Evidence map›Paper›PMID 32578032›Full record

ReviewJournal of assisted reproduction and genetics2020

ALWAYS ICSI? A SWOT analysis.

E Bosch, J J Espinós, F Fabregues, J Fontes, J García-Velasco, J Llácer, A Requena, M A Checa, J Bellver, Spanish Infertility SWOT Group (SISG)

Abstract readReview
In one paragraph

Review in Journal of assisted reproduction and genetics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. The role of sperm DNA fragmentation in reproduction: a SWOT analysis.Journal of assisted reproduction and genetics · 2025
    Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

E BoschIVI RMA Valencia, Plaza de la Policía Local, 3, 46015, Valencia, Spain. Ernesto.Bosch@ivirma.com.
J J EspinósFertty, Ausiàs March 25, 08010, Barcelona, Spain.
F FabreguesInstitut Clinic Gynecology, Obstetrics and Neonatology (ICGON), Hospital Clinic, C/Villarroel 160, 08036, Barcelona, Spain.
J FontesHospital Universitario Virgen de las Nieves, Avd Fuerzas Armadas s/n, 18014, Granada, Spain.
J García-VelascoIVI RMA Madrid, Avda. del Talgo 68, 28023, Madrid, Spain.
J LlácerInstituto Bernabeu Alicante, Av. Albufereta, 31, 03540, Alacant (Alicante), Spain.
A RequenaIVI RMA Madrid, Avda. del Talgo 68, 28023, Madrid, Spain.
M A ChecaHospital del Mar-Parc de Salut Mar, Paseo Maritimo 25-29, 08005, Barcelona, Spain.
J BellverIVI RMA Valencia, Plaza de la Policía Local, 3, 46015, Valencia, Spain.
Spanish Infertility SWOT Group (SISG)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIntracytroplasmatic sperm injection (ICSI) is a common procedure used to improve reproductive results, even among couples without male factor infertility. However, the evidence available is still uncertain on the possible advantages and deficiencies that this procedure may have in patients with no formal indication for ICSI.

methodsA SWOT (strengths, weaknesses, opportunities, threats) analysis examines the possible advantages and deficiencies of performing ICSI in these patients with no formal indication.

resultsThe evidence suggests that ICSI is not justified for non-male factor infertile couples requiring in vitro conception. One of the major strengths associated to the procedure is the virtual elimination of cases further complicated by total fertilization failure and a combination between IVF and ICSI on sibling oocytes has been advised in the literature. Greater technical difficulties, higher costs and performing an unnecessary invasive technique in some cases represent some of the weaknesses of the procedure, and questions regarding safety issues should not be ruled out.

conclusionDespite the widespread use of ICSI in patients without a formal diagnosis of male factor infertility, evidence demonstrating its effectiveness in this population is still lacking. Additional large and well-designed randomized controlled trials are needed to clarify definitive indications for ICSI in non-male factor infertility.

Indexed as

AdultEmbryo TransferFemaleFertilization in VitroHumansInfertility, MaleMaleOocytesPregnancyPregnancy RateSemenSpermatozoaSperm Injections, IntracytoplasmicAssisted reproductionInfertilityIntracytoplasmic sperm injection (ICSI)In vitro fertilization (IVF)PregnancySevere non-male factor

Identifiers

PMID32578032
PMCPMC7492350

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.