Materiały źródłowe

• #1 Retrograde Ejaculation: Causes, Symptoms & Treatment

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

  Retrograde ejaculation is caused by a problem with your circular muscle (called the bladder sphincter) that closes to let semen out and keeps urine in your body. Because your sphincter doesn’t work correctly, your bladder neck stays open instead of closing allowing the ejaculate to take the path of least resistance into the bladder. […] Conditions that may cause retrograde ejaculation are also somewhat common, such as diabetes. In terms of medications, individuals who take drugs for high blood pressure or depression may develop retrograde ejaculation. […] Retrograde ejaculation is a somewhat common occurrence due to many causes, including medication use, surgery and medical conditions.

• #2 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 can cause problems with the muscle that closes the bladder during ejaculation. These include: Surgery, such as bladder neck surgery, retroperitoneal lymph node dissection surgery for testicular cancer or prostate surgery. […] Several conditions can cause problems with the muscle that closes the bladder during ejaculation. These include: Side effect of certain medications used to treat high blood pressure, prostate enlargement and depression. […] Several conditions can cause problems with the muscle that closes the bladder during ejaculation. These include: Nerve damage caused by a medical condition, such as diabetes, multiple sclerosis, Parkinson’s disease or a spinal cord injury.

• #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). […] 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). […] Retrograde ejaculation happens when the neck of the bladder does not close and semen passes into the bladder. […] However, damage to the surrounding muscles or nerves can stop the bladder neck closing, causing the semen to move into the bladder rather than up through the urethra.

• #4 Retrograde ejaculation: etiology and treatment via the use of a new noninvasive method – PubMed

  https://pubmed.ncbi.nlm.nih.gov/6541598/

  Retrograde ejaculation (RE) is not a common infertility problem, but has increased in incidence recently due to surgical aggressiveness in pelvic and genital malignancies. […] However, RE is the most common cause of aspermia, or absence of ejaculate at orgasm. […] Meanwhile, surgical or drug therapy methods have not been very promising in regaining normal antegrade ejaculation.

• #5 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. […] 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. […] 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. […] The condition may cause infertility. However, semen can often be removed from the bladder and used during assistive reproductive techniques.

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

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

  Retrograde ejaculation (RE) is a condition defined as the backward flow of the semen during ejaculation, and when present can result in male infertility. RE may be partial or complete, resulting in either low seminal volume or complete absence of the ejaculate (dry ejaculate). RE can result from anatomic, neurological or pharmacological conditions. […] RE is responsible in 0.3% to 2% of male infertility cases. […] Various disorders can result in bladder neck dysfunction and RE. Anatomical disruption following prostatectomy, cystectomy, traumatic bladder injury or radiation therapy to treat cancer in the pelvic area, are common causes of RE. Neuropathy resulting from nerve damage secondary to uncontrolled diabetes, multiple sclerosis, non-nerve sparing retroperitoneal lymph node dissection or spinal cord injury could lead to a functional bladder neck closure incompetency. Pharmacologically mediated bladder neck dysfunction is another common cause for RE and may include; effects of medications used to treat benign prostatic hyperplasia (BPH) such as such as alpha blockers tamsulosin, alfuzosin, or terazosin; mood disorders such as selective serotonin reuptake inhibitors including fluoxetine and sertraline among several others; antipsychotics – such as chlorpromazine, thioridazine, and risperidone. […] Unlike other ejaculatory disorders, which exhibit a mixture of both psychological and organic origins, causes of RE are mainly organic and include pharmacological, neurogenic, and anatomical abnormalities.

• #7 Retrograde Ejaculation Guide: Causes, Symptoms and Treatment Options

  https://www.drugs.com/health-guide/retrograde-ejaculation.html

  Side effects of medication — Medications that may cause retrograde ejaculation include drugs to treat: Symptoms related to an enlarged prostate gland — tamsulosin (Flomax), alfuzosin (Uroxatral), or terazosin (Cardura) […] Retrograde ejaculation is responsible for about 1% of all cases of male infertility in the United States. […] If your retrograde ejaculation is caused by severe nerve or muscle damage, the condition may be permanent. […] 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.

• #8 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 can cause problems with the muscle that closes the bladder during ejaculation. These include: Surgery, such as bladder neck surgery, retroperitoneal lymph node dissection surgery for testicular cancer or prostate surgery. […] Several conditions can cause problems with the muscle that closes the bladder during ejaculation. These include: Side effect of certain medications used to treat high blood pressure, prostate enlargement and depression. […] Several conditions can cause problems with the muscle that closes the bladder during ejaculation. These include: Nerve damage caused by a medical condition, such as diabetes, multiple sclerosis, Parkinson’s disease or a spinal cord injury.

