| Successful management of infertility due to retrograde ejaculation using assisted reproductive technologies: a report of two cases. | |
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MedLine Citation:
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PMID: 15669603 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Although retrograde ejaculation is a relatively uncommon cause of infertility, it is nonetheless the most common cause of ejaculatory dysfunction. Retrograde ejaculation is characterized by either all or part of the seminal fluid going into the bladder. The initial management of patients with ejaculatory dysfunction is medical therapy. In couples who have failed medical therapy, assisted reproductive techniques using sperm harvested from either the urine or the male reproductive tract would be the ultimate option. We report successful management of two couples, both men with advanced age and complete retrograde ejaculation, by intrauterine insemination in one and in vitro fertilization (IVF) using intracytoplasmic sperm injection (ICSI) in the other using sperm harvested from urine. The cases reported herein suggest that male infertility due to retrograde ejaculation may be successfully treated in men significantly older than the usual reproductive age and that traditional methods of hydration and urine alkalinization allow for the successful recovery of fertile sperm for ART. The selection of the method of ART must be individualized to the needs of each couple based upon both male and female factors. |
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Authors:
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Y Zhao; J Garcia; J P Jarow; E E Wallach |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Archives of andrology Volume: 50 ISSN: 0148-5016 ISO Abbreviation: Arch. Androl. Publication Date: 2004 Nov-Dec |
Date Detail:
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Created Date: 2005-01-26 Completed Date: 2005-02-10 Revised Date: 2005-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7806755 Medline TA: Arch Androl Country: England |
Other Details:
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Languages: eng Pagination: 391-4 Citation Subset: IM |
Affiliation:
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Johns Hopkins University School of Medicine, Baltimore, MD, USA. yzhaol@jhmi.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aging Diabetes Complications Ejaculation* Embryo Transfer Female Humans Hydrogen-Ion Concentration Infertility, Male / etiology, therapy* Insemination, Artificial, Homologous* Male Middle Aged Pregnancy Sexual Dysfunction, Physiological* / complications* Sperm Injections, Intracytoplasmic* Tissue and Organ Harvesting / methods Urine / cytology |
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