Subscribe

Subscribe to our Newsletter and get informed about new publication regulary and special discounts for subscribers!

ILNS > Volume 48 > Ejaculation Malfunctions on the Day of Oocyte Pick...
< Back to Volume

Ejaculation Malfunctions on the Day of Oocyte Pick up for IVF/ICSI: A Report of Four Cases

Full Text PDF

Abstract:

Introduction:The procedure of in-vitro fertilization (IVF) is sometime physically stressful and emotional turmoil on the couples undergoing treatment. The male partner is obliged to produce semen for injection/insemination with the oocytes. Unfortunately, some men are ill-fated, not capable to reproduce semen on the day of oocyte pickup.Objective: To testify four cases of unexpected ejaculation malfunction on the day of oocyte pickup.Setting: Base Fertility Medical Science Pvt Ltd.Materials and method: The case retrospectively reviewed the case records of four couples over a year period (September 2013–November 2014), who suffered unexpected ejaculation complete failure on the day of oocyte pickup for IVF/ICSI. Data, including age, Stimulation Protocol, cause(s) of infertility, previous treatment history (If Any) and various techniques implemented to retrieve sperms were documented.Results: Altogether, 362 oocyte pickup cycles were conducted during a year period. Four men had ejaculatory failure, providing an incidence factor of 1.10 %. Three cases (75%) had no earlier symptom/history of complexity in producing semen on requirement. Even Recommendation of 50 mg Vardenafil /Sildenafil citrate and the couples watching sexually stimulating videos did not remedy the situation. Surgical sperm retrieval was successful in case 1. It yielded no live sperm sample in case 2. Cases 3 and 4 had repeat IVF cycles. The male partners were not aware that oocyte retrieval would take place the next day and produced semen within a couple of hours.Conclusion: Anxiety and psychogenic stress most likely played a major role in these reported cases.Key: It is hoped that liquid nitrogen for cryopreservation would be the more readily available and easy technique to adopt in such scenarios to be followed for the centres for semen cryopreservation as a necessary prestep towards helping such couples and the upcoming techniques’ not widely in practice in developing countries ,oocyte vitrification*.Index Term: Semen Cryopreservation, Ejaculation Malfunction, IVF, ICSI & Stimulants.

Info:

Periodical:
International Letters of Natural Sciences (Volume 48)
Pages:
32-36
Citation:
A. Javed et al., "Ejaculation Malfunctions on the Day of Oocyte Pick up for IVF/ICSI: A Report of Four Cases", International Letters of Natural Sciences, Vol. 48, pp. 32-36, 2015
Online since:
Nov 2015
Export:
Distribution:
References:

[1] Elliott S (1993) Anejaculation, fertility and sex. Can J Hum Sex 2, 121–127.

[2] Hammer-Burns L and Covington SN (eds) (1999) Infertility Counseling. A Comprehensive Handbook for Clinicians. Parthenon, London and New York.

DOI: https://doi.org/10.1017/cbo9780511547263.036

[3] Hovav Y, Kafka I, Horenstein E and Yaffe H (2000) Prostatic massage as a method for obtaining spermatozoa in men with psychogenic anejaculation. Fertil Steril 74, 184–185.

DOI: https://doi.org/10.1016/s0015-0282(00)00565-3

[4] Fahmy I, Kamal A, Metwali M, Rhodes C, Serour G, Aboulghar M. Vigorous prostatic massage: a simple method to retrieve spermatozoa for intracytoplasmic sperm injection in psychogenic anejaculation. Case report. Hum Reprod 1999; 14(8): 2050–3.

DOI: https://doi.org/10.1093/humrep/14.8.2050

[5] Jannini EA, Simonelli C and Lenzi A (2002a) Disorders of ejaculation. J Endocrinol Invest 25, 1006–1009.

DOI: https://doi.org/10.1007/bf03344077

[6] Jannini EA, Simonelli C and Lenzi A (2002b) Review. Sexological approach to ejaculatory dysfunction. Int J Androl 25, 317–323.

DOI: https://doi.org/10.1046/j.1365-2605.2002.00371.x

[7] Lin YH, Hwang JL, Tsai YL. Percutaneous epididymal sperm aspiration in psychogenic anejaculation during IVF. A report of two cases. J Reprod Med 1999; 44(10): 894–6.

[8] Emery M, Senn A, Wisard M, Germond M. Ejaculation failure on the day of oocyte retrieval for IVF. Case report. Hum Reprod 2004; 19(9): 2088–90.

DOI: https://doi.org/10.1093/humrep/deh/393

[9] Dyer SJ. The value of children in African countries – insights from studies on infertility. J Psych Obstet Gynecol 2007; 28(2): 69–77.

[10] Okonofua FE, Harris D, Odebiyi A, Kane T, Snow RC. The social meaning of infertility in Southwest Nigeria. Health Trans Review 1997; 7: 205–20.

[11] Tur-Kaspa I, Segal S, Moffa F, Massobrio M, Meltzer S. Viagra for temporary erectile dysfunction during treatment with assisted reproductive technologies: case report. Hum Reprod 1999; 14(7): 1783–4.

DOI: https://doi.org/10.1093/humrep/14.7.1783

[12] Belker AM, Sherins RJ, Dennison-Lagos L, Thorsell LP, Schulman JD. Percutaneous testicular sperm aspiration: a convenient and effective office procedure to retrieve sperm for in vitro fertilization with intracytoplasmic sperm injection. J Urol 1998; 160(6): 2058–62.

DOI: https://doi.org/10.1016/s0022-5347(01)62242-0

[13] Golombok S. Parenting: what really counts? Philadelphia: Routledge, Taylor and Francis; (2000).

[14] Saleh RA, Ranga GM, Raina R, Nelson DR, Agarwal A. Sexual dysfunction in men undergoing infertility evaluation: a cohort observational study. Fertil Steril 2003; 79(4): 909–12.

DOI: https://doi.org/10.1016/s0015-0282(02)04921-x

[15] Van Balen F, Gerritis T. Quality of infertility care in poorresource areas and the introduction of new reproductive technologies. Hum Reprod 2001; 16(2): 215–9.

DOI: https://doi.org/10.1093/humrep/16.2.215

[16] Ombelet W, Campo R. Ethics, research, legal, counseling: affordable IVF for developing countries. RBMOnline 2007; 15(3): 257–65.

[17] Ameh N, Kene TS, Onuh SO, Okohue JE, Umeora OU, Anozie OB. Burden of domestic violence amongst infertile women attending infertility clinics in Nigeria. Niger J Med 2007; 16(4): 375.

DOI: https://doi.org/10.4314/njm.v16i4.37342
Show More Hide