Management of ejaculatory disorders in infertile men |
| |
Authors: | Yagil Barazani Peter J Stahl Harris M Nagler Doron S Stember |
| |
Affiliation: | 1.Beth Israel Medical Center and the Albert Einstein College of Medicine of Yeshiva University, New York, New York 10003, USA;2.Department of Urology, Columbia University Medical Center, New York, NY 10003, USA |
| |
Abstract: | Ejaculatory dysfunction is a highly prevalent clinical condition that may be classified along a continuum that ranges from premature ejaculation (PE), through retarded or delayed ejaculation (DE), to complete anejaculation (AE). Retrograde ejaculation (RE) represents a distinct entity in which ejaculate is expelled either partially or completely into the bladder. While DE and PE are significant sources of sexual dissatisfaction among men and their partners, patients with these disorders retain normal fertility in most cases. Conversely, men with AE and RE are unable to deliver sperm into the female genital tract and are therefore rendered subfertile. Therefore, in reviewing ejaculatory disorders as they relate to fertility, this paper will primarily focus on the diagnosis and management of AE and RE. Physiology, diagnostic strategies, pharmacological treatments, and procedural interventions relevant to AE and RE are discussed. |
| |
Keywords: | anejaculation delayed ejaculation ejaculatory dysfunction electroejaculation penile vibratory stimulation premature ejaculation retrograde ejaculation |
|
|