QBoost Question of the Week- May 4th, 2020

Question Title

* Donald is a 30-year-old depressed man who is trying to achieve fertility. He presents with normal penile erection and orgasm but complains of absence of ejaculation during intercourse and masturbation. In the past, his ability to ejaculate appeared to be normal and he has no history of spinal cord injury, radical pelvic surgery, diabetes mellitus, or multiple sclerosis.

Which of the following approaches are SUGGESTED to evaluate this problem?

A. Donald’s anejaculation is due to ejaculatory obstruction.

B. Suggest medical treatment with exogenous testosterone or Clomiphene citrate (25 mg/day or 50 mg every other day).

C. Recommend sperm retrieval with penile vibratory stimulation.

D. Request post-ejaculation urine analysis.