Does physiological selection of spermatozoa for icsi (picsi) improve ivf outcomes ?

Sperm DNA fragmentation can lead to implantation failures, lower pregnancy rates, early miscarriages and lower birth rates. It has also shown a negative correlation with embryo quality and fertilization. The use of some techniques, such as PICSI (physiologic ICSI) that can identify mature and intact DNA through hyaluronic acid (HA) receptors binding ability has shown inconsistents results. In this study, we aimed to compare PICSI and ICSI techniques outcomes in IVF cycles in the same patients.