Tags

Type your tag names separated by a space and hit enter

Male sexual dysfunction and infertility associated with neurological disorders.
Asian J Androl. 2012 Jan; 14(1):61-8.AJ

Abstract

Normal sexual and reproductive functions depend largely on neurological mechanisms. Neurological defects in men can cause infertility through erectile dysfunction, ejaculatory dysfunction and semen abnormalities. Among the major conditions contributing to these symptoms are pelvic and retroperitoneal surgery, diabetes, congenital spinal abnormalities, multiple sclerosis and spinal cord injury. Erectile dysfunction can be managed by an increasingly invasive range of treatments including medications, injection therapy and the surgical insertion of a penile implant. Retrograde ejaculation is managed by medications to reverse the condition in mild cases and in bladder harvest of semen after ejaculation in more severe cases. Anejaculation might also be managed by medication in mild cases while assisted ejaculatory techniques including penile vibratory stimulation and electroejaculation are used in more severe cases. If these measures fail, surgical sperm retrieval can be attempted. Ejaculation with penile vibratory stimulation can be done by some spinal cord injured men and their partners at home, followed by in-home insemination if circumstances and sperm quality are adequate. The other options always require assisted reproductive techniques including intrauterine insemination or in vitro fertilization with or without intracytoplasmic sperm injection. The method of choice depends largely on the number of motile sperm in the ejaculate.

Authors+Show Affiliations

Department of Urology, Herlev Hospital, University of Copenhagen, Denmark.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

22138899

Citation

Fode, Mikkel, et al. "Male Sexual Dysfunction and Infertility Associated With Neurological Disorders." Asian Journal of Andrology, vol. 14, no. 1, 2012, pp. 61-8.
Fode M, Krogh-Jespersen S, Brackett NL, et al. Male sexual dysfunction and infertility associated with neurological disorders. Asian J Androl. 2012;14(1):61-8.
Fode, M., Krogh-Jespersen, S., Brackett, N. L., Ohl, D. A., Lynne, C. M., & Sønksen, J. (2012). Male sexual dysfunction and infertility associated with neurological disorders. Asian Journal of Andrology, 14(1), 61-8. https://doi.org/10.1038/aja.2011.70
Fode M, et al. Male Sexual Dysfunction and Infertility Associated With Neurological Disorders. Asian J Androl. 2012;14(1):61-8. PubMed PMID: 22138899.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Male sexual dysfunction and infertility associated with neurological disorders. AU - Fode,Mikkel, AU - Krogh-Jespersen,Sheila, AU - Brackett,Nancy L, AU - Ohl,Dana A, AU - Lynne,Charles M, AU - Sønksen,Jens, Y1 - 2011/12/05/ PY - 2011/12/6/entrez PY - 2011/12/6/pubmed PY - 2012/5/30/medline SP - 61 EP - 8 JF - Asian journal of andrology JO - Asian J Androl VL - 14 IS - 1 N2 - Normal sexual and reproductive functions depend largely on neurological mechanisms. Neurological defects in men can cause infertility through erectile dysfunction, ejaculatory dysfunction and semen abnormalities. Among the major conditions contributing to these symptoms are pelvic and retroperitoneal surgery, diabetes, congenital spinal abnormalities, multiple sclerosis and spinal cord injury. Erectile dysfunction can be managed by an increasingly invasive range of treatments including medications, injection therapy and the surgical insertion of a penile implant. Retrograde ejaculation is managed by medications to reverse the condition in mild cases and in bladder harvest of semen after ejaculation in more severe cases. Anejaculation might also be managed by medication in mild cases while assisted ejaculatory techniques including penile vibratory stimulation and electroejaculation are used in more severe cases. If these measures fail, surgical sperm retrieval can be attempted. Ejaculation with penile vibratory stimulation can be done by some spinal cord injured men and their partners at home, followed by in-home insemination if circumstances and sperm quality are adequate. The other options always require assisted reproductive techniques including intrauterine insemination or in vitro fertilization with or without intracytoplasmic sperm injection. The method of choice depends largely on the number of motile sperm in the ejaculate. SN - 1745-7262 UR - https://www.unboundmedicine.com/medline/citation/22138899/Male_sexual_dysfunction_and_infertility_associated_with_neurological_disorders_ L2 - http://www.asiaandro.com/Abstract.asp?doi=10.1038/aja.2011.70 DB - PRIME DP - Unbound Medicine ER -