Retrograde Ejaculation

By Medically reviewed by Hello Doktor Medical Panel

The term retrograde ejaculation (or dry orgasm) presents for the unusual situation of semen when it enters the bladder instead of penis during orgasm.  Although there is no problem with reaching to sexual climax, men cannot ejaculate much semen.

What causes retrograde ejaculation?

There are several causes of retrograde ejaculation.

The first cause is the side effects from previous the bladder surgery such as prostate surgery or extensive pelvic surgery. Prostate surgery is a treatment of transurethral prostatectomy in men and it leads to 10- 15% of getting dry orgasm for men. Extensive pelvic surgery, which is commonly used to treat cancer of rectum, colon, prostate or testicles, can also cause the possibility of retrograde ejaculation.

Secondly, some certain illnesses can cause nerve injury especially people who surfer from long-term and poorly controlled diabetes.

Finally, the side effects of medications can be the reasons for retrograde ejaculation. These are some kinds of medicine with those unwelcomed side effects: tamsulosin/ terazosin to treat prostate enlargement, fluoxetine/sertraline (used in dealing with depression); chlorpromazine, thioridazine and risperidone ( used in treating psychosis)

How to treat retrograde ejaculation?

Depend on the cause of dry orgasm, there will be different kinds of treatment.

If the cause is the side effects of medicine, doctor will consider changing to other drugs

In case that dry orgasm is an unwanted effect of surgery, doctor will give patients some special drugs such as pseudoephedrine or imipramine to improve the muscle tone in the bladder entrance.

Furthermore, if those who get retrograde ejaculation wish to have baby, the fertility specialist can collect sperm and use it for an assisted-fertilization procedure. Intrauterine insemination and in-vitro fertilization are the most common methods.

How to prevent retrograde ejaculation?

The minimally invasive form of prostate surgery for enlarging prostates can minimize the risk of retrograde ejaculation. The latest technique includes transurethral needle ablation of the prostate and transurethral microwave thermotherapy. However, this technical is not suitable to all patients. Doctors need to do several careful medical checks and examinations beforehand.

If you ever find yourself being affected by the dry orgasm problem, contact your doctor for a thorough evaluation and appropricate treatment. Treatments for retrograde ejaculation are provided depending on the cause of problem.

Hello Health Group does not provide medical advice, diagnosis or treatment.

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Review Date: January 9, 2017 | Last Modified: December 9, 2019

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