ABSTRACT

For the infertile couple, each patient must be addressed individually, yet managed in the context of the couple. Coordination of care is paramount amongst the male and female treatment teams. For the couple requiring in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI), facilitating fresh sperm retrieval to coincide with the female’s cycle and oocyte retrieval requires significant logistical efforts. Additionally, in the setting of male factor infertility, there is no certainty that sperm extraction will be successful. Failed retrieval may result in an unutilized cycle of ovarian hyperstimulation. The emotional and financial implications of such results can be devastating.