“…The most severe cases of male infertility, even with apparently 100% abnormal morphology, and even just rare sperm in the ejaculate, could now have pregnancy and delivery rates apparently no different from conventional IVF with normal sperm Liu et al, 1994;Liu et al, 1995). In 1993, testicular sperm extraction (TESE) and microsurgical epididymal sperm aspiration (MESA) in conjunction with ICSI was introduced for the treatment of obstructive azoospermia (Schoysman et al, 1993;Devroey et all, 1994;Silber et al, 1994Silber et al, , 1995aTournaye et al, 1994;Devroey et al, 1995a). Eventually this technique was also used for "non-obstructive" azoospermia (Devroey et al, 1995b;Silber et al, 1995bSilber et al, , 1996Silber et al, , 1998a.…”