\u00e9sente des effets ind\u00e9sirables. Lors de la stimulation ovarienne, la femme peut \u00eatre sujette \u00e0 l\u2019hyperstimulation qui se traduit par une douleur abdominale ou un gonflement du ventre. M\u00eame s\u2019il ne pr\u00e9sente aucune gravit\u00e9, ce sympt\u00f4me doit faire l\u2019objet d\u2019une consultation m\u00e9dicale.<\/p>\n<p>En outre, la FIV est aussi limit\u00e9e par l\u2019\u00e2ge de la patiente. En effet, au-del\u00e0 de 45 ans, le recours \u00e0 la procr\u00e9ation m\u00e9dicalement assist\u00e9e comporte beaucoup de risques. Le probl\u00e8me peut appara\u00eetre aussi bien pendant la grossesse qu\u2019\u00e0 la naissance du b\u00e9b\u00e9.<\/p>\n<p>Par ailleurs, la FIV ne peut \u00eatre r\u00e9alis\u00e9e que trois fois de suite. Si apr\u00e8s trois tentatives, la patiente n\u2019arrive toujours pas \u00e0 mener sa grossesse \u00e0 terme, tous les essais seront arr\u00eat\u00e9s. N\u00e9anmoins, elle a la possibilit\u00e9 de tester d\u2019autres techniques.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<h4><strong>La f\u00e9condation in vitro pr\u00e9sente aussi l\u2019inconv\u00e9nient d\u2019\u00eatre couteuse. Si votre budget est limit\u00e9, la coparentalit\u00e9 est une alternative int\u00e9ressante. Si l\u2019id\u00e9e vous int\u00e9resse, trouvez le partenaire id\u00e9al sur Coparentalys.<span class=\"Apple-converted-space\">\u00a0<\/span><\/strong><\/h4>\n","protected":false},"excerpt":{"rendered":"<p>Diff\u00e9rence entre FIV classique et FIV avec ISCI Parmi les solutions qui s\u2019offrent au couple en cas de difficult\u00e9 \u00e0<\/p>\n","protected":false},"author":1,"featured_media":565,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[8],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.12 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Diff\u00e9rence entre FIV classique et FIV avec ISCI - Blog CoparentaLys<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.coparentalys.com\/blog\/2019\/04\/30\/difference-entre-fiv-classique-et-fiv-avec-isci\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Diff\u00e9rence entre FIV classique et FIV avec ISCI - 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