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Bosch Creator: Arbortext Advanced Print Publisher 9.1.440/W Unicode Producer: Acrobat Distiller 10.0.0 (Windows) CreationDate: Tue Jun 23 20:16:49 2020 CEST ModDate: Tue Jun 23 20:30:57 2020 CEST Custom Metadata: no Metadata Stream: yes Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 12 Encrypted: no Page size: 595.276 x 790.866 pts Page rot: 0 File size: 441564 bytes Optimized: yes PDF version: 1.4 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- DDDGGA+GhkgmsAdvTT99c4c969 Type 1C WinAnsi yes yes no 515 0 DDDHAN+CfxsbmAdvTT577c760c Type 1C WinAnsi yes yes no 521 0 DDDHAO+NfdhjgAdvP0005 Type 1C WinAnsi yes yes no 522 0 DDDHAP+BbswfcAdvTTc488b0e6 Type 1C WinAnsi yes yes no 523 0 DDDHBA+YhlwbbAdvPi3 Type 1C WinAnsi yes yes no 524 0 DDDHCB+LnksxlAdvTTaf7f9f4f.B Type 1C WinAnsi yes yes no 528 0 DDDHCC+TcxyrcAdvTT3713a231 Type 1C WinAnsi yes yes no 529 0 DDDHDC+GxvnfpAdvTT4ff65459 Type 1C WinAnsi yes yes no 534 0 DDDHGD+NmtlrnAdvTT50a2f13e.I Type 1C WinAnsi yes yes no 168 0 DDDHGE+HxlvfrAdvTTa351d857.B Type 1C WinAnsi yes yes no 171 0 DDDHFD+RkmmmhAdvTT3713a231+20 Type 1C WinAnsi yes yes no 174 0 DDDHKF+JxkpttAdvTT3713a231+22 Type 1C Custom yes yes yes 182 0 DDDHNF+KlsnrcAdvTT577c760c+20 Type 1C WinAnsi yes yes no 190 0 DDDIAE+MgghhwAdvTTb8864ccf.B Type 1C WinAnsi yes yes no 220 0 DDDIEE+MqmphtAdvTTb8864ccf.B+20 Type 1C WinAnsi yes yes no 242 0 DDDIGE+LfbmfxAdvTT3713a231+03 Type 1C Custom yes yes yes 263 0 XbxwpfTimesNewRomanPS-BoldMT Type 1C WinAnsi yes no no 280 0 PQVCXU+PqvdxbArial Type 1C WinAnsi yes yes no 278 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2025-07-30 02:09:49 CEST RepresentationInformation: J_Assisted_Reproduction_and_Genetics_2020.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2025-07-29 12:10:50 CEST Size: 441564 Format: PDF Version: 1.4 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf Profile: Linearized PDF PDFMetadata: Objects: 602 FreeObjects: 1 IncrementalUpdates: 1 DocumentCatalog: PageLayout: SinglePage PageMode: UseOutlines Outlines: Item: Title: ALWAYS ICSI? A SWOT analysis Destination: maintitle Children: Item: Title: Abstract Destination: Section11 Item: Title: Abstract Destination: Section12 Item: Title: Abstract Destination: Section13 Item: Title: Abstract Destination: Section14 Item: Title: Abstract Destination: Section15 Item: Title: Introduction Destination: Section16 Item: Title: Methods Destination: Section17 Item: Title: Results Destination: Section18 Children: Item: Title: Strengths Destination: Section29 Children: Item: Title: ICSI could increase fertilization rate and decrease fertilization failure in patients with unexplained infertility Destination: Section310 Item: Title: ICSI decreases fertilization failure in patients with mild male factor infertility or borderline semen Destination: Section311 Item: Title: Risk minimization for cycle cancelation due to total fertilization failure in couples with a prior failed fertilization using conventional insemination Destination: Section312 Item: Title: ICSI could improve embryo quality Destination: Section313 Item: Title: ICSI could increase pregnancy rates in patients with disordered zona pellucida–induced acrosome reaction Destination: Section314 Item: Title: Avoid possible contamination with DNA from spermatozoa in cases where PGT is performed for monogenic conditions Destination: Section315 Item: Title: Weakness Destination: Section216 Children: Item: Title: No standardized guidelines to define “severe male factor” infertility Destination: Section317 Item: Title: Invasiveness of the technique Destination: Section318 Item: Title: Operator experience and technical factors are critical Destination: Section319 Item: Title: ICSI complications: imprinting defects and DNA methylation, possible sex ratio modification Destination: Section320 Item: Title: No benefit of ICSI on women-related factors of poor-prognosis Destination: Section321 Item: Title: No effect on reproductive outcomes Destination: Section322 Item: Title: No evidence of cost-benefit Destination: Section323 Item: Title: Lack of well-designed randomized controlled trials and inconsistencies in the results Destination: Section324 Item: Title: Opportunities Destination: Section225 Children: Item: Title: Selection of the oocytes Destination: Section326 Item: Title: Sperm DNA fragmentation Destination: Section327 Item: Title: Technical improvements: selection of a good-quality semen with intact sperm genome (IMSI, PICSI, flow cytometry, reotaxis, swi洀ⴀ甀瀀㸾൥湤潢樍㔹㈠〠潢樍㰼⽃嬰⸰‰⸰‰⸰崯䍯畮琠〯䑥獴⣾＀匀攀挀琀椀漀渀㌀㈀㜩⽆‰⽎數琠㔹ㄠ〠刯偡牥湴‵㜸‰⁒⽐牥瘠㔷㤠〠刯呩瑬攨Sperm DNA fragmentation Destination: Section328 Item: Title: Artificial oocyte activation Destination: Section329 Item: Title: Genome editing (CRISP/Cas9) Destination: Section330 Item: Title: Threats Destination: Section231 Children: Item: Title: Predisposition to use ICSI (indiscriminate use/intolerance to fertilization failure) Destination: Section332 Item: Title: ICSI “overuse” during PGT Destination: Section333 Item: Title: Improvement of IVF Destination: Section334 Item: Title: Possible long-term effects of ICSI on children (infants, adults) Destination: Section335 Item: Title: Conclusion Destination: Section136 Item: Title: References Destination: Section137 Info: Title: ALWAYS ICSI? A SWOT analysis Author: E. 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