Parveen Bahmania

What is it?

Ejaculatory Duct Obstruction (EDO) is a condition where the tubes that carry sperm from the seminal vesicles and vas deferens into the urethra are blocked, preventing the release of semen during ejaculation.

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Causes:

1. Congenital Abnormalities - Present since birth.

2. Infections - Inflammation leading to scarring.

3. Cysts - Blockage due to benign cysts.

4. Trauma or Injury - Damage caused by surgery or accidents.

5. Prostate Conditions - Enlargement or calcification.

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Symptoms:

• Low semen volume during ejaculation.

• Painful ejaculation.

• Blood in semen (hematospermia).

• Infertility despite normal sperm production.

• Pelvic pain or discomfort.

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Diagnosis:

1. Physical Examination - To detect abnormalities.

2. Semen Analysis - Low sperm count or volume.

3. Transrectal Ultrasound (TRUS) - Imaging to identify blockages or cysts.

4. MRI or CT Scans - Detailed imaging for complex cases.

5. Hormonal Tests - Evaluating sperm production levels.

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Treatment Options:

1. Medications - Antibiotics for infections causing blockage.

2. Minimally Invasive Surgery -

o Transurethral Resection of Ejaculatory Ducts (TURED) - Removes obstruction.

3. Aspiration Procedures - Sperm retrieval directly from the epididymis or testicles for assisted reproduction like IVF or ICSI.

4. Assisted Reproductive Technologies (ART) - For cases that cannot be corrected surgically.

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Key Takeaway:

EDO is a treatable cause of male infertility. With proper diagnosis and treatment, couples can achieve pregnancy naturally or through assisted reproductive techniques.

Consult with Imprimis IVF for expert evaluation and personalized treatment plans!