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Retrograde ejaculation

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Contents of this page:

Illustrations

Male reproductive system
Male reproductive system

Alternative Names    Return to top

Ejaculation retrograde

Definition    Return to top

Retrograde ejaculation refers to the entry of semen into the bladder instead of going out through the urethra during ejaculation.

Causes    Return to top

Retrograde ejaculation may be caused by prior prostate or urethral surgery, diabetes, some medications, including some drugs used to treat hypertension (high blood pressure) and some mood-altering drugs.

The condition is relatively uncommon and may occur either partially or completely. The presence of semen in the bladder is harmless. It mixes with 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.

Symptoms    Return to top

Exams and Tests    Return to top

A urinalysis performed on a urine specimen that is obtained shortly after ejaculation will reveal a large amount of sperm in the urine.

Treatment    Return to top

If retrograde ejaculation is caused by drugs, your doctor may recommend that you stop taking such drug. This can make the problem go away.

Retrograde ejaculation caused by diabetes or after genitourinary tract surgery may be treated with epinephrine-like drugs (such as pseudoephedrine or imipramine).

Outlook (Prognosis)    Return to top

If retrograde ejaculation is caused by medications, discontinuation of the medication often restores normal ejaculation. If retrograde ejaculation is caused by surgery or diabetes, it is often not correctable.

Possible Complications    Return to top

The condition may cause infertility.

When to Contact a Medical Professional    Return to top

Call for an appointment with your health care provider if you are having difficulty conceiving a child or you are concerned about retrograde ejaculation.

Prevention    Return to top

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.

Update Date: 6/5/2007

Updated by: Marc Greenstein, DO, Urologist, North Jersey Center for Urologic Care, Denville, NJ. Review provided by VeriMed Healthcare Network.

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