Conception following insemination with a freeze-preserved retrograde ejaculate

Area of Science:

• Reproductive Medicine
• Urology
• Andrology

Background:

• Retrograde ejaculation is an uncommon cause of male infertility.
• It can result from prostate/bladder neck surgery or sympathetic nerve damage.
• Diagnosis involves patient history and urinalysis.

Purpose of the Study:

• To present a literature review on retrograde ejaculation and its treatment.
• To introduce a novel method for preserving semen for artificial insemination homologous (AIH).
• To report a case of conception using freeze-preserved retrograde ejaculate.

Main Methods:

• Semen is recovered from the bladder post-ejaculation.
• Recovered semen is cryopreserved for future use.
• Artificial insemination homologous (AIH) is performed using the preserved semen.

Main Results:

• Conventional semen recovery from the bladder is time-consuming, uncomfortable, and yields variable quality sperm.
• Cryopreservation of bladder-recovered semen provides a viable option for AIH.
• Successful conception was achieved using freeze-preserved retrograde ejaculate.

Conclusions:

• Freeze-preservation of retrograde ejaculate offers a practical solution for male infertility treatment.
• This technique enhances the utility of AIH for couples affected by retrograde ejaculation.
• It overcomes limitations associated with immediate semen recovery and processing.