• #9 Retrograde ejaculation: Treatment and causes

  https://www.medicalnewstoday.com/articles/320332

  Normal ejaculation forces semensometimes called ejaculatethrough the mans urethra and out of the penis. […] When the bladder sphincter does not work correctly, the bladder may not close completely, which can cause ejaculate to travel into the bladder rather than coming out of the penis. […] Retrograde ejaculation may be caused by: […] Diabetes: Blood sugar that remains uncontrolled for a long time can damage the organs and nerves, affecting the muscles of the bladder. […] Damage to the nervous system: Injuries and illnesses that damage the nervous system, such as multiple sclerosis and spinal cord injuries, can damage the nerves and muscles of the bladder. Surgery on the lower spine may have a similar effect. […] Surgery on the prostate, testicles, colon, rectum, bladder, or the lower spine may cause retrograde ejaculation.

• #10 Retrograde ejaculation: Treatment and causes

  https://www.medicalnewstoday.com/articles/320332

  Removal of part of the prostate through surgery is one of the most common causes of retrograde ejaculation. About 10 to 15 percent of people who undergo this surgery can expect to experience retrograde ejaculation because surgery may damage the muscles and nerves of the bladder. […] Some medications can interfere with ejaculation. Those include drugs for an enlarged prostate, some antidepressants, and some anti-psychotic drugs.

• #11 Retrograde Ejaculation Guide: Causes, Symptoms and Treatment Options

  https://www.drugs.com/health-guide/retrograde-ejaculation.html

  Ejaculation is the ejection of semen out of the urethra (passageway inside the penis) when a man has an orgasm. […] Retrograde ejaculation has several possible causes, including: Damage from surgery to the muscles of the bladder, or to the nerves that control these muscles — This damage can occur as a complication of the following surgical procedures: Prostate surgery — Men who have had a transurethral prostatectomy (removal of prostate tissue through the urethra) have a 10-15 % chance of retrograde ejaculation. A prostatectomy (surgery to remove the entire prostate gland, either for cancer or benign enlargement) results in a higher risk of retrograde ejaculation after the procedure. […] Nerve damage caused by medical illness — This is especially common in men with multiple sclerosis or with long-term, poorly controlled diabetes.

• #12 Retrograde Ejaculation Guide: Causes, Symptoms and Treatment Options

  https://www.drugs.com/health-guide/retrograde-ejaculation.html

  Ejaculation is the ejection of semen out of the urethra (passageway inside the penis) when a man has an orgasm. […] Retrograde ejaculation has several possible causes, including: Damage from surgery to the muscles of the bladder, or to the nerves that control these muscles — This damage can occur as a complication of the following surgical procedures: Prostate surgery — Men who have had a transurethral prostatectomy (removal of prostate tissue through the urethra) have a 10-15 % chance of retrograde ejaculation. A prostatectomy (surgery to remove the entire prostate gland, either for cancer or benign enlargement) results in a higher risk of retrograde ejaculation after the procedure. […] Nerve damage caused by medical illness — This is especially common in men with multiple sclerosis or with long-term, poorly controlled diabetes.

• #13 Retrograde ejaculation | Lima Memorial Health System

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

  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. […] 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. […] 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.

• #14 Retrograde Ejaculation – Harvard Health

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

  Retrograde ejaculation has several possible causes, including: […] Damage from surgery to the muscles of the bladder, or to the nerves that control these muscles. […] Nerve damage caused by medical illness. […] Side effects of medication. […] Retrograde ejaculation is responsible for about 1% of all cases of male infertility in the United States. […] If your retrograde ejaculation is caused by severe nerve or muscle damage, the condition may be permanent. […] 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.

• #15 Retrograde ejaculation – Wikipedia

  https://en.wikipedia.org/wiki/Retrograde_ejaculation

  Retrograde ejaculation occurs when semen which would be ejaculated via the urethra is redirected to the urinary bladder. […] A malfunctioning bladder sphincter, leading to retrograde ejaculation, may be a result either of: […] Autonomic nervous system dysfunction. (Dysautonomia) […] Operation on the prostate. It is a common complication of transurethral resection of the prostate, a procedure in which prostate tissue is removed, slice by slice, through a resectoscope passed along the urethra. […] It can also be caused by a retroperitoneal lymph node dissection for testicular cancer if nerve pathways to the bladder sphincter are damaged, with the resulting retrograde ejaculation being either temporary or permanent. […] Retrograde ejaculation is a common side effect of medications, such as tamsulosin, that are used to relax the muscles of the urinary tract, treating conditions such as benign prostatic hyperplasia.

