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Institute for Reproductive Medicine and Genetic Testing Pioneer in Embryo Genetic Testing and Gender Selection |
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- Spinal Cord Injuries and Fertility - Ejaculatory Dysfunction Although many men with spinal cord injuries can achieve erections and have sexual intercourse, only about 10% can achieve ejaculation. This inability to ejaculate is known as anejaculation, or ejaculatory dysfunction. The nerves that carry the signals for ejaculation are located in the lower part of the spinal cord, specifically, the thoracic, lumbar and sacral cord. Ejaculation relies upon coordinated signals between the brain and the spinal cord. When these connections between the brain and spinal cord are interrupted, ejaculatory function is disrupted. Injuries to the spinal cord can hamper both the secretion of fluids from the accessory glands and the ejaculation of sperm from the penis. In the past, men with ejaculatory dysfunction were thought to be infertile. Men who have problems ejaculating, including those with spinal cord injuries, still produce sperm in their testicles. Procedures, such as penile vibratory stimulation and electroejaculation, are available and can produce ejaculation even in men with severe spinal cord injuries. This sperm can then be processed in a laboratory and used with various assisted reproductive technologies, such as intrauterine insemination and in vitro fertilization (IVF), to achieve fertilization and pregnancy.
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