Intracytoplasmic sperm injection after total conventional in-vitro fertilization failure.
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.
Amarin
Zouhair O
ZO
Department of Obstetrics and Gynecology, Jordan University of Science and Technology, Irbid, Jordan. zoamarin@hotmail.com
Obeidat
Basil R
BR
Rouzi
Abdulrahim A
AA
Jallad
Mohammad F
MF
Khader
Yousef S
YS
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