Assisted reproductive techniques (ART) as defined by ICMART (international society of monitoring assisted reproduction) and WHO is all treatments or procedures that include the in vitro handling of both human oocytes and sperm or of embryos for the purpose of establishing a pregnancy. This includes, but is not limited to, in vitro fertilization (IVF)/intracytoplasmic sperm injection (ICSI) and embryo transfer, gamete intrafallopian transfer, zygote intrafallopian transfer, tubal embryo transfer, gamete and embryo cryopreservation, oocytes and embryo donation, and gestational surrogacy. ART does not include assisted insemination (artificial insemination) using sperm from either a woman’s partner or a sperm donor [1]. On the other hand the term medically assisted reproduction (MAR) is given to the wider scope involving reproductive ovarian stimulation with or without insemination and ART techniques mentioned above [1]