Electroejaculation combined with assisted reproductive technology in psychogenic anejaculation patients refractory to penile vibratory stimulation

Anejaculation is the inability to ejaculate despite an erection; this condition occupies 72% of male infertility resulting from sexual dysfunction (1). Spinal cord injury (SCI) is the most common cause of anejaculation (2-5), whereas retroperitoneal lymph node dissection (6), diabetes mellitus (7), multiple sclerosis (8), and sperm retrieval before intensive anticancer therapy (9) are the uncommon ones. Most of the research on anejaculation was conducted mainly in SCI patients, a prominent etiology for anejaculation. One of the less investigated populations is the psychogenic anejaculation (PAE) patients