Materiały źródłowe

• #1 Retrograde ejaculation – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/retrograde-ejaculation/symptoms-causes/syc-20354890

  Retrograde ejaculation occurs when semen enters the bladder instead of emerging through the penis during orgasm. […] Retrograde ejaculation isn’t harmful, but it can cause male infertility. Treatment for retrograde ejaculation is generally only needed to restore fertility. […] Retrograde ejaculation isn’t harmful and requires treatment only if you’re attempting to father a child. […] Retrograde ejaculation might be the cause of your problem if you ejaculate very little or no semen. […] Retrograde ejaculation isn’t harmful. However, potential complications include: inability to get a woman pregnant (male infertility). […] If you take medications or have health problems that put you at risk of retrograde ejaculation, ask your doctor what you can do to lower your risk. […] If you need to have surgery that might affect the bladder neck muscle, such as prostate or bladder surgery, ask about the risk of retrograde ejaculation.

• #2 Retrograde ejaculation: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/001282.htm

  Retrograde ejaculation occurs when semen goes backward into the bladder. Normally, it moves forward and out of the penis through the urethra during ejaculation. […] Retrograde ejaculation is uncommon. It most often occurs when the opening of the bladder (bladder neck) does not close. This causes semen to go backward into the bladder rather than forward out of the penis. […] Symptoms include: Cloudy urine after orgasm, Little or no semen is released during ejaculation. […] Your health care provider may recommend that you stop taking any medicines that may cause retrograde ejaculation. This can make the problem go away. […] Retrograde ejaculation that is caused by diabetes or surgery may be treated with drugs such as pseudoephedrine or imipramine. […] If the problem is caused by a medicine, normal ejaculation will often come back after the drug is stopped. Retrograde ejaculation caused by surgery or diabetes often can’t be corrected. This is most often not a problem unless you are trying to conceive. Some men do not like how it feels and seek treatment. Otherwise, there is no need for treatment.

• #3 Ejaculation problems

  https://www.nhs.uk/conditions/ejaculation-problems/

  Retrograde ejaculation is a rarer type of ejaculation problem. It happens when semen travels backwards into the bladder instead of through the urethra (the tube that urine passes through). […] The main symptoms of retrograde ejaculation include: producing no semen, or only a small amount, during ejaculation; producing cloudy urine (because of the semen in it) when you first go to the toilet after having sex. […] Men with retrograde ejaculation still experience the feeling of an orgasm and the condition does not pose a danger to health. However, it can affect the ability to father a child. […] Retrograde ejaculation happens when the neck of the bladder does not close and semen passes into the bladder. […] Causes of retrograde ejaculation include prostate gland surgery, bladder surgery, diabetes, multiple sclerosis, and a class of medicines known as alpha blockers, which are often used to treat high blood pressure (hypertension).

• #4 Retrograde Ejaculation | Memorial Sloan Kettering Cancer Center

  https://www.mskcc.org/cancer-care/patient-education/retrograde-ejaculation

  Ejaculation is when semen comes out of your penis after reaching orgasm (an intense feeling of pleasure). Retrograde ejaculation is when semen flows back into your bladder, instead of out through your penis. […] If you have retrograde ejaculation, your bladder neck doesn’t close at orgasm. This means that semen flows backward into your bladder instead of forward through your penis. […] Retrograde ejaculation isn’t harmful or painful, but it may cause a small change in sensation during sex because no semen exits the penis. This is called a dry ejaculate. A dry ejaculate doesn’t affect erection (getting hard for sex) or orgasm. You will still be able to enjoy sexual activity. […] If you plan to have a family after your surgery, tell your doctor you want to bank your sperm before surgery. If you haven’t banked your sperm before surgery and want to have a family, your doctor can tell you about your options and refer you to a specialist.

• #5 Retrograde ejaculation – UF Health

  https://ufhealth.org/conditions-and-treatments/retrograde-ejaculation

  Retrograde ejaculation occurs when semen goes backward into the bladder. Normally, it moves forward and out of the penis through the urethra during ejaculation. […] Retrograde ejaculation may be caused by: Diabetes, Some medicines, including drugs used to treat high blood pressure and some mood-altering drugs, Medicines or surgery to treat prostate or urethra problems. […] Symptoms include: Cloudy urine after orgasm, Little or no semen is released during ejaculation. […] Your health care provider may recommend that you stop taking any medicines that may cause retrograde ejaculation. This can make the problem go away. […] Retrograde ejaculation that is caused by diabetes or surgery may be treated with drugs such as pseudoephedrine or imipramine. […] The condition may cause infertility. However, semen can often be removed from the bladder and used during assistive reproductive techniques. […] Contact your provider if you are worried about this problem or are having trouble conceiving a child. […] To avoid this condition: If you have diabetes, maintain good control of your blood sugar. Avoid drugs that can cause this problem.

• #6 Retrograde ejaculation: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/001282.htm

  Retrograde ejaculation occurs when semen goes backward into the bladder. Normally, it moves forward and out of the penis through the urethra during ejaculation. […] Retrograde ejaculation is uncommon. It most often occurs when the opening of the bladder (bladder neck) does not close. This causes semen to go backward into the bladder rather than forward out of the penis. […] Symptoms include: Cloudy urine after orgasm, Little or no semen is released during ejaculation. […] Your health care provider may recommend that you stop taking any medicines that may cause retrograde ejaculation. This can make the problem go away. […] Retrograde ejaculation that is caused by diabetes or surgery may be treated with drugs such as pseudoephedrine or imipramine. […] If the problem is caused by a medicine, normal ejaculation will often come back after the drug is stopped. Retrograde ejaculation caused by surgery or diabetes often can’t be corrected. This is most often not a problem unless you are trying to conceive. Some men do not like how it feels and seek treatment. Otherwise, there is no need for treatment.

• #7 Ejaculation problems

  https://www.nhs.uk/conditions/ejaculation-problems/

  Retrograde ejaculation is a rarer type of ejaculation problem. It happens when semen travels backwards into the bladder instead of through the urethra (the tube that urine passes through). […] The main symptoms of retrograde ejaculation include: producing no semen, or only a small amount, during ejaculation; producing cloudy urine (because of the semen in it) when you first go to the toilet after having sex. […] Men with retrograde ejaculation still experience the feeling of an orgasm and the condition does not pose a danger to health. However, it can affect the ability to father a child. […] Retrograde ejaculation happens when the neck of the bladder does not close and semen passes into the bladder. […] Causes of retrograde ejaculation include prostate gland surgery, bladder surgery, diabetes, multiple sclerosis, and a class of medicines known as alpha blockers, which are often used to treat high blood pressure (hypertension).

• #8 Retrograde Ejaculation | Advanced Urological Care P.C.

  https://www.urologicalcare.com/retrograde-ejaculation/

  Retrograde ejaculation (which can also present with Anejaculation as its name implies, is a condition that describes backward flow of seminal fluid into the urinary bladder instead of forward, as is the norm during orgasm. This usually occurs because the neck or opening of the urinary bladder, which normally closes to block such retrograde flow, is unable to do so. Such inability usually results from medications (Flomax), neurological (caused by diabetes) or physical damage to the bladder neck (caused by prostate surgery). Patients with retrograde ejaculation usually achieve orgasm normally and feel the sensation of having an ejaculation. However, little or no seminal fluid emerges from the penis. Instead the patient often notices that the post ejaculatory urine, i.e. the urine passed after sexual intercourse, is cloudy with semen. Note, this condition should be distinguished from anejaculation, which is the total absence of an ejaculate during orgasm. The later occurs following radical prostatectomy or complete resection of the prostate. […] If the retrograde ejaculation was caused by medications, discontinuation will usually restore normal function. Surgery of the bladder neck is irreversible and cannot be corrected. Neurological injuries are also permanent in most cases.

• #9

  https://www.nhs.uk/conditions/transurethral-resection-of-the-prostate-turp/risks/

  Retrograde ejaculation is the most common long-term complication of TURP and can occur in as many as 65 to 75% of men. […] Retrograde ejaculation isn’t harmful and you’ll still experience the pleasure of an orgasm. […] However, your fertility may be affected, so you should speak to your surgeon if this is a concern. […] It may be possible to have an alternative procedure called transurethral incision of the prostate (TUIP) instead, which carries a lower risk of causing retrograde ejaculation. […] It’s also sometimes possible to reduce the risk when performing a TURP by leaving prostate tissue near the urethra intact.

