Ejaculatory incompetence and infertility.

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.