Bemelmans B L, Meuleman E J
Academisch Ziekenhuis, afd. Urologie, Nijmegen.
Ned Tijdschr Geneeskd. 1997 Jun 7;141(23):1141-4.
Recent progress in andrology, reproduction biology and medical sexuology have led to a substantial increase of the proportions of pregnancy achieved by males with ejaculation disorders or anorgasmy. Impairment in libido and excitement usually has a psychic cause, apart from rare endocrinological abnormalities such as hyperprolactinaemia and androgen depletion. Another possible cause is chronic use of certain drugs. Causes of erection disorders can be classified on the basis of psychogenous, vascular and neurogenous factors. Ejaculation disorders are caused by embryonal anomalies, neurological disorders and use of certain (psychoactive) pharmaceutical agents. Collecting sperm proves to be virtually always possible. According to current views, the treatment of infertility in ejaculation disorders or anorgasmy should be if possible, elimination of the primary cause or else: in-vitro fertilisation (IVF)/intracytoplasmatic sperm injection (ICSI) with semen obtained after processing a retrograde ejaculate or by means of vibro-ejaculation or electro-ejaculation.
男科、生殖生物学和医学性学的最新进展使得患有射精障碍或性高潮障碍的男性实现妊娠的比例大幅增加。除了罕见的内分泌异常，如高催乳素血症和雄激素缺乏外，性欲和性兴奋障碍通常有心理原因。另一个可能的原因是长期使用某些药物。勃起功能障碍的原因可根据心理、血管和神经因素进行分类。射精障碍由胚胎异常、神经系统疾病以及使用某些（精神活性）药物引起。几乎总能采集到精子。根据目前的观点，对于射精障碍或性高潮障碍导致的不育症治疗，应尽可能消除主要病因，否则：采用经处理逆行射精后获得的精液进行体外受精（IVF）/卵胞浆内单精子注射（ICSI），或通过振动射精或电射精获取精液进行治疗。
