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In vitro fertilization improves pregnancy rates for sperm obtained by rectal probe ejaculation
G J Matthews1, T A Gardner, J F Eid
1James Buchanan Brady Foundation-Department of Urology, New York Hospital-Cornell Medical Center, New York, USA.
The Journal of Urology
|June 1, 1996
Summary
Rectal probe ejaculation successfully retrieves motile sperm in most anejaculatory men. Assisted reproductive technologies, particularly in vitro fertilization, significantly improve pregnancy success rates using this sperm source.
Area of Science:
- Reproductive Medicine
- Andrology
- Urology
Background:
- Anejaculatory infertility affects a significant number of men.
- Traditional methods for sperm retrieval may not be suitable for all patients.
Purpose of the Study:
- To evaluate the efficacy of rectal probe ejaculation for sperm retrieval in anejaculatory men.
- To assess the subsequent pregnancy and live birth rates using sperm obtained via this method.
Main Methods:
- A retrospective review of 183 rectal probe ejaculation procedures was conducted.
- The study included 40 men diagnosed with anejaculation.
- Sperm quality and subsequent assisted reproductive technology outcomes were analyzed.
Main Results:
- Motile sperm were successfully recovered from 95% of the men who underwent rectal probe ejaculation.
- Live births were achieved in 15 out of 33 couples (45%).
- Pregnancies were facilitated through intrauterine insemination and in vitro fertilization, with intracytoplasmic sperm injection used in some cases.
Conclusions:
- Rectal probe ejaculation is an effective method for obtaining motile sperm in the majority of anejaculatory men.
- In vitro fertilization techniques enhance pregnancy rates when utilizing sperm retrieved through rectal probe ejaculation.
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