• #10 Retrograde Ejaculation With Second-Generation Antipsychotics in Schizophrenia: A Case Series and Literature Review

  https://www.psychiatrist.com/pcc/retrograde-ejaculation-second-generation-antipsychotics-schizophrenia/

  Sexual adverse effects related to antipsychotic medications are not uncommon in patients with schizophrenia. However, retrograde ejaculation (RE) is quite often underreported by patients, which could have an influence on treatment adherence, fertility, and quality of life. Hence, effective identification and appropriate management of RE is essential. […] The RE associated with antipsychotics is an important, underrecognized adverse effect that may have bearing on treatment adherence. Our report highlights the features of RE associated with SGAs such as onset, dose-dependent nature, and management. […] In general, the strategies to handle antipsychotic-induced RE are as follows: dose reduction of the offending drug, drug holidays wherein the offending drug will be discontinued 2 to 3 days before the anticipated sexual activity, adjunctive treatment with other medications, and switching to another antipsychotic drug. Most of the case reports of antipsychotic-induced RE have employed all 4 of these strategies.

• #11 Retrograde ejaculation: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/001282.htm

  Retrograde ejaculation occurs when semen goes backward into the bladder. Normally, it moves forward and out of the penis through the urethra during ejaculation. […] Retrograde ejaculation is uncommon. It most often occurs when the opening of the bladder (bladder neck) does not close. This causes semen to go backward into the bladder rather than forward out of the penis. […] Symptoms include: Cloudy urine after orgasm, Little or no semen is released during ejaculation. […] Your health care provider may recommend that you stop taking any medicines that may cause retrograde ejaculation. This can make the problem go away. […] Retrograde ejaculation that is caused by diabetes or surgery may be treated with drugs such as pseudoephedrine or imipramine. […] If the problem is caused by a medicine, normal ejaculation will often come back after the drug is stopped. Retrograde ejaculation caused by surgery or diabetes often can’t be corrected. This is most often not a problem unless you are trying to conceive. Some men do not like how it feels and seek treatment. Otherwise, there is no need for treatment.

• #12 Retrograde ejaculation Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/diseases-conditions/retrograde-ejaculation

  Retrograde ejaculation occurs when semen goes backward into the bladder. Normally, it moves forward and out of the penis through the urethra during ejaculation. […] Retrograde ejaculation is uncommon. It most often occurs when the opening of the bladder (bladder neck) does not close. This causes semen to go backward into the bladder rather than forward out of the penis. […] Symptoms include: Cloudy urine after orgasm; Little or no semen is released during ejaculation. […] Your health care provider may recommend that you stop taking any medicines that may cause retrograde ejaculation. This can make the problem go away. Retrograde ejaculation that is caused by diabetes or surgery may be treated with medicines such as pseudoephedrine or imipramine. […] If the problem is caused by a medicine, normal ejaculation will often come back after the medicine is stopped. Retrograde ejaculation caused by surgery or diabetes often can’t be corrected. This is most often not a problem unless you are trying to conceive. Some men do not like how it feels and seek treatment. Otherwise, there is no need for treatment.

• #13 Ejaculation problems

  https://www.nhs.uk/conditions/ejaculation-problems/

  Retrograde ejaculation is a rarer type of ejaculation problem. It happens when semen travels backwards into the bladder instead of through the urethra (the tube that urine passes through). […] The main symptoms of retrograde ejaculation include: producing no semen, or only a small amount, during ejaculation; producing cloudy urine (because of the semen in it) when you first go to the toilet after having sex. […] Men with retrograde ejaculation still experience the feeling of an orgasm and the condition does not pose a danger to health. However, it can affect the ability to father a child. […] Retrograde ejaculation happens when the neck of the bladder does not close and semen passes into the bladder. […] Causes of retrograde ejaculation include prostate gland surgery, bladder surgery, diabetes, multiple sclerosis, and a class of medicines known as alpha blockers, which are often used to treat high blood pressure (hypertension).

• #14 Retrograde Ejaculation | Memorial Sloan Kettering Cancer Center

  https://www.mskcc.org/cancer-care/patient-education/retrograde-ejaculation

  Ejaculation is when semen comes out of your penis after reaching orgasm (an intense feeling of pleasure). Retrograde ejaculation is when semen flows back into your bladder, instead of out through your penis. […] If you have retrograde ejaculation, your bladder neck doesn’t close at orgasm. This means that semen flows backward into your bladder instead of forward through your penis. […] Retrograde ejaculation isn’t harmful or painful, but it may cause a small change in sensation during sex because no semen exits the penis. This is called a dry ejaculate. A dry ejaculate doesn’t affect erection (getting hard for sex) or orgasm. You will still be able to enjoy sexual activity. […] If you plan to have a family after your surgery, tell your doctor you want to bank your sperm before surgery. If you haven’t banked your sperm before surgery and want to have a family, your doctor can tell you about your options and refer you to a specialist.

• #15 Retrograde ejaculation // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/retrograde-ejaculation

  Retrograde ejaculation isn’t harmful, but it can cause male infertility. […] Retrograde ejaculation might be the cause of your problem if you ejaculate very little or no semen. […] Retrograde ejaculation typically doesn’t require treatment unless it interferes with fertility. […] If you have retrograde ejaculation, you’ll likely need treatment to get your female partner pregnant. […] Many men with retrograde ejaculation are able to get their partners pregnant once they seek treatment. […] Retrograde ejaculation can be especially challenging if you and your partner want to conceive a child.

• #16 Recent Advances in the Diagnosis and Management of Retrograde Ejaculation: A Narrative Review

  https://www.mdpi.com/2075-4418/15/6/726

  The diagnosis of RE is relatively simple and relies on a combination of patient history and laboratory testing. Patients typically report low seminal volume (partial) or a total lack of ejaculation (complete) following orgasm. Confirmation involves analyzing a post-masturbatory or post-orgasmic urine sample. […] Although research has shown some success in retrieving sperm from individuals with retrograde ejaculation, there remain notable gaps in understanding related to diagnosis, recovery methods, handling procedures, and in vitro fertilization treatments. […] Treatment options for RE are diverse, ranging from pharmacological interventions, such as sympathomimetic and parasympatholytic agents, to surgical approaches and ARTs. Pharmacological treatments can restore antegrade ejaculation in some cases, but are limited by variable efficacy and potential side effects. Surgical interventions, while effective in certain contexts, are often invasive and carry associated risks. ARTs, particularly involving sperm retrieval from post-ejaculatory urine, have emerged as viable non-surgical alternatives, offering a pathway to conception for couples affected by RE. […] Despite these advancements, notable gaps in knowledge persist. The current literature is heavily reliant on small case series and lacks robust randomized controlled trials to establish standardized treatment protocols.

• #17 :: WJMH :: World Journal of Men’s Health

  https://wjmh.org/DOIx.php?id=10.5534/wjmh.210069

  Retrieval of retrograde ejaculated sperm from urine remains as a valid approach. […] Finding sperm in post-ejaculatory urine is the main method for diagnosis of RE, as well as a treatment option for retrieved sperm for use in assisted reproductive technology (ART). […] For the assessment of RE, it is important for the patient to deliver both the semen and post-ejaculatory urine samples for RE assessment at the Andrology laboratory. […] The presence of sperm in PEUA is more prevalent in infertile men and is a higher proportion of the total sperm count. […] In infertile men presenting with either hypospermia or aspermia, the presence of spermatozoa in the PEUA usually confirms RE. […] Screening of post-ejaculatory urine is necessary in infertile patients with hypospermia or aspermia.

