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Irema proposes various techniques for improving male effectiveness in assisted reproduction

13 October 2015 - 15: 00

To achieve a pregnancy in couples where the man can not ejaculate or there are no sperm in the ejaculate, there are different techniques to obtain sperm and able to carry out an assisted reproduction technique.

There are patients suffering from erectile dysfunction by diabetes, multiple sclerosis, spinal cord injury and / or other neurological disorders. In these cases, ejaculation may induce the following ways:

Ejaculation Induced Vibration:

With the help of a vibrator induction reflects causes ejaculation.
It is a very simple and safe non-invasive method that can be performed at home or in the clinic.
About 80% of patients with spinal cord injuries manage to get ejaculation.
This technique is also useful in patients with erectile dysfunction by diabetes, multiple sclerosis and other neurological disorders.

Ejaculation Induced by Electrical Stimulation (Electroejaculation):
Involves the application of mild electrical stimulation, is done in consultation, and some patients may require anesthesia.
This technique is useful for patients who do not respond to the vibration technique, suffering from erectile dysfunction by diabetes, multiple sclerosis and / or other neurological disorders.

IREMA laboratory

Obtaining testicular sperm or epididymal (TESA, TESE, PESA and MESA):
This technique has been developed for men who produce sperm of low quality or have total absence of sperm production in ejaculated due to a blockade or some other testicular disorder. It also applies in patients suffering from erectile dysfunction by diabetes, multiple sclerosis and / or other neurological disorders; although sperm obtained by vibration or electroeyaculados may be of better quality.

Available techniques for sperm retrieval in these cases are as follows:
TESA: Percutaneous sperm aspiration testicular
TABLE: epididymal sperm aspiration for microsurgery.
TESE: testicular sperm extraction biopsy.
PESA: Percutaneous aspiration of the epididymis.

Depending on the method for obtaining the sample and sperm quality (sperm count and motility), the assisted reproduction technique is indicated to be used in each case.

In patients who achieved reflects induce vibration ejaculation, you can try to make artificial insemination, since the sample obtained can be of good quality.

The odds of getting pregnant after using these techniques can be as high as if there were another factor infertility in couples.

Dr. Fernando Hernandez Lloria
IREMA. Reproduction Institute of the Marina Alta
Managing Director

IREMA

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