what is Retrograde ejaculation?
Ejaculation retrograde
Retrograde ejaculation occurs when semen enters the bladder instead of going out through the urethra during ejaculation.Causes
Retrograde
ejaculation is uncommon. The main reason it occurs is that the bladder
neck does not close. This causes semen to go backwards into the bladder
rather than forward out of the penis.
Retrograde ejaculation may also be caused by:
- Diabetes
- Some medications, including drugs used to treat high blood pressure (hypertension) and some mood-altering drugs
- Medications or surgery to treat prostate or urethra problems
Symptoms
- Cloudy urine after orgasms
- Little or no semen is released during ejaculation
Exams and Tests
A urinalysis that is taken soon after ejaculation will show a large amount of sperm in the urine.
Treatment
Your
health care provider may recommend that you stop taking any medicines
that may cause retrograde ejaculation. This can make the problem go
away.
Retrograde ejaculation that is caused by diabetes or surgery
may be treated with medications such as pseudoephedrine or imipramine.
Outlook (Prognosis)
If
retrograde ejaculation is caused by medications, stopping the drug will
often bring back normal ejaculation. If retrograde ejaculation is
caused by surgery or diabetes, it is often not correctable.
Possible Complications
The condition may cause infertility.
However, semen can often be removed from the bladder and used during
assistive reproductive techniques to achieve a pregnancy.
When to Contact a Medical Professional
Call
for an appointment with your health care provider if you are having
trouble conceiving a child or you are worried about retrograde
ejaculation.
Prevention
Maintaining
good blood sugar control may help prevent this condition in men who have
diabetes. Avoiding drugs that cause retrograde ejaculation will also
prevent this condition.
References
Goldstein M. Surgical management of male infertility. In: Wein AJ, ed. Campbell-Walsh Urology. 10th ed. Philadelphia, Pa:Saunders Elsevier; 2011:chap 22.
Heidelbaugh JJ. Management of erectile dysfunction. Am Fam Physician. 2010;81:305-312.
Bhasin S, Basson R. Sexual dysfunction in men and woman. In: Kronenberg HM, Melmed S, Polonsky KS, Larsen PR, eds. Williams Textbook of Endocrinology. 12th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 20.
source:
http://www.nlm.nih.gov/medlineplus/ency/article/001282.htm
