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Rectal electroejaculation (REE)

Outlines the treatment options available to couples who have undergone rectal electroejaculation.

Treatment options

This will depend upon the sperm count and quality. Other factors such as the fertility of the female partner and the duration of infertility, etc. will also influence the treatment options available. The options include the following:

Intrauterine insemination (IUI)

Intrauterine insemination (IUI) with washed and prepared sperm. This will be advised if the sperm problem is mild and the female partner is young, has regular menstrual cycles and ovulation, and has healthy Fallopian tubes. A pregnancy rate of 5-10% per treatment cycle is expected, depending on many factors such as the woman’s age and treatment cycle number, etc.

IVF (In Vitro Fertilization)

In-vitro fertilization (IVF) is usually advised if the female partner is 35 years or older, has blocked or damaged Fallopian tubes or severe endometriosis and the male partners sperm count or quality is not suitable for IUI.

ICSI (Intra-cytoplasmic Sperm Injection)

Intracytoplasmic sperm injection (ICSI) is advised when there is a severe sperm problem, i.e. sperm is not suitable for standard IVF treatment.

Recent advances in assisted conception such as IVF and ICSI have made it possible to achieve pregnancies and live births with ejaculate containing just a few sperm.

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