
Dr. Himanshu Bavishi
MBBS, MD (Obstetrics & Gynaecology) · Infertility, IVF & Genetics
A laboratory technique that separates apoptotic (damaged) sperm from healthy ones before fertilisation. Done entirely on the semen sample, with nothing performed on the patient.

MACS (Magnetic-Activated Cell Sorting) separates apoptotic — that is, damaged or dying — sperm cells from healthy ones. The damaged sperm are labelled with magnetic nanoparticles and captured in a column, while intact, live sperm pass through and are collected for fertilisation by IVF or ICSI.
MACS is performed entirely on the semen sample in the laboratory — there is no procedure on the patient. It is considered as an add-on to improve the quality of sperm selected, particularly where sperm DNA damage is a concern.

Co-director & IVF Specialist · IVF & Andrology
Ahmedabad | Bavishi Fertility Institute
Last medically reviewed on . This page is educational and is not a substitute for personalised medical advice.
MACS is most relevant where sperm quality, rather than count, is the concern.
Where it is considered, MACS aims to refine the quality of the sperm used.
A simple laboratory sorting step, added to the semen-preparation workflow.
The semen sample is prepared in the laboratory; no procedure is needed on the patient.
Apoptotic (damaged) sperm are tagged with magnetic nanoparticles that bind to markers on their surface.
The sample passes through a magnetic column; tagged, damaged sperm are held back while healthy sperm flow through.
The intact, healthy sperm are collected from the column for use in fertilisation.
The selected sperm are used for ICSI, IMSI or conventional IVF as planned for your cycle.
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Every fertility journey is unique. MACS success rates depend on several medical and lifestyle factors.
Factors affecting success
Most recent data do not show an added advantage of MACS over routine IVF and ICSI. It does not increase sperm count or motility, and outcomes depend on many individual factors.
Know exactly what your MACS treatment cost includes before you begin.
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We believe you should know the evidence before choosing an add-on.
Recent meta-analysis data suggest MACS does not improve implantation, and most current data show no added advantage over routine IVF and ICSI.
MACS adds to the cost of treatment.
MACS is about sperm quality selection, not improving sperm numbers or movement.
MACS has limited applicability in many cases.
Meet the Bavishi Fertility Institute specialists who treat patients with MACS.
No. MACS does not directly increase sperm count or motility. It is used to improve the quality of the sperm selected for fertilisation by removing apoptotic (damaged) sperm.
There is no procedure on the patient — MACS is performed on the semen sample — so there is nothing to recover from.
The laboratory sorting typically takes a few hours, depending on the specific protocols used.
The evidence is limited. Most recent data do not show an added advantage of MACS over routine IVF and ICSI, which is why we use it selectively and explain the evidence honestly.
Yes. MACS can be used alongside ICSI, IMSI or conventional IVF as part of the same treatment cycle.
This page is for educational purposes and is medically reviewed by Dr. Parth Bavishi, MBBS, MD (Obstetrics & Gynaecology). It is not a substitute for personal medical advice — please consult our doctors for guidance specific to you.
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Helpful reads on MACS from the Bavishi Fertility Institute specialists.
Everything you need to understand about MACS — how it works, who it helps and what to expect on your journey.
A transparent look at MACS costs, EMI options and the Suraksha Kavach package, so you can plan with confidence.
Practical, science-backed tools to help you understand your fertility — privately and instantly.
Speak with our specialists about whether this add-on is worthwhile for your specific case.
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