Kondoh Nobuyuki
Department of Urology Kawanishi City Hospital 5-21-1 Higashiuneno 666-0195 Kawanishi Hyogo Japan.
Reprod Med Biol. 2011 Aug 21;11(1):59-64. doi: 10.1007/s12522-011-0108-3. eCollection 2012 Jan.
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.
射精功能障碍（EjD）是最常见的男性性功能障碍，与勃起功能障碍（ED）明显不同。EjD分为4类：早泄、射精延迟、逆行射精和无射精。与EjD相关的不育是年轻患者中最严重的问题之一。如果在没有任何射精的情况下成功进行性交，性伴侣/妻子将无法受孕。因此，对于想要孩子的夫妇来说，建立对EjD以及ED的管理越来越关键。与EjD相关不育的治疗方法基于两种情况：（1）如果EjD是没有孩子的唯一原因，则仅需对EjD进行充分治疗；或者（2）如果EjD不是唯一原因且与精液质量恶化同时存在，则需要对男性不育进行全面管理（包括EjD治疗）。在本文中，简要介绍了与EjD相关不育的背景，随后对治疗方式进行了综述。
