Retrograde Ejaculation : Causes-Symptoms-Diagnosis-Treatment

 What Is Retrograde Ejaculation?

In males, excretory products and ejaculates each have the duct. There’s a muscle, or sphincter, close to the neck of the bladder that helps to carry urine in till you’re able to urinate.

Throughout orgasm, that very same muscle contracts to stay ejaculated from getting into the bladder. that enables it to flow through the urethra and out the tip of your penis.

In retrograde ejaculation, this muscle fails to contract. as a result of it stays relaxed, the ejaculate finishes up in your bladder. The results are what's referred to as a dry orgasm. Despite the dearth of ejaculate, it feels like a traditional consummation and doesn’t typically have an effect on sexual pleasure.

What Is Retrograde Ejaculation?
Retrograde Ejaculation

It’s not a sickness or a heavy threat to your health.

Continue reading to be told what causes it, after you ought to see a doctor, and why some men might want to hunt treatment.Retrograde ejaculation may be a term that refers to humour going backward into your bladder rather than out of your body through your duct and also the tip of your phallus throughout sexual climax. The urethra is the tube that lets excretory products and gametes leave your body.

Retrograde ejaculation is additionally called dry orgasm. It is often an element in infertility.

  1. Male reproductive system

  • Internal reproductive organs

  1. Testes

  2. Epididymis

  3. Vas deferens

  4. Seminal vesicles

  5. Prostate

  6. Bulbourethral glands

  • External reproductive organs

  1. Penis

  2. Scrotum

Medical terms

  • Retrograde ejaculation happens once cum enters the bladder rather than rising through the member throughout orgasm. though you continue to reach sexual climax, you would possibly ejaculate little or no semen. will be} typically referred to as a dry orgasm.
  • Retrograde ejaculation isn't harmful, however it can cause male infertility. Treatment for retrograde ejaculation is mostly solely required to revive fertility.
  • Retrograde ejaculation is a condition in which semen flows back into the bladder instead of exiting the penis during orgasm This is a relatively rare condition but it can have an impact on your sex life and fertility Here's what you need to know about retrograde ejaculation: What causes retrograde ejaculation? The cause of retrograde ejaculation isn't fully understood but it may be related to bladder malfunction or nerve damage from surgery trauma or other conditions that affect your pelvic region Some medications may also cause retrograde ejaculation if taken for more than two months Diabetes spinal cord injuries and multiple sclerosis are among some of the diseases that could affect.

Retrograde ejaculation occurs when semen enters into the bladder instead of exiting out of the penis during ejaculation It is a common occurrence in men who have had a vasectomy or other urological surgery and can also be caused by certain medications such as antidepressants and tranquilizers Symptoms of retrograde ejaculation include: semen being released from the urethra at an angle; no noticeable emission of semen but urine instead; and an extremely low sperm count Treatment for retrograde ejaculation depends on its cause If it is caused by medication then your doctor may prescribe you a different drug or reduce your dosage level Men with retrograde ejaculation.

Retrograde ejaculation often affects individuals who:

  • Have had surgery on their prostate and urethra.

  • Have diabetes or multiple sclerosis.

  • Have injured or had surgery on their spinal cords.

  • Have had pelvic or rectal surgery.

  • Have structural issues related to their urethra.

  • Are taking certain types of medications, such as some prostate medications, high blood pressure medications or antidepressants.

Symptoms Retrograde ejaculation

The main symptom of retrograde ejaculation could be a lack of spermatozoon kicking off throughout an coming. Your orgasm can have less ejaculate than usual or none at all. Cloudy piddle once you've got sex may additionally be an indication of retrograde ejaculation.‌

you'll have physiological state or hassle obtaining your partner pregnant as a result of your sperm can’t reach your partner' eggs to fertilize them.Retrograde ejaculation doesn't have an effect on your ability to induce an erection or have an orgasm — however once you climax, ejaculate goes into your bladder rather than coming out of your penis. Retrograde ejaculation signs and symptoms include:

  • Orgasms in which you ejaculate very little or no semen out of your penis (dry orgasms)

  • Urine that is cloudy after orgasm because it contains semen

  • Inability to get a woman pregnant (male infertility)

When to see a doctor

Retrograde ejaculation isn't harmful. An Associate in Nursing needs treatment given that you're making an attempt to father a child. However, if you've got dry orgasms, see your doctor to make sure your condition isn't caused by an underlying downside that desires attention.

If you and your feminine partner have had regular, unprotected intercourse for a year or longer and are unable to conceive, see your doctor. Retrograde ejaculation could be the reason for your problem if you ejaculate little or no semen.

