Only if needed
ICSI is an in-vitro fertilization procedure in which a sperm
that would not normally be able to fertilize an egg is directly injected by a lab technician into an egg.
This procedure is usually reserved for men with sub-optimal sperm (i.e., low counts, low motility, etc) or for couples that have failed other IVF protocols.
Thousands of healthy babies are born through ICSI every year.