scholarly journals Male factor of infertility in spinal cord injury

2021 ◽  
Vol 22 (4) ◽  
pp. 22-26
Author(s):  
M. N. Korshunov ◽  
M. V. Sonina ◽  
Z. A. Kadyrov ◽  
E. S. Korshunova ◽  
R. V. Salyukov
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Assisted Reproductive Technologies ◽  
Intrauterine Insemination ◽  
Reproductive Technologies ◽  
Male Factor ◽  
Female Reproductive Health ◽  
Standard Procedures ◽  
Cord Injury ◽  
Fertility Disorders

Currently, traumatic spinal cord injury disease is a common problem in men of sexual and reproductive active age. The result may be disturbance of erectile and ejaculatory functions, which often leads to inability of natural conception. Vibrostimulation, electrical stimulation or surgical sperm extraction, intrauterine insemination procedures and assisted reproductive technologies are the standard procedures in the treatment of fertility disorders in men with spinal cord injury and dysejaculation. The effectiveness of the techniques directly depends on the quality of sperm and the female reproductive health. Currently, the potential mechanisms of the disorders of spermatogenesis in patients with spinal cord injury are not clearly learned. The literature review of sexual dysfunction and pathogenetic aspects of pathospermia in men with spinal cord injury is provided.

1630: Sufficient Total Motile Sperm for Intrauterine Insemination is Easily Obtained by Assisted Ejaculation of Men with Spinal Cord Injury

2006 ◽  
Vol 175 (4S) ◽  
pp. 525-525
Author(s):  
Charles M. Lynne ◽  
Nancy L. Brackett ◽  
Teodoro C. Aballa ◽  
Emad Ibrahim ◽  
Apostolos Kafetsoulis
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Intrauterine Insemination ◽  
Motile Sperm ◽  
Cord Injury ◽  
Assisted Ejaculation

scholarly journals Infertility in Men with Spinal Cord Injury: Research and Treatment

Scientifica ◽  
2012 ◽  
Vol 2012 ◽  
pp. 1-12 ◽  
Author(s):  
Nancy L. Brackett
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Erectile Dysfunction ◽  
Pregnancy Outcomes ◽  
Semen Quality ◽  
Sperm Concentration ◽  
Toxic Substances ◽  
Male Factor ◽  
Sperm Retrieval ◽  
Cord Injury

Spinal cord injury (SCI) occurs most often to young men. Following SCI, most men are infertile due to a combination of erectile dysfunction, ejaculatory dysfunction and semen abnormalities. Erectile dysfunction may be treated by the same therapies that are used in the general population. Similarly, the same treatments that are effective to assist conception in couples with non-SCI male factor patients are effective in assisting conception in SCI male-factor patients. The most apparent differences in male-factor symptoms between SCI and non-SCI patients are the high occurrences of anejaculation and atypical semen profiles in men with SCI. Methods available to assist ejaculation in men with SCI include penile vibratory stimulation and EEJ. Use of surgical sperm retrieval as the first line of treatment for anejaculation in men with SCI is controversial. Most men with SCI have a unique semen profile characterized by normal sperm concentration, but abnormally low sperm motility. Toxic substances in the semen contribute to this problem. Despite impaired sperm parameters, pregnancy outcomes using sperm from men with SCI are similar to pregnancy outcomes using sperm from non-SCI men. Future studies should focus on improving natural ejaculation and improving semen quality in these men.

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