What Is Retrograde Ejaculation? Explained In Detail

Sexual health is an integral aspect of sweeping well-being, and any disruptions in this sphere can be concerning. Retrograde ejaculation is one such condition that may affect men, impacting their ability to ejaculate normally. In this blog, we’ll delve into the details of retrograde ejaculation, exploring its causes, symptoms, and potential treatments.

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Understanding Retrograde Ejaculation

Retrograde ejaculation takes seat while semen enters the bladder rather than emerging via the penis for the duration of orgasm. Although you continue to attain sensual climax, you may ejaculate little or no or no semen. This is now and another time referred to as a dry orgasm. Retrograde ejaculation is not harmful, however it is able to motivate male infertility. Treatment for retrograde ejaculation is typically simplest needed to restore fertility.

Retrograde ejaculation is a term that refers to semen going backward into your bladder in preference to from your frame through your urethra and the top of your penis for the duration of sensual climax. The urethra is the tube where urine and sperm go to your body. Retrograde ejaculation is also known as dry orgasm. It may be a facet of infertility.

How common is Retrograde Ejaculation?

Retrograde ejaculation is quite usual. For example, it occurs after most cases of transurethral resection of the prostate (TURP) surgeries. TURP is used to treat benign prostatic hyperplasia, additionally referred to as an enlarged prostate.

Conditions that could reason retrograde ejaculation also are incredibly commonplace, such as diabetes. In phrases of medicinal drugs, a person who takes pills for high blood stress or melancholy may additionally develop retrograde ejaculation.

Retrograde Ejaculation Symptoms

It’s essential to note that individuals who enjoy retrograde ejaculation can correctly obtain an erection and reach climax throughout an orgasm. However, the semen does not exit via the penis. It enters the bladder rather and needle the body all through the process of urination, quickly after sensual sex.

There is not any bodily pain or pain associated with this structure.

Here are a few retrograde ejaculation signal to look out for:

  • During orgasm, a small quantity of semen may additionally pop out of the penis. Sometimes no semen exists via the penis.
  • Since semen enters the bladder, the urine leans to have a cloudy consistency
  • It can result in male infertility since the semen does not input the vagina of the partner in the course of sensual sex.

How is retrograde ejaculation diagnosed?

Though retrograde ejaculation is not vicious or painful, you ought to see a physician to make certain that the condition isn’t as a result of an underlying trouble that calls for medical interest.

A medical doctor will first ask you a number of questions on your signal and then bodily take a look at your genitals. The number one diagnostic test for retrograde ejaculation is known as a post-ejaculation urinalysis or PEU. During a PEU, your put-up-ejaculation urine will probably be examined for the presence of sperm or semen; you’ll be requested to drain your bladder, masturbate to climax, and then supply a publish-masturbation urine sample.

Causes Of Retrograde Ejaculation

A malfunctioning bladder sphincter, leading to retrograde ejaculation, can be a end result both of:

  • Autonomic apprehensive gadget dysfunction. (Dysautonomia)
  • Operation on the prostate. It is a commonplace problem of transurethral resection of the prostate, a manner in which prostate tissue is detached, slice by slice, via a resectoscope handed alongside the urethra.

It can also result from a retroperitoneal lymph node dissection for testicular most cancers if nerve pathways to the bladder sphincter are damaged, with the resulting retrograde ejaculation being either transient or permanent. Modern nerve-sparing strategies are searching to lessen this threat; however, it could also take place because of the result of Green Light Laser prostate surgery. Surgery at the bladder neck accounted for about ten percent of the instances of retrograde ejaculation or anejaculation pronounced in a literature overview.

Retrograde ejaculation is a not unusual facet impact of medicinal drugs, including tamsulosin, which can be used to loosen up the muscle mass of the urinary tract, treating conditions inclusive of benign prostatic hyperplasia. By enjoying the bladder sphincter muscle, the likelihood of retrograde ejaculation is expanded.

The medicinal drugs that typically target it are antidepressant and antipsychotic medicinal drugs, as well as NRIs inclusive of atomoxetine; patients experiencing this phenomenon tend to stop the medications.


Retrograde ejaculation typically doesn’t require treatment unless it interferes with fertility. In such cases, treatment depends on the underlying cause.


Medications might work for retrograde ejaculation caused by nerve damage. This type of damage can be caused by diabetes, multiple sclerosis, certain surgeries, and other conditions and treatments.

Drugs generally won’t help if retrograde ejaculation is due to surgery that causes permanent physical changes of your anatomy. Examples include bladder neck surgery and transurethral resection of the prostate.

If your doctor thinks drugs you are taking might be affecting your ability to ejaculate normally, he or she might have you stop taking them for a period of time. Drugs that can cause retrograde ejaculation include certain medications for depression and alpha blockers — drugs used to treat high blood pressure and some prostate conditions.

Drugs to treat retrograde ejaculation are drugs primarily used to treat other conditions, including:

  • Imipramine, an antidepressant
  • Midodrine, a medicine that constricts blood vessels
  • Chlorpheniramine and brompheniramine, antihistamines that help relieve allergies
  • Ephedrine, pseudoephedrine and phenylephrine, medicines that help relieve symptoms of the common cold

These medications help keep the bladder neck muscle closed during ejaculation. While they’re often an effective treatment for retrograde ejaculation, medications can cause side effects or adverse reactions with other medications. Certain medications used to treat retrograde ejaculation can increase your blood pressure and heart rate, which can be dangerous if you have high blood pressure or heart disease.

Infertility Treatment

If you have retrograde ejaculation, you’ll expectedly need treatment to get your female partner pregnant. In order to achieve a pregnancy, you need to ejaculate sufficient semen to carry your sperm into your partner’s vagina and into her uterus.

If medication doesn’t allow you to ejaculate semen, you will likely need infertility procedures known as assisted reproductive technology to get your partner pregnant. In a few cases, sperm can be recovered from the bladder, processed in the laboratory and used to inseminate your partner (intrauterine insemination).

Sometimes, more-advanced assisted reproductive techniques are needed. A lot of men with retrograde ejaculation are able to get their partners pregnant once they seek treatment.

Transurethral Resection of the Ejaculatory Ducts (TURED)

This is a procedure where the obstructed segment of the ejaculatory ducts are removed, allowing semen to enter the bladder instead of exiting through the urethra.

Transurethral resection of ejaculatory duct or TURED is an effective surgical treatment for unblocking the ejaculatory duct obstruction or EDO. This procedure involves removing the obstruction in the duct to let the semen and the sperm to mix and form a well and fecund ejaculate. The TURED surgery has upgraded their sperm count and spontaneous conception rate in about 30 % of men with EDO.


Retrograde ejaculation is a unique condition that can have both physical and emotional implications for men. Seeking medical advice is decisive for a proper diagnosis and tailored nursing scheme. Open communication with healthcare professionals can provide valuable insights and help individuals manage and address the challenges associated with retrograde ejaculation, ultimately improving their overall sensual health and quality of life.

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