Hope a PAIF response is okay...
We did ICSI with AH.
We have multi-factorial IF dx. I'm 34. Come to find out, when we were in the process, we learned that I had egg quality issues that would have made natural fertilization difficult for the sperm, so ICSI turned out to be quite the blessing for us! IVF was the only way for us to go with my bilaterally obstructed tubes from endo, and Hubby's retrograde ejaculation from bladder and prostate surgeries.
Now, the AH for us just seemed to be one more step that would get us closer to our goal. When we'd tried for so many years, and tried so many IUIs without success (prior to the tubes being blocked! or knowledge thereof)...it just seemed like we'd try ANYTHING to get us one step closer to our goal. It was our understanding that damage to the embryos is a very minimal risk as it is very uncommon, and that AH actually increases your chances of overall IVF success. That's how we understood it.