Open AccessEjaculatory dysfunction as a cause of infertility
Author(s) -
Kondoh Nobuyuki
Publication year - 2012
Publication title -
reproductive medicine and biology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.005
H-Index - 22
eISSN - 1447-0578
pISSN - 1445-5781
DOI - 10.1007/s12522-011-0108-3
Subject(s) - premature ejaculation , infertility , medicine , male infertility , treatment modality , sexual intercourse , sexual dysfunction , ejaculation , retrograde ejaculation , erectile dysfunction , gynecology , psychology , psychiatry , pregnancy , population , prostate , genetics , environmental health , cancer , psychoanalysis , biology
Ejaculatory dysfunction (EjD), the most prevalent male sexual disorder, is clearly different from erectile dysfunction (ED). EjD is divided into 4 categories: premature ejaculation, delayed ejaculation, retrograde ejaculation and anejaculation. EjD‐related infertility is one of the most serious problems in young patients. If sexual intercourse is achieved successfully without any ejaculate sexual partners/wives will not be able to conceive. Therefore, establishment of management of EjD as well as ED is increasingly crucial for couples wishing for a baby. The therapeutic approach of EjD‐related infertility is based upon two scenarios: (1) if EjD alone is the reason for having no children, adequate treatment for EjD alone is required, or (2) if EjD is not the only reason and is combined with a worsening of semen quality, total management for male infertility (including EjD treatment) is needed. In this article, the background of EjD‐related infertility is presented briefly, followed by a review of treatment modalities.