TY - JOUR
T1 - Electroejaculation combined with intracytoplasmic sperm injection in patients with psychogenic anejaculation yields comparable results to patients with spinal cord injuries
AU - Gat, Itai
AU - Maman, Ettie
AU - Yerushalmi, Gil
AU - Baum, Micha
AU - Dor, Jehoshua
AU - Raviv, Gil
AU - Madjar, Igal
AU - Hourvitz, Ariel
PY - 2012/5
Y1 - 2012/5
N2 - Objective: To evaluate sperm quality and fertility potential of men with psychogenic anejaculation treated by electroejaculation (EEJ) and intracytoplasmic sperm injection (ICSI). Treatment results were compared to spinal cord injured (SCI) patients treated similarly. Design: Retrospective clinical study. Setting: Academic tertiary referral fertility center. Patient(s): Couples with isolated psychogenic anejaculation or SCI. Intervention(s): Electroejaculation and ICSI. Main Outcome Measure(s): Semen analysis, fertilization rate, implantation rate, pregnancy rate, delivery rate and safety of the procedure. Result(s): Fifteen patients diagnosed with psychogenic anejaculation underwent 40 EEJ/ICSI cycles. The semen retrieved was characterized by low motility (mean 10.7% ± 12.3%), normal volume (2.2 ± 1.9 mL) and normal count (25.1 ± 29.9 × 10 6/mL), according to World Health Organization criteria. Results of EEJ/ICSI were compared with 22 SCI patients treated by 66 EEJ/ICSI cycles during the same period. Mean female age and the number of oocytes retrieved per cycle were similar between the groups. Similar semen parameters after EEJ were found between psychogenic and SCI patients. Fertilization rate was significantly lower in the psychogenic patients compared to SCI (47.0% and 57.0%, respectively). No significant differences were found regarding pregnancy rates (20% and 22.7%, respectively), implantation rate (10.2% and 11.6%, respectively) or delivery rates (15% and 18.2%, respectively). Conclusion(s): Sperm retrieved by EEJ is characterized by asthenospermia and normal count. In spite of the lower fertilization rate in psychogenic patients, combination of EEJ and ICSI gives adequate results to couples with psychogenic anejaculation similar to the results obtained for SCI patients. Current results give these couples a reasonable chance of pregnancy achievement.
AB - Objective: To evaluate sperm quality and fertility potential of men with psychogenic anejaculation treated by electroejaculation (EEJ) and intracytoplasmic sperm injection (ICSI). Treatment results were compared to spinal cord injured (SCI) patients treated similarly. Design: Retrospective clinical study. Setting: Academic tertiary referral fertility center. Patient(s): Couples with isolated psychogenic anejaculation or SCI. Intervention(s): Electroejaculation and ICSI. Main Outcome Measure(s): Semen analysis, fertilization rate, implantation rate, pregnancy rate, delivery rate and safety of the procedure. Result(s): Fifteen patients diagnosed with psychogenic anejaculation underwent 40 EEJ/ICSI cycles. The semen retrieved was characterized by low motility (mean 10.7% ± 12.3%), normal volume (2.2 ± 1.9 mL) and normal count (25.1 ± 29.9 × 10 6/mL), according to World Health Organization criteria. Results of EEJ/ICSI were compared with 22 SCI patients treated by 66 EEJ/ICSI cycles during the same period. Mean female age and the number of oocytes retrieved per cycle were similar between the groups. Similar semen parameters after EEJ were found between psychogenic and SCI patients. Fertilization rate was significantly lower in the psychogenic patients compared to SCI (47.0% and 57.0%, respectively). No significant differences were found regarding pregnancy rates (20% and 22.7%, respectively), implantation rate (10.2% and 11.6%, respectively) or delivery rates (15% and 18.2%, respectively). Conclusion(s): Sperm retrieved by EEJ is characterized by asthenospermia and normal count. In spite of the lower fertilization rate in psychogenic patients, combination of EEJ and ICSI gives adequate results to couples with psychogenic anejaculation similar to the results obtained for SCI patients. Current results give these couples a reasonable chance of pregnancy achievement.
KW - Electroejaculation
KW - intracytoplasmic sperm injection
KW - psychogenic anejaculation
KW - spinal cord injury
UR - http://www.scopus.com/inward/record.url?scp=84860347781&partnerID=8YFLogxK
U2 - 10.1016/j.fertnstert.2012.01.129
DO - 10.1016/j.fertnstert.2012.01.129
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AN - SCOPUS:84860347781
SN - 0015-0282
VL - 97
SP - 1056
EP - 1060
JO - Fertility and Sterility
JF - Fertility and Sterility
IS - 5
ER -