• #16 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 can cause problems with the muscle that closes the bladder during ejaculation. These include: Surgery, such as bladder neck surgery, retroperitoneal lymph node dissection surgery for testicular cancer or prostate surgery. […] Several conditions can cause problems with the muscle that closes the bladder during ejaculation. These include: Side effect of certain medications used to treat high blood pressure, prostate enlargement and depression. […] Several conditions can cause problems with the muscle that closes the bladder during ejaculation. These include: Nerve damage caused by a medical condition, such as diabetes, multiple sclerosis, Parkinson’s disease or a spinal cord injury.

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

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

  A dry orgasm is the primary sign of retrograde ejaculation. But dry orgasm the ejaculation of little or no semen can also be caused by other conditions, including: Surgical removal of the prostate (prostatectomy). […] A dry orgasm is the primary sign of retrograde ejaculation. But dry orgasm the ejaculation of little or no semen can also be caused by other conditions, including: Surgical removal of the bladder (cystectomy). […] A dry orgasm is the primary sign of retrograde ejaculation. But dry orgasm the ejaculation of little or no semen can also be caused by other conditions, including: Radiation therapy to treat cancer in the pelvic area.

• #18 Retrograde ejaculation: Treatment and causes

  https://www.medicalnewstoday.com/articles/320332

  Normal ejaculation forces semensometimes called ejaculatethrough the mans urethra and out of the penis. […] When the bladder sphincter does not work correctly, the bladder may not close completely, which can cause ejaculate to travel into the bladder rather than coming out of the penis. […] Retrograde ejaculation may be caused by: […] Diabetes: Blood sugar that remains uncontrolled for a long time can damage the organs and nerves, affecting the muscles of the bladder. […] Damage to the nervous system: Injuries and illnesses that damage the nervous system, such as multiple sclerosis and spinal cord injuries, can damage the nerves and muscles of the bladder. Surgery on the lower spine may have a similar effect. […] Surgery on the prostate, testicles, colon, rectum, bladder, or the lower spine may cause retrograde ejaculation.

• #19 Retrograde ejaculation: Treatment and causes

  https://www.medicalnewstoday.com/articles/320332

  Normal ejaculation forces semensometimes called ejaculatethrough the mans urethra and out of the penis. […] When the bladder sphincter does not work correctly, the bladder may not close completely, which can cause ejaculate to travel into the bladder rather than coming out of the penis. […] Retrograde ejaculation may be caused by: […] Diabetes: Blood sugar that remains uncontrolled for a long time can damage the organs and nerves, affecting the muscles of the bladder. […] Damage to the nervous system: Injuries and illnesses that damage the nervous system, such as multiple sclerosis and spinal cord injuries, can damage the nerves and muscles of the bladder. Surgery on the lower spine may have a similar effect. […] Surgery on the prostate, testicles, colon, rectum, bladder, or the lower spine may cause retrograde ejaculation.

• #20 Retrograde ejaculation – GPnotebook

  https://gpnotebook.com/pages/urology/retrograde-ejaculation

  Retrograde ejaculation (RE) occurs when the semen passes into the bladder rather than along the urethra. […] RE is a common type of ejaculatory dysfunction, but accounts for only 0.3%-2% of male infertility. […] underlying causes of RE may be divided into pharmacological, neurogenic and anatomic causes. […] pharmacologically-induced RE, as previously discussed, is largely attributable to psychotropic medications and alpha-adrenergic blockers. […] neurogenic causes include spinal cord lesions, surgical causes (including lumbar sympathectomy, retroperitoneal lymph node dissection(RPLND), aortoiliac vascular surgery and abdomino-perineal resection), and neuropathies (such as diabetic autonomic neuropathy and multiple sclerosis). […] anatomic etiologies can be subdivided into congenital (posterior urethral valves, utricular cysts and exstrophy) and acquired conditions. […] far more common and usually result from mechanical disruption of the bladder neck and/or prostate. […] four causes collectively account for more than 80% of cases. These factors are DM, prior history of RPLND, bladder neck surgery and transurethral resection of the prostate.

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

  https://pmc.ncbi.nlm.nih.gov/articles/PMC11941111/

  Retrograde ejaculation (RE) is a condition where the forward expulsion of seminal fluid is impaired, leading to infertility and psychological distress in affected individuals. […] Causes of RE include anatomical, neurological, pharmacological, and endocrine factors, with common triggers such as diabetes, spinal cord injury, and prostate surgery. […] Common causes include conditions such as multiple sclerosis, spinal cord injuries, and diabetes, as well as the use of alpha-blocker medications or complications following prostate surgery. […] Bladder neck dysfunction induced by pharmacological agents is a prevalent factor contributing to RE. […] The majority of men undergoing transurethral surgery for benign prostatic hyperplasia (BPH) using classical techniques experience permanent RE.

