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Electroejaculation in combination with intracytoplasmic sperm injection in patients with psychogenic anejaculation
1Department of Obstetrics and Gynecology, Bikur Cholim Hospital, Jerusalem, Israel.
Objective:
To evaluate the outcome of intracytoplasmic sperm injection (ICSI) with sperm obtained by electroejaculation in men with psychogenic anejaculation.
Design:
Retrospective clinical study.
Setting:
In Vitro Fertilization Unit, Bikur Cholim Hospital, Jerusalem, Israel.
Patient(S):
Seven men with psychogenic anejaculation who underwent 16 sessions of electroejaculation in combination with ICSI.
Intervention(S):
Electroejaculation, ICSI.
Main Outcome Measure(S):
Semen analysis, ICSI, fertilization rates.
Result(S):
All patients had poor sperm motility. One hundred forty-seven oocytes were injected, with a fertilization rate of 27% (39/142). One ongoing pregnancy was achieved.
Conclusion(S):
Sperm obtained by electroejaculation have low motility and reduced fertilization potential. Nevertheless, ICSI should be offered to improve the possibility of successful pregnancy.
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