We investigated the efficacy of assisted ejaculation in combination with in vitro fertilization and embryo transfer (IVF-ET) in two couples with @entity249 due to anejaculation. Case 1 was in an anejaculatory condition associated with a spinal cord-injury. We performed intrauterine insemination (IUI) three times using motile sperm obtained by intrathecal injection of @entity1339 , but no pregnancy followed. The couple then entered IVF-ET. The semen volume obtained by assisted ejaculation was 4.5 ml. The sperm count was 33 x 10(6)/ml with 33% motility. At 35 weeks of gestation she delivered three healthy babies by cesarean section. Case 2 was in an unexplained retrograde ejaculatory condition. We performed IUI eight times before changing to IVF-ET. We then used sperm obtained from urine or sperm recovered from the bladder after administration of @entity1 tubal fluid, but no pregnancy followed. At the fifth IVF-ET attempt, using sperm obtained from urine, we succeeded. We prepared the sperm by the Percoll gradient method. The sperm count was 36 x 10(6)/ml with 64% motility. At 39 weeks of gestation she delivered a healthy baby. @entity40497 contributes to the decreased fertility potential in @entity1 with anejaculation. With the use of IVF-ET methods, pregnancies can be achieved in these couples.

Successful treatment of XXXX due to anejaculation with in vitro fertilization and embryo transfer: a report of two cases.

@entity1 :: ('9606', 'Species') :: ['patients', 'human'] @entity249 :: ('MESH:D007246', 'Disease') :: ['infertility'] @entity1339 :: ('MESH:D009388', 'Chemical') :: ['neostigmine'] @entity40497 :: ('MESH:C565993', 'Disease') :: ['Deficient seminal quality']
@entity249 :: (MESH:D007246,Disease) :: ['infertility']
