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Chapter 7 - Ejaculation and Sperm Transport

Physiology and Clinical Concerns

from Section 2 - The Biology of Male Reproduction and Infertility

Published online by Cambridge University Press:  06 December 2023

By
Christopher Koprowski ,
Garrick Greear  and
Tung-Chin Hsieh
Edited by
Douglas T. Carrell ,
Alexander W. Pastuszak  and
James M. Hotaling
Douglas T. Carrell
Affiliation:
Utah Center for Reproductive Medicine
Alexander W. Pastuszak
Affiliation:
University of Utah
James M. Hotaling
Affiliation:
Utah Center for Reproductive Medicine
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Summary

Ejaculation is a complex physiologic phenomenon and may have been historically necessary to achieve pregnancy. The advent of successful assisted reproductive technologies (ART), such as intracytoplasmic sperm injection and surgical sperm removal, have become an area of interest in reproductive medicine research. As such, interest has shifted away from ejaculatory disorders in part due to the tremendous success of assisted reproduction. Ejaculatory disorders are poorly understood and frequently misdiagnosed. While sperm retrieval procedures are highly effective in achieving the goal of reproduction, accurate diagnoses and management of these disorders to minimize complexity of ART are required. Additionally, many of these symptoms induce distress in patients, despite having any concerns involving fertility, resulting in significant quality of life implications for them. The evaluation of this entity requires a careful and appropriate treatment strategy. A carefully planned workup is needed to determine an accurate diagnosis and treatment that can result in high levels of patient satisfaction.

Keywords

men’s healthejaculation dysfunctionurologic evaluationsperm developmentsperm emissionsperm expulsion
Type
Chapter
Information
Men's Reproductive and Sexual Health Throughout the Lifespan
An Integrated Approach to Fertility, Sexual Function, and Vitality
 , pp. 61 - 66
Publisher: Cambridge University Press
Print publication year: 2023

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