The same problem applies with the confusion between IVF and ICSI as well. While IVF is fine for men with a good sperm count, it’s too risky to do this for men with a low sperm count or poor motility, because the functional capacity of the sperm to fertilise the egg on its own is doubtful. However, because many clinics don’t have the expertise to do ICSI well, then try IVF on these patients, and when the IVF cycle fails, they add insult to injury by telling the patient to use donor sperm , rather than referring them to a reliable IVF clinic which can do ICSI properly !
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