• #18 Retrograde ejaculation: Causes, symptoms & treatment

  https://healthymale.org.au/mens-health/retrograde-ejaculation

  Retrograde ejaculation is when semen travels backwards into the bladder when you have an orgasm. […] Retrograde ejaculation is when semen travels backwards and enters the bladder when you have an orgasm, instead of going forward, out through the penis. […] Retrograde ejaculation is more likely to occur in men who: Use some types of medications, Have undergone some surgical procedures, Have medical conditions that affect nerve function. […] If you have retrograde ejaculation, you might notice you have very little or even no ejaculate when you reach orgasm. You might also notice your urine is cloudy when urinating after orgasm. […] To diagnose retrograde ejaculation, your doctor will ask you some questions, perform an examination, and request a urine sample thats collected after orgasm.

• #19 Retrograde Ejaculation – Men’s Health Issues – Merck Manual Consumer Version

  https://www.merckmanuals.com/en-ca/home/men-s-health-issues/sexual-function-and-dysfunction-in-men/retrograde-ejaculation

  Retrograde ejaculation is a condition in which semen is ejaculated backward into the bladder rather than out through the penis. […] In retrograde ejaculation, the part of the bladder that normally closes during ejaculation (the bladder neck) remains open, causing the semen to travel backward into the bladder. […] Men with retrograde ejaculation can still have orgasms. However, retrograde ejaculation decreases the amount of semen ejaculated out of the penis. […] The condition can cause infertility but is otherwise not harmful. […] A doctor makes the diagnosis of retrograde ejaculation by finding a large amount of sperm in a urine sample taken shortly after orgasm. […] Men usually need no treatment unless infertility is a concern. About one-third of men with retrograde ejaculation improve after treatment with medications that close the bladder neck (such as pseudoephedrine or imipramine).

• #20 Sperm recovery from urine in men with retrograde ejaculation

  https://www.degruyterbrill.com/document/doi/10.1515/almed-2024-0109/html?lang=en&srsltid=AfmBOopqBWs5oDmX2m26FS5VUDU1g55GnG5QXsBG_hs1l-DuxckbSNT_

  Retrograde ejaculation (RE) consists of the reflux backwards, towards the bladder, of the ejaculate, during the emission phase of ejaculation, causing a total or partial absence of sperm emission, with the consequent diversion of semen into the bladder during the emission phase of ejaculation. […] The diagnosis of RE is based on the detection of spermatozoa in post-ejaculatory urine (PEU) in patients with aspermia or oligozoospermia and low or normal seminal volume. […] A correct diagnosis of RE allows the use of PEU for recovering sperm and its subsequent use in assisted human reproduction techniques, thus avoiding invasive techniques. […] A significant number of patients with RE may remain undiagnosed. Therefore, it is essential to conduct an RE study in patients with suspicion, through the analysis of PEU, and to properly interpret the results for accurate diagnosis.

• #21 :: WJMH :: World Journal of Men’s Health

  https://wjmh.org/DOIx.php?id=10.5534/wjmh.210069

  Retrieval of retrograde ejaculated sperm from urine remains as a valid approach. […] Finding sperm in post-ejaculatory urine is the main method for diagnosis of RE, as well as a treatment option for retrieved sperm for use in assisted reproductive technology (ART). […] For the assessment of RE, it is important for the patient to deliver both the semen and post-ejaculatory urine samples for RE assessment at the Andrology laboratory. […] The presence of sperm in PEUA is more prevalent in infertile men and is a higher proportion of the total sperm count. […] In infertile men presenting with either hypospermia or aspermia, the presence of spermatozoa in the PEUA usually confirms RE. […] Screening of post-ejaculatory urine is necessary in infertile patients with hypospermia or aspermia.

• #22 Retrograde ejaculation – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/retrograde-ejaculation/symptoms-causes/syc-20354890

  Retrograde ejaculation occurs when semen enters the bladder instead of emerging through the penis during orgasm. […] Retrograde ejaculation isn’t harmful, but it can cause male infertility. Treatment for retrograde ejaculation is generally only needed to restore fertility. […] Retrograde ejaculation isn’t harmful and requires treatment only if you’re attempting to father a child. […] Retrograde ejaculation might be the cause of your problem if you ejaculate very little or no semen. […] Retrograde ejaculation isn’t harmful. However, potential complications include: inability to get a woman pregnant (male infertility). […] If you take medications or have health problems that put you at risk of retrograde ejaculation, ask your doctor what you can do to lower your risk. […] If you need to have surgery that might affect the bladder neck muscle, such as prostate or bladder surgery, ask about the risk of retrograde ejaculation.

• #23 Ejaculation problems

  https://www.nhs.uk/conditions/ejaculation-problems/

  Most men do not need treatment for retrograde ejaculation because they are still able to enjoy a healthy sex life and the condition does not have adverse effects on their health. […] But if treatment is required (usually because of wanting to father a child), there are options to try. […] For example, pseudoephedrine (commonly used as a decongestant) has proved effective in treating retrograde ejaculation caused by diabetes or surgery. […] If retrograde ejaculation is caused by using a certain medicine, then normal ejaculation will usually return once medicine is stopped. […] However, if the retrograde ejaculation has been caused by significant muscle or nerve damage, treatment may not be possible. […] Men who want to have children can have sperm taken from their urine or testicles for use in intrauterine insemination or in-vitro fertilisation (IVF).

• #24 Retrograde ejaculation: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/001282.htm

  Retrograde ejaculation occurs when semen goes backward into the bladder. Normally, it moves forward and out of the penis through the urethra during ejaculation. […] Retrograde ejaculation is uncommon. It most often occurs when the opening of the bladder (bladder neck) does not close. This causes semen to go backward into the bladder rather than forward out of the penis. […] Symptoms include: Cloudy urine after orgasm, Little or no semen is released during ejaculation. […] Your health care provider may recommend that you stop taking any medicines that may cause retrograde ejaculation. This can make the problem go away. […] Retrograde ejaculation that is caused by diabetes or surgery may be treated with drugs such as pseudoephedrine or imipramine. […] If the problem is caused by a medicine, normal ejaculation will often come back after the drug is stopped. Retrograde ejaculation caused by surgery or diabetes often can’t be corrected. This is most often not a problem unless you are trying to conceive. Some men do not like how it feels and seek treatment. Otherwise, there is no need for treatment.

• #25 Retrograde ejaculation – UF Health

  https://ufhealth.org/conditions-and-treatments/retrograde-ejaculation

  Retrograde ejaculation occurs when semen goes backward into the bladder. Normally, it moves forward and out of the penis through the urethra during ejaculation. […] Retrograde ejaculation may be caused by: Diabetes, Some medicines, including drugs used to treat high blood pressure and some mood-altering drugs, Medicines or surgery to treat prostate or urethra problems. […] Symptoms include: Cloudy urine after orgasm, Little or no semen is released during ejaculation. […] Your health care provider may recommend that you stop taking any medicines that may cause retrograde ejaculation. This can make the problem go away. […] Retrograde ejaculation that is caused by diabetes or surgery may be treated with drugs such as pseudoephedrine or imipramine. […] The condition may cause infertility. However, semen can often be removed from the bladder and used during assistive reproductive techniques. […] Contact your provider if you are worried about this problem or are having trouble conceiving a child. […] To avoid this condition: If you have diabetes, maintain good control of your blood sugar. Avoid drugs that can cause this problem.

• #26 What is Retrograde Ejaculation? – NAU Urology Specialists

  https://northaustinurology.com/what-is-retrograde-ejaculation-treatment/

  If you suspect you’re experiencing retrograde ejaculation, it’s crucial to seek medical advice. As a urologist, I typically start with a thorough medical history and physical examination. We’ll discuss your symptoms, medical conditions, and any medications you’re taking. […] The approach to retrograde ejaculation treatment varies depending on the underlying cause and your personal goals. Here are some common strategies we employ: […] If your retrograde ejaculation is caused by medications, we might be able to switch you to alternative drugs or adjust your dosage. However, never stop or change your medication without consulting your doctor first. […] In some cases, we prescribe medications to help strengthen the bladder neck muscles. These can include: Pseudoephedrine, Ephedrine, Imipramine. These drugs can help the bladder neck close more tightly during ejaculation, potentially reducing or eliminating retrograde ejaculation.

