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Case Studies | Gynaecology | India | Volume 11 Issue 11, November 2022

Successful Pregnancy Outcome in a Couple with Retrograde Ejaculation

Dr. NS. Narmadha | Dr N. Sujithaa

Abstract: The new reproductive technologies, such as IUI and IVF, are becoming increasingly common, enabling infertile couples to become parents and create families. One of the rare cause of male infertility is ejaculatory dysfunction i. e., retrograde ejaculation which is characterized by absent or very low semen volume. It contributes to 0.3 - 2% of male infertility. The combination of dry orgasm and issue with fertility make the condition distressing to both patient and their partner especially when trying to conceive. Management includes usage of drugs that cause increase in strength of sphincter action. Imipramine or Pseudoephedrine. In our case report, 27 - year - old female presented with primary infertility with regular periods. Husband semen analysis showed azoospermia and low volume semen with history of cloudy urine. Semen was retrieved from urine and semen analysis performed and was found to be within normal range. The diagnosis of retrograde ejaculation was made. The sperms were collected from urine after alkalisation and and IUI was done. The female became pregnant in first cycle only and ultrasound showed Diamniotic mono chorionic twins. In view of no vertex presentation of first twin in labour, patient was taken for emergency LSCS and delivered two healthy alive boy babies of birth weight 2.157kg and 1.695 kg respectively

Keywords: reproductive technologies, retrograde ejaculation, low semen volume, Imipramine, Pseudoephedrine, Diamniotic mono chorionic twins

Edition: Volume 11 Issue 11, November 2022,

Pages: 1074 - 1075