Erectile Dysfunction

ED is commonly called impotence. It is a condition in which a man can not achieve or maintain an erection during sexual performance. Symptoms may also include reduced sexual desire or libido.

Testosterone replacement and erection-inducing injections are also available. Side effects may include: acne, breast enlargement, increased urination, aching in the penis, scarring, and gum or mouth irritation. Standard treatments for ED include lifestyle changes, such as: Exercising, losing weight, stopping smoking, curbing alcohol intake. Medications like Viagra, Cialis, or Levitra increase blood flow to the penis. But they can also cause side effects, including: nasal congestion, headache, upset stomach, vision changes, facial flushing, and dizziness.

147 males with two abnormal SA based on the 2010 World Health Organization criteria underwent 356 IUI with controlled ovarian hyper-stimulation (COH). Their pregnancy rates were compared to 120 males who had abnormal TMSC at the time of 265 IUI with COH, in a retrospective university-based study. The two groups were comparable in female age (p = 0.11), duration of infertility (p = 0.17), previous pregnancies (p = 0.13), female basal serum FSH level (p = 0.54) and number of mature follicles on the day of ovulation trigger (p = 0.27). Despite better semen parameters on the day of IUI in the pre-treatment male factor infertility group (TMSC mean ± SD: 61 ± 30 million vs. 3.5 ± 2 million, p < 0.001), pregnancy rates were much higher in the group with low TMSC on the day of IUI (5 % vs. 17 %, p < 0.001). A patient with a recent (within 6 months) normal pre-treatment SA but low TMSC on the day of IUI likely has a reasonable chance to achieve pregnancy, and does not perform as poorly