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Retrograde Ejaculation

What is retrograde ejaculation?

This is a term used to describe a situation where your semen does not come out of your penis when you have an orgasm. Instead, your semen enters the bladder.

You may notice that when you have an orgasm you cannot see any semen, or at least very little. Despite this, you still have the feelings of normal orgasm.

Although retrograde ejaculation isn’t harmful, it can be a problem as it can cause you to become infertile.

What to do if you are worried about retrograde ejaculation?

If you notice that there is little or no semen when you ejaculate, it can be worrying. You may wonder if there is a medical issue that needs addressing. It is a good idea to make an appointment to see A urologist so that any underlying cause can be checked. However, if you are planning to father children, this should be investigated.

Understanding retrograde ejaculation

When you ejaculate the vas deferens tube takes your sperm to the prostate. Here the sperm combines with other fluids, and this results in the semen that you see ejaculate when you have an orgasm. To stop the semen going into your bladder the muscle at its opening tightens.

If your bladder muscle does not tighten in the way that it should, sperm will enter the bladder and not through the opening in your penis as it normally would. This condition can cause a lot of stress for patients. The seemingly inability to produce sperm can be very worrying for most men, especially if they are considering starting a family.

Conditions which may cause retrograde ejaculation

There are a number of medical conditions which can cause retrograde ejaculation. These include

Previous surgery to the bladder
Surgery to the prostate
Side effects of certain medications.
Nerve damage
Radiation therapy to treat cancer

How to diagnose and treat retrograde ejaculation

If you are noticing less sperm production upon ejaculation, or worse no ejaculate, then contact us today. We will arrange a consultation with one of our Urologists to discuss your symptoms and arrive at a diagnosis. It may be advised to have some blood and/or urine tests which we will organise as recommended by the Specialist.

At your consultation the Urologist will ask you about your condition and ask you about your medical history. He/she will carry out an examination of your penis, scrotum and testicles. They will ask you about your ejaculation.

Depending on the cause of your retrograde ejaculation, the Urologist will discuss your treatment options with you. Medication may help in certain cases. Where treatment is not possible you may need to think about alternatives approaches to help with fathering a child. There are established procedures which can help with this.

What is the next step?

If you are suffering from erection problems, then contact us without delay. We can arrange a consultation and assessment as well as an erectile dysfunction blood test with a Moorgate Andrology Urologist at a clinic close to you.