• #27 Retrograde ejaculation, painful ejaculation and hematospermia – Parnham – Translational Andrology and Urology

  https://tau.amegroups.org/article/view/11053/11779

  Hypospermia or aspermia should highlight to the clinician the possibility of retrograde ejaculation. […] Consequently, Vroege et al. suggested that the analysis and confirmation of sperm in a post orgasmic urine sample could help differentiate between these two separate disorders. […] Medical and surgical strategies exist for the treatment of retrograde ejaculation. […] In recent years the reliance of medical treatment as first line management has become common practice. […] The most common sympathomimetics are synephrine, pseudoephedrine hydrochloride, ephedrine, phenylpropanolamine and midrodrine. […] Many of the studies published about the efficacy of sympathomimetics in the treatment of retrograde ejaculation suffer from small sample size with some represented by case reports.

• #28 Ejaculation problems

  https://www.nhs.uk/conditions/ejaculation-problems/

  Most men do not need treatment for retrograde ejaculation because they are still able to enjoy a healthy sex life and the condition does not have adverse effects on their health. […] But if treatment is required (usually because of wanting to father a child), there are options to try. […] For example, pseudoephedrine (commonly used as a decongestant) has proved effective in treating retrograde ejaculation caused by diabetes or surgery. […] If retrograde ejaculation is caused by using a certain medicine, then normal ejaculation will usually return once medicine is stopped. […] However, if the retrograde ejaculation has been caused by significant muscle or nerve damage, treatment may not be possible. […] Men who want to have children can have sperm taken from their urine or testicles for use in intrauterine insemination or in-vitro fertilisation (IVF).

• #29 Retrograde Ejaculation | Advanced Urological Care P.C.

  https://www.urologicalcare.com/retrograde-ejaculation/

  Retrograde ejaculation (which can also present with Anejaculation as its name implies, is a condition that describes backward flow of seminal fluid into the urinary bladder instead of forward, as is the norm during orgasm. This usually occurs because the neck or opening of the urinary bladder, which normally closes to block such retrograde flow, is unable to do so. Such inability usually results from medications (Flomax), neurological (caused by diabetes) or physical damage to the bladder neck (caused by prostate surgery). Patients with retrograde ejaculation usually achieve orgasm normally and feel the sensation of having an ejaculation. However, little or no seminal fluid emerges from the penis. Instead the patient often notices that the post ejaculatory urine, i.e. the urine passed after sexual intercourse, is cloudy with semen. Note, this condition should be distinguished from anejaculation, which is the total absence of an ejaculate during orgasm. The later occurs following radical prostatectomy or complete resection of the prostate. […] If the retrograde ejaculation was caused by medications, discontinuation will usually restore normal function. Surgery of the bladder neck is irreversible and cannot be corrected. Neurological injuries are also permanent in most cases.

• #30 Retrograde Ejaculation – Men’s Health Issues – Merck Manual Consumer Version

  https://www.merckmanuals.com/en-ca/home/men-s-health-issues/sexual-function-and-dysfunction-in-men/retrograde-ejaculation

  However, men who use these medications should be alert and periodically checked by their doctor for increases in heart rate and blood pressure. […] If infertility requires treatment and medications do not help, doctors can sometimes collect a man’s sperm for insemination. […] Artificial insemination may be possible if infertility is caused by retrograde ejaculation or inability to ejaculate.

• #31 Retrograde ejaculation: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/001282.htm

  Retrograde ejaculation occurs when semen goes backward into the bladder. Normally, it moves forward and out of the penis through the urethra during ejaculation. […] Retrograde ejaculation is uncommon. It most often occurs when the opening of the bladder (bladder neck) does not close. This causes semen to go backward into the bladder rather than forward out of the penis. […] Symptoms include: Cloudy urine after orgasm, Little or no semen is released during ejaculation. […] Your health care provider may recommend that you stop taking any medicines that may cause retrograde ejaculation. This can make the problem go away. […] Retrograde ejaculation that is caused by diabetes or surgery may be treated with drugs such as pseudoephedrine or imipramine. […] If the problem is caused by a medicine, normal ejaculation will often come back after the drug is stopped. Retrograde ejaculation caused by surgery or diabetes often can’t be corrected. This is most often not a problem unless you are trying to conceive. Some men do not like how it feels and seek treatment. Otherwise, there is no need for treatment.

• #32 Ejaculation problems

  https://www.nhs.uk/conditions/ejaculation-problems/

  Most men do not need treatment for retrograde ejaculation because they are still able to enjoy a healthy sex life and the condition does not have adverse effects on their health. […] But if treatment is required (usually because of wanting to father a child), there are options to try. […] For example, pseudoephedrine (commonly used as a decongestant) has proved effective in treating retrograde ejaculation caused by diabetes or surgery. […] If retrograde ejaculation is caused by using a certain medicine, then normal ejaculation will usually return once medicine is stopped. […] However, if the retrograde ejaculation has been caused by significant muscle or nerve damage, treatment may not be possible. […] Men who want to have children can have sperm taken from their urine or testicles for use in intrauterine insemination or in-vitro fertilisation (IVF).

• #33 Retrograde ejaculation Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/diseases-conditions/retrograde-ejaculation

  The condition may cause infertility. However, semen can often be removed from the bladder and used during assistive reproductive techniques. […] Contact your provider if you are worried about this problem or are having trouble conceiving a child. […] To avoid this condition: If you have diabetes, maintain good control of your blood sugar. Avoid medicines that can cause this problem.

• #34 Retrograde ejaculation | Lima Memorial Health System

  https://www.limamemorial.org/health-library/hie%20multimedia-textonly/1/001282

  The condition may cause infertility. However, semen can often be removed from the bladder and used during assistive reproductive techniques. […] Contact your provider if you are worried about this problem or are having trouble conceiving a child. […] To avoid this condition: If you have diabetes, maintain good control of your blood sugar; Avoid drugs that can cause this problem.

• #35 What is Retrograde Ejaculation? – NAU Urology Specialists

  https://northaustinurology.com/what-is-retrograde-ejaculation-treatment/

  If retrograde ejaculation is caused by an underlying health issue like diabetes, managing that condition effectively can sometimes resolve the problem. This might involve lifestyle changes, medication, or other treatments specific to the condition. […] For men looking to conceive, retrograde ejaculation can pose a significant challenge. However, there are several fertility treatments available: Sperm retrieval from urine, Intrauterine insemination (IUI), In vitro fertilization (IVF). […] While retrograde ejaculation often requires medical intervention, certain lifestyle changes can support your overall urological health: Maintain a healthy weight, Exercise regularly, Manage stress, Avoid excessive alcohol consumption, Quit smoking. […] If you’re experiencing dry orgasms or having difficulty conceiving, it’s important to consult a urologist. Early diagnosis and treatment can often lead to better outcomes. Don’t hesitate to seek help – many men feel embarrassed about these issues, but remember, as urologists, we’re here to help and have seen it all before.

• #36 Retrograde ejaculation, painful ejaculation and hematospermia – Parnham – Translational Andrology and Urology

  https://tau.amegroups.org/article/view/11053/11779

  Bladder neck reconstruction has also been suggested for the treatment of retrograde ejaculation. […] Infertility has been the major concern of patients with retrograde ejaculation. […] Beyond the use of standard sperm retrieval techniques such as TESE and PESA, three different methods of sperm retrieval have been identified for the management of infertility in the patient suffering from retrograde ejaculation.

• #37 Restoration of antegrade ejaculation after transurethral bladder neck injection of Deflux for retrograde ejaculation: a case report of natural conception – Han – Translational Andrology and Urology

  https://tau.amegroups.org/article/view/53938/html

  Retrograde ejaculation contributes to male infertility. Pharmacotherapy has a limited role in retrograde ejaculation. Transurethral bladder neck injection of Deflux can be considered as an alternative treatment method for retrograde ejaculation, and natural conception is possible thereafter. Retrograde ejaculation is the complete or partial inability to ejaculate in an antegrade direction, and the sperm enters the bladder through the neck of the bladder in the reverse direction. This article first reports a patient with idiopathic retrograde ejaculation not only restored antegrade ejaculation, but also successfully fathered a child naturally after transurethral bladder neck injection of Deflux. The patient received transurethral bladder neck injection of Deflux with informed consent and comprehensive communication to the surgeons before the surgery. In follow-up of 18 months, the patient converted to antegrade ejaculation with high satisfaction 1 month after the surgery without lower urinary tract symptoms or other complications. This treatment can bring new hope for patients with retrograde ejaculation. Transurethral bladder neck injection of Deflux, a minimally invasive technique, can make natural conception possible, save medical expenses, and avoid female discomfort of assisted reproductive technology. Transurethral bladder neck injection of collagen or Deflux for retrograde ejaculation is in an exploratory stage.

