“…Follow up studies of ICSI-conceived children show that they have an increased risk of major congenital malformations and reduced future fertility (Hansen et al, 2002;Debaun et al, 2003;Maher et al, 2003;Bonduelle, 2004;Ponjaert-Kristoff ersen et al, 2004;Sutcliff e, 2004;Bonduelle et al, 2005;Belva et al, 2006;Sutcliff e et al, 2006), the most likely causes of which are thought to be sperm characteristics rather than the procedure itself.…”