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Doctor insights on: Retrograde Ejaculation

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Dr. Rashid Khan
49 doctors shared insights

Retrograde Ejaculation (Overview)

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.


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I have described the signs of retrograde ejaculation I told a doctor and he said it was mental?

I have described the signs of retrograde ejaculation I told a doctor and he said it was mental?

Unlikely: I assume that you have orgasm without ejaculation. That is rarely psychological. Lack of orgasm is a different story. Leading causes are neurological or medication. ...Read more

Dr. Rashid Khan
49 doctors shared insights

Retrograde Ejaculation (Overview)

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.


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I'm 38 and was diagnosed with retrograde ejaculation. Can MS be a likely cause? Or could it be related to a lower back injury I suffered recently?

I'm 38 and was diagnosed with retrograde ejaculation.  Can MS be a likely cause? Or could it be related to a lower back injury I suffered recently?

Retrograde ejaculate: When the bladder neck muscles don't tighten properly, sperm can leak back into the bladder instead of out of the urethra, described as a dry orgasm. Various medical conditions including ms, spinal cord injury, diabetes, prostate surgery and certain medications can cause this. A simple low back injury is unlikely a cause versus ms or surgical exploration or trauma to the back. ...Read more

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How is retrograde ejaculation treated?

How is retrograde ejaculation treated?

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

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How can you cure retrograde ejaculation?

See a: Urologist for your best treatment options. It cannot always be cured, but can sometimes be helped. See a urologist. ...Read more

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What's retrograde ejaculation like?

What's retrograde ejaculation like?

Feels like orgasm: But semen flows backwards into the bladder. This means a dry ejaculation because semen doesn't flow down & out of the urethra. ...Read more

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How do you fix retrograde ejaculation?

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, (tamsulosin) 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

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How is retrograde ejaculation treated?

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

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How can you cure retrograde ejaculation?

See a: Urologist for your best treatment options. It cannot always be cured, but can sometimes be helped. See a urologist. ...Read more

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What does retrograde ejaculation feel like?

What does retrograde ejaculation feel like?

Feels like orgasm: But semen flows backwards into the bladder. This means a dry ejaculation because semen doesn't flow down & out of the urethra. ...Read more

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Retrograde ejaculation! Help, what causes this?

Ejaculation: Medication (alpha-blockers), diabetes, prior surgery just to name a few. See a urologist for full evaluation. ...Read more

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Is retrograde ejaculation related to any medications?

Is retrograde ejaculation related to any medications?

Retrgate ejaculation: Yes it is a common side effect of tamsulosin(flomax), which is used for benign prostatic hypertrophy.Also, some antidepressant and antipsychotic meds, and people who take these medication, when stopped the condition gets corrected. ...Read more

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What is the definition or description of: retrograde ejaculation?

What is the definition or description of: retrograde ejaculation?

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 more

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What do you suggest if I am 18, do I have retrograde ejaculation?

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

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What would cause retrograde ejaculation to revert back to normal on its own?

What would cause retrograde ejaculation to revert back to normal on its own?

Alpha blockers,TURP: The most common non-surgical cause is the use of Alpha blockers(flomax, (tamsulosin) 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

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I am a 49-year old male having TUIBN and want to know if retrograde ejaculation will be permanent?

I am a 49-year old male having TUIBN and want to know if retrograde ejaculation will be permanent?

Commonly: There is no fix for this which will reverse it if it happens. Sperm can be concentrated from the urine after sexual activity if fertility is an issue, but the ejaculate will continue to enter the bladder instead of passing out. ...Read more

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What is retrograde ejaculation? It sounds nasty.

What is retrograde ejaculation? It sounds nasty.

Backward ejaculation: Instead of the semen coming out of the penis, it goes backwards in retrograde fashion into the urinary bladder. ...Read more

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What is the negative effect of retrograde ejaculation?

Reduced fertility: The only known potentially adverse consequence of retrograde ejaculation is reduced fertility. In some cases this might be a positive effect. However, retrograde ejaculation, while not particularly harmful, may be a sign of medical problems that would benefit from treatment. It often can respond to pharmaceuticals. See http://www.asiaandro.com/news/upload/20130619-aja201229a.pdf for more details. ...Read more

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After tumt can retrograde ejaculation be reversed? My dr said 5% chance, and guess what I'm in the 5%. Climaxing does not feel the same at all. Help?

After tumt can retrograde ejaculation be reversed? My dr said 5% chance, and guess what I'm in the 5%. Climaxing does not feel the same at all. Help?

Retrograde ejac.: Assuming you are not taking an Alpha blocker drug such as flomax, (tamsulosin) the retrograde ejaculation may well be from the microwave thermal treatment of your prostate. If the internal sphincter was damaged, the problem may well be permenant. ...Read more

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Advise treatment on retrograde ejaculation?

Advise treatment on retrograde ejaculation?

See a urologist: To confirm diagnosis, and get an expert opnion, good luck ...Read more

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How long does it take for imipramine to work for retrograde ejaculation?

How long does it take for imipramine to work for retrograde ejaculation?

Tofranil (imipramine): If imipramine is going to work at allit should be taken 1-2 hours before intercourse ...Read more

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Hi docs, would retrograde ejaculation cause infertility?

Hi docs, would retrograde ejaculation cause infertility?

Yes,...: Retrograde ejaculation shoots the semen backward into the bladder instead of normally forward through and out of the urethra for vaginal insemination. So, it's yes to cause infertility. More detail? Ask doctor timely.

Best wish... ...Read more

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Will retrograde ejaculation cause infertility? Please help me docs!

Will retrograde ejaculation cause infertility? Please help me docs!

It will: Real retrograde ejaculation ("dry climax") involves ejaculation into the urinary bladder instead of outward. If you really have this all the time, you'll need your physician's help if you want to become a father. ...Read more

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I have described the signs of retrograde ejaculation I told a doctor and he said it was mental?

Unlikely: I assume that you have orgasm without ejaculation. That is rarely psychological. Lack of orgasm is a different story. Leading causes are neurological or medication. ...Read more

Ejaculation (Definition)

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