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

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

  Retrograde ejaculation (RE) is a condition where the forward expulsion of seminal fluid is impaired, leading to infertility and psychological distress in affected individuals. […] Causes of RE include anatomical, neurological, pharmacological, and endocrine factors, with common triggers such as diabetes, spinal cord injury, and prostate surgery. […] Common causes include conditions such as multiple sclerosis, spinal cord injuries, and diabetes, as well as the use of alpha-blocker medications or complications following prostate surgery. […] Bladder neck dysfunction induced by pharmacological agents is a prevalent factor contributing to RE. […] Additionally, medications for mood disorders like selective serotonin reuptake inhibitors (SSRIs) and antipsychotics are recognized as potential contributors to RE.

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

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

  A dry orgasm is the primary sign of retrograde ejaculation. But dry orgasm the ejaculation of little or no semen can also be caused by other conditions, including: Surgical removal of the prostate (prostatectomy). […] A dry orgasm is the primary sign of retrograde ejaculation. But dry orgasm the ejaculation of little or no semen can also be caused by other conditions, including: Surgical removal of the bladder (cystectomy). […] A dry orgasm is the primary sign of retrograde ejaculation. But dry orgasm the ejaculation of little or no semen can also be caused by other conditions, including: Radiation therapy to treat cancer in the pelvic area.

• #24 Retrograde Ejaculation: What is It, Causes and Treatment

  https://dreminozbek.com/en/retrograde-ejaculation-what-is-it-causes-and-treatment/

  Nerve Damage: Any condition or injury that affects the spinal cord or nerves controlling the bladder and reproductive system can lead to retrograde ejaculation. This can include spinal cord injuries, multiple sclerosis, or other neurological disorders. […] Congenital Abnormalities: Some men are born with structural abnormalities in the bladder neck or urethra that can cause retrograde ejaculation. […] Radiation Therapy: Radiation treatment for cancers in the pelvic area, such as prostate or bladder cancer, can damage the nerves and muscles involved in ejaculation.

• #25 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 can cause problems with the muscle that closes the bladder during ejaculation. These include: Surgery, such as bladder neck surgery, retroperitoneal lymph node dissection surgery for testicular cancer or prostate surgery. […] Several conditions can cause problems with the muscle that closes the bladder during ejaculation. These include: Side effect of certain medications used to treat high blood pressure, prostate enlargement and depression. […] Several conditions can cause problems with the muscle that closes the bladder during ejaculation. These include: Nerve damage caused by a medical condition, such as diabetes, multiple sclerosis, Parkinson’s disease or a spinal cord injury.

• #26 Retrograde ejaculation: Treatment and causes

  https://www.medicalnewstoday.com/articles/320332

  Normal ejaculation forces semensometimes called ejaculatethrough the mans urethra and out of the penis. […] When the bladder sphincter does not work correctly, the bladder may not close completely, which can cause ejaculate to travel into the bladder rather than coming out of the penis. […] Retrograde ejaculation may be caused by: […] Diabetes: Blood sugar that remains uncontrolled for a long time can damage the organs and nerves, affecting the muscles of the bladder. […] Damage to the nervous system: Injuries and illnesses that damage the nervous system, such as multiple sclerosis and spinal cord injuries, can damage the nerves and muscles of the bladder. Surgery on the lower spine may have a similar effect. […] Surgery on the prostate, testicles, colon, rectum, bladder, or the lower spine may cause retrograde ejaculation.

• #27 Retrograde ejaculation – Wikipedia

  https://en.wikipedia.org/wiki/Retrograde_ejaculation

  The medications that mostly cause it are antidepressant and antipsychotic medication, as well as NRIs such as atomoxetine; patients experiencing this phenomenon tend to quit the medications. […] Retrograde ejaculation can also be a complication of diabetes, especially in cases of diabetics with long term poor blood sugar control.

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

  https://pmc.ncbi.nlm.nih.gov/articles/PMC11941111/

  Nerve damage linked to uncontrolled diabetes mellitus, multiple sclerosis, retroperitoneal lymph node dissection without nerve sparing, or spinal cord injury can result in functional impairment in the closure of the bladder neck. […] Men with spinal cord injuries (SCIs) may experience retrograde ejaculation at a higher rate, ranging from 8% to 37%. […] Endocrine factors, such as hypothyroidism, can manifest as mononeuropathy or sensorimotor polyneuropathy. If these conditions affect the nerves responsible for controlling ejaculation, they may result in retrograde ejaculation.

