A Case of Successful Use of Reproductive Technology for a Couple with Subfertility Due to Retrograde Ejaculation, Where Artificial Insemination had Failed

Abstract

A case history of a couple where the infertility was due to retrograde ejaculation is presented; when conventional treatment with artificial insemination using sperm isolated from postejaculatory urine failed, IVF and GIFT technology was applied. This resulted in a pregnancy which unfortunately failed at 3 months, unrelated to the method of conception. This case report highlights the possible use of IVF/GIFT for yet another type of male subfertility.

Successful treatment of retrograde ejaculation with the α1-adrenergic agonist methoxamine: case study

“…For example, prefilling of the bladder with a suitable medium (or alkalinization with bicarbonate), followed by masturbation and immediate recovery of the emptied bladder content, has been used for successful artificial insemination; 4 electroejaculation induced by a rectal probe 5 has had limited success. More complex reproductive technologies, such as in vitro fertilization (IVF), and gamete intrafallopian transfer (GIFT) 6 or intracytoplasmic sperm injection (ICSI) 7 have also been used successfully, although their cost and impact on the couple may make them an unsatisfactory first-line treatment. 8 We report here two cases of RE, treated with the pure a 1 -adrenergic agonist methoxamine (Figure 1).…”