|
Asian Journal of Andrology (2012) 14, 525-529; doi:10.1038/aja.2012.29; published online 14 May 2012
Management of ejaculatory disorders in infertile men
Yagil Barazani1, Peter J Stahl2, Harris M Nagler1 and Doron S Stember1
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
Correspondence: Dr DS Stember, (dstember@chpnet.org)
Received 25 December 2011; Revised 7 February 2012; Accepted 19 February 2012
Advance online publication 14 May 2012.
| 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 |
|
