“…In spite of the enthusiasm created by these early reports, immature germ cell conception still remains a challenging technical achievement rather than a practical solution to be routinely applied in clinical practice. One reason for this was the limitation of the technique to post-meiotic maturation arrest, which, although well documented by several authors 8,9 , is a relatively infrequent condition in the wide spectrum of maturation arrest in human males. 10 The diculty in distinguishing round spermatids from somatic cells, experienced by many workers, is another factor contributing to failures of the technique.…”