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I am not aware of any reports suggesting a higher identical twinning rate following ICSI. This is probably because the hole made by the sperm injection needle as it passes through the zona is very small (3-5 micrometers) in comparison to the egg (120 micrometers in diameter). And, surprisingly, the manipulation of the cytoplasm during the injection procedure does not appear to have a detrimental effect on embryo develoment either. |
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