Sukhayu Hospital believes that accurate information is the first step toward effective treatment. Retrograde ejaculation is one such condition that causes anxiety in many men, especially those planning a family, but it is very much treatable in most cases.
What is Retrograde Ejaculation?
Retrograde ejaculation is a condition in which semen, instead of being expelled out through the penis during ejaculation, flows backwards into the urinary bladder. As a result, the man experiences either very little semen or a “dry orgasm,” despite having normal sexual pleasure.
Importantly, this condition is not life-threatening and does not affect sexual desire or erection, but it can lead to infertility concerns.
Why Does Retrograde Ejaculation Occur?
Normally, during ejaculation, a muscle at the bladder neck closes tightly to prevent semen from entering the bladder. In retrograde ejaculation, this mechanism fails.
Common causes include:
- Diabetes mellitus (due to nerve damage)
- Previous prostate, bladder, or urethral surgery
- Spinal cord injury
- Medications, especially:
- Drugs for enlarged prostate (alpha-blockers)
- Some blood pressure medications
- Certain antidepressants
- Congenital or neurological disorders
Symptoms to Look Out For
Men with retrograde ejaculation may notice:
- Very little or no semen during ejaculation
- Normal orgasmic sensation despite absent semen
- Cloudy urine after ejaculation (due to semen mixing with urine)
- Difficulty in conceiving despite normal sexual activity
Many patients discover the problem only during infertility evaluation.
How is Retrograde Ejaculation Diagnosed?
Diagnosis is usually simple and non-invasive:
- Clinical history and medication review
- Post-ejaculatory urine examination – presence of sperm in urine confirms the diagnosis
At Sukhayu Hospital, diagnosis is carried out with sensitivity and complete confidentiality.
Treatment Options
Treatment depends on the underlying cause:
1. Medical Management
If caused by medications or nerve dysfunction, drugs that improve bladder neck tone may be prescribed, such as:
- Sympathomimetic agents (under strict medical supervision)
2. Treating the Root Cause
- Better control of diabetes
- Modification or change of offending medications (when possible)
3. Fertility-Focused Treatment
For couples desiring pregnancy:
- Sperm retrieval from post-ejaculatory urine
- Assisted reproductive techniques (IUI / IVF)
Many men successfully father children with appropriate guidance.
When Should You Consult a Doctor?
You should seek medical advice if:
- You notice absent or markedly reduced semen
- You are facing infertility despite regular intercourse
- You have diabetes or a history of pelvic surgery with new ejaculation changes
Early consultation leads to better outcomes.
A Reassuring Message
Retrograde ejaculation can be emotionally distressing, but it is a manageable and often reversible condition. With proper diagnosis and individualized treatment, most patients regain confidence and clarity about their reproductive health.
At Sukhayu Hospital, we offer a holistic, patient-centric approach—combining modern medical science with compassionate care.
📞 For consultation or fertility evaluation, contact Sukhayu Hospital today.
Your health concerns are valid, and solutions are available.