• #38 Retrograde ejaculation – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/retrograde-ejaculation/diagnosis-treatment/drc-20354896

  Retrograde ejaculation typically doesn’t require treatment unless it interferes with fertility. In such cases, treatment depends on the underlying cause. […] If you have retrograde ejaculation, you’ll likely need treatment to get your female partner pregnant. In order to achieve a pregnancy, you need to ejaculate enough semen to carry your sperm into your partner’s vagina and into her uterus. […] If medication doesn’t allow you to ejaculate semen, you will likely need infertility procedures known as assisted reproductive technology to get your partner pregnant. […] Alterations in orgasm are linked with lower emotional and physical satisfaction, which might lead to stress for you and your partner. Retrograde ejaculation can be especially challenging if you and your partner want to conceive a child.

• #39 Retrograde ejaculation – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/retrograde-ejaculation/symptoms-causes/syc-20354890

  Retrograde ejaculation occurs when semen enters the bladder instead of emerging through the penis during orgasm. […] Retrograde ejaculation isn’t harmful, but it can cause male infertility. Treatment for retrograde ejaculation is generally only needed to restore fertility. […] Retrograde ejaculation isn’t harmful and requires treatment only if you’re attempting to father a child. […] Retrograde ejaculation might be the cause of your problem if you ejaculate very little or no semen. […] Retrograde ejaculation isn’t harmful. However, potential complications include: inability to get a woman pregnant (male infertility). […] If you take medications or have health problems that put you at risk of retrograde ejaculation, ask your doctor what you can do to lower your risk. […] If you need to have surgery that might affect the bladder neck muscle, such as prostate or bladder surgery, ask about the risk of retrograde ejaculation.

• #40 Retrograde ejaculation – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/retrograde-ejaculation/diagnosis-treatment/drc-20354896

  Retrograde ejaculation typically doesn’t require treatment unless it interferes with fertility. In such cases, treatment depends on the underlying cause. […] If you have retrograde ejaculation, you’ll likely need treatment to get your female partner pregnant. In order to achieve a pregnancy, you need to ejaculate enough semen to carry your sperm into your partner’s vagina and into her uterus. […] If medication doesn’t allow you to ejaculate semen, you will likely need infertility procedures known as assisted reproductive technology to get your partner pregnant. […] Alterations in orgasm are linked with lower emotional and physical satisfaction, which might lead to stress for you and your partner. Retrograde ejaculation can be especially challenging if you and your partner want to conceive a child.

• #41 Retrograde Ejaculation – Harvard Health

  https://www.health.harvard.edu/a_to_z/retrograde-ejaculation-a-to-z

  Retrograde ejaculation does not interfere with a man’s ability to have an erection or to achieve orgasm, but it can cause infertility because the sperm cannot reach the woman’s uterus. Retrograde ejaculation is responsible for about 1% of all cases of male infertility in the United States. […] In some men, retrograde ejaculation requires treatment because it interferes with fertility. This treatment varies depending on the cause. If your retrograde ejaculation is a side effect of medication, your doctor probably will switch you to a drug that does not affect ejaculation. […] If your retrograde ejaculation is the result of damage to the nerves or muscles of your bladder, then it may not be possible to restore normal ejaculation. If this is the case, and you are hoping to father a child, a fertility specialist may be able to help. In cases of retrograde ejaculation, three of the more commonly used assisted fertilization procedures are: Intrauterine insemination (using a small catheter to put washed sperm inside your partner’s uterus at the time of ovulation), In-vitro fertilization (incubating eggs and sperm together in the laboratory to produce fertilization), Intracytoplasmic sperm injection (injecting a single sperm into your partner’s egg to cause fertilization).

• #42 Common Causes and Treatments for Retrograde Ejaculation

  https://www.artfertilityclinics.com/in/en/art-blog/common-causes-and-treatment-for-retrograde-ejaculation

  This involves collecting sperm from the urine after ejaculation. […] The collected sperm is then washed and prepared for fertility treatments, such as intrauterine insemination (IUI) or in vitro fertilization (IVF). […] Retrograde ejaculation may be a frustrating condition, especially for men trying to conceive. […] However, it’s important to remember that this condition is well understood and has several treatment options. […] Whether through medication adjustments, muscle-strengthening drugs, or assisted reproductive technology, there are effective ways to address the fertility challenges posed by retrograde ejaculation. […] If you’re experiencing symptoms of retrograde ejaculation or are concerned about fertility, consulting a doctor is the best first step. […] With proper diagnosis and treatment, many men with retrograde ejaculation can successfully overcome the condition and achieve their goal of starting a family.

• #43 :: WJMH :: World Journal of Men’s Health

  https://wjmh.org/DOIx.php?id=10.5534/wjmh.210069

  Oral intake of urinary alkalinizing agent such as sodium bicarbonate should be considered to regulate urinary pH and osmolality, and hence the sample should be optimized for use in ART. […] A retrograde urine sample with proper collection can be processed for potential use in ART depending on the sperm parameters and female factor with acceptable pregnancy outcomes.

• #44 Male Partner Evaluation

  https://www.emoryhealthcare.org/centers-programs/reproductive-center/diagnostic-testing/male-evaluation

  Retrograde ejaculation causes some or all of your semen to go backward into your bladder.. Diabetes, certain medications, and surgery can cause this condition. […] Sample collection for retrograde ejaculation is done on-site in the ERC collection room. Your doctor can help you select the treatment method that is best for you. […] Sudafed, an over-the-counter medication, can help increase the amount of ejaculate. […] Sodium bicarbonate changes the pH of your urine so the sperm can survive. Once a sample is collected, it is washed and concentrated for use in intrauterine insemination or in vitro fertilization.

• #45 :: WJMH :: World Journal of Men’s Health

  https://wjmh.org/DOIx.php?id=10.5534/wjmh.210069

  Oral intake of urinary alkalinizing agent such as sodium bicarbonate should be considered to regulate urinary pH and osmolality, and hence the sample should be optimized for use in ART. […] A retrograde urine sample with proper collection can be processed for potential use in ART depending on the sperm parameters and female factor with acceptable pregnancy outcomes.

• #46 Anejaculation: Causes, Symptoms, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/23371-anejaculation

  Sperm retrieval methods for males with anejaculation include: […] Penile vibratory stimulation (PVS): You apply a specially designed vibrator to the tip of your penis. Sensory nerves carry the vibrations to your spinal cord, causing ejaculation. […] Electroejaculation: If PVS doesnt work, your healthcare provider may insert a probe into your rectum to directly stimulate the sensory nerves near your prostate. […] You should call your healthcare provider if you experience anejaculation that: […] Interferes with your ability to conceive a child. […] Not being able to ejaculate while having an orgasm can be upsetting to you and your partner.

• #47 Retrograde Ejaculation Treatment | Retro Ejaculation Cure | Dry Orgasm

  https://zivafertility.com/retrograde-ejaculation-treatment-of-sample/

  Men still have options if they want to make their partners pregnant. After ejaculation, the sperm are typically removed. This may entail isolating sperm from the bladder. […] Some drugs work to promote antegrade ejaculation. If all else fails, a doctor may try sperm extraction without the man having to ejaculate. […] During testicular sperm aspiration (TESA), sperm is extracted from the testicles using a needle. […] Ziva fertilityy centre is a trusted and leading fertility hospital in Hyderabad that provides the best health care services in the field of reproductive medicine and individualised care and attention for every patient during their journey to parenthood. […] The cost of retrograde ejaculation treatment for male infertility at Ziva fertilityy centre is determined by the fertility treatment received, the patients age, medical condition, and male infertility expert.

