ICSI is recommended for most patients due to its higher probability of success in IVF cycles.

“I do I in almost every patient I'm not going to say in everyone higher probability of success higher probability of success and when you get to this point and so few people have insurance coverage so they're spending their money they're getting second mortgages they're taking out loans if there's one decision that you say well I don't know you could have zero eggs fertiliz or I could have the embryologists pick the best sperm and put them inside the egg and we expect a 75% chance of fertilization that makes sense for the majority of people”