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Related Concept Videos

In Vitro Fertilization01:24

In Vitro Fertilization

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In vitro fertilization (IVF) is a form of assisted reproductive technology where an egg is fertilized with sperm in a controlled laboratory environment before transferring the resulting embryo into the uterus. This process is designed to help individuals and couples experiencing difficulties conceiving.
The IVF process begins with ovarian stimulation, during which reproductive endocrinologists prescribe hormonal medications to stimulate the ovaries to produce multiple eggs instead of the single...
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Infertility in Males01:23

Infertility in Males

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Male infertility affects millions of couples worldwide, arising from various factors that impact different stages of the reproductive process. An endocrine imbalance resulting from conditions like hypogonadism, Klinefelter syndrome, or pituitary disorders can disrupt hormone levels and reduce sperm production. Testicular defects, such as tumors, cryptorchidism, atrophic testes, abnormal sperm morphology, and low sperm count or motility, may arise due to genetic factors, structural...
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Trends in the Use and Indications for Intracytoplasmic Sperm Injection Between 2005 and 2017: A State-Wide

Aleah Kink1, Parinaz Mehdipour1, Richard J Hiscock2

  • 1Melbourne Medical School, The University of Melbourne, Parkville, Victoria, Australia.

The Australian & New Zealand Journal of Obstetrics & Gynaecology
|November 5, 2025
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Summary

Intracytoplasmic sperm injection (ICSI) use in Australia increased significantly, with most cycles lacking clear medical necessity. This trend highlights a rise in non-essential ICSI procedures over time.

Keywords:
fertilisation in vitrofertilityinfertilityreproductive techniques (assisted)sperm injections (intracytoplasmic)

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Area of Science:

  • Reproductive Medicine
  • Infertility Treatment
  • Assisted Reproductive Technology

Background:

  • Intracytoplasmic sperm injection (ICSI) was initially developed for male factor infertility.
  • Global uptake of ICSI has risen, extending to non-essential fertilization cases.

Purpose of the Study:

  • To analyze temporal trends in ICSI utilization.
  • To examine the changing indications for ICSI in Australia.

Main Methods:

  • A descriptive cohort study of women undergoing IVF in Victoria, Australia (2005-2017).
  • Analysis of trends in ICSI uptake and reported indications for use.
  • Inclusion criteria: cycles resulting in a birth after 20 weeks' gestation.

Main Results:

  • ICSI use increased from 60.6% in 2005 to 79.5% in 2017.
  • Indications like donor sperm, PGT, female factors, and advanced maternal age increased.
  • 'Unspecified' indications became predominant after 2008.
  • Male factor infertility indication decreased, while testicular sperm retrieval remained stable.

Conclusions:

  • Overall ICSI use rose by 18.9% during the study period.
  • A significant proportion of ICSI cycles were not medically indicated.
  • The study highlights a trend towards increased, often non-essential, ICSI application.