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Related Experiment Videos

Ejaculatory incompetence and infertility.

P M Hamer, J Bain

    Fertility and Sterility
    |March 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Ejaculatory incompetence, a cause of infertility, is treatable. Sexual counseling effectively restored ejaculation in most men, leading to pregnancies through intercourse or artificial insemination with husband

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    Area of Science:

    • Reproductive Medicine
    • Urology
    • Psychiatry

    Background:

    • Ejaculatory incompetence is an uncommon yet treatable cause of male infertility.
    • Psychological factors are identified as the primary cause in men experiencing anejaculation.

    Purpose of the Study:

    • To investigate the efficacy of sexual counseling and artificial insemination with husband's semen (AIH) in treating ejaculatory incompetence.
    • To highlight the importance of considering ejaculatory incompetence in infertility evaluations.

    Main Methods:

    • Case series of 11 men with anejaculation, presenting with sexual dysfunction or infertility.
    • Intervention involved sexual counseling for couples.
    • Artificial insemination with husband's semen (AIH) was utilized in some cases.

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    Main Results:

    • Sexual counseling led to successful intravaginal ejaculation in 3 out of 4 couples.
    • Four out of seven couples achieved pregnancy through either sexual therapy or AIH.
    • Pregnancies were achieved via intravaginal ejaculation and AIH.

    Conclusions:

    • Ejaculatory incompetence is a significant factor in infertility that warrants clinical inquiry.
    • Sexual therapy, including counseling, is an effective treatment for ejaculatory incompetence.
    • Sexual therapy can be more effective than prolonged psychoanalysis or AIH for achieving pregnancy.