• #29 Retrograde Ejaculation – Symptoms, Causes and Treatment

  https://www.diabetes.co.uk/diabetes-complications/retrograde-ejaculation.html

  Retrograde ejaculation is an uncommon type of ejaculation problem. It occurs when semen enters the bladder instead of coming out through the urethra (the tube in which urine passes) during orgasm. […] Retrograde ejaculation can result in male infertility, and treatment would be required for fertility to be restored. […] Diabetes can cause retrograde ejaculation, in which poor blood sugar control over a long-term period leads to neuropathy of the bladder. […] Retrograde ejaculation can occur in diabetic males as a consequence of diabetic autonomic neuropathy (nerve damage). […] Retrograde ejaculation is caused when the muscle at the opening of the bladder (bladder neck muscle) doesn’t tighten properly to prevent ejaculate which is transported during orgasm from the prostate to the urethra entering the bladder.

• #30 Retrograde ejaculation: Treatment and causes

  https://www.medicalnewstoday.com/articles/320332

  Normal ejaculation forces semensometimes called ejaculatethrough the mans urethra and out of the penis. […] When the bladder sphincter does not work correctly, the bladder may not close completely, which can cause ejaculate to travel into the bladder rather than coming out of the penis. […] Retrograde ejaculation may be caused by: […] Diabetes: Blood sugar that remains uncontrolled for a long time can damage the organs and nerves, affecting the muscles of the bladder. […] Damage to the nervous system: Injuries and illnesses that damage the nervous system, such as multiple sclerosis and spinal cord injuries, can damage the nerves and muscles of the bladder. Surgery on the lower spine may have a similar effect. […] Surgery on the prostate, testicles, colon, rectum, bladder, or the lower spine may cause retrograde ejaculation.

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

  https://pmc.ncbi.nlm.nih.gov/articles/PMC11941111/

  Nerve damage linked to uncontrolled diabetes mellitus, multiple sclerosis, retroperitoneal lymph node dissection without nerve sparing, or spinal cord injury can result in functional impairment in the closure of the bladder neck. […] Men with spinal cord injuries (SCIs) may experience retrograde ejaculation at a higher rate, ranging from 8% to 37%. […] Endocrine factors, such as hypothyroidism, can manifest as mononeuropathy or sensorimotor polyneuropathy. If these conditions affect the nerves responsible for controlling ejaculation, they may result in retrograde ejaculation.

• #32 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 can cause problems with the muscle that closes the bladder during ejaculation. These include: Surgery, such as bladder neck surgery, retroperitoneal lymph node dissection surgery for testicular cancer or prostate surgery. […] Several conditions can cause problems with the muscle that closes the bladder during ejaculation. These include: Side effect of certain medications used to treat high blood pressure, prostate enlargement and depression. […] Several conditions can cause problems with the muscle that closes the bladder during ejaculation. These include: Nerve damage caused by a medical condition, such as diabetes, multiple sclerosis, Parkinson’s disease or a spinal cord injury.

• #33 Exploring the Causes and Risk Factors of Retrograde Ejaculation

  https://www.longdom.org/open-access/exploring-the-causes-and-risk-factors-of-retrograde-ejaculation-99233.html

  When sperm that would normally be ejected through the urethra is diverted to the urinary bladder, it is known as retrograde ejaculation. […] Retrograde ejaculation can happen if the bladder sphincter is not really working properly. […] Autonomic nervous system failure may cause a dysfunctional bladder sphincter, resulting in retrograde ejaculation (Dysautonomia). […] Prostate surgery is a procedure that involves removing the prostate gland. […] It can also be caused by nerve routes to the bladder sphincter being disrupted during a retroperitoneal lymph node dissection for testicular cancer, resulting in either temporary or permanent retrograde ejaculation. […] Retrograde ejaculation is a typical adverse effect of drugs used to relax the muscles of the urinary system, such as tamsulosin, to treat disorders like benign prostatic hyperplasia.

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

  https://pmc.ncbi.nlm.nih.gov/articles/PMC11941111/

  Nerve damage linked to uncontrolled diabetes mellitus, multiple sclerosis, retroperitoneal lymph node dissection without nerve sparing, or spinal cord injury can result in functional impairment in the closure of the bladder neck. […] Men with spinal cord injuries (SCIs) may experience retrograde ejaculation at a higher rate, ranging from 8% to 37%. […] Endocrine factors, such as hypothyroidism, can manifest as mononeuropathy or sensorimotor polyneuropathy. If these conditions affect the nerves responsible for controlling ejaculation, they may result in retrograde ejaculation.

