Electroejaculation and assisted reproductive technologies in the treatment of anejaculatory infertility

Objective: To determine the efficacy of electroejaculation in combination with assisted reproductive technology (ART). Design: Case series. Setting: University fertility program. Patient(s): One hundred twenty-one consecutive couples seeking treatment of anejaculatory infertility. Intervention(s): Electroejaculation with IUI, or gamete intrafallopian transfer or IVF. Main Outcome Measure(s): Pregnancy and pregnancy outcome. Result(s): Fifty-two couples became pregnant (43%), 39 by IUI alone (32.2%). Cycle fecundity for IUI was 8.7%. No difference in cycle fecundity was seen among ovarian stimulation protocols (clomiphene citrate, 7.6%, hMG, 13.2%, and natural cycle, 11.2%). Pregnancy was unlikely when the inseminated motile sperm count was