Retrograde Ejaculation

Retrograde ejaculation occurs when semen enters the bladder instead of exiting through the penis during orgasm. In retrograde ejaculation, the sphincter muscle fails to contract properly, causing semen to flow into the bladder rather than being released through the penis.  

While retrograde ejaculation does not typically pose a health risk, early diagnosis and treatment are essential for preserving reproductive wellness. Dr. Kamaraj Hospital provides advanced diagnostics and specialised treatment for retrograde ejaculation, supporting men’s reproductive health with expert care.

Symptoms and Diagnosis of Retrograde Ejaculation

Symptoms of Retrograde Ejaculation may include:

  • "Dry" ejaculation, or the release of little to no semen during climax
  • Cloudy urine after ejaculation due to the presence of semen in the bladder
  • Potential infertility issues, as semen is redirected into the bladder rather than being ejected by the penis

Diagnostic Tests for Retrograde Ejaculation

Healthcare specialists typically begin by assessing the patient’s medical history, including any conditions or medications that may contribute to retrograde ejaculation. The diagnostic approach may include:

  • Semen Sample: A low semen volume in at least two samples may indicate retrograde ejaculation.
  • Urine Sample: A urine sample collected after orgasm can reveal fructose and sperm presence, which can help diagnose retrograde ejaculation.

Causes of Retrograde Ejaculation

Many medical conditions or physical factors can cause retrograde ejaculation, including:

Nerve Damage

Conditions such as diabetes and multiple sclerosis can affect nerve function, leading to retrograde ejaculation.

Surgical Procedures

Surgeries, especially those involving the bladder, prostate, or lower abdominal areas, may interfere with normal ejaculation pathways.

Medications

Certain medications, such as for high blood pressure, depression, or prostate enlargement, may cause this condition as a side effect.

Physical Trauma

Injuries to the lower abdomen or pelvic area can also impact the muscles and nerves responsible for ejaculation.

Types of Retrograde Ejaculation

Retrograde ejaculation can occur in various degrees:

  • Acquired Retrograde Ejaculation: This happens due to a medical surgery such as prostate removal or medications for certain conditions, such as medication used in anaesthesia.
  • Spontaneous Retrograde Ejaculation: This is a rare type of retrograde ejaculation that may be caused due to an abnormality in the genito-urinary tract, such as a low cervical mucus pH level.
  • Congenital Retrograde Ejaculation: In this case, the condition is present from birth due to poor development of certain muscles, nerves, and structures in the urinary tract that control ejaculation.

Retrograde Ejaculation Treatment Services

Retrograde ejaculation does not cause any pain or pose a risk to men’s sexual health, so it doesn’t necessarily require treatment.
However, it can cause infertility in 0.3 to 2% of cases and can be treated with medication, depending on the cause. Healthcare professionals might prescribe medication to help keep the bladder and neck muscles contracted during ejaculation, ensuring normal function.

The Process of Retrograde Ejaculation Treatment at KHPL

Our approach for retrograde ejaculation treatment at KHPL is structured to provide effective and individualised care. Here is an overview of our treatment process:

Consultation and Diagnosis

We begin with a detailed consultation to understand the patient's symptoms, medical history, and any prior treatments. Diagnostic tests may include a post-ejaculatory urinalysis, which checks for sperm in the urine to confirm the retrograde ejaculation.

Treatment Planning

Based on the diagnosis, our healthcare specialists design a treatment plan suited to the patient’s needs. Treatment may involve medications to improve bladder and neck muscle control, lifestyle changes, or management of underlying conditions contributing to the issue.

Follow-Up and Support

Regular follow-ups allow our specialists to monitor the effectiveness of the treatment and make necessary adjustments to optimise results.

Why Choose Us?

Dr. Kamaraj Hospital specialises in men's health, fertility issues, and sexual health. Our experienced team offers specialised care with its patient-centric approach, using advanced diagnostic and treatment methods.

You can count on our men's health specialists for the support and treatment you need for conditions like retrograde ejaculation. We are committed to the highest quality of treatment to help you lead a healthy life.

Best Sexologist in Chennai Dr. Kamaraj

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FAQ

Which tests are required for diagnosing retrograde ejaculations?

Diagnosis generally includes a post-ejaculatory urine test, which can detect the presence of semen in the bladder. Further tests like blood analysis or imaging may be necessary in some cases.

Treatment options vary based on the cause and severity. Common approaches include medication adjustments, new medication to help the muscle contract, and, if necessary, surgical intervention.

Treatment costs depend on the required services, such as diagnostic tests, medications, and additional procedures.

Medications like imipramine, an antidepressant and antihistamines, such as chlorpheniramine, are often prescribed to enhance muscle control. Medications may vary depending on individual health needs.

Meet Our Doctor

Best Sexologist in Chennai Dr. T Kamaraj

Dr. T. Kamaraj

Sexologist & Male Infertility Specialist

MBBS degree and advanced qualifications in obstetrics and gynaecology
Infertility Specialist Dr. J S Jeyarani Kamaraj

Dr. J. S. Jeyarani Kamaraj

Infertility Specialist

MBBS degree and advanced qualifications in obstetrics and genecology, including an MD and a Diploma in Gynecology and Obstetrics (DGO)