“…Even though all the patients in this study were selected according to severity of abnormal morphology, the results of Figure 1 reveals that not all the patients may benefit from this artificial activation protocol. Therefore, diagnostic tests, like the mouse oocyte activation test, may be useful to evaluate activation potentials of a semen sample before assisted artificial oocyte activation in clinical settings (41,42). However, usage of the mouse oocyte activation test may be inconvenient in clinical settings, so other tests such as acrosome-related tests, like the gelationlysis test, may become useful or informative to assess integrity of acrosome, which may be related to sperm oocyte activation capacity (43,44).…”