How to Identify and Treat Retrograde Ejaculation

Retrograde ejaculation is the reduction or absence of sperm during the ejaculation that happens because the sperm goes to the bladder instead of out through the urethra during orgasm.

Although retrograde ejaculation does not cause any pain, nor is it dangerous to the health of the man can have emotional implications, since the man has the sensation that can not ejaculate as it is expected. In addition, in cases in which there is total absence of ejaculation, you can even arise infertility.

Thus, whenever there is changes in the ejaculation is very important to go to the urologist to make an assessment, identify the problem and initiate the most appropriate treatment.


Possible symptoms

The main symptom of retrograde ejaculation is reduction or absence of sperm during ejaculation. Retrograde ejaculation does not cause pain, because what happens is that the semen is routed directly to the bladder and later expelled in the urine, leaving the slightly more blurred.

Men with retrograde ejaculation are able to achieve and feel orgasm, no erection problems.

How is the diagnosis made

Retrograde ejaculation can be diagnosed through a urine test, performed after an orgasm, in which the presence of sperm in the urine confirms the existence of the problem. In spite of having a simple diagnostic, retrograde ejaculation must first be identified by the man, that in these cases one observes a reduction or complete absence of sperm during the climax.

What causes retrograde ejaculation

Retrograde ejaculation is mainly caused by surgery on the prostate or diabetes, and may also be caused by:

  • Psychological illnesses, such as depression;
  • Neurological diseases, such as multiple sclerosis or injuries of the spine that affect the nerves;
  • Injury locations, such as trauma to the urethra or fracture in the region of the hip;


In addition to retrograde ejaculation also can arise in men using certain types of medications such as antidepressants, anxiolytics or medicines for blood pressure.

How is it treated

The treatment of retrograde ejaculation usually is only necessary when it interferes with the fertility of the man. In these cases, the first treatment option is the use of drugs that regulate the functioning of the nerves in the region, such as ephedrine or phenylpropanolamine, for example. However this treatment is most effective for cases in which there was lesion of the nerves, as happens in cases dediabetes, multiple sclerosis or even surgery.

Now, when the man you want to have children, but did not get results with the remedies indicated by the physician, the urologist may recommend the harvesting of the sperm or the use of assisted reproduction techniques such as intrauterine Insemination, where is inserted a small portion of sperm within the uterus of the woman.

How to Identify and Treat Retrograde Ejaculation 1

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