retrograde ejaculation

Ejaculation Problems

Ejaculation problems are common sexual problems in men.

The 3 main types of ejacualtion problems are:

  • premature ejaculation

  • delayed ejaculation

  • retrograde ejaculation

If you have a persistent problem with ejaculation, visit your GP, who will discuss the problem with you and may examine you or refer you to a specialist.

Retrograde Ejaculation

Retrograde ejaculation is a rarer type of ejaculation problem. It happens when semen travels backwards into the bladder instead of through the urethra (the tube that urine passes through).

The main symptoms of retrograde ejaculation include:

  • producing no semen, or only a small amount, during ejaculation

  • producing cloudy urine (because of the semen in it) when you first go to the toilet after having sex

Men with retrograde ejaculation still experience the feeling of an orgasm and the condition does not pose a danger to health. However, it can affect the ability to father a child.

Causes of Retrograde Ejaculation

Retrograde ejaculation is caused by damage to the nerves or muscles that surround the neck of the bladder (the point where the urethra connects to the bladder).

Usually when you ejaculate, semen is pushed out of your urethra. It is prevented from entering your bladder by the muscles around the neck of the bladder, which close tightly at the moment of orgasm.

However, damage to the surrounding muscles or nerves can stop the bladder neck closing, causing the semen to move into the bladder rather than up through the urethra.

Prostate gland surgery or bladder surgery is the most common cause of retrograde ejaculation. Other causes are diabetesmultiple sclerosis, and a class of medicines known as alpha blockers, which are often used to treat high blood pressure (hypertension).

Treating Retrograde Ejaculation

Most men do not need treatment for retrograde ejaculation because they are still able to enjoy a healthy sex life and the condition does not have adverse effects on their health.

But if treatment is required (usually because of wanting to father a child), there are options to try.

For example, pseudoephedrine (commonly used as a decongestant) has proved effective in treating retrograde ejaculation caused by diabetes or surgery.

If retrograde ejaculation is caused by using a certain medicine, then normal ejaculation will usually return once medicine is stopped.

Speak to your GP before stopping any prescribed medicine.

However, if the retrograde ejaculation has been caused by significant muscle or nerve damage, treatment may not be possible.

Men who want to have children can have sperm taken from their urine for use in artificial insemination or in-vitro fertilisation (IVF).

Involve Your Wife

If you're having problems with your sex life and are seeking treatment, it is usually recommended you involve your Wife as much as possible.

Communicating your concerns can often go a long way to helping to resolve them. And, in some cases, your wife may also have their own problems that are contributing towards problems with your sex life.

For example, some women are unable to reach climax during "normal" intercourse and require manual or oral stimulation.

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