Electroejaculation EEJ has been proven to be a safe and effective means to obtain motile sperm suitable for assisted reproductive techniques intrauterine insemination or in vitro fertilization. Although probably most commonly associated with transrectal electroejaculation TREE , which uses a bipolar electrode inserted rectally, other electrical contact points have been used to collect semen e.
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A thin catheter is gently advanced through the opening of the cervix cervical os and the sperm are injected into the uterus at the time of ovulation. Electroejaculation EEJ is normally performed under general anesthesia, though for men with a complete spinal cord injury SCI , anesthesia may not be necessary. Anesthesia is not required for men with spinal cord injuries who have high level injuries and are without sensation. The nerves that are responsible for carrying the signal for ejaculation exit the spinal cord and course along the aorta at the back part of the abdomen. Following electroejaculation, anoscopy is performed again prior to returning the patient in the supine position. Men with spinal cord injuries often have a problem with poor sperm production as well as ejaculation after the injury. Preparation for Treatment A complete urologic evaluation is required prior to electroejaculation in order to detect and treat any urinary tract infections.
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Photo by cpony. An electrical current is used to cause ejaculation. IUI requires no anesthesia and is similar to a pelvic examination and Pap smear with regard to discomfort.
Because of this, patients are premedicated to adjust the pH of their urine so that sperm can survive in the bladder.
IUI involves taking this processed, ejaculated specimen and placing it directly in the uterus of the female partner. If the specimen is of very good quality, then it can be used for intrauterine insemination IUI. After a few initial stimulation, the voltage is reduced to zero.