Electroejaculation in psychogenic anejaculation

Electroejaculation is a suitable and effective treatment that can be used in men with psychogenic anejaculation. The retrieved semen can be used successfully in ART treatment.

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Authors

Timo Soeterik, B.S., Paul Veenboer, M.D., Tycho Lock, M.D.

Volume 101, Issue 6, Pages 1604–1608

Abstract

Objective:

To evaluate the results of treatment with electroejaculation (EEJ), intrauterine insemination (IUI), and IVF/intracytoplasmic sperm injection (IVF/ICSI) in patients with psychogenic anejaculation (PAE).

Design:

Retrospective clinical study.

Setting:

Academic tertiary referral fertility center.

Patient(s):

Eleven male patients diagnosed with psychogenic anejaculation (PAE) were included. Median age at the time of first treatment with EEJ was 33.0 (interquartile range, 29.0–36.0) years.

Intervention(s):

Electroejaculation, IUI, and IVF/ICSI.

Main Outcome Measure(s):

Semen analysis, fertilization rate, implantation rate, pregnancy rate, and delivery rate.

Result(s):

A total of 60 EEJs were performed in 11 patients. Mean VCM (volume [mL] × concentration [sperm cells/mL] × percentage progressive motile cells) of the retrieved sperm of all EEJs was 17.5 × 106 (SD 16.5 × 106). Yielded semen was used in a total of 26 ICSI procedures in seven couples. The fertilization rate was 65.6% (80 of 122). The ICSI cycles resulted in five pregnancies; of these, one resulted in a spontaneous abortion in the first trimester. Three couples were treated with 34 IUI cycles, which resulted in live births in four pregnancies.

Conclusion(s):

Electroejaculation is a suitable and effective treatment that can be used in men with psychogenic anejaculation. The retrieved semen can be used successfully in assisted reproductive technology

Read the full text at: http://www.fertstert.org/article/S0015-0282(14)00209-X/fulltext


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Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders. The journal publishes juried original scientific articles in clinical and laboratory research relevant to reproductive endocrinology, urology, andrology, physiology, immunology, genetics, contraception, and menopause. Fertility and Sterility® encourages and supports meaningful basic and clinical research, and facilitates and promotes excellence in professional education, in the field of reproductive medicine.

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