![]() Some couples had received psychological sex counseling from specialists. Seventeen men had been treated with anti‐phosphodiesterase‐5 medicines such as sildenafil, vardenafil, and/or tadalafil. Among these patients, 208 couples presented sexual dysfunction 199 husbands indicated ED and/or inhibited ejection, and 20 wives had vaginismus and dyspareunia. Thus, the authors analyzed the usefulness of IVI before applying ART and proposed the inclusion criteria of IVI as a treatment method for infertility.īetween January 2009 and December 2018, 5034 couples first visited Kaseki Ladies Clinic for infertility treatment. ![]() Our clinic, which is specialized in infertility management for more than 10 years, has helped many patients, including couples with sexual dysfunction. Pregnancy should be achieved without penile insertion into the vagina in an unconsummated marriage.Īlthough many studies regarding IVI on ejaculatory dysfunction have been reported, only a few studies on the effectiveness of IVI as an infertility treatment for couples with general sexual dysfunction, especially ED, are available. IVI may further be applied to treat couples with sexual dysfunction if semen can be obtained by the husband through masturbation. IVI can be performed personally at home in a private room, and does not impact marital activities. IVF and ICSI also involve burdensome processes such as ovarian stimulation by gonadotropins, frequent clinic visits to follow the follicle growth, and oocyte retrieval under anesthesia, In addition, IUI, IVF, and ICSI are all expensive with a cost of about 10 000‐30 000, 200 000‐500 000, and 300 000‐600 000 yen, respectively, without national health insurance coverage in Japan.Ĭontrarily, intravaginal insemination (IVI) as an artificial home vaginal insemination is a simple, noninvasive, and inexpensive method, which does not require frequent doctor visits. In vitro fertilization (IVF) and a microinsemination of intracytoplasmic sperm injection (ICSI) are further applied more than 465,000 babies were born in 2012 using these technologies throughout the world.Īlthough ART is very effective as an infertility treatment, IUI can be painful when a speculum is inserted into the vagina and further, women are required to visit the clinic repeatedly. Intrauterine insemination (IUI) is widely used as the treatment method for mild male factor and unexplained infertilities. Conversely, assisted reproductive technology (ART) has made it possible to conceive without coitus. Moreover, without insertion of penis into the vagina and/or no ejection of semen in the vagina, the sperm cannot be inseminated into the woman's reproductive organ, which causes infertility. Which shows that sexual conditions present not only medical but also social problems. ![]() Epidemiological studies reveal that male sexual dysfunction has a prevalence of 5%‐30%, ![]() Male sexual dysfunction such as low libido, erectile dysfunction (ED), and premature or inhibited ejection, and female dysfunction such as inhibited sexual desire, inability to become aroused, anorgasmia, vaginismus, and dyspareunia, can result in unsatisfied sex or sexless situation. Sexual dysfunction is a serious problem resulting in both sexual and reproductive issues. ![]()
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