ELECTROEJACULATION IN COMBINATION WITH INTRACYTOPLASMIC SPERM INJECTION IN PATIENTS WITH PSYCHOGENIC ANEJACULATION RESULTS IN LOWER FERTILIZATION RATES

Objective: To evaluate the outcome of intracytoplasmic sperm injection (ICSI) with sperm obtained by electroejaculation in men with psychoge nic anejaculation. Design: Retrospective clinical study. Setting: In V itro Fertilization Unit, Bikur Cholim Hospital, Jerusalem, Israel. Pat ient(s): Seven men with psychogenic anejaculation who underwent 16 ses sions of electroejaculation in combination with ICSI. Intervention(s): Electroejaculation; ICSI. Main Outcome Measure(s): Semen analysis, IC SI, fertilization rates. Result(s): All patients had poor sperm motili ty. One hundred forty-seven oocytes were injected, with a fertilizatio n rate of 27% (39/142). One ongoing pregnancy was achieved. Conclusion (s): Sperm obtained by electroejaculation have low motility and reduce d fertilization potential. Nevertheless, ICSI should be offered to imp rove the possibility of successful pregnancy. (C) 1998 by American Soc iety for Reproductive Medicine.