Ho Y C, Chao H T, Pan C C, Hsu H S, Chang S P, Ng H T
Department of Obstetrics and Gynecology, Veterans General Hospital-Taipei, Taiwan, R.O.C.
Zhonghua Yi Xue Za Zhi (Taipei). 1994 Oct;54(4):286-9.
Electroejaculation to produce semen from anejaculated males has been employed successfully in conjunction with intrauterine insemination (IUI), in vitro fertilization/embryo transfer, and gamete intrafallopian transfer. We herein report the use of IUI to achieve pregnancy following electroejaculation in a patient with primary idiopathic anejaculation. This 30-year-old patient had a history of anejaculation that was noted after marriage, but had normal sexual potency and occasional nocturnal emission. Electroejaculation was successfully used to obtain semen. The highly motile sperm was recovered from swim up procedure and used for IUI. The 25-year-old wife was given clomiphene citrate and Pergonal for ovulation induction. A triplet pregnancy was achieved. At 26 weeks of gestation, the first triplet was delivered after spontaneous rupture of membrane. We tried to delay delivery of this retained twin pregnancy. Thirty-two days later, the remaining two fetuses were delivered weighing 1100 gm and 900 gm. Ninety-three days after delivery, these two babies were discharged, putting on weight to 3564 gm and 3264 gm. This case represents the first success of using electroejaculation to achieve pregnancy from anejaculated patient in Taiwan.
通过电射精从射精不能的男性获取精液，已成功应用于与宫腔内人工授精（IUI）、体外受精/胚胎移植及配子输卵管内移植相结合。我们在此报告一例原发性特发性射精不能患者经电射精后行IUI成功妊娠的病例。该30岁患者婚后出现射精不能史，但性功能正常，偶有梦遗。电射精成功获取精液。通过上浮法回收高活动力精子并用于IUI。对其25岁的妻子给予枸橼酸氯米芬和人绝经期促性腺激素诱导排卵。成功实现三胎妊娠。妊娠26周时，第一胎在胎膜自然破裂后娩出。我们试图延迟剩余双胎妊娠的分娩。32天后，其余两个胎儿娩出，体重分别为1100克和900克。分娩93天后，这两个婴儿出院，体重分别增至3564克和3264克。该病例代表台湾首例经电射精使射精不能患者成功妊娠的案例。
