What Is Retrograde Ejaculation?
Retrograde ejaculation occurs when sperm enters the bladder instead of being released through the penis during orgasm. Although men still feel the pleasure of an orgasm, no semen or very little semen is expelled, resulting in a “dry orgasm.”
What Causes Retrograde Ejaculation?
Retrograde ejaculation happens when the muscle (sphincter) that closes off the bladder during ejaculation does not function properly. As a result, sperm flows backward into the bladder.
Causes include:
- Certain medications for blood pressure, prostate, or depression
- Nerve damage from conditions like diabetes or multiple sclerosis
- Prostate or bladder surgery
- Radiation therapy in the pelvic area
What Are the Symptoms of Retrograde Ejaculation?
The primary symptom is the absence or reduction of semen during orgasm. Other signs include cloudy urine after sex, as the sperm mixes with urine, and difficulty conceiving due to sperm not reaching the egg.
How Do Doctors Diagnose Retrograde Ejaculation?
A diagnosis is typically made through a medical history review, physical exam, and urine analysis. After orgasm, the urine may be tested for sperm to confirm the condition.
How Is Retrograde Ejaculation Treated?
Treatment depends on the underlying cause. If medications are responsible, switching or stopping them may help. Assisted reproductive techniques can also help retrieve sperm from the bladder if fertility is a concern.
Does Retrograde Ejaculation Affect Fertility?
Yes, retrograde ejaculation can cause infertility because sperm does not reach the partner’s egg. However, the sperm itself is usually healthy, and fertility treatments, including sperm retrieval for in vitro fertilization, can help.
Consult us if you experience dry orgasms, especially if you are trying to conceive or are concerned about underlying health conditions. Although retrograde ejaculation is not harmful, addressing it can improve fertility and peace of mind.
