Retrograde ejaculation: Treatment and causes

normally, semen exits the penis when a man ejaculates. Retrograde ejaculation causes some semen to travel backward into the bladder. normal ejaculation forces semen—sometimes called ejaculate—through the man ’ s urethra and out of the penis. The semen can move forbidden of the penis because a small muscleman, called the bladder sphincter, closes the opening to the bladder, preventing the semen from entering the bladder. When the bladder sphincter does not work correctly, the bladder may not close wholly, which can cause semen to travel into the bladder rather than coming out of the penis.

What is a retrograde ejaculation

Retrograde ejaculation partake on PinterestA retrograde ejaculation may also be known as a dry orgasm. It is besides called a dry orgasm. Some men with retrograde ejaculation hush ejaculate but notification less fluid than they once did. In some men, retrograde ejaculation causes sterility. When identical little or no ejaculate exits the body, the chances of sperm fertilizing an egg stove from low to zero. however, retrograde ejaculation is responsible for equitable 0.3–2 percentage of sterility cases. regress ejaculation is not dangerous and is not afflictive. man with the condition who ejaculate little quantities of semen might not tied notice they have the condition. Some men report cloudy urine immediately after ejaculating, which is probably because semen has mixed with urine. man with retrograde ejaculation may besides have trouble getting their partners pregnant.


Because regress ejaculation can affect a man ’ s experience of arouse, some men may opt to treat the condition even if it has no serious fundamental cause. Men who want to get their partners pregnant silent have options. Treatment normally begins with removing the sperm after ejaculation ; this may involve isolating sperm from the bladder. Some medications attempt to encourage forth ( antegrade ) ejaculation. If these attempts fail, a doctor may try to extract sperm without requiring the man to ejaculate. surgical procedures for removing the sperm include :

  • Testicular sperm aspiration (TESA): This procedure is performed under local anesthesia, and uses a needle to remove sperm from the testicles.
  • Percutaneous epididymal sperm aspiration (PESA): This procedure, which uses local anesthesia, relies on a needle to remove sperm from the epididymis—the duct that connects to the testes.
  • Testicular sperm extraction (TESE): Like TESA, TESE removes sperm directly from the testicles under sedation. Unlike TESA, TESE requires an incision in the testicle.

parcel on PinterestOnce semen has been removed, IVF may be used to help a man’s partner get pregnant. After a sophisticate has successfully removed semen, they can then help a serviceman ’ second partner to get pregnant in one of two ways :

  • In vitro fertilization (IVF): This procedure involves removing an egg from the woman and then fertilizing it in a petri dish. When an embryo grows, a doctor implants it into the woman’s uterus.
  • Intrauterine insemination (IUI): With this procedure, a doctor injects semen directly into a woman’s uterus while she is ovulating.

treatment for retrograde ejaculation depends on the lawsuit of the trouble. When men experience retrograde ejaculation due to medicine, changing medications normally resolves the problem. When retrograde ejaculation is due to severe steel damage, it may not be reversible.


Retrograde ejaculation may be caused by :

  • Diabetes: Blood sugar that remains uncontrolled for a long time can damage the organs and nerves, affecting the muscles of the bladder.
  • Damage to the nervous system: Injuries and illnesses that damage the nervous system, such as multiple sclerosis and spinal cord injuries, can damage the nerves and muscles of the bladder. Surgery on the lower spine may have a similar effect.
  • Surgery: Surgery on the prostate, testicles, colon, rectum, bladder, or the lower spine may cause retrograde ejaculation.
  • Medication: Some medications can interfere with ejaculation. Those include drugs for an enlarged prostate, some antidepressants, and some anti-psychotic drugs.

Prostate removal and retrograde ejaculation

removal of part of the prostate gland through operating room is one of the most common causes of retrograde ejaculation. About 10 to 15 percentage of people who undergo this operation can expect to experience retrograde ejaculation because operation may damage the muscles and nerves of the bladder. work force who have had a radical prostatectomy —prostate removal— can not ejaculate at all. This is distinct from retrograde ejaculation and occurs because ejaculate can no long travel to the penis .

When to see a doctor?

share on PinterestA doctor should be consulted if ejaculate is not present following an orgasm or if there is less ejaculate than usual after an orgasm. retrograde ejaculation is neither dangerous nor afflictive and does not always require treatment. It can, however, be a symptom of another checkup condition. Consult a doctor about retrograde ejaculation when :

  • ejaculate is not present following an orgasm
  • there is consistently less ejaculate than usual following an orgasm
  • a couple has still not gotten pregnant after a year of trying

A 2017 study detailed a case in which retrograde ejaculation was the first and only symptom of character 1 diabetes. So men who experience retrograde ejaculation should talk to their doctors .


retrograde ejaculation is not wholly preventable. man who need treatment for an elaborate prostate should consider surgeries that are less invasive, such as transurethral microwave thermotherapy ( TUMT ) or transurethral needle ablation ( TUNA ) of the prostate. These surgeries are less likely to cause steel and muscleman damage. Controlling medical conditions that can cause steel wrong may besides prevent retral ejaculation. valet with diabetes should take the medications their doctors prescribe and should implement appropriate life style changes as recommended by a doctor.

Read more: ED


retrograde ejaculation is not constantly reversible. however, the sterility it can cause is treatable. even when a valet can not ejaculate at all, a richness specialist may be able to help. man with retrograde ejaculation may have other symptoms due to an enlarged prostate, diabetes, or prostate gland surgery. indeed even if a man believes his circumstance is untreatable, he should report symptoms such as afflictive ejaculation, blood in the blurt out, frequent micturition, or erectile dysfunction to a doctor. These symptoms target to another diagnosis and are not ascribable to retrograde ejaculation. Most men associate ejaculation with orgasm, but not all orgasms involve ejaculation. It can be unnerving to orgasm without ejaculating, but it is not harmful—changing expectations may be all it takes to live comfortably with retrograde ejaculation .

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