Retrograde Ejaculation
Retrograde ejaculation, meaning that semen flows into the urine bladder instead of being expelled through the penis during ejaculation, is a condition that can pose a serious concern for those facing infertility challenges. It is also known as dry orgasm.
If you’re experiencing symptoms or are concerned about this condition, understanding its implications and treatment options is crucial for effectively managing your reproductive health.
What is Retrograde Ejaculation?
Retrograde ejaculation occurs when the semen, which usually exits the body through the urethra during ejaculation, instead flows backwards into the bladder.
This condition can lead to fertility issues as the sperm is not delivered to the female reproductive tract but rather is mixed with urine and subsequently expelled from the body during urination.
What Causes Retrograde Ejaculation?
Causes of Retrograde Ejaculation include:
Bladder Muscle Issues: Normally, a small sphincter muscle keeps the bladder closed during sex. If this muscle doesn’t function properly, sperm may flow backwards into the bladder during orgasm.
Potential Causes Include:
- Certain blood pressure and anti-depression medications.
- Medications for prostate issues.
- Urethral or prostate surgery
- Nerve damage e.g after diabetic neuropathy
- Prostate or bladder removal
- Radiation therapy in the pelvic region.
Retrograde Ejaculation Symptoms
Symptoms of Retrograde ejaculation include:
During orgasm, there may be little to no sperm released. The amount of ejaculate can be noticeably less than usual or absent entirely.
After sexual activity, urine may appear cloudy, which can be an indicator of retrograde ejaculation.
Difficulty conceiving or infertility may arise because the sperm is unable to reach and fertilise the female’s eggs.
Diagnosing Retrograde Ejaculation: A 3-Step Approach
Discuss the patient’s medical history, including medications, past surgeries, and relevant health details.
Conduct a physical assessment of the reproductive organs, including the scrotum, testicles, penis, and rectum.
Examine the urine that is discharged after an orgasm to check for signs of retrograde ejaculation.
Retrograde Ejaculation Treatment
Medications such as:
Imipramine: This antidepressant, also known for its use in treating bed-wetting in children, may be effective.
Midodrine: Typically used to address low blood pressure, this medication can also aid in improving semen transport within the body.
Antihistamines: Certain antihistamines, such as chlorpheniramine and brompheniramine, are primarily used for allergies but may also assist with retrograde ejaculation.
Decongestants: Drugs like phenylephrine and pseudoephedrine, which are generally used to relieve nasal congestion, can also be beneficial for retrograde ejaculation.
Hormone Therapy: If hormonal imbalances are identified, hormone replacement therapy might be recommended to restore normal function.
Depending on individual circumstances of patient
Surgical Interventions: In some cases, surgical procedures may be necessary to correct anatomical issues. For example, surgeries can be performed to repair or reconstruct the bladder, neck, or other affected structures.
Assisted Reproductive Techniques Men with retrograde ejaculation who want to conceive can have sperm retrieved from their urine and utilised in assisted reproductive methods like intrauterine insemination (IUI) or In vitro fertilisation (IVF).This approach allows for sperm to be collected and used despite the retrograde ejaculation.
Lifestyle Changes
Embracing a healthy lifestyle, characterised by regular exercise and a balanced diet, can also enhance overall reproductive health.
Addressing underlying conditions if uncontrolled such as diabetes, through lifestyle changes and proper management can help improve ejaculatory function.
Living with Retrograde Ejaculation
For men with retrograde ejaculation, managing the condition involves understanding its impact on fertility and exploring available treatments.
If you suspect retrograde ejaculation or are facing challenges with ejaculation, consulting with Dr Salem El Shawarby, a leading expert in Reproductive Medicine and Infertility, is crucial. Dr El Shawarby is committed to delivering precise diagnoses and effective management for retrograde ejaculation, ensuring you receive top-notch care.
Schedule a consultation with Dr El Shawarby for a thorough evaluation. He will investigate potential causes, review customised treatment options, and direct you to the most effective solutions tailored to your needs.
