Just thought I join the discussion. As DH has sperm issue we went directly to ICSI, however not without trying to see if IUI or IVF could be done. They tried to "clean his sperm" to rid it of the antisperm antibodies but to no success.
Honestly when we came to term with having to go down the path of assisted conception I have given up any notion of natural selection. There is no natural selection in terms of which eggs is fertilised by which sperm (remember in natural selection the bulk of the sperm is killed prior reaching the uterus anyway whether they are good ones or bad) and not every egg gets fertilised (we produce approximately 400 eggs in our entire life but.. well a person might have a max of 10 - 15 kids in a life time. So I don't care whether it is IUI, IVF or even ICSI. To me they are all the same and truthful... at this point I don't care if it is not natural selection.. I just want a baby.. what is more morally troubling for me is the frosties I still have... I don't think I have the heart to destroy them....I think we might attempt with all frosties... and if that means we have a house full of kids.. well that would be a blessing.
To answer your question about seeing "quality" under the microscope.. well when it comes to sperm, bad ones could certainly be seen because they are "deformed" in some way. That's is how they find out how infertile a man is.
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