Doctor insights on:
How Do You Fix Retrograde Ejaculation
Depends upon cause: Not fixable after prostatectomy or resection of bladder neck. Stop or change drugs which cause re, flomax, antihypertensives & some antidepressants. Re from nerve damage from diabetes or multiple sclerosis may respond to imipramine, antihistamines or decongestants like sudafed or ephedrine. Subjects needing to overcome infertility may need assisted reproductive technology to harvest sperm for ai. ...Read more
Ejaculation occurs with a sexual climax during sex or masturbation or during so called "wet dreams". Pre-cum emission comes from cowper's gland with duct that opens into bulbar or mid- urethra urethra & ? Without warning. Then ejaculation occurs after semen enters urethra from ejaculatory duct, just beyond bladder neck which reflexly contracts followed by ...Read more
Retrograde ejaculation: Retro grade ejaculation is when the muscle that leads into the bladder does not close off during the act of ejaculation. The semen will enter into the bladder and not through the opening of the penis. If the male produces a urine specimen then sperm can be found in the urine. ...Read moreSee 1 more doctor answer
Dry climax: This is often misdiagnosed on history. You have the feeling of an orgasm but no semen comes out -- it goes into your bladder. If this is you, talk with your physician. Or if you have other questions here that would call for a good physical exam, ask your physician. Best wishes. ...Read more
Medical, IUI or IVF: Retrograde ejaculation can be caused by injury to the nerves through surgery or from diabetes. Medical treatments can sometimes be used to increase the sphincter pressure of the bladder so sperm will come out instead of back. Otherwise, ejaculating, voiding afterward then quickly processing the sample for use with insemination or ivf is necessary. ...Read more
Alpha blockers,TURP: The most common non surgical cause is the use of Alpha blockers( flomax, rapaflo). The surgical cause is the TURP type of procedures eg. Green light laser, button evaporation or incision of bladder neck. The reason is that in these procedures bladder neck is opened up and semen finds it easier to pass into the bladder than go down a long way into the penis and out. ...Read more
Retro grade ejaculation is when the muscle that leads into the bladder does not close off during the act of ejaculation. The semen will enter into the bladder and not through the opening of the penis. If the male produces a urine specimen then sperm can be ...Read more
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