• #48 Retrograde ejaculation, painful ejaculation and hematospermia – Parnham – Translational Andrology and Urology

  https://tau.amegroups.org/article/view/11053/11779

  Bladder neck reconstruction has also been suggested for the treatment of retrograde ejaculation. […] Infertility has been the major concern of patients with retrograde ejaculation. […] Beyond the use of standard sperm retrieval techniques such as TESE and PESA, three different methods of sperm retrieval have been identified for the management of infertility in the patient suffering from retrograde ejaculation.

• #49 Sperm recovery from urine in men with retrograde ejaculation

  https://www.degruyterbrill.com/document/doi/10.1515/almed-2024-0109/html?lang=en&srsltid=AfmBOopqBWs5oDmX2m26FS5VUDU1g55GnG5QXsBG_hs1l-DuxckbSNT_

  Treatment is especially important for patients with RE who wish to have children. […] The first-line treatment for RE is pharmacological. This treatment is intended to increase the sympathetic tone both of the IUS and the vas deferens to prevent semen from retrogradely flowing into the bladder. […] Once RE has been confirmed in patients with reproductive desires, and in the case of inefficacy of the proposed treatments, the most frequent, effective, and economical non-surgical alternative in ART is the recovery of viable sperm from PEU. […] Adequate PEU collection and rapid processing are essential to preserve the viability of sperm. […] If the retrieval of sperm from PEU fails, a surgical approach can be considered for collecting spermatozoa from the epididymis (PESA: Percutaneous epididymal sperm aspiration) or the testes (TESE: Testicular sperm extraction).

• #50 Retrograde ejaculation – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/retrograde-ejaculation/diagnosis-treatment/drc-20354896

  Retrograde ejaculation typically doesn’t require treatment unless it interferes with fertility. In such cases, treatment depends on the underlying cause. […] If you have retrograde ejaculation, you’ll likely need treatment to get your female partner pregnant. In order to achieve a pregnancy, you need to ejaculate enough semen to carry your sperm into your partner’s vagina and into her uterus. […] If medication doesn’t allow you to ejaculate semen, you will likely need infertility procedures known as assisted reproductive technology to get your partner pregnant. […] Alterations in orgasm are linked with lower emotional and physical satisfaction, which might lead to stress for you and your partner. Retrograde ejaculation can be especially challenging if you and your partner want to conceive a child.

• #51 Retrograde ejaculation – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/retrograde-ejaculation/diagnosis-treatment/drc-20354896

  While most men can get their female partners pregnant with infertility treatment, it can be costly and require stressful medical procedures for both you and your partner. Talking with a counselor might help. […] Understanding all of your options and communicating with your doctor and partner can help.

• #52 Retrograde ejaculation – Augusta HealthSearchClose SearchSearch IconSearch IconClose Search IconMobile Menu IconMobile Menu Close IconInstagramFacebookTwitterYoutube

  https://www.augustahealth.com/disease/retrograde-ejaculation/

  If you have retrograde ejaculation, you’ll likely need treatment to get your female partner pregnant. In order to achieve a pregnancy, you need to ejaculate enough semen to carry your sperm into your partner’s vagina and into her uterus. […] Many men with retrograde ejaculation are able to get their partners pregnant once they seek treatment. […] Alterations in orgasm are linked with lower emotional and physical satisfaction, which might lead to stress for you and your partner. Retrograde ejaculation can be especially challenging if you and your partner want to conceive a child. […] While most men can get their female partners pregnant with infertility treatment, it can be costly and require stressful medical procedures for both you and your partner. Talking with a counselor might help. […] You’re likely to start by seeing your family doctor. Depending on the likely cause of your dry orgasms and whether you need evaluation and treatment to help you get your female partner pregnant, you might need to see a urinary and reproductive specialist (urologist).

• #53 Retrograde ejaculation – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/retrograde-ejaculation/diagnosis-treatment/drc-20354896

  Retrograde ejaculation typically doesn’t require treatment unless it interferes with fertility. In such cases, treatment depends on the underlying cause. […] If you have retrograde ejaculation, you’ll likely need treatment to get your female partner pregnant. In order to achieve a pregnancy, you need to ejaculate enough semen to carry your sperm into your partner’s vagina and into her uterus. […] If medication doesn’t allow you to ejaculate semen, you will likely need infertility procedures known as assisted reproductive technology to get your partner pregnant. […] Alterations in orgasm are linked with lower emotional and physical satisfaction, which might lead to stress for you and your partner. Retrograde ejaculation can be especially challenging if you and your partner want to conceive a child.

• #54 Retrograde ejaculation

  https://www.mymlc.com/health-information/diseases-and-conditions/r/retrograde-ejaculation/

  If you have retrograde ejaculation, you’ll likely need treatment to get your female partner pregnant. In order to achieve a pregnancy, you need to ejaculate enough semen to carry your sperm into your partner’s vagina and into her uterus. […] While most men can get their female partners pregnant with infertility treatment, it can be costly and require stressful medical procedures for both you and your partner. Talking with a counselor might help. […] Understanding all of your options and communicating with your doctor and partner can help.

• #55 Retrograde ejaculation – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/retrograde-ejaculation/diagnosis-treatment/drc-20354896

  While most men can get their female partners pregnant with infertility treatment, it can be costly and require stressful medical procedures for both you and your partner. Talking with a counselor might help. […] Understanding all of your options and communicating with your doctor and partner can help.

• #56 What is Retrograde Ejaculation? – NAU Urology Specialists

  https://northaustinurology.com/what-is-retrograde-ejaculation-treatment/

  If retrograde ejaculation is caused by an underlying health issue like diabetes, managing that condition effectively can sometimes resolve the problem. This might involve lifestyle changes, medication, or other treatments specific to the condition. […] For men looking to conceive, retrograde ejaculation can pose a significant challenge. However, there are several fertility treatments available: Sperm retrieval from urine, Intrauterine insemination (IUI), In vitro fertilization (IVF). […] While retrograde ejaculation often requires medical intervention, certain lifestyle changes can support your overall urological health: Maintain a healthy weight, Exercise regularly, Manage stress, Avoid excessive alcohol consumption, Quit smoking. […] If you’re experiencing dry orgasms or having difficulty conceiving, it’s important to consult a urologist. Early diagnosis and treatment can often lead to better outcomes. Don’t hesitate to seek help – many men feel embarrassed about these issues, but remember, as urologists, we’re here to help and have seen it all before.

• #57 What is Retrograde Ejaculation? – NAU Urology Specialists

  https://northaustinurology.com/what-is-retrograde-ejaculation-treatment/

  Retrograde ejaculation treatment is a complex but manageable aspect of men’s health. While it can be distressing, remember that with proper diagnosis and treatment, many men can find relief or achieve their fertility goals. As a urologist, I’ve seen firsthand how addressing this condition can significantly improve a patient’s quality of life. If you’re experiencing symptoms of retrograde ejaculation, don’t hesitate to reach out to a healthcare professional. With the right approach, we can work together to find a solution that works for you.

• #58 Retrograde Ejaculation: Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/21870-retrograde-ejaculation

  Retrograde ejaculation is also called dry orgasm. It can be a factor in infertility. […] Retrograde ejaculation doesn’t seem to be painful or harmful. If you don’t want children, your provider may suggest that it doesn’t need treatment. […] If the drugs don’t work to help with retrograde ejaculation, there are still ways to aid fertility. For instance, your provider can collect your sperm so that it can be used for insemination. […] Healthcare professionals don’t believe that retrograde ejaculation is harmful or painful. Your outlook is good, unless you’re trying to have children. Even then, there are treatments for both retrograde ejaculation and infertility. […] Retrograde ejaculation is a somewhat common occurrence due to many causes, including medication use, surgery and medical conditions. While healthcare providers don’t see it as being painful or harmful, it can be a problem for people who want to conceive. There are ways to treat retrograde ejaculation. Speak to your healthcare provider about any of your concerns.

