Is intracytoplasmic sperm injection safe?

Abstract:

OBJECTIVE:To review the pregnancy and birth outcomes of patients undergoing intracytoplasmic sperm injection (ICSI). DESIGN:Selective review of the literature. SETTING:Couples undergoing either conventional IVF or ICSI and their resulting offspring. PATIENT(S):None. MAIN OUTCOME MEASURE(S):None. INTERVENTION(S):None. RESULTS:These observational studies are unfortunately inherently biased. Regardless, the information and experiences from these large centers cannot be ignored. These experiences reveal that birth weight may be decreased by an amount that is generally not clinically relevant. Chromosomal and genetic abnormalities are increased probably only as a direct corollary to the underlying parental risk. Congenital malformations reveal no clustering of any single specific abnormality. Developmental assessment is available for up to 2 years, and no major delays have been identified in either motor or mental function. CONCLUSION(S):Intracytoplasmic sperm injection appears to be a safe alternative for couples who otherwise would be unable to achieve pregnancy. The inherent risks associated with these genetically "at risk" couples mandate thorough evaluation and counseling before undertaking ICSI.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Retzloff MG,Hornstein MD

doi

10.1016/s0015-0282(03)01014-8

keywords:

subject

Has Abstract

pub_date

2003-10-01 00:00:00

pages

851-9

issue

4

eissn

0015-0282

issn

1556-5653

pii

S0015028203010148

journal_volume

80

pub_type

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