Intracytoplasmic sperm injection was performed with immotile spermatozoa af
fected by tail 'stump' defect, and resulted in normal fertilization, embryo
transfer and pregnancy in a 35-year-old female. The husband had a consangu
ineous ancestry. Two healthy babies, a male and a female, were born and thi
s confirms that male infertility due to certain genetic sperm defects can b
e overcome by the intracytoplasmic sperm injection-assisted reproduction te
chnique. The likely genetic origin of this sperm defect and the probability
of the male offspring inheriting this sperm defect should be considered. T
he fertilization ability of stump spermatozoa, microinjected into the oocyt
e, is explained on the basis of experience from our previous research.