Electroejaculation and assisted reproductive technologies in the treatment of anejaculatory infertility

Ohl, Dana A.; Wolf, Lynda; Menge, Alan C.; Christman, Gregory M.; Hurd, William W.; Ansbacher, Rudi; Smith, Yolanda R.; Randolph, John F.

doi:10.1016/s0015-0282(01)02895-3

Cited by 84 publications

(63 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…More importantly, 57 out of 140 couples achieved at least one live birth (41% live birth rate). This is comparable to previous results of IUI in SCI men 4,6,7,9 and in the low end of results reported from IVF/ICSI that have shown pregnancy rates per couple between 38 and 100%. [3][4][5][6][7][10][11][12] Also, the results are similar to the findings of a smaller study recently published by Kathiresan et al, 13 where PVS followed by intravaginal insemination was undertaken in 45 selected couples.…”

Section: Resultssupporting

confidence: 89%

“…There are no definitive guidelines on the subject, but self-insemination and/or IUI is usually recommended when at least four million motile sperm are present in the ejaculate, whereas numbers lower than four million call for either IVF either with or without ICSI. 9 In this study, we have included men with total motile sperm counts as low as one million.…”

Section: Resultsmentioning

confidence: 99%

“…8 Vibratory ejaculation and home insemination J Sønksen et al without ICSI are more advanced techniques and involve ovarian stimulation followed by ultrasound-guided transvaginal oocyte retrieval. These techniques are feasible with very few motile sperm, 9,19 but also carries with them increased risk for the female partner including risks of developing ovarian hyperstimulation syndrome, as well as potential complications of oocyte retrieval, multiple gestation pregnancy and increased pregnancy losses. 20 Aside from invasiveness and convenience, total cost of treatment must also be considered.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Vibratory ejaculation in 140 spinal cord injured men and home insemination of their partners

et al. 2011

View full text Add to dashboard Cite

Study design: Retrospective cohort study. Objectives: Anejaculation is commonly found in spinal cord injured (SCI) men. Clinical treatments and assisted reproductive techniques allow SCI men to father children but few home pregnancies have been reported. The objective of this paper is to evaluate the results from the last 20 years' of treatment with penile vibratory stimulation (PVS) and vaginal self-insemination at home in SCI men and their partners. Setting: The data originate from two European centers and one American center. Methods: A total of 140 SCI men with anejaculation and their healthy partners were available for this analysis. Men who obtained antegrade ejaculation by PVS and had motile sperm in the ejaculate were offered the possibility of PVS combined with vaginal selfinsemination at home. Couples were instructed to perform PVS and to instill the ejaculate intravaginally. Outcome measures were pregnancy rate per couple, number of live births, total motile sperm count and time to pregnancies. Results: Median total motile sperm count was 29 million (range, 1-92 million). In all, 60 of the 140 couples (43% pregnancy rate) achieved 82 pregnancies. Seventy-two of the pregnancies resulted in live births with the delivery of 73 healthy babies. Median time to first pregnancy was 22.8 months (6.0-98.4). No complications were reported. Conclusion: PVS combined with vaginal self-insemination may be performed as a viable, inexpensive option for assisted conception in couples in whom the SCI male partner has an adequate total motile sperm count and the female partner is healthy.

show abstract

Section: Resultssupporting

confidence: 89%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Vibratory ejaculation in 140 spinal cord injured men and home insemination of their partners

et al. 2011

View full text Add to dashboard Cite

show abstract

“…41,42 One analysis of the cost-effectiveness of electroejaculation plus intra-uterine insemination versus surgical sperm retrieval plus IVF showed that electroejaculation plus IUI was superior if anesthesia was not required, but that sperm retrieval plus IVF was superior if anesthesia was required for electroejaculation. 43 Ejaculatory duct obstruction can be treated with transurethral resection of the ejaculatory ducts. 44 This treatment is highly effective in patients with ejaculatory duct obstruction demonstrated on transrectal ultrasonography who have low-volume azoospermia, 45 although there are small risks of hematuria, incontinence, rectal injury and watery ejaculate.…”

Section: Treatmentmentioning

confidence: 99%

Steps in the investigation and management of low semen volume in the infertile man

Roberts¹,

Jarvi²

2013

CUAJ

View full text Add to dashboard Cite

An adequate semen volume of ejaculate fluid is required to transport sperm into the female reproductive tract and allow for fertilization of the oocyte. Thus, seminal fluid volume is an important part of the semen analysis done to investigate male infertility. In this article, we review the anatomy and physiology of ejaculation, the various etiologies of low-volume ejaculation (artifactual, structural, functional). We then present a comprehensive algorithm for the evaluation, diagnosis and treatment of the infertile man presenting with low semen volume.

show abstract

“…EEJ is a method of retrieving semen from anejaculatory men (53,54). Unlike PVS, which may be performed at home by some patients, EEJ requires administration by a specially trained physician.…”

Section: Electroejaculationmentioning

confidence: 99%

Measurement of Sexual Functioning After Spinal Cord Injury: Preferred Instruments

Alexander¹,

Brackett²,

Bodner³

et al. 2009

The Journal of Spinal Cord Medicine

View full text Add to dashboard Cite

Background/Objective: To determine the utility of certain instruments to assess sexuality and fertility after SCI, an expert panel identified key areas to study and evaluated available instruments. These were rated according to certain predefined criteria. Methods: The authors divided sexual issues into male and female sexual function, male reproductive function, and female reproductive function. The instruments that have been used most frequently to measure these aspects of sexual function over the past 5 years were identified by expert consensus. Finally, these instruments were subjected to a critical review. Results: The Female Sexual Function Index (FSFI), measurement of vaginal pulse amplitude (VPA), the International Index of Erectile Function (IIEF), and the measurement of ejaculatory function and semen quality were considered appropriate measures to assess sexual responses and reproductive function after SCI. There were no measures identified to assess female reproductive function. Conclusions: For clinical trials aiming to improve sexual function after SCI, the FSFI or the IIEF is currently preferred. Although VPA is an appropriate means to assess female sexual responses, it is only useful for laboratory studies and is too invasive for use in clinical trials. For assessment of male fertility potential, assessment of ejaculatory capacity and semen analysis are recommended.

show abstract

Electroejaculation and assisted reproductive technologies in the treatment of anejaculatory infertility

Cited by 84 publications

References 28 publications

Vibratory ejaculation in 140 spinal cord injured men and home insemination of their partners

Vibratory ejaculation in 140 spinal cord injured men and home insemination of their partners

Steps in the investigation and management of low semen volume in the infertile man

Measurement of Sexual Functioning After Spinal Cord Injury: Preferred Instruments

Contact Info

Product

Resources

About