• #35 Retrograde Ejaculation: Symptoms, Causes & Treatment | hims

  https://www.forhims.co.uk/blog/retrograde-ejaculation-causes-treatments

  Some types of medication can potentially cause retrograde ejaculation, including those used to treat benign prostatic hyperplasia (BPH or enlarged prostate) and high blood pressure (hypertension). […] Certain medical conditions can lead to dysfunction in the muscles or nerves around the bladder and cause retrograde ejaculation. These conditions include: Diabetes complications, Multiple sclerosis, Nerve damage, Lower spinal cord injury, Stroke, Congenital abnormalities (birth defects). […] Although it’s not entirely clear how common retrograde ejaculation is, some groups may be at a higher risk than others. These people include males with diabetes and males who’ve had bladder or prostate surgery. […] Retrograde ejaculation can develop if the nerves controlling ejaculation are damaged. […] Men who undergo prostate surgery or have surgery in their pelvic area are at a very high risk of developing ejaculatory complications.

• #36 Retrograde ejaculation – Wikipedia

  https://en.wikipedia.org/wiki/Retrograde_ejaculation

  Retrograde ejaculation occurs when semen which would be ejaculated via the urethra is redirected to the urinary bladder. […] A malfunctioning bladder sphincter, leading to retrograde ejaculation, may be a result either of: […] Autonomic nervous system dysfunction. (Dysautonomia) […] Operation on the prostate. It is a common complication of transurethral resection of the prostate, a procedure in which prostate tissue is removed, slice by slice, through a resectoscope passed along the urethra. […] It can also be caused by a retroperitoneal lymph node dissection for testicular cancer if nerve pathways to the bladder sphincter are damaged, with the resulting retrograde ejaculation being either temporary or permanent. […] Retrograde ejaculation is a common side effect of medications, such as tamsulosin, that are used to relax the muscles of the urinary tract, treating conditions such as benign prostatic hyperplasia.

• #37 Exploring the Causes and Risk Factors of Retrograde Ejaculation

  https://www.longdom.org/open-access/exploring-the-causes-and-risk-factors-of-retrograde-ejaculation-99233.html

  When sperm that would normally be ejected through the urethra is diverted to the urinary bladder, it is known as retrograde ejaculation. […] Retrograde ejaculation can happen if the bladder sphincter is not really working properly. […] Autonomic nervous system failure may cause a dysfunctional bladder sphincter, resulting in retrograde ejaculation (Dysautonomia). […] Prostate surgery is a procedure that involves removing the prostate gland. […] It can also be caused by nerve routes to the bladder sphincter being disrupted during a retroperitoneal lymph node dissection for testicular cancer, resulting in either temporary or permanent retrograde ejaculation. […] Retrograde ejaculation is a typical adverse effect of drugs used to relax the muscles of the urinary system, such as tamsulosin, to treat disorders like benign prostatic hyperplasia.

• #38 Retrograde Ejaculation: Symptoms, Causes & Treatment | hims

  https://www.forhims.co.uk/blog/retrograde-ejaculation-causes-treatments

  Some types of medication can potentially cause retrograde ejaculation, including those used to treat benign prostatic hyperplasia (BPH or enlarged prostate) and high blood pressure (hypertension). […] Certain medical conditions can lead to dysfunction in the muscles or nerves around the bladder and cause retrograde ejaculation. These conditions include: Diabetes complications, Multiple sclerosis, Nerve damage, Lower spinal cord injury, Stroke, Congenital abnormalities (birth defects). […] Although it’s not entirely clear how common retrograde ejaculation is, some groups may be at a higher risk than others. These people include males with diabetes and males who’ve had bladder or prostate surgery. […] Retrograde ejaculation can develop if the nerves controlling ejaculation are damaged. […] Men who undergo prostate surgery or have surgery in their pelvic area are at a very high risk of developing ejaculatory complications.

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

  https://pmc.ncbi.nlm.nih.gov/articles/PMC11941111/

  Nerve damage linked to uncontrolled diabetes mellitus, multiple sclerosis, retroperitoneal lymph node dissection without nerve sparing, or spinal cord injury can result in functional impairment in the closure of the bladder neck. […] Men with spinal cord injuries (SCIs) may experience retrograde ejaculation at a higher rate, ranging from 8% to 37%. […] Endocrine factors, such as hypothyroidism, can manifest as mononeuropathy or sensorimotor polyneuropathy. If these conditions affect the nerves responsible for controlling ejaculation, they may result in retrograde ejaculation.

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

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

  The majority of men undergoing transurethral surgery for benign prostatic hyperplasia (BPH) using classical techniques experience permanent RE. […] Bladder neck disorders encompass both congenital broad bladder necks and surgically induced injuries to the bladder neck, which can result in insufficient closure and retrograde ejaculation. […] Nerve damage linked to uncontrolled diabetes mellitus, multiple sclerosis, retroperitoneal lymph node dissection without nerve sparing, or spinal cord injury can result in functional impairment in the closure of the bladder neck. […] Endocrine factors, such as hypothyroidism, can manifest as mononeuropathy or sensorimotor polyneuropathy, potentially resulting in retrograde ejaculation.

