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Mechanism of Human Oocyte Activation During ICSI and Methodology for Overcoming Low or Failed Fertilization

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Practical Manual of In Vitro Fertilization

Abstract

The mechanism of fertilization after ICSI is markedly different from that during natural fertilization. During normal fertilization process, sperm–oocyte fusion is followed by incorporation in the cytoplasm of a demembranated, “naked” sperm nucleus, which immediately becomes accessible for ooplasmic factors, including thiol-reducing agents. Following ICSI, not a “naked” sperm nucleus but the whole sperm cell, enclosed in its membrane, is exposed to the ooplasm.

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Acknowledgments

To Koichi Kyono, MD, PhD, for his extended activation protocol and to Marzeyeh Tavalaee, MS, for the help in preparation of this manuscript

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Correspondence to Dmitri Dozortsev MD, PhD .

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Dozortsev, D., Nasr-Esfahani, M.H. (2012). Mechanism of Human Oocyte Activation During ICSI and Methodology for Overcoming Low or Failed Fertilization. In: Nagy, Z., Varghese, A., Agarwal, A. (eds) Practical Manual of In Vitro Fertilization. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1780-5_34

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  • DOI: https://doi.org/10.1007/978-1-4419-1780-5_34

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