Retrograde Ejaculation

Retrograde ejaculation occurs when semen goes up into the bladder instead of out of the penis during the orgasm phase of sexual intercourse. The person may still reach sexual climax, but almost no semen is emitted. This condition is frequently dubbed a “dry orgasm” and is normally not hazardous, but it may influence male fertility and emotional well-being.

After ejaculation, the bladder neck muscles contract tightly to prevent semen from flowing back into it. In retrograde ejaculation, these muscles don’t work properly, and semen might flow backward into the bladder. These are often caused by diabetes, nerve damage, injury to the spinal cord, surgery to the prostate or bladder, or specific drugs for high blood pressure or enlarged prostate.
Symptoms may include decreased semen volume, murky urine after orgasm, infertility, and difficulties becoming pregnant. Diagnosis is usually made by physical examination, study of the medical history, and investigation of the urine after ejaculation for the presence of sperm in the bladder.

The treatment depends on the cause. If conception is desired, doctors may alter medications, provide drugs to strengthen bladder neck muscles, or propose fertility procedures. Treating health issues and timely obtaining medical guidance can improve reproductive health and quality of life.