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Retrograde ejaculation Causes and Risks:
Retrograde ejaculation may be caused by prior prostate or urethral surgery, diabetes , some medications, including some drugs used to treat hypertension and some mood altering drugs. The condition is relatively uncommon and may occur either partially or completely. The presence of semen into the bladder is harmless; it mixes into 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.
Prevention:
Maintaining good blood sugar control in diabetic men may be helpful in preventing the development of this condition. Avoiding the use of mind altering drugs will prevent the condition developing as a result of their use.
Symptoms:
- little or no semen discharged from the urethra in conjunction with the male sexual climax (during ejaculation)
- possible infertility
Signs and Tests:
A urinalysis performed on a urine specimen that is obtained shortly after ejaculation will reveal a large amount of sperm.
Treatment:
If retrograde ejaculation is caused by drugs, removal of the specific drug may resolve the condition. Retrograde ejaculation caused by diabetes or following genitourinary tract surgery may be responsive to the use of epinephrine-like drugs (such as pseudoephedrine or imipramine).
Prognosis:
Some forms of retrograde ejaculation may not be reversed with current treatment regimens.
Complications:
The condition may cause infertility .
Call Your Healthcare Provider:
Call for an appointment with your health care provider if you are having difficulty conceiving a child.
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