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What is Retrograde Ejaculation?

Click here to learn about the possible causes, symptoms, and treatments for retrograde ejaculation.

While typically when a man has an orgasm, semen is ejected out of the urethra, there are circumstances when the semen instead travels backward into the bladder, otherwise known as retrograde ejaculation. Retrograde ejaculation occurs when the muscle that shuts the bladder does not function normally, allowing the semen to travel backward into the bladder at the time of ejaculation. In this case, less to no semen is ejected from the tip of the penis.

Under normal circumstances, during male orgasm and ejaculation, the vas deferens transport the sperm to the prostate gland, where additional fluids are added. The small muscle at the neck of the bladder contracts to keep the ejaculate from entering the bladder and, if it doesn’t function normally, can lead to retrograde ejaculation.

The most common symptom of retrograde ejaculation is the release of little to no semen during orgasm. Sometimes after orgasming, your urine may be overly cloudy, caused by your semen mixing with your urine in your bladder. The release of such little semen can cause challenges in trying to conceive a child.

Retrograde ejaculation can be caused by several things, some of which are reversible. Medications such as alpha-blockers, benign prostatic hyperplasia medication, antidepressants, and antipsychotics have been associated with retrograde ejaculation. In addition, certain surgical procedures, and especially prostate/bladder surgery, can be a potential cause. Lastly, a series of preexisting medical conditions, including diabetes and multiple sclerosis, may cause retrograde ejaculation.

Although retrograde ejaculation can cause challenges in conceiving children, there are effective treatments available. For example, if your retrograde ejaculation is linked to a medication you’re taking, changing medications can be effective. In addition, there are certain medications that can also improve the bladder’s muscle tone. In some cases, however, treatment for retrograde ejaculation is not possible.

Some men who do not want to father children, and whose sex life is not impacted by retrograde ejaculation, may simply not seek treatment. Some men choose to treat the condition of retrograde ejaculation to improve their experiences relating to sex. Others who want to father children also may look to treatments.  Some may have to also undergo infertility treatment to aid in getting pregnant if, for example, treatment does not aid in them ejaculating semen.

This information on the site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Dadi Inc. makes no representation and assumes no responsibility for the accuracy of information contained herein, and such information is subject to change without notice. You are encouraged to confirm any information obtained from or through this web site or article with other sources, and review all information regarding any medical condition or treatment with your physician.

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