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Male reproductive system
Male reproductive system


Definition:

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



Alternative Names:

Ejaculation retrograde



Causes, incidence, and risk factors:

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:
  • Little or no semen discharged from the urethra in conjunction with the male sexual climax (during ejaculation)
  • Possible infertility
  • Cloudy urine after sexual climax


Signs and tests:

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



Treatment:

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).



Support Groups:



Expectations (prognosis):

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.



Complications:

The condition may cause infertility.



Calling your health care provider:

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:

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.




Review Date: 6/5/2007
Reviewed By: Marc Greenstein, DO, Urologist, North Jersey Center for Urologic Care, Denville, NJ. Review provided by VeriMed Healthcare Network.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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Wentworth-Douglass Hospital
789 Central Avenue, Dover, NH 03820
Phone: (603) 742-5252
Toll free: 1 (877) 201-7100