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Electroejaculation in psychogenic anejaculation.

Timo F W Soeterik1, Paul W Veenboer1, Tycho M T W Lock2

  • 1Department of Urology, University Medical Center Utrecht, Utrecht, the Netherlands.

Fertility and Sterility
|April 15, 2014
PubMed
Summary
This summary is machine-generated.

Electroejaculation (EEJ) is an effective treatment for psychogenic anejaculation (PAE), enabling successful conception through assisted reproductive technologies like intrauterine insemination (IUI) and in vitro fertilization/intracytoplasmic sperm injection (IVF/ICSI). This study resulted in the birth of eight healthy children, demonstrating EEJ

Keywords:
Psychogenic anejaculationelectroejaculationfertilization ratesintracytoplasmic sperm injection

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Area of Science:

  • Reproductive Medicine
  • Andrology
  • Infertility Treatment

Background:

  • Psychogenic anejaculation (PAE) presents a significant challenge in male fertility.
  • Limited treatment options exist for men with PAE, impacting their ability to conceive.
  • Assisted reproductive technologies (ART) offer potential solutions for infertility.

Purpose of the Study:

  • To evaluate the efficacy of electroejaculation (EEJ) in retrieving sperm from men with PAE.
  • To assess the success rates of intrauterine insemination (IUI) and in vitro fertilization/intracytoplasmic sperm injection (IVF/ICSI) using sperm obtained via EEJ.
  • To determine the overall reproductive outcomes, including pregnancy and delivery rates, in patients with PAE undergoing EEJ and ART.

Main Methods:

  • Retrospective clinical study involving 11 male patients diagnosed with psychogenic anejaculation (PAE).
  • Sperm retrieval was performed using electroejaculation (EEJ).
  • Retrieved sperm was utilized in intrauterine insemination (IUI) and in vitro fertilization/intracytoplasmic sperm injection (IVF/ICSI) cycles; semen analysis, fertilization, implantation, pregnancy, and delivery rates were assessed.

Main Results:

  • A total of 60 EEJs were performed, yielding semen with a mean VCM of 17.5 × 10^6.
  • Twenty-six ICSI procedures in seven couples resulted in five pregnancies (one early miscarriage).
  • Thirty-four IUI cycles in three couples led to four live births.

Conclusions:

  • Electroejaculation (EEJ) is a viable and effective method for sperm retrieval in men with psychogenic anejaculation (PAE).
  • Sperm obtained through EEJ can be successfully used in assisted reproductive technology (ART) treatments, including IUI and IVF/ICSI.
  • EEJ combined with ART resulted in pregnancies and the birth of eight healthy children in this cohort.