IVF- Full In Vitro Fertilization with ICSI Sperm Injection Option. This IVF – In Vitro Fertilization procedure is preformed by a specialty Physician. During a IVF procedure with ICSI, one sperm is injected into the oocyte actively under the vision of a microscopic and a micromanipulator. ICSI is useful for couples with a severe male factor, low count of mobile sperm in the ejaculate, a very low sperm count, or even total absence of sperm in the ejaculate. In the latter case, the urologist can perform a puncture or biopsy for testicular sperm extraction.