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ICSI is used to complement IVF treatment when there is reduced sperm quality or when fertilisation in previous attempts was unsuccessful.The only requirement is the presence of at least a few motile sperm in the ejaculate, testis or epididymis. A single sperm cell is inserted directly into the egg cell with a thin needle under the microscope. This method results in a more than 90% chance of succesfully fertilized mature eggs. The success rate (pregnancy rate per treatment cycle) is comparable with normal IVF.