Causes Retrograde ejaculation

Retrograde ejaculation is caused by a haul together with your circular muscle (called the bladder anatomical sphincter) that closes to let seed out and keeps excretory products in your body. as a result of your sphincter doesn’t work correctly, your bladder neck stays open rather than closing permitting the ejaculate to require the trail of travail into the bladder.During a male orgasm, a tube known as the canal transports sperm cell to the prostate, wherever they combine with different fluids to provide liquid semen (ejaculate). The muscle at the gap of the bladder (bladder neck muscle) tightens to forestall ejaculate from getting into the bladder because it passes from the prostate into the tube within the phallus (urethra). this {can be} an equivalent muscle that holds excretory products in your bladder till you urinate.

With retrograde ejaculation, the bladder neck muscle doesn't tighten properly. As a result, sperm cells can enter the bladder rather than being ejected out of your body through the penis.

Many conditions can cause issues with the muscle that closes the bladder throughout ejaculation. These include:

  • Surgery, such as bladder neck surgery, retroperitoneal lymph node dissection surgery for testicular cancer or prostate surgery

  • Side effect of certain medications used to treat high blood pressure, prostate enlargement and depression

  • Nerve damage caused by a medical condition, such as diabetes, multiple sclerosis, Parkinson's disease or a spinal cord injury

A dry climax is the primary sign of retrograde ejaculation. however dry orgasm — the ejaculation of very little or no seed — may be caused by different conditions, including:

  • Surgical removal of the prostate (prostatectomy)

  • Surgical removal of the bladder (cystectomy)

  • Radiation therapy to treat cancer in the pelvic area

Retrograde ejaculation is a condition in which semen goes backwards into the bladder during orgasm instead of coming out through the urethra This condition can be caused by a number of factors including injury to the spinal cord or prostate surgery It is also seen in men with diabetes and some antidepressants.

Risk factors Retrograde ejaculation

You're at increased risk of retrograde ejaculation if:

  • You have diabetes or multiple sclerosis

  • You've had prostate or bladder surgery

  • You take certain drugs for high blood pressure or a mood disorder

  • You had a spinal cord injury

Complications Retrograde Ejaculation

Retrograde ejaculation isn't harmful. However, potential complications include:

  • Inability to get a woman pregnant (male infertility)

  • Less pleasurable orgasm due to worries about absent ejaculate

Can retrograde ejaculation be corrected?

Retrograde Ejaculation is when a man ejaculates semen into his bladder This can be caused by injury to the bladder neck bladder or prostate gland It can also be caused by medications such as antidepressants some blood pressure medications and sedatives In many men with retrograde ejaculation there is no identifiable cause for the condition and it has no effect on penis function or sexual pleasure If you have retrograde ejaculation it does not necessarily mean that you are infertile However if your sperm count is low or if your sperm motility (swimming ability) is poor then infertility may be an issue for you.

How does Sudafed help retrograde ejaculation?

Retrograde ejaculation occurs when semen is ejaculated into the bladder instead of out through the penis This is a condition that affects nearly 40% of men with diabetes The condition often results in little or no semen being expelled during orgasm or it may be released into the bladder in small amounts after orgasm has already occurred The cause of this condition is an insufficient amount of seminal fluid which contains enzymes that help to liquefy semen so it can be expelled from the body through the urethra during ejaculation Men who have retrograde ejaculation are generally unable to conceive a child naturally because sperm does not enter the vagina and fertilize an egg Some men.

Does Benadryl help retrograde ejaculation?

Retrograde ejaculation is a condition that occurs when semen flows backward into the bladder instead of out of the urethra during ejaculation Although retrograde ejaculation can occur at any time it tends to be more common in men over age 40 who have diabetes or spinal issues according to the Cleveland Clinic Taking Benadryl (diphenhydramine) will not prevent retrograde ejaculation because it does not affect sexual response and may actually affect your sperm negatively.

How does imipramine treat retrograde ejaculation?

Retrograde ejaculation is a condition in which semen goes into the bladder instead of coming out through the penis during ejaculation according to Mayo Clinic Imipramine prescribed to treat depression and panic disorder prevents retrograde ejaculation by maintaining an adequate level of fluid within the seminal vesicles How imipramine works Imipramine increases levels of serotonin and norepinephrine in the brain which can help relieve symptoms of depression The drug also reduces activity at certain sites in the brainstem that control bladder function including those that control urine production and release from the body This action prevents retrograde ejaculation by preventing semen from.

Prevention Retrograde Ejaculation

If you're taking medications or have health issues that place you in danger of retrograde ejaculation, ask your doctor what you'll be able to do to lower your risk.

