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