Causes of Anejaculation Among the causes of the condition of anejaculation are:   Neurological Damage such as suffered in spinal cord injury (SCI) or as a complication of pelvic surgery. Surgical treatment for testicular cancer/retroperitoneal lymph node dissection (RPLND) Viral Infections and neurological damage Multiple Sclerosis (MS) Spinal Bifida Diabetes Idiopathic anejaculation caused by either neurogenic or psychogenic conditions Failure to produce an ejaculate on the day of egg retrieval for IVF or ICSI Most Cases of ejaculatory failure will be as a result of the above listed conditions. More than 90% of SCI men are infertile, most often because of ejaculatory failure and, to a lesser degree, because of impaired spermatogenesis. An increasing number of Idiopathic Anejaculatory patients have been reported in Asiatic and Middle East countries and similar communities in the U.S. and Europe. Failure to obtain a semen sample by masturbation is common on the day of Artificial Insemination (AI), in vitro fertilization (IVF), Intra-cellular Sperm Injection (ICSI) or other Artificial Reproductive Techniques (ART). Prior to this the subject may have been quite successful in obtaining an ejaculate and a resulting pregnancy. Ejaculation may not be possible even with the aid of penile injection, vibration and ejaculatory drugs. When electroejactulation has been used in this instance, the results have been very satisfactory. Home