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Fecha de Publicación:
14 de octubre, 2012 

Anejaculation

What is anejaculation? Anejaculation is the absence of ejaculation and is classified as: •    Situational anejaculation .- The man ejaculates normally in some situations but not in others •    Total anejaculation .- The man is incapable of ejaculating while he is awake •    In total anorganismic anejaculation, the man does not ejaculate because he cannot ...

Anejaculation

What is anejaculation?

Anejaculation is the absence of ejaculation and is classified as:

•    Situational anejaculation .- The man ejaculates normally in some situations but not in others

•    Total anejaculation .- The man is incapable of ejaculating while he is awake
•    In total anorganismic anejaculation, the man does not ejaculate because he cannot reach orgasm
•    In total orgasmic anejaculation, the man reaches orgasm but does not ejaculate

Anejaculation causes infertility because, due to the absence of ejaculation, the sperm cannot reach the woman's uterus.

Causes of anejeculation

Generally, situational anejaculation and total anorganismic anejaculation occur due to psychological factors; nevertheless, total orgasmic anejaculation can be caused by:

•    Diabetes
•    Prostatic hyperplasia or growth of the prostate
•    Prostatitis or inflammation of the prostate
•    Abdominal surgery
•    Urological surgery such as prostatectomies
•    Obstruction of the ejaculatory ducts
•    Neurological disorders
•    Parkinson's Disease
•    Multiple sclerosis
•    Spinal cord injuries
•    Use of anti-depressant drugs such as Prozac
•    Cancer treatment such as chemotherapy and the radiation therapy

Another frequent cause of total orgasmic anejaculation is retrograde ejaculation, in which the semen enters the bladder during orgasm instead of being discharged through the penis and thus, the sperm go into the urine.

How are the causes of the anejacualtion diagnosed?

The more information you can provide your specialist with about your medical history, he will be better able to identify the causes of anejaculation.

In addition to a physical examination to search for evidence of other conditions, your doctor may analyze post-orgasmic urine. If sperm are found in the urine, the diagnosis of retrograde ejaculation is confirmed.

Knowing the causes of anejaculation is fundamental when selecting a treatment to achieve pregnancy with the least-possible effort.

If anejaculation is caused by drugs, your doctor will ask you to suspend their use and he will help you to find other options, whereas if there is an underlying medical condition, treating it may be sufficient to revert the anejaculation.

If the treatment of the causes of anejaculation is not enough, the recovery of sperm by aspiration of the epididymis or a testicular biopsy is the technique of choice to achieve pregnancy.

Given that the number of sperm recovered is usually relatively low, this technique must be combined with intracytoplasmic sperm injection (ICSI), in which one good quality spermatozoon is sufficient to fertilize the egg.

It is important to mention that in cases of retrograde ejaculation, it is possible to recover the sperm directly from the urine for use in later assisted reproduction treatment.

At Ingenes, we are convinced that as stress reduces, reproductive potential increases; therefore, we have an emotional support unit to accompany our patients from their first consultation.

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