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Gynaecology & Obstetrics Miscellaneous (Obs) 373b7b86

True statement regarding procedure shown below is:

A
Done routinely with IVF
B
Risk of congenital anomaly is lower as compared to IVF alone
C
Performed when sperm count is <5 million/ml
D
Sperm preparation is not required
High-Yield Explanation
Ans. C. Performed when sperm count is <5million/mlICSI is not done routinely. It stands for Intracytoplasmic Sperm Injection: single sperm is introduced inside a single ovumIndications for ICSI:a. Previous failed IVFb. Sperm count <5million/ml or <5% progressive motility or <4% normal morphology as in a case obstructive azoospermia or primary testicular failure. In these cases, sperms are obtained from either the epididymis or testis itself.c. In case of severe oligospermia or azoospermia, the sperms are obtained by TESE (Testicular sperm Extraction) and sperm preparation is required as in conventional IVF.A higher congenital anomaly rate is there with ICSI (4.2%), as compared to conventional IVF (2-3%)

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