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OBG · Infertility: ICSI
Sample itemIntracytoplasmic sperm injection is mainly indicated for:
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Severe male factor infertility
ICSI injects a single spermatozoon directly into an oocyte and overcomes severe oligoasthenoteratozoospermia, azoospermia with surgical sperm retrieval, and previous fertilisation failure. It does not improve outcomes in non-male factor infertility.
Option by option
A. Severe male factor infertility (correct)
Correct. ICSI is the treatment for severe male factor.
B. Tubal blockage with normal semen
Standard IVF suffices for tubal disease.
C. Unexplained infertility as first line
ICSI is not first-line for unexplained infertility.
D. Anovulation
Anovulation is treated by ovulation induction.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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