IVF

What is Retrograde Ejaculation?

Retrograde ejaculation occurs when during climax the man′s ejaculate turns backwards and goes into the bladder, instead of coming out of the urethra. As a result, the semen mixes with urine in the bladder and is passed out as waste.

What causes retrograde ejaculation?

Several conditions or an anatomical deformity, which may include prior prostate/urethral surgery, diabetes, usage of certain kinds of medicines and drugs, etc.- are some known factors that may cause retrograde ejaculation.

What are its symptoms?

There are a few symptoms that directly indicate the presence of retrograde ejaculation in a man. These are:

  • Cloudy urine post orgasm
  • Little or no ejaculate during orgasm
  • Infertility

How does it affect fertility?

For men who have retrograde ejaculation, it is nearly impossible to conceive a child naturally. Since no sperm is ejaculated inside the female partner during intercourse, the chances of fertilisation are nil. This condition hence causes infertility in men. Therefore, couples take the help of assistive reproductive methods, to conceive.

How is retrograde ejaculation diagnosed?

It is diagnosed using a three step approach to evaluate the existence of this condition in a patient.

  • Step 1:  Asking questions related to medical history, surgeries, medicines, etc.
  • Step 2:  Physical examination of the patient′s scrotum (penis, testicles and rectum)
  • Step 3:  Examination of urine discharged after having an orgasm

Can retrograde ejaculation be treated?

The treatment of retrograde ejaculation may differ from patient to patient, mainly because the cause of the problem varies. The methods of treating this condition according to its varied causes are as follows:

  • Cause- Drugs/Medicines:  The condition may be treated by discontinuing the use of specific medicines like mood altering drugs, medicines to treat hypertension, etc.
  • Cause- Diabetes/Multiple Sclerosis/Nerve Damage:  In many cases, medicines can able to treat retrograde ejaculationif the previously stated reasons cause it.
  • Cause- Surgery:  After procedures may alter one′s Anatomy. Therefore, to treat retrograde ejaculation as a result of this, one needs to undergo other forms of surgery, like bladder-neck surgery, transurethral resection of the prostate, etc.

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