title: Retrograde ejaculation: simpler treatment.
abstract: OBJECTIVE
  To report a case of successful treatment of complete retrograde ejaculation by use of a novel, simple, and noninvasive home-based protocol.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Private family medicine clinic.
  
  
  METHODS
  A couple with primary infertility due to the male's complete retrograde ejaculation due to childhood's bladder surgery. The woman was healthy with normal menstrual cycles.
  
  
  METHODS
  After intercourse, the male patient voided a urine-semen mixture from a previously alkalinized urine and proceeded to inseminate it intravaginally into his wife. Determination of best time for intercourse was done by use of the ovulation (Billings) method.
  
  
  RESULTS
  This protocol has been used successfully by this couple to conceive two healthy children.
  
  
  CONCLUSIONS
  To our knowledge, this is the second reported case of successful management of infertility through this protocol. It might be appropriate to try this method first on select patients with retrograde ejaculation.
authors.affiliation: rene.leiva@mail.mcgill.ca
authors.forename: Rene
authors.initials: R
authors.lastname: Leiva
mesh_terms: D000328:Adult; D004542:Ejaculation; D005260:Female; D006801:Humans; D007248:Infertility, Male / Q000628:therapy*; D008297:Male; D011247:Pregnancy; D011256:Pregnancy Outcome