RT Journal Article SR Electronic T1 Intracytoplasmic sperm injection after total conventional in-vitro fertilization failure JF Saudi Medical Journal JO Saudi Med J FD Prince Sultan Military Medical City SP 411 OP 415 VO 26 IS 3 A1 Amarin, Zouhair O. A1 Obeidat, Basil R. A1 Rouzi, Abdulrahim A. A1 Jallad, Mohammad F. A1 Khader, Yousef S. YR 2005 UL http://smj.org.sa/content/26/3/411.abstract AB OBJECTIVE: This study assessed the value of delayed intracytoplasmic sperm injection after failure of initial in-vitro fertilization in patients with normal seminology.METHODS: A case series analysis was conducted on 82 couples who underwent delayed intracytoplasmic sperm injection after failure of initial in-vitro fertilization at Fakeeh Hospital, Jeddah, Kingdom of Saudi Arabia between January 1995 and January 2001.RESULTS: Seventy-eight couples had 616 unfertilized metaphase II mature oocytes after initial in-vitro fertilization. Second day "rescue" reinsemination by intracytoplasmic sperm injection (ICSI) resulted in 174 embryos that were suitable for transfer. This resulted in 4 clinical pregnancies (5.1% per started rescue ICSI cycle).CONCLUSION: The limited success rate in this study provides confirmatory data that rescue ICSI is not an efficient adjuvant laboratory procedure.