If you would like to have surgery that may have an effect on the bladder neck muscle, resembling prostate or bladder surgery, ask regarding the chance of retrograde ejaculation. If you propose to have youngsters within the future, speak along with your doctor about choices for protective seminal fluid before the surgery.

Diagnosis Retrograde ejaculation

To figure out the explanation for your dry orgasms, your doctor will raise concerns about your medical record and provide you with a physical exam. ‌ they'll ask you to grant a piss sample shortly once orgasming. They will check the urine sample for semen. This test is usually worn out by the doctor' office. Your doctor may ask you to urinate, masturbate to orgasm, and so urinate again.If you’re having frequent dry orgasms, it'd be an honest plan to visualize your doctor. Although retrograde ejaculation isn’t harmful to your health, there may be alternative reasons for dry orgasm. additional more may|you furthermore might} may have AN underlying condition that ought to be addressed. Your doctor can doubtless wish to perform a physical examination to ascertain for obvious abnormalities. To further value your condition, your doctor will assess signs and symptoms such as: 

  • lack of ejaculate during orgasm

  • cloudy urine after orgasm

  • infertility

Be sure to tell your doctor:

  • how long and how often you’ve been having dry orgasms

  • any other symptoms you may have noticed

  • if you’re aware of any preexisting chronic illnesses or injuries

  • about any medications you take

  • if you’ve been treated for cancer, and what those treatments were

A piss check could be a great way to search out if the shortage of ejaculate is thanks to retrograde ejaculation. you'll be asked to masturbate before providing a urine sample. If your urine contains a high quantity of sperm, the identification is going to be retrograde ejaculation. If your post-orgasm piss doesn’t contain body fluid, there is also a difficulty with semen production or another problem. you'll ought to see a physiological state specialist or other doctor for additional testing.

To diagnose retrograde ejaculation, your doctor may:

  • Ask questions on your symptoms and the way long you've had them. Your doctor may additionally  raise about any health problems, surgeries or cancers you've had and what medications you take.

  • Do a physical exam, which will likely include an exam of your penis, testicles and rectum.

  • Examine your excretory product for the presence of bodily fluid when you have got an orgasm. This procedure is typically done at the doctor' office. Your doctor will raise you to empty your bladder, masturbate to climax and so offer a urine sample for laboratory analysis. If a high volume of spermatozoon is found in your urine, you have retrograde ejaculation. If you have dry orgasms, however your doctor doesn't realize semen in your bladder, you may have a retardant with semen production. This may be caused by injury to the prostate or semen-producing glands as a result of surgery or radiation treatment for cancer within the girdle area. If your doctor suspects your dry consumption are a few things excluding retrograde ejaculation, you may like more tests or a referral to a specialist to seek out the cause.

Treatment Retrograde ejaculation

  • Retrograde ejaculation occurs when semen travels backward into the bladder rather than out of the urethra during ejaculation As a result semen doesn’t exit the penis and instead ends up in your urine This happens because of damage to or dysfunction of the valve that is supposed to release sperm into a man’s urethra during ejaculation.
  • Retrograde ejaculation doesn’t essentially need treatment. It ought ton’t interfere along with your sexual enjoyment, and it poses no risks to your health. However, remedies are available. Once it’s caused by medication, it should resolve once you stop taking the medicine. Don’t stop taking prescribed medications till you speak with your doctor, however. you {will} have to be compelled to strive going off a drug to envision if it helps, but you’ll need to screw safely and perceive all of your options. Before prescribing a replacement medication, your doctor will take into account your overall health, together with alternative conditions you may have. A range of medicines will facilitate keeping the bladder neck muscle constricted throughout ejaculation.Retrograde ejaculation generally doesn't need treatment unless it interferes with fertility. In such cases, treatment depends on the underlying cause.


Medications would possibly work for retrograde ejaculation caused by nerve damage. This sort of injury is often caused by diabetes, multiple sclerosis, surgeries, and different conditions and treatments. medicine typically won't facilitate if retrograde ejaculation is because of surgery that causes permanent physical changes of your anatomy. Examples embody bladder neck surgery and transurethral surgery of the prostate. If your doctor thinks drugs you're taking may well be affecting your ability to ejaculate normally, he or she may need you to stop taking them for a long time. medicine which will cause retrograde ejaculation include sure medications for depression and alpha blockers — medicine wont to treat high pressure and a few prostate conditions.