• #59 Retrograde ejaculation: Causes, symptoms & treatment

  https://healthymale.org.au/mens-health/retrograde-ejaculation

  Retrograde ejaculation is usually treated successfully with medications taken in tablet form, but these can cause side effects. Surgery is rarely used to treat retrograde ejaculation. […] Retrograde ejaculation does not have serious implications for your health, but it may reduce your fertility. […] If you have a very small volume (less than 1-2 ml) of ejaculate, or no ejaculate at all, you should see your doctor about it. […] If you have retrograde ejaculation and are having trouble conceiving a pregnancy, your doctor can refer you to someone who can help.

• #60 Retrograde Ejaculation With Second-Generation Antipsychotics in Schizophrenia: A Case Series and Literature Review

  https://www.psychiatrist.com/pcc/retrograde-ejaculation-second-generation-antipsychotics-schizophrenia/

  To summarize, RE is not uncommon among patients taking SGAs, it is generally evident by 2 weeks after its initiation, and certain SGAs could have a dose-dependent effect on RE. […] The treating physician should be aware of the possibility of retrograde ejaculation, especially with antipsychotic medications which are known to cause RE, and actively inquire about possible sexual dysfunction, as patients might not be forthcoming in reporting sexual dysfunction unless it is too distressing for them.

• #61 Retrograde ejaculation – instructions for patients | CUH

  https://www.cuh.nhs.uk/patient-information/retrograde-ejaculation-instructions-for-patients/

  Some patients may produce a very low ejaculate volume or no ejaculate at all. They may suffer from a condition known as retrograde ejaculation. As a result of retrograde ejaculation, these patients ejaculate backwards into the bladder and must urinate to release the semen (which contains the sperm). […] Sperm can quickly be killed after spending more than a few minutes in the acidic environment of the bladder. […] It is important that we are able to analyse the sample as soon as possible after you have provided it, so make sure you pass the sample through the hatch to the lab as soon as you can after you have collected it.

• #62 Male Partner Evaluation

  https://www.emoryhealthcare.org/centers-programs/reproductive-center/diagnostic-testing/male-evaluation

  Retrograde ejaculation causes some or all of your semen to go backward into your bladder.. Diabetes, certain medications, and surgery can cause this condition. […] Sample collection for retrograde ejaculation is done on-site in the ERC collection room. Your doctor can help you select the treatment method that is best for you. […] Sudafed, an over-the-counter medication, can help increase the amount of ejaculate. […] Sodium bicarbonate changes the pH of your urine so the sperm can survive. Once a sample is collected, it is washed and concentrated for use in intrauterine insemination or in vitro fertilization.

• #63 Sperm recovery from urine in men with retrograde ejaculation

  https://www.degruyterbrill.com/document/doi/10.1515/almed-2024-0109/html?lang=en&srsltid=AfmBOopqBWs5oDmX2m26FS5VUDU1g55GnG5QXsBG_hs1l-DuxckbSNT_

  Treatment is especially important for patients with RE who wish to have children. […] The first-line treatment for RE is pharmacological. This treatment is intended to increase the sympathetic tone both of the IUS and the vas deferens to prevent semen from retrogradely flowing into the bladder. […] Once RE has been confirmed in patients with reproductive desires, and in the case of inefficacy of the proposed treatments, the most frequent, effective, and economical non-surgical alternative in ART is the recovery of viable sperm from PEU. […] Adequate PEU collection and rapid processing are essential to preserve the viability of sperm. […] If the retrieval of sperm from PEU fails, a surgical approach can be considered for collecting spermatozoa from the epididymis (PESA: Percutaneous epididymal sperm aspiration) or the testes (TESE: Testicular sperm extraction).

• #64 Sperm recovery from urine in men with retrograde ejaculation

  https://www.degruyter.com/document/doi/10.1515/almed-2024-0109/html?lang=en

  Treatment is especially important for patients with RE who wish to have children. […] The first-line treatment for RE is pharmacological. This treatment is intended to increase the sympathetic tone both of the IUS and the vas deferens to prevent semen from retrogradely flowing into the bladder. […] Once RE has been confirmed in patients with reproductive desires, and in the case of inefficacy of the proposed treatments, the most frequent, effective, and economical non-surgical alternative in ART is the recovery of viable sperm from PEU. […] Adequate PEU collection and rapid processing are essential to preserve the viability of sperm. […] If the retrieval of sperm from PEU fails, a surgical approach can be considered for collecting spermatozoa from the epididymis (PESA: Percutaneous epididymal sperm aspiration) or the testes (TESE: Testicular sperm extraction). […] The recovery of sperm in MEI with complete RE is unpredictable and highly variable. For this reason, cryopreservation of sperm from PEU prior to the ART is recommended.

• #65 Retrograde ejaculation – instructions for patients | CUH

  https://www.cuh.nhs.uk/patient-information/retrograde-ejaculation-instructions-for-patients/

  Some patients may produce a very low ejaculate volume or no ejaculate at all. They may suffer from a condition known as retrograde ejaculation. As a result of retrograde ejaculation, these patients ejaculate backwards into the bladder and must urinate to release the semen (which contains the sperm). […] Sperm can quickly be killed after spending more than a few minutes in the acidic environment of the bladder. […] It is important that we are able to analyse the sample as soon as possible after you have provided it, so make sure you pass the sample through the hatch to the lab as soon as you can after you have collected it.

• #66 Retrograde ejaculation Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/diseases-conditions/retrograde-ejaculation

  The condition may cause infertility. However, semen can often be removed from the bladder and used during assistive reproductive techniques. […] Contact your provider if you are worried about this problem or are having trouble conceiving a child. […] To avoid this condition: If you have diabetes, maintain good control of your blood sugar. Avoid medicines that can cause this problem.

• #67 Retrograde ejaculation – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/retrograde-ejaculation/symptoms-causes/syc-20354890

  Retrograde ejaculation occurs when semen enters the bladder instead of emerging through the penis during orgasm. […] Retrograde ejaculation isn’t harmful, but it can cause male infertility. Treatment for retrograde ejaculation is generally only needed to restore fertility. […] Retrograde ejaculation isn’t harmful and requires treatment only if you’re attempting to father a child. […] Retrograde ejaculation might be the cause of your problem if you ejaculate very little or no semen. […] Retrograde ejaculation isn’t harmful. However, potential complications include: inability to get a woman pregnant (male infertility). […] If you take medications or have health problems that put you at risk of retrograde ejaculation, ask your doctor what you can do to lower your risk. […] If you need to have surgery that might affect the bladder neck muscle, such as prostate or bladder surgery, ask about the risk of retrograde ejaculation.

• #68

  https://www.nhs.uk/conditions/transurethral-resection-of-the-prostate-turp/risks/

  Retrograde ejaculation is the most common long-term complication of TURP and can occur in as many as 65 to 75% of men. […] Retrograde ejaculation isn’t harmful and you’ll still experience the pleasure of an orgasm. […] However, your fertility may be affected, so you should speak to your surgeon if this is a concern. […] It may be possible to have an alternative procedure called transurethral incision of the prostate (TUIP) instead, which carries a lower risk of causing retrograde ejaculation. […] It’s also sometimes possible to reduce the risk when performing a TURP by leaving prostate tissue near the urethra intact.

• #69 Retrograde Ejaculation | Memorial Sloan Kettering Cancer Center

  https://www.mskcc.org/cancer-care/patient-education/retrograde-ejaculation

  Ejaculation is when semen comes out of your penis after reaching orgasm (an intense feeling of pleasure). Retrograde ejaculation is when semen flows back into your bladder, instead of out through your penis. […] If you have retrograde ejaculation, your bladder neck doesn’t close at orgasm. This means that semen flows backward into your bladder instead of forward through your penis. […] Retrograde ejaculation isn’t harmful or painful, but it may cause a small change in sensation during sex because no semen exits the penis. This is called a dry ejaculate. A dry ejaculate doesn’t affect erection (getting hard for sex) or orgasm. You will still be able to enjoy sexual activity. […] If you plan to have a family after your surgery, tell your doctor you want to bank your sperm before surgery. If you haven’t banked your sperm before surgery and want to have a family, your doctor can tell you about your options and refer you to a specialist.

