ALWAYS ICSI? A SWOT analysis
| Autor: | Bosch, E, Espinós, J J, Fabregues, F, Fontes, J, García-Velasco, J, Llácer, J, Requena, A, Checa, M A, Bellver, J, Spanish Infertility SWOT Group (SISG) |
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| Rok vydání: | 2020 |
| Předmět: |
Male
0301 basic medicine Pregnancy Rate Review Sperm injection law.invention 0302 clinical medicine Randomized controlled trial Pregnancy law SWOT analysis reproductive and urinary physiology Genetics (clinical) education.field_of_study 030219 obstetrics & reproductive medicine Assisted reproduction Obstetrics and Gynecology General Medicine Spermatozoa embryonic structures Female Male factor infertility Adult Infertility medicine.medical_specialty Population Reproductive medicine Fertilization in Vitro 03 medical and health sciences Semen Genetics medicine Humans In patient Sperm Injections Intracytoplasmic Intensive care medicine education Infertility Male urogenital system business.industry Embryo Transfer medicine.disease In vitro fertilization (IVF) Severe non-male factor 030104 developmental biology Reproductive Medicine Oocytes Intracytoplasmic sperm injection (ICSI) business Developmental Biology |
| Zdroj: | J Assist Reprod Genet |
| ISSN: | 1573-7330 1058-0468 |
| DOI: | 10.1007/s10815-020-01836-0 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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