What is retrograde ejaculation?
In men with retrograde ejaculation, the muscle at the opening of the bladder, which usually stops semen from entering the bladder during orgasm, does not close normally. When the muscle does not close properly semen flows back into the bladder. Therefore little or no semen is discharged from the penis during ejaculation, and the first urination after sex looks cloudy as the semen mixes into the urine.
Retrograde ejaculation is uncommon and harmless.
What causes retrograde ejaculation?
Retrograde ejaculation can happen after surgery to the prostate or the neck of the bladder. Diabetes, multiple sclerosis, spinal cord injury, and some medications, in particular
medicines for high blood pressure, can also cause it. Depending on the cause, retrograde ejaculation may be a temporary or permanent condition.
How is retrograde ejaculation treated?
Most men who have retrograde ejaculation do not need treatment. The important message is that it doesn’t cause serious problems. However, it is difficult for men with retrograde ejaculation to have a baby naturally.
For men wishing to have a family, treatment may correct the retrograde ejaculation, or sperm may need to be collected in other ways for use in assisted reproduction procedures such as in vitro fertilisation (IVF). A fertility specialist can take sperm from the urine, or they can take sperm directly from the testes in a small operation (biopsy).
We can carry out a quick verbal assessment and if this is the case we can refer you to a medical specialist.