<prompt> True statement regarding procedure shown below is:Done routinely with IVFRisk of congenital anomaly is lower as compared to IVF alonePerformed when sperm count is 5 millionmlSperm preparation is not required  <response>: Ans. C. Performed when sperm count is 5millionmlICSI is not done routinely. It stands for Intracytoplasmic Sperm Injection: single sperm is introduced inside a single ovumIndications for ICSI:a. Previous failed IVFb. Sperm count 5millionml or 5 progressive motility or 4 normal morphology as in a case obstructive azoospermia or primary testicular failure. In these cases, sperms are obtained from either the epididymis or testis itself.c. In case of severe oligospermia or azoospermia, the sperms are obtained by TESE Testicular sperm Extraction and sperm preparation is required as in conventional IVF.A higher congenital anomaly rate is there with ICSI 4.2, as compared to conventional IVF 2-3 