Retrograde ejaculation

Retrograde ejaculation refers to the entry of semen into the bladder instead of going out through the urethra during ejaculation.

Alternative Names
Ejaculation retrograde

Causes, incidence, and risk factors
Retrograde ejaculation may be caused by prior prostate or urethral surgery, diabetes, some medications, including some drugs used to treat hypertension (high blood pressure) and some mood-altering drugs.

The condition is relatively uncommon and may occur either partially or completely. The presence of semen in the bladder is harmless. It mixes with the urine and leaves the body with normal urination. Men with diabetes and those who have had genitourinary tract surgery are at increased risk of developing the condition.

Symptoms
Little or no semen discharged from the urethra in conjunction with the male sexual climax (during ejaculation)
Possible infertility
Cloudy urine after sexual climax
Signs and tests
A urinalysis performed on a urine specimen that is obtained shortly after ejaculation will reveal a large amount of sperm in the urine.

Treatment
If retrograde ejaculation is caused by drugs, your doctor may recommend that you stop taking such drug. This can make the problem go away.
Retrograde ejaculation caused by diabetes or after genitourinary tract surgery may be treated with epinephrine-like drugs (such as pseudoephedrine or imipramine).

Expectations (prognosis)
If retrograde ejaculation is caused by medications, discontinuation of the medication often restores normal ejaculation. If retrograde ejaculation is caused by surgery or diabetes, it is often not correctable.


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