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Trends in the Use of Intracytoplasmic Sperm Injection in the United States
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Trends in the Use of Intracytoplasmic Sperm Injection in the United States
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Trends in the Use of Intracytoplasmic Sperm Injection in the United States
Trends in the Use of Intracytoplasmic Sperm Injection in the United States
Journal Article

Trends in the Use of Intracytoplasmic Sperm Injection in the United States

2007
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Overview
In vitro fertilization (IVF) with intracytoplasmic sperm injection (ICSI) is effective for male-factor infertility; its role for other forms of infertility is unclear. ICSI is more costly than IVF alone and may confer more risks. In the United States from 1995 to 2004, the use of ICSI increased dramatically, while diagnoses of male-factor infertility remained stable. These data suggest that guidance regarding the appropriate use of ICSI is warranted. In the United States from 1995 to 2004, the use of ICSI increased dramatically, while diagnoses of male-factor infertility remained stable. These data suggest that guidance regarding the appropriate use of ICSI is warranted. The introduction of in vitro fertilization (IVF) in 1978 1 led to advances in treatment for infertility. 2 However, effective treatment for male-factor infertility (determined on the basis of abnormal semen measurements) was not available until 1992, when intracytoplasmic sperm injection (ICSI) was introduced as part of the IVF process in selected cases. 3 In 1994, the American Society for Reproductive Medicine published guidelines regarding the use of ICSI as a safe and effective technique for the management of male-factor infertility. 4 However, with the increasing availability and use of assisted reproductive technology, it is unclear to what extent fertility centers in the United . . .