ALWAYS ICSI? A SWOT analysis
Bosch, Ernesto (IVI RMA Valencia)
Espinós, Juan José (Universitat Autònoma de Barcelona. Departament de Pediatria, Obstetrícia i Ginecologia i de Medicina Preventiva i Salut Pública)
Fabregues, Francisco (Hospital Clínic i Provincial de Barcelona)
Fontes, J (Hospital Universitario Virgen de las Nieves (Granada))
García-Velasco, Juan A. (IVI RMA Madrid)
Llácer, Joaquín (Instituto Bernabeu Alicante)
Requena, Antonio (IVI RMA Madrid)
Checa, Miguel Angel (Parc de Salut MAR de Barcelona)
Bellver, José (Universitat de València)

Data:	2020
Resum:	Purpose: Intracytroplasmatic sperm injection (ICSI) is a common procedure used to improve reproductive results, even among couples without male factor infertility. However, the evidence available is still uncertain on the possible advantages and deficiencies that this procedure may have in patients with no formal indication for ICSI. Methods: A SWOT (strengths, weaknesses, opportunities, threats) analysis examines the possible advantages and deficiencies of performing ICSI in these patients with no formal indication. Results: The evidence suggests that ICSI is not justified for non-male factor infertile couples requiring in vitro conception. One of the major strengths associated to the procedure is the virtual elimination of cases further complicated by total fertilization failure and a combination between IVF and ICSI on sibling oocytes has been advised in the literature. Greater technical difficulties, higher costs and performing an unnecessary invasive technique in some cases represent some of the weaknesses of the procedure, and questions regarding safety issues should not be ruled out. Conclusion: Despite the widespread use of ICSI in patients without a formal diagnosis of male factor infertility, evidence demonstrating its effectiveness in this population is still lacking. Additional large and well-designed randomized controlled trials are needed to clarify definitive indications for ICSI in non-male factor infertility.
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Llengua:	Anglès
Document:	Article ; recerca ; Versió sotmesa a revisió
Matèria:	Assisted reproduction ; In vitro fertilization (IVF) ; Infertility ; Intracytoplasmic sperm injection (ICSI) ; Pregnancy ; Severe non-male factor
Publicat a:	Journal of assisted reproduction and genetics, Vol. 37 Núm. 9 (September 2020) , p. 2081-2092, ISSN 1573-7330

DOI: 10.1007/s10815-020-01836-0
PMID: 32578032

Preprint 31 p, 591.9 KB

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