Retrograde ejaculation In men, both urine and ejaculation pass through the urethra. Muscles around the neck or bladder sphincter help hold urine until it’s ready.

During orgasm, these same muscles contract and prevent ejaculation from entering the bladder. Let it flow from the tip of the penis through the urethra.

This muscle does not contract during retrograde ejaculation. This is a relaxed state, so ejaculation is monitored in the bladder. The result is the so-called dry orgasm. Despite the lack of ejaculation, it usually feels like an orgasm and doesn’t usually affect sexual pleasure.

There are no ailments or serious threats to your health.

Read on to find out what and when to see a doctor and why some men want to seek treatment.

What are the symptoms?

The main symptom of retrograde ejaculation is little or no sperm during orgasm. This means that the sperm entered the bladder and not the urethra.

Sperm is mixed with urine, so you can’t even see it, even if your urine is a little cloudy right after sex.

Another sign of retrograde ejaculation is a failed attempt to conceive. This is called male infertility.

How does this affect the birth of a child?

Retrospective ejaculation harms infertility, not a common cause of infertility. This causes 0.3 to 2 percent of infertility problems.

Retrospective ejaculation does not mean that sperm cannot survive. Instead, infertility occurs when your sperm does not reach your partner.

What is the reason?

While some other problems associated with ejaculation have psychological causes, backward ejaculation leads to physical problems.

This can cause recurrences of bladder input muscles.

Retrospective ejaculation is a potential side effect of some medications, including those prescribed to treat enlarged prostate, high blood pressure, or depression.

It can also cause nerve damage due to certain conditions, such as:

• Diabetes

• Multiple sclerosis

• Parkinson’s disease

• Spinal cord injury

Surgery for prostate cancer can damage the nerves that affect the prostate, seminal vesicles, and bladder. A type of surgery called urethral prosthetics (TURP) damages the bladder valve.

The most common causes of retrograde ejaculation are prostate and bladder surgery.Top of FormBottom of Form

What are the risk factors?

These factors can increase the risk of degenerative ejaculation.

• Diabetes

• Multiple sclerosis

• Parkinson’s disease

• Spinal cord injuries

• Prostate or bladder surgery.

• Some medications to treat enlarged prostate, high blood pressure or depression.

How do you diagnose it?

If you have frequent dry orgasms, it’s a good idea to see your doctor. Retrograde ejaculation is not harmful to health, but dry orgasms can have other causes as well. It can also cause underlying conditions that need to be addressed.

Your doctor will likely want to perform a physical exam to check for any obvious abnormalities. To further evaluate your condition, your doctor will evaluate the following signs and symptoms:

• Lack of ejaculation during orgasm.

• Cloudy urine after orgasm.

• Infertility

Be sure to tell your doctor:

• How often do you have dry orgasms?

• Other symptoms you may notice

• If you become aware of a chronic illness or a pre-existing injury

• Information on the medications you are taking

• Have you ever received cancer treatment and what was it?

Urinalysis is a good way to determine if the absence of ejaculation is caused by retrograde ejaculation. You may be asked to masturbate before urinalysis. If the urine contains a large amount of semen, the diagnosis is degenerative ejaculation.

If your urine does not contain semen after orgasm, you may have sperm flow problems or other problems. You may also need to get tested by a fertility specialist or other doctor.

Can it be curing?

Retrograde ejaculation does not necessarily require treatment. It won’t interfere with your sexual pleasure, but it won’t put your health at risk. However, remedies are available.

If the cause is the drug, stop taking it and throw it away. However, don’t stop taking your prescribed medications until you talk to your doctor. You may need to take the drug and see if it works, but you need to take it carefully and understand all your options.

Before prescribing a new medication, your doctor will examine your overall health, including any other conditions you may have. Various medications continue to help by contracting the bladder neck muscles during ejaculation. Here are some of them:

Brompheniramine (Ala-Hist J-Tan, Veltane)

• Chlorpheniramine (Aller-Chlorine, Chlor-Trimeton, Polaramine, Teldrin)

• Ephedrine

• Imipramine (tofuraniru)

• Midodorina

• Feetfurin (Sudafed for children, Pediacare, Vazculep)

• Pseudoephedrine or fenirefurin (Sirufedorin, Sudafedo, Sudogesu, Sufedorin)

If the surgery causes severe nerve or muscle damage, medications are usually ineffective.

If you’re trying to get pregnant but your medications aren’t working, consider talking to a fertility specialist. Sperm can be obtained for artificial insemination or in vitro fertilization.