Split insemination in IVF-ICSI cycles reduces fertilization failure risk.
The study compared in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI) in split insemination cycles. They found that total fertilization failure was more common in IVF, but low fertilization rates were higher in ICSI. ICSI had a higher fertilization rate among injected oocytes, while IVF had a higher rate among retrieved oocytes. Embryo quality before transfer was similar between IVF and ICSI. Split insemination can reduce the risk of total fertilization failure, but unnecessary ICSI is often done in split cycles, potentially leading to more ICSI procedures.