Vibrator Therapy
Few men have ejaculatory problems, like delayed ejaculation and situational anejaculation. The threshold for stimulation is not reached and hence there is no orgasm and ejaculation.
The situational type is very common when the male is stressed like when he is told to give a semen sample at the time of ovulation. The stress causes the central pathway for ejaculation to fail, and the vibrator therapy activated the reflex arc at the spinal level so that there is ejaculation.
On the other hand some men have tendency for delayed ejaculation as their glans and nerves are less sensitive to normal stimulation during penetrative vaginal intercourse or are used to ejaculating by masturbation which provides higher stimulation. Such patients benefit from vibrator therapy which can provide adequate stimulation to reach the ejaculatory threshold.
Multiple sessions are required specifically for anejaculatory patients who have never ejaculated before. First few sessions are required for getting used to the therapy and when the patient is comfortable, after 15- 30 minutes of trying he might ejaculate. This way the patient can then use the vibrator at home just prior to intercourse / or at the IVF center at the time of egg pick up.
The semen thus obtained is generally of good quality with motile sperms and hence can be used for IVF and ICSI to obtain successful outcomes.
The vibratory stimulus has to be given to the undersurface of the glans which is the most sensitive part and has maximum nerve endings.