Drugs to treat retrograde ejaculation are drugs primarily used to treat other conditions, including:

  • Imipramine, an antidepressant

  • Midodrine, a medicine that constricts blood vessels

  • Chlorpheniramine and brompheniramine, antihistamines that help relieve allergies

  • Ephedrine, pseudoephedrine and phenylephrine, medicines that help relieve symptoms of the common cold

These medications help keep the bladder neck muscle closed during ejaculation. While they're often an effective treatment for retrograde ejaculation, medications can cause side effects or adverse reactions with other medications. Certain medications used to treat retrograde ejaculation can increase your blood pressure and heart rate, which can be dangerous if you have high blood pressure or heart disease.

Infertility treatment

If you have retrograde ejaculation, you'll seemingly need treatment to induce your feminine partner to become pregnant. so as to realize a pregnancy, you wish to ejaculate enough seed to hold your sperm cell into your partner' epithelial duct and into her uterus. If medication doesn't enable you to ejaculate semen, you'll likely need sterility procedures referred to as motor-assisted generative technology to get your partner pregnant. In some cases, sperm is often recovered from the bladder, processed within the laboratory and used to inseminate your partner (intrauterine insemination). Sometimes, more-advanced assisted reproductive techniques are needed. Several men with retrograde ejaculation are ready to get their partners pregnant once they get treatment.

Coping and support

Alterations in coming are connected with lower emotional and physical satisfaction, which could result in stress for you and your partner. Retrograde ejaculation is often particularly difficult if you and your partner wish to conceive a child. whereas most men will get their feminine partners pregnant with physiological condition treatment, it can be expensive and need nerve-wracking medical procedures for each of you and your partner. Talking with a counselor might help. Understanding all of your choices and communication along with your doctor and partner can help.

  • Know what it will cost. Your insurance could or might not cowl the prices necessary for sperm cell retrieval and insemination of your partner. 

  • Talk to your doctor. Ask about all your options. You'll need to meet with a urologist who specializes in male infertility.

  • Communicate with your partner. Make sure you and your partner each perceive your choices and therefore the potential risks of fertility procedures. you ought to both attend each consultation appointment. 

Preparing for your appointment

You're seemingly starting out by seeing your family doctor. betting on the likely reason behind your dry orgasms and whether or not you would like analysis and treatment to assist you get your feminine partner pregnant, you may ought to see a urinary and procreative specialist (urologist). Here's some info to help you make preparations for your appointment, and what to expect from your doctor.

What you can do

  • Write down any symptoms you're experiencing, including any that might seem unrelated to the reason for which you scheduled the appointment.

  • Write down key personal information, including prior surgeries or pelvic radiation, any major stresses, or recent life changes.

  • Make a list of all medications, vitamins and supplements that you're taking.

  • Write down questions to ask your doctor.

Preparing a list of questions before your appointment can help you make the most of your time together.

When seeing your doctor for dry ejaculation — the primary sign of retrograde ejaculation — some basic questions to ask your doctor include:

  • What is likely causing my symptoms or condition?

  • Are there other possible causes for my symptoms or condition?

  • What kinds of tests do I need?

  • Is my condition likely temporary or chronic?

  • Am I at risk of complications from this condition?

  • Does my condition need to be treated?

  • Will I be able to conceive children?

  • Should I see a specialist?

  • Is there a generic alternative to the medicine you're prescribing me?

  • Are there any brochures or different written material that I will make with me? What websites does one advocate visiting?

If you're trying to get your female partner pregnant, you might also want to ask:

  • Will medications help me ejaculate normally?

  • Can sperm be retrieved from my bladder and used for fertility treatment?

  • Will my partner and I likely need to use assisted reproductive technology, such as intrauterine insemination, to achieve pregnancy?

  • What's the best treatment to use to try to get my partner pregnant?

In addition to the questions that you've prepared to ask your doctor, don't hesitate to ask additional questions during your appointment.

What to expect from your doctor

Your doctor will raise you questions on your health and symptoms. Your doctor may additionally  do a physical test that features examining your penis, testicles and rectum. Your doctor will want to work out whether or not your dry orgasms are retrograde ejaculation or joined to a different downside that will want more evaluation. Being able to answer your doctor' queries would possibly save time to travel over any points you wish to pay longer on. Your doctor might ask:

  • Do you have cloudy urine after an orgasm?

  • When did you first begin having dry orgasms?

  • Do you ever ejaculate semen when you have an orgasm, or do you have a dry orgasm every time?

  • What surgeries have you had?

  • Have you had cancer?

  • Do you have diabetes or any other chronic health problems?

  • What medications or herbal remedies do you take?

  • Do you and your partner want to have a baby? If so, how long have you been trying to conceive?

General summary

  1. If a man ejaculates into his bladder it’s called retrograde ejaculation This is rare and usually caused by a physical injury or surgery to the bladder neck or urinary tract.

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