• #41 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 can cause problems with the muscle that closes the bladder during ejaculation. These include: Surgery, such as bladder neck surgery, retroperitoneal lymph node dissection surgery for testicular cancer or prostate surgery. […] Several conditions can cause problems with the muscle that closes the bladder during ejaculation. These include: Side effect of certain medications used to treat high blood pressure, prostate enlargement and depression. […] Several conditions can cause problems with the muscle that closes the bladder during ejaculation. These include: Nerve damage caused by a medical condition, such as diabetes, multiple sclerosis, Parkinson’s disease or a spinal cord injury.

• #42 Retrograde Ejaculation – Harvard Health

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

  Retrograde ejaculation has several possible causes, including: […] Damage from surgery to the muscles of the bladder, or to the nerves that control these muscles. […] Nerve damage caused by medical illness. […] Side effects of medication. […] Retrograde ejaculation is responsible for about 1% of all cases of male infertility in the United States. […] If your retrograde ejaculation is caused by severe nerve or muscle damage, the condition may be permanent. […] 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.

• #43 Retrograde Ejaculation Guide: Causes, Symptoms and Treatment Options

  https://www.drugs.com/health-guide/retrograde-ejaculation.html

  Side effects of medication — Medications that may cause retrograde ejaculation include drugs to treat: Symptoms related to an enlarged prostate gland — tamsulosin (Flomax), alfuzosin (Uroxatral), or terazosin (Cardura) […] Retrograde ejaculation is responsible for about 1% of all cases of male infertility in the United States. […] If your retrograde ejaculation is caused by severe nerve or muscle damage, the condition may be permanent. […] 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.

• #44 Retrograde ejaculation – Wikipedia

  https://en.wikipedia.org/wiki/Retrograde_ejaculation

  Retrograde ejaculation occurs when semen which would be ejaculated via the urethra is redirected to the urinary bladder. […] A malfunctioning bladder sphincter, leading to retrograde ejaculation, may be a result either of: […] Autonomic nervous system dysfunction. (Dysautonomia) […] Operation on the prostate. It is a common complication of transurethral resection of the prostate, a procedure in which prostate tissue is removed, slice by slice, through a resectoscope passed along the urethra. […] It can also be caused by a retroperitoneal lymph node dissection for testicular cancer if nerve pathways to the bladder sphincter are damaged, with the resulting retrograde ejaculation being either temporary or permanent. […] Retrograde ejaculation is a common side effect of medications, such as tamsulosin, that are used to relax the muscles of the urinary tract, treating conditions such as benign prostatic hyperplasia.

• #45 Ejaculatory Dysfunction and Male Infertility — Male Infertility Guide

  https://www.maleinfertilityguide.com/ejaculatory-dysfunction

  During normal ejaculation, the bladder neck closes so that the ejaculate fluid is pushed forward and out the tip of the penis. However, sometimes the bladder neck does not close completely, thereby allowing semen to flow backward into the bladder during ejaculation. In mild cases, only part of the ejaculate flows backward into the bladder, but in more severe cases all of the semen may be lost into the bladder. Men with retrograde ejaculation may sometimes notice whitish semen in their urine when they urinate after sexual intercourse.[Yavetz H. HumReprod 1994] […] […] Alpha-blockers are medications used for the treatment of benign enlargement of the prostate (benign prostatic hyperplasia, or BPH) as well as hypertension. Alpha-blockers treat BPH by relaxing the prostatic capsule and bladder neck, thereby enlarging the channel through which the urine flows. However, when the bladder neck is relaxed, retrograde ejaculation can result. […]

• #46 Retrograde Ejaculation: Causes, Symptoms, and Treatments

  https://www.webmd.com/men/what-is-retrograde-ejaculation

  Retrograde ejaculation is caused by a problem with your bladder muscle. Ordinarily, when you have sex, a small sphincter muscle holds your bladder closed. If this muscle stays open, sperm can flow backward during orgasm and go into the bladder. […] Conditions that may cause it include: Some blood pressure medications, Some depression medications, Medications for prostate issues, Urethral surgery, Prostate surgery, Nerve damage, Prostate removal, Bladder removal, Problems with semen production, Radiation therapy in the pelvic area.

