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Intracytoplasmic sperm injection which is an often referred to as “ICSI” is one of the newest technologies that we offer in the world of infertility treatment. It is useful for man who have very low sperm counts or very poor sperm that is sperm that has just developed abnormally and in fact we often can find sperm in the testes of some man. Testicular sperm can be retrieved by a minor surgical procedure and that sperm can be used in the ICSI technology. How it is done? We have what is called micromanipulator. It is a special operating microscope, has robotic arms. It is really space aged technology. It allows us to take a microscopic sperm place it in the microscopic needle and inject that needle into a microscopic egg. The sperm will be injected directly in to the cytoplasm or body of the egg and 24 hours later about 60% of the time we will find that egg is fertilized. This is a great technology. Technology that was not available about 20 years ago and it now has replaced sperm donation so that most people who in the past would have needed sperm donation will benefit from this technology.