Problems with the ejaculation

In order to obtain a pregnancy in pairs in which the man cannot ejaculate or does not exist spermatozoa in the ejaculated, are different techniques exist get spermatozoa and to can carry out a technique of Assisted Reproduction.

There are patients who suffer of erectly dysfunction by diabetes, multiple sclerosis, injury of spinal marrow and/or other neurological disorders. In these cases the ejaculation can be induced in the following ways:

Ejaculation Induced by Vibration:

• The ejaculation is caused with the aid of a vibrator.
• It is a non-invasive method, very simple and safe that it is possible to be made at home or in the clinic.
• Approximately 80% of the patients with injuries in the spinal marrow can to obtain the ejaculation.
• This technique also is useful in patients with erectly dysfunction by diabetes, multiple sclerosis and other neurological disorders.

Ejaculation Induced by Electrical Stimulation (Electro ejaculation):

• It consists of the application of a smooth electrical stimulus, it is made in the consultation, and some patients can require anaesthesia.
• This technique is useful for patients who do not respond to the vibration technique, who suffer of erectly dysfunction by diabetes, multiple sclerosis and/or other neurological disorders.

Obtaining of Spermatozoa of the Testicle or the Epididymus, (TESA, TESE, PESA and MESA):

This technique has been developed for men who produce sperm of low quality or present/display total absence of production of sperm in ejaculated due to a blockade or some other testicular disorders. It is also applied in patients who suffer of erectly dysfunction by diabetes, multiple sclerosis and/or other neurological disorders; although the spermatozoa obtained by vibration or electro ejaculation can be of better quality.

The techniques available for the obtaining of spermatozoa in these cases are the following ones:

• TESA : Testicular Sperm Aspiration
• MESA: Microscopic Epididymal Sperm Aspiration
• TESE: Testicular Sperm Extraction
• PESA: Percutaneous Epididymal Sperm Aspiration

Depending on the method for the obtaining of the sample and the sperm quality (quantity and motility), the technique of Assisted Reproduction will be indicated to use in each case.

In patients in whom it is managed to induce the reflected ejaculation by vibration, it is possible to be tried to make an intrauterine insemination, because the obtained sample can be of good quality.

The probabilities of obtaining a pregnancy after the use of these techniques can be so high as if another factor of infertility in the pair did not exist.