• #47 Retrograde Ejaculation: Treatment, Symptoms, and More

  https://www.healthline.com/health/mens-health/retrograde-ejaculation

  In retrograde ejaculation, this muscle fails to contract. Because it stays relaxed, the ejaculate ends up in your bladder. […] Retrograde ejaculation is the result of a physical problem. […] It can be caused by anything that affects the reflex of the muscle at the opening of the bladder. […] Retrograde ejaculation is a potential side effect of some medications, including those prescribed to treat enlarged prostate, high blood pressure, or depression. […] The most common causes of retrograde ejaculation are prostate surgery and bladder surgery. […] These factors may put you at higher risk of developing retrograde ejaculation: diabetes, multiple sclerosis, Parkinsons disease, a spinal cord injury, surgery involving your prostate or bladder, certain medications to treat enlarged prostate, high blood pressure, or depression. […] If lack of ejaculate causes you distress, it can certainly interfere with your sexual pleasure. […] The major complication is infertility, and thats only a problem if you want to father a child.

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

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

  Retrograde ejaculation (RE) is a condition where the forward expulsion of seminal fluid is impaired, leading to infertility and psychological distress in affected individuals. […] Causes of RE include anatomical, neurological, pharmacological, and endocrine factors, with common triggers such as diabetes, spinal cord injury, and prostate surgery. […] Common causes include conditions such as multiple sclerosis, spinal cord injuries, and diabetes, as well as the use of alpha-blocker medications or complications following prostate surgery. […] Bladder neck dysfunction induced by pharmacological agents is a prevalent factor contributing to RE. […] Additionally, medications for mood disorders like selective serotonin reuptake inhibitors (SSRIs) and antipsychotics are recognized as potential contributors to RE.

• #49 Why Was My Orgasm Dry? Retrograde Ejaculation’s Causes and Treatment

  https://getmegiddy.com/retrograde-ejaculation-causes-treatment

  Another common cause of retrograde ejaculation is surgery, such as prostatectomies for prostate cancer and retroperitoneal lymph node dissection for testicular cancer. […] The most important thing for your urologist to do is warn you in advance if a surgery or medication may cause retrograde ejaculation, so that you aren’t surprised if it happens. […] Retrograde ejaculation doesn’t affect your ability to have an erection or an orgasm. […] If retrograde ejaculation is a side effect of a medication, stopping or switching the drug can help. […] Levine said the most common drug treatment for retrograde ejaculation is the over-the-counter cold medication pseudoephedrine, which is an alpha agonist. […] Imipramine (Tofranil) is a first-generation antidepressant also used for retrograde ejaculation. […] Generally, Stieglitz treats men for retrograde ejaculation only if they’re trying to conceive. […] If you feel that retrograde ejaculation would really affect your sex life, then talk about it with your doctor.

• #50 What Is Retrograde Ejaculation? – Klarity Health Library

  https://my.klarity.health/what-is-retrograde-ejaculation/

  Prostate surgery for non-cancerous prostate enlargement is a frequent cause of retrograde ejaculation. Procedures such as transurethral resection of the prostate (removal of part of the prostrate) or retroperitoneal lymph node dissection after testicular cancer can easily result in retrograde ejaculation. Additionally, radiation cancer treatment in the pelvic areas can be a contributing factor. […] Certain medical conditions that affect muscles and the nervous system can increase the risk of developing retrograde ejaculation due to their ability to cause nerve damage. Examples of such conditions include Parkinson’s disease, multiple sclerosis, diabetes, and diabetic neuropathy (nerve damage caused by diabetes). […] Additionally, certain medications that impact the nervous system, like alpha-blockers and antidepressants, can have retrograde ejaculation as a side effect. Alpha-blockers used to treat blood pressure, such as doxazosin, and those used to treat benign prostatic hyperplasia (enlarged prostate), like tamsulosin, can affect bladder muscles and trigger retrograde ejaculation. Antidepressants such as duloxetine or selective serotonin reuptake inhibitors, as well as antipsychotics like thioridazine and risperidone, have also been associated with retrograde ejaculation.

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

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

  Retrograde ejaculation (RE) is a condition defined as the backward flow of the semen during ejaculation, and when present can result in male infertility. RE may be partial or complete, resulting in either low seminal volume or complete absence of the ejaculate (dry ejaculate). RE can result from anatomic, neurological or pharmacological conditions. […] RE is responsible in 0.3% to 2% of male infertility cases. […] Various disorders can result in bladder neck dysfunction and RE. Anatomical disruption following prostatectomy, cystectomy, traumatic bladder injury or radiation therapy to treat cancer in the pelvic area, are common causes of RE. Neuropathy resulting from nerve damage secondary to uncontrolled diabetes, multiple sclerosis, non-nerve sparing retroperitoneal lymph node dissection or spinal cord injury could lead to a functional bladder neck closure incompetency. Pharmacologically mediated bladder neck dysfunction is another common cause for RE and may include; effects of medications used to treat benign prostