Hamer P M, Bain J
Fertil Steril. 1986 Mar;45(3):384-7. doi: 10.1016/s0015-0282(16)49221-6.
Ejaculatory incompetence is a relatively uncommon cause of infertility but a potentially treatable one. We report on 11 men with anejaculation, 2 of whom presented with complaints of sexual dysfunction and 9 with infertility. Psychologic factors were considered the major cause in all patients. Sexual counseling was carried out in four couples; in three of these couples, subsequent intravaginal ejaculation occurred. Two couples achieved pregnancy by intravaginal ejaculation. Two of another three couples achieved pregnancy by artificial insemination with the husbands' semen (AIH); therefore, four of seven couples achieved pregnancy by either sexual therapy or AIH. These data indicate that ejaculatory incompetence should be inquired after in cases of infertility and that sexual therapy as opposed to prolonged psychoanalysis or AIH is an effective form of treatment.
射精功能不全是导致不育的一个相对不常见但有可能治愈的原因。我们报告了11例无射精症男性患者，其中2例伴有性功能障碍主诉，9例因不育前来就诊。所有患者均被认为心理因素是主要病因。对四对夫妇进行了性咨询；其中三对夫妇随后实现了阴道内射精。两对夫妇通过阴道内射精成功受孕。另外三对夫妇中有两对通过丈夫精液人工授精（AIH）成功受孕；因此，七对夫妇中有四对通过性治疗或AIH成功受孕。这些数据表明，在不育病例中应询问是否存在射精功能不全，并且与长期精神分析或AIH相比，性治疗是一种有效的治疗方式。
