OBJECTIVE: To determine the efficacy of electroejaculation in combination with assisted reproductive technology (ART). DESIGN: Case series. SETTING: University fertility program. @entity1 (S): One hundred twenty-one consecutive couples seeking treatment of @entity249 . INTERVENTION(S): Electroejaculation with IUI, or gamete intrafallopian transfer or IVF. MAIN OUTCOME MEASURE(S): Pregnancy and pregnancy outcome. RESULT(S): Fifty-two couples became pregnant (43%), 39 by IUI alone (32.2%). Cycle fecundity for IUI was 8.7%. No difference in cycle fecundity was seen among ovarian stimulation protocols ( @entity4082 , 7.6%, hMG, 13.2%, and natural cycle, 11.2%). Pregnancy was unlikely when the inseminated motile sperm count was <4 million. Female management protocol and etiology of anejaculation did not affect results. @entity1 undergoing IVF had higher cycle fecundity (37.2%) than did those undergoing IUI. The rates of @entity2208 and multiple gestations were 23% and 12%, respectively. CONCLUSION(S): Electroejaculation with stepwise application of ART is effective in treating @entity249 . Intrauterine insemination with the least expensive monitoring protocol should be used for most couples, because use of more expensive monitoring did not improve results. It is cost-effective to bypass IUI and proceed directly to IVF in @entity1 who require anesthesia for electroejaculation and in those with a total inseminated motile sperm count < 4 million.

Electroejaculation and assisted reproductive technologies in the treatment of XXXX .

@entity1 :: ('9606', 'Species') :: ['men', 'Patients', 'PATIENT'] @entity4082 :: ('MESH:D002996', 'Chemical') :: ['clomiphene citrate'] @entity249 :: ('MESH:D007246', 'Disease') :: ['anejaculatory infertility'] @entity2208 :: ('MESH:D000022', 'Disease') :: ['spontaneous abortion']
@entity249 :: (MESH:D007246,Disease) :: ['anejaculatory infertility']
