Artificial Fertilization and Childbirth with Ejaculatory Stimulation in Spinal Cord Injured Man

ABSTRACT

Infertility due to ejaculatory failure and poor semen quality is a main problem for sexual dysfunction of spinal cord injured (SCI) men. A 27-year-old paraplegic man who wished to father children was induced to repeated ejaculations for eight times with a rectal probe electrical stimulation at one or two weekly interval. For the 4th to 8th stimulations, the subject took pseudoephedrine 20 mg, three times a day orally to improve the semen quality. We report a triplet childbirth between the SCI man and his healthy wife through the ejaculatory stimulations in conjuction with advanced reproductive techniques such as in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI).