How can a 73-year-old male with dry orgasm and retrograde ejaculation achieve pregnancy?

Hi,

Welcome to icliniq.com.

I can understand your concerns.

I have seen your attachments (attachments are hidden to protect the patient's identity). You have an enlarged prostate, but in your list of current medications, I cannot see Tamsulosin.

1. Retrograde ejaculation: If you are taking Tamsulosin, then it may be causing this problem. The remedy is to stop Tamsulosin and take Tadalafil instead, which you are already doing.

2. Other means of sperm collection: Other means are surgical retrieval of sperm by testicular extraction or aspiration from the testis or epididymis.

3. Cryopreserved sperm specimens: If your cryopreserved sperms are viable, you do not need surgical retrieval of sperms. Viability is the primary concern, even if numbers and motility are low. Single non-motile sperm can create pregnancy by ICSI (intracytoplasmic sperm injection).

4. Frozen embryos: Frozen embryo use depends on the quality of the embryos. A prenatal genetic diagnosis PGD (pre-implantation genetic diagnosis) can help here.

You can make a decision depending on the above factors. If the quality of frozen embryos is good, you can go for embryo transfer. If the quality is not good, you can use a fresh fertilized embryo from the cryopreserved sperms. If you oppose the idea, you can go for donor sperm, donor ovum, or both.

I hope this information will help you.

Thanks.

Hi,

Welcome back to icliniq.com.

I understand your queries.

Tadalafil 5 mg taken daily at bedtime may cure retrograde ejaculation if only Tamsulosin is stopped. Tamsulosin is for enlarged prostate, and Tadalafil helps in this problem, too. You can not determine if cryopreserved sperms are viable or not. Only the laboratory can do that. Mostly, the cryopreserved sperms remain feasible for years together.

Hope this helps.

Thanks.