title: Electroejaculation in combination with intracytoplasmic sperm injection in patients with psychogenic anejaculation results in lower fertilization rates.
abstract: OBJECTIVE
  To evaluate the outcome of intracytoplasmic sperm injection (ICSI) with sperm obtained by electroejaculation in men with psychogenic anejaculation.
  
  
  METHODS
  Retrospective clinical study.
  
  
  METHODS
  In Vitro Fertilization Unit, Bikur Cholim Hospital, Jerusalem, Israel.
  
  
  METHODS
  Seven men with psychogenic anejaculation who underwent 16 sessions of electroejaculation in combination with ICSI.
  
  
  METHODS
  Electroejaculation, ICSI.
  
  
  METHODS
  Semen analysis, ICSI, fertilization rates.
  
  
  RESULTS
  All patients had poor sperm motility. One hundred forty-seven oocytes were injected, with a fertilization rate of 27% (39/142). One ongoing pregnancy was achieved.
  
  
  CONCLUSIONS
  Sperm obtained by electroejaculation have low motility and reduced fertilization potential. Nevertheless, ICSI should be offered to improve the possibility of successful pregnancy.
authors.affiliation: Department of Obstetrics and Gynecology, Bikur Cholim Hospital, Jerusalem, Israel.
authors.forename: Y
authors.initials: Y
authors.lastname: Hovav
authors.forename: I
authors.initials: I
authors.lastname: Kafka
authors.forename: M
authors.initials: M
authors.lastname: Dan-Goor
authors.forename: H
authors.initials: H
authors.lastname: Yaffe
authors.forename: M
authors.initials: M
authors.lastname: Almagor
mesh_terms: D000328:Adult; D004542:Ejaculation; D004558:Electric Stimulation; D004624:Embryo Transfer; D005260:Female; D005307:Fertilization in Vitro / Q000379:methods*; D006801:Humans; D007248:Infertility, Male / Q000523:psychology* / Q000628:therapy; D008297:Male; D008845:Microinjections; D011247:Pregnancy; D012189:Retrospective Studies; D016896:Treatment Outcome