Contribution of the assisted reproductive technologies to fertility in males suffering spinal cord injury

This study reviews 19 couples referred between 1990 and 1997 for fertility treatment for anejaculatory infertility in the male partner following spina l injury. Using sperm obtained by assisted ejaculation procedures, 14 of th e 19 patients (74%) achieved at least 1 pregnancy. Pregnancy rates per trea tment cycle were 12.0% for timed intrauterine insemination, 38.9% for gamet e intra-Fallopian transfer and 19.2% for intracytoplasmic sperm injection f ollowed by uterine embryo transfer. Choice of the appropriate assisted repr oduction treatment to match the available semen quality results in a high l evel of success in such patients.