When the ejaculatory reflex has been compromised men with normal sperm production have not way of delivering sperm in the ejaculate to initiate a pregnancy. This is most common in men with spinal cord injuries but can also occur with diabetes, multiple sclerosis, abdominal surgery, testicular cancer staging surgery and psychogenic loss of ejaculation. In these cases the nerves to the ejaculatory center can be directly stimulated to produce and ejaculate which can be placed into the uterus (IUI) or into the egg (IVF) in order to produce a pregnancy.


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