Retrograde ejaculation

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
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Retrograde ejaculation
Synonyms	Dry orgasm
Pronounce	N/A
Specialty	N/A
Symptoms	Little or no semen during orgasm
Complications	Infertility
Onset	Can occur at any age
Duration	Long-term or permanent
Types	N/A
Causes	Diabetes mellitus, surgery (e.g., prostatectomy), medications
Risks	Diabetes, spinal cord injury, surgery
Diagnosis	Urinalysis after ejaculation
Differential diagnosis	Anorgasmia, ejaculatory duct obstruction
Prevention	Managing underlying conditions
Treatment	Medications (e.g., pseudoephedrine), surgery
Medication	N/A
Prognosis	Varies depending on cause
Frequency	Rare
Deaths	N/A

Retrograde ejaculation is a medical condition where, during orgasm, semen enters the bladder instead of exiting through the penis. This condition is usually harmless, but can lead to male infertility.

Causes

Retrograde ejaculation can be caused by various factors, including:

• Diabetes, especially in cases where the disease has been present for a long time
• Certain medications, such as those used to treat high blood pressure, prostate conditions, and depression
• Surgery on the prostate or bladder
• Spinal cord injury

Symptoms

The main symptom of retrograde ejaculation is the production of little to no semen during ejaculation. Other symptoms may include:

• Cloudy urine after sexual activity
• Less intense orgasms

Diagnosis

Retrograde ejaculation can be diagnosed through a urinalysis. If a large amount of sperm is found in the urine, this can indicate that semen is entering the bladder instead of exiting through the penis.

Treatment

Treatment for retrograde ejaculation depends on the underlying cause. If the condition is caused by medication, a different medication may be prescribed. If the condition is caused by diabetes or a nerve disease, treatment may involve managing the underlying condition. In cases where retrograde ejaculation leads to infertility, sperm retrieval techniques can be used to collect sperm for artificial insemination or in vitro fertilization.

See also

• Anorgasmia
• Erectile dysfunction
• Premature ejaculation