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Anejaculation: an electrifying approach
Dana A Ohl1, Susanne A Quallich, Jens Sønksen
1Division of Andrology and Microsurgery, University of Michigan, Ann Arbor, Michigan 48108, USA. daohl@umich.edu
Seminars in Reproductive Medicine
|February 28, 2009
Summary
Anejaculation, often distressing for male infertility patients, can be managed with minimally invasive treatments. Men with spinal cord injury (SCI) benefit greatly from ejaculation induction and assisted reproductive techniques, including self-administered penile vibratory ejaculation.
Area of Science:
- Reproductive Medicine
- Urology
- Andrology
Background:
- Anejaculation presents a significant challenge in male infertility evaluations.
- While not reversible, effective management strategies exist to enable conception.
- Spinal cord injury (SCI) is a common cause of anejaculation.
Purpose of the Study:
- To outline management strategies for anejaculation in male infertility.
- To highlight the efficacy of minimally invasive treatments for achieving pregnancy.
- To differentiate treatment approaches based on the cause of anejaculation, particularly in SCI patients.
Main Methods:
- Review of existing literature on anejaculation causes and treatments.
- Analysis of assisted reproductive techniques (ART) for anejaculatory men.
- Evaluation of penile vibratory stimulation and sperm retrieval methods.
Main Results:
- Men with SCI are suitable candidates for ejaculation induction and ART.
- Penile vibratory ejaculation and home insemination offer a low-cost option for SCI patients.
- Surgical sperm retrieval with intracytoplasmic sperm injection is recommended for non-SCI anejaculatory men.
Conclusions:
- Minimally invasive treatments can restore fertility in anejaculatory men.
- Tailored approaches, considering SCI status, optimize treatment success.
- Assisted reproductive technologies provide viable options for men with anejaculation.
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