There are two types of in vitro fertilization techniques; IVF itself and intracytoplasmic sperm microinjection. The main indication for IVF is a motile sperm count above 3 million. Therefore, any semen sample below this count will be indicative of ICSI (severe male failure).
Other possible indications for ICSI would be a previous IVF fertilization failure, semen samples with teratozoospermia or patients requiring preimplantation genetic diagnosis treatment.
Read the full article on: Indications for ICSI: when is it necessary? ( 74).

Óscar Oviedo Moreno
M.D.
Bachelor's Degree in Medicine & Surgery from the University of Caldas (Colombia). Specialist in Internal Medicine by the Pontificia Universidad Javeriana of Bogotá. Degree standardized in Spain in 2003. Specialist in Gynecology & Obstetrics from the Complutense University of Madrid, with residence at Hospital Clínico Universitario San Carlos de Madrid. Expert in Reproductive Medicine and Certification in Obstetric-Gynecologic Ultrasound (levels I, II and III).
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