What is Retrograde Ejaculation?

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What Causes Retrograde Ejaculation? Symptoms, Diagnosis, and Treatment

Introduction

Retrograde ejaculation is a medical condition where semen enters the bladder instead of being ejected through the penis during ejaculation. This occurs when the bladder neck muscles fail to close during ejaculation, allowing semen to flow backward into the bladder. Retrograde ejaculation can be caused by a variety of factors, and it can impact male fertility. In this article, we will explore the causes, symptoms, diagnosis, and treatment of retrograde ejaculation, with a particular focus on micro TESE surgery.

What Causes Retrograde Ejaculation?

Retrograde ejaculation can be caused by a variety of factors, including:

Medications

Certain medications, such as alpha-blockers and antidepressants, can affect the muscles that control the bladder neck and cause retrograde ejaculation.

Medical conditions

Certain medical conditions, such as diabetes, multiple sclerosis, and spinal cord injuries, can damage the nerves that control the bladder neck muscles and cause retrograde ejaculation.

Surgery

Surgery on the prostate, bladder, or urethra can damage the muscles that control the bladder neck and cause retrograde ejaculation.

Congenital conditions

Some men are born with a congenital condition that affects the muscles that control the bladder neck and causes retrograde ejaculation.

What Are the Symptoms of Retrograde Ejaculation?

The primary symptom of retrograde ejaculation is the absence of semen during ejaculation. Instead, the semen may be noticed in the urine after ejaculation. Other symptoms may include:

Reduced fertility

Retrograde ejaculation can impact male fertility, as the sperm is not ejaculated out of the penis but instead enters the bladder.

Dry orgasm

Some men may experience a dry orgasm, where they feel the sensation of orgasm but do not ejaculate semen.

How Is Retrograde Ejaculation Diagnosed?

To diagnose retrograde ejaculation, your doctor will perform a physical exam and take a medical history. They may also order tests, such as:

Urine analysis

A urine analysis can detect the presence of sperm in the urine after ejaculation, which is a sign of retrograde ejaculation.

Post-ejaculate urine analysis

In this test, the doctor will collect a urine sample immediately after ejaculation to determine if semen is present in the urine.

Semen analysis

A semen analysis can determine the quality and quantity of sperm in the ejaculate.

How Is Retrograde Ejaculation Treated?

The treatment for retrograde ejaculation depends on the underlying cause. If medication is the cause, your doctor may adjust your medication or prescribe a different one. If a medical condition is causing retrograde ejaculation, treating the underlying condition may help. If surgery is the cause, your doctor may recommend a surgical procedure to repair the damaged muscles.

Infertility Treatment in Retrograde Ejaculation?

Retrograde ejaculation can impact male fertility, but it does not necessarily mean that a man cannot father a child. In some cases, a procedure called sperm retrieval may be performed. In this procedure, sperm is extracted from the urine after ejaculation and used for in vitro fertilization (IVF).

How Is Micro TESE Surgery Performed in Retrograde Ejaculation?

Micro TESE (microscopic testicular sperm extraction) is a surgical procedure that can be performed in men with retrograde ejaculation and infertility. During this procedure, a small incision is made in the scrotum, and a microscope is used to locate and extract sperm from the testicles. The extracted sperm can then be used for IVF.

Conclusion

Retrograde ejaculation is a medical condition that can impact male fertility. It can be caused by a variety of factors, including medications, medical conditions, surgery, and congenital conditions. The primary symptom of retrograde ejaculation is the absence of semen during ejaculation, and it can be diagnosed through various tests. Treatment for retrograde ejaculation depends on the underlying cause, and sperm retrieval or micro TESE surgery may be options for infertility treatment. If you are experiencing symptoms of retrograde ejaculation, it is important to speak with your doctor to determine the underlying cause and receive appropriate treatment.

FAQs

  1. Is retrograde ejaculation harmful? Retrograde ejaculation is generally not harmful, but it can impact male fertility.
  2. Can retrograde ejaculation be cured? The treatment for retrograde ejaculation depends on the underlying cause, and in some cases, it may be reversible.
  3. Can retrograde ejaculation cause erectile dysfunction? Retrograde ejaculation does not directly cause erectile dysfunction, but underlying medical conditions that cause retrograde ejaculation may also cause erectile dysfunction.
  4. How common is retrograde ejaculation? Retrograde ejaculation is relatively uncommon, affecting about 0.3-2% of men.
  5. Is micro TESE surgery painful? Micro TESE surgery is performed under anesthesia, so you should not feel pain during the procedure. You may experience some discomfort or soreness after the procedure, but this can be managed with pain medication.
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