Hovav Y, Dan-Goor M, Yaffe H, Almagor M
Department of Obstetrics and Gynecology, Bikur Cholim Hospital, Jerusalem, Israel.
Fertil Steril. 1999 Aug;72(2):364-5. doi: 10.1016/s0015-0282(99)00239-3.
To evaluate sperm characteristics and fertilization potential in sperm obtained from nocturnal emission in men with psychogenic anejaculation.
Retrospective study.
In Vitro Fertilization Unit, Bikur Cholim Hospital, Jerusalem, Israel.
PATIENT(S): Six men with psychogenic anejaculation.
INTERVENTION(S): Nocturnal emission, electroejaculation, sperm cryopreservation, and assisted reproduction technologies.
MAIN OUTCOME MEASURE(S): Semen analysis, intracytoplasmic sperm injection (ICSI), fertilization rates.
RESULT(S): In four patients, the concentration and motility of sperm obtained from freeze-thawed nocturnal emission were decreased compared with sperm from electroejaculation. Fertilization rates after ICSI using the nocturnal emission sperm were relatively low (45%). One clinical pregnancy was achieved after intrauterine insemination.
CONCLUSION(S): The quality of sperm from nocturnal emissions is variable, but it can be used in assisted reproduction procedures to avoid aggressive procedures such as electroejaculation or testis biopsy.