title: Intracytoplasmic sperm injection after total conventional in-vitro fertilization failure.
abstract: OBJECTIVE
  This study assessed the value of delayed intracytoplasmic sperm injection after failure of initial in-vitro fertilization in patients with normal seminology.
  
  
  METHODS
  A case series analysis was conducted on 82 couples who underwent delayed intracytoplasmic sperm injection after failure of initial in-vitro fertilization at Fakeeh Hospital, Jeddah, Kingdom of Saudi Arabia between January 1995 and January 2001.
  
  
  RESULTS
  Seventy-eight couples had 616 unfertilized metaphase II mature oocytes after initial in-vitro fertilization. Second day "rescue" reinsemination by intracytoplasmic sperm injection (ICSI) resulted in 174 embryos that were suitable for transfer. This resulted in 4 clinical pregnancies (5.1% per started rescue ICSI cycle).
  
  
  CONCLUSIONS
  The limited success rate in this study provides confirmatory data that rescue ICSI is not an efficient adjuvant laboratory procedure.
authors.affiliation: Department of Obstetrics and Gynecology, Jordan University of Science and Technology, Irbid, Jordan. zoamarin@hotmail.com
authors.forename: Zouhair O
authors.initials: ZO
authors.lastname: Amarin
authors.forename: Basil R
authors.initials: BR
authors.lastname: Obeidat
authors.forename: Abdulrahim A
authors.initials: AA
authors.lastname: Rouzi
authors.forename: Mohammad F
authors.initials: MF
authors.lastname: Jallad
authors.forename: Yousef S
authors.initials: YS
authors.lastname: Khader
mesh_terms: D000328:Adult; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D008297:Male; D011247:Pregnancy; D018873:Pregnancy Rate; D012189:Retrospective Studies; D020554:Sperm Injections, Intracytoplasmic; D017211:Treatment Failure