Stewart D E, Ohl D A
University of Toronto.
Int J Psychiatry Med. 1989;19(3):263-8. doi: 10.2190/4axy-vl8u-u6lg-3aqe.
Idiopathic anejaculation is a relatively rare cause of sexual dysfunction that usually presents as an infertility problem. When such patients have nocturnal emissions the problem is usually considered psychogenic and referral is made to a psychiatrist. Various treatments for this condition have been described including psychotherapy, sexual, marital and behavioral therapy, vibratory stimulation of the penis and pharmacotherapy. A patient with idiopathic anejaculation referred by an infertility clinic is described in which all of the above treatments failed over a five-year period. A newly described procedure in humans, electroejaculation, was employed to obtain semen which was used to artificially inseminate the wife resulting in the first reported successful pregnancy by electroejaculation done for idiopathic anejaculation.
特发性射精障碍是一种相对罕见的性功能障碍病因，通常表现为不孕问题。当此类患者有梦遗时，问题通常被认为是心理性的，会转诊至精神科医生处。针对这种情况已描述了多种治疗方法，包括心理治疗、性治疗、婚姻和行为治疗、阴茎振动刺激以及药物治疗。本文描述了一名由不孕不育诊所转诊的特发性射精障碍患者，在五年期间上述所有治疗均告失败。采用了一种新描述的人体操作方法——电射精来获取精液，并用其对妻子进行人工授精，从而实现了首例因特发性射精障碍进行电射精后成功受孕的报道。