• #70 Retrograde Ejaculation—a Commonly Unspoken Aspect of Prostatectomy for Benign Prostatic Hypertrophy

  https://pmc.ncbi.nlm.nih.gov/articles/PMC7065283/

  The vast majority of men undergoing prostatectomy experience permanent retrograde ejaculation (RE). […] While newer, selective techniques of prostatectomy result in lower rates of RE by preserving the innervation to the urethra, the vast majority of men undergoing the classical techniques experience permanent RE due to destruction of the natural mechanisms preventing backflow of the ejaculate into the urinary bladder. […] It is important for practicing family physicians and urologists to present RE as a serious adverse effect and not to trivialize it. […] The review presented herein suggests that unless RE is presented as part of the pros-and-cons arguments before prostatectomy is offered, many men are likely to feel misled. […] With the lack of studies aiming at the psychological effects of RE on mens response, it is important for practicing family physicians and urologists to present RE as a serious adverse effect and not try to trivialize it.

• #71 Retrograde Ejaculation—a Commonly Unspoken Aspect of Prostatectomy for Benign Prostatic Hypertrophy

  https://pmc.ncbi.nlm.nih.gov/articles/PMC7065283/

  The vast majority of men undergoing prostatectomy experience permanent retrograde ejaculation (RE). […] While newer, selective techniques of prostatectomy result in lower rates of RE by preserving the innervation to the urethra, the vast majority of men undergoing the classical techniques experience permanent RE due to destruction of the natural mechanisms preventing backflow of the ejaculate into the urinary bladder. […] It is important for practicing family physicians and urologists to present RE as a serious adverse effect and not to trivialize it. […] The review presented herein suggests that unless RE is presented as part of the pros-and-cons arguments before prostatectomy is offered, many men are likely to feel misled. […] With the lack of studies aiming at the psychological effects of RE on mens response, it is important for practicing family physicians and urologists to present RE as a serious adverse effect and not try to trivialize it.

• #72 Retrograde ejaculation – Augusta HealthSearchClose SearchSearch IconSearch IconClose Search IconMobile Menu IconMobile Menu Close IconInstagramFacebookTwitterYoutube

  https://www.augustahealth.com/disease/retrograde-ejaculation/

  If you have retrograde ejaculation, you’ll likely need treatment to get your female partner pregnant. In order to achieve a pregnancy, you need to ejaculate enough semen to carry your sperm into your partner’s vagina and into her uterus. […] Many men with retrograde ejaculation are able to get their partners pregnant once they seek treatment. […] Alterations in orgasm are linked with lower emotional and physical satisfaction, which might lead to stress for you and your partner. Retrograde ejaculation can be especially challenging if you and your partner want to conceive a child. […] While most men can get their female partners pregnant with infertility treatment, it can be costly and require stressful medical procedures for both you and your partner. Talking with a counselor might help. […] You’re likely to start by seeing your family doctor. Depending on the likely cause of your dry orgasms and whether you need evaluation and treatment to help you get your female partner pregnant, you might need to see a urinary and reproductive specialist (urologist).

• #73 Retrograde ejaculation

  https://www.mymlc.com/health-information/diseases-and-conditions/r/retrograde-ejaculation/

  If you have retrograde ejaculation, you’ll likely need treatment to get your female partner pregnant. In order to achieve a pregnancy, you need to ejaculate enough semen to carry your sperm into your partner’s vagina and into her uterus. […] While most men can get their female partners pregnant with infertility treatment, it can be costly and require stressful medical procedures for both you and your partner. Talking with a counselor might help. […] Understanding all of your options and communicating with your doctor and partner can help.

• #74 Retrograde Ejaculation—a Commonly Unspoken Aspect of Prostatectomy for Benign Prostatic Hypertrophy

  https://pmc.ncbi.nlm.nih.gov/articles/PMC7065283/

  The vast majority of men undergoing prostatectomy experience permanent retrograde ejaculation (RE). […] While newer, selective techniques of prostatectomy result in lower rates of RE by preserving the innervation to the urethra, the vast majority of men undergoing the classical techniques experience permanent RE due to destruction of the natural mechanisms preventing backflow of the ejaculate into the urinary bladder. […] It is important for practicing family physicians and urologists to present RE as a serious adverse effect and not to trivialize it. […] The review presented herein suggests that unless RE is presented as part of the pros-and-cons arguments before prostatectomy is offered, many men are likely to feel misled. […] With the lack of studies aiming at the psychological effects of RE on mens response, it is important for practicing family physicians and urologists to present RE as a serious adverse effect and not try to trivialize it.

• #75 What is Retrograde Ejaculation? – NAU Urology Specialists

  https://northaustinurology.com/what-is-retrograde-ejaculation-treatment/

  Retrograde ejaculation treatment is a complex but manageable aspect of men’s health. While it can be distressing, remember that with proper diagnosis and treatment, many men can find relief or achieve their fertility goals. As a urologist, I’ve seen firsthand how addressing this condition can significantly improve a patient’s quality of life. If you’re experiencing symptoms of retrograde ejaculation, don’t hesitate to reach out to a healthcare professional. With the right approach, we can work together to find a solution that works for you.

• #76 Retrograde Ejaculation: Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/21870-retrograde-ejaculation

  Retrograde ejaculation is also called dry orgasm. It can be a factor in infertility. […] Retrograde ejaculation doesn’t seem to be painful or harmful. If you don’t want children, your provider may suggest that it doesn’t need treatment. […] If the drugs don’t work to help with retrograde ejaculation, there are still ways to aid fertility. For instance, your provider can collect your sperm so that it can be used for insemination. […] Healthcare professionals don’t believe that retrograde ejaculation is harmful or painful. Your outlook is good, unless you’re trying to have children. Even then, there are treatments for both retrograde ejaculation and infertility. […] Retrograde ejaculation is a somewhat common occurrence due to many causes, including medication use, surgery and medical conditions. While healthcare providers don’t see it as being painful or harmful, it can be a problem for people who want to conceive. There are ways to treat retrograde ejaculation. Speak to your healthcare provider about any of your concerns.

• #77 Retrograde ejaculation: Causes, symptoms & treatment

  https://healthymale.org.au/mens-health/retrograde-ejaculation

  Retrograde ejaculation is usually treated successfully with medications taken in tablet form, but these can cause side effects. Surgery is rarely used to treat retrograde ejaculation. […] Retrograde ejaculation does not have serious implications for your health, but it may reduce your fertility. […] If you have a very small volume (less than 1-2 ml) of ejaculate, or no ejaculate at all, you should see your doctor about it. […] If you have retrograde ejaculation and are having trouble conceiving a pregnancy, your doctor can refer you to someone who can help.

• #78 Retrograde ejaculation

  https://www.mymlc.com/health-information/diseases-and-conditions/r/retrograde-ejaculation/

  If you have retrograde ejaculation, you’ll likely need treatment to get your female partner pregnant. In order to achieve a pregnancy, you need to ejaculate enough semen to carry your sperm into your partner’s vagina and into her uterus. […] While most men can get their female partners pregnant with infertility treatment, it can be costly and require stressful medical procedures for both you and your partner. Talking with a counselor might help. […] Understanding all of your options and communicating with your doctor and partner can help.

• #79 Retrograde ejaculation | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/retrograde-ejaculation

  Retrograde ejaculation isn’t harmful, but it can cause male infertility. Treatment for retrograde ejaculation is generally only needed to restore fertility. […] Retrograde ejaculation isn’t harmful and requires treatment only if you’re attempting to father a child. However, if you have dry orgasms, see your doctor to be sure your condition isn’t caused by an underlying problem that needs attention. […] Retrograde ejaculation typically doesn’t require treatment unless it interferes with fertility. In such cases, treatment depends on the underlying cause. […] If you have retrograde ejaculation, you’ll likely need treatment to get your female partner pregnant. In order to achieve a pregnancy, you need to ejaculate enough semen to carry your sperm into your partner’s vagina and into her uterus.

• #80 Retrograde ejaculation | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/retrograde-ejaculation

  While most men can get their female partners pregnant with infertility treatment, it can be costly and require stressful medical procedures for both you and your partner. Talking with a counselor might help. […] If you take medications or have health problems that put you at risk of retrograde ejaculation, ask your doctor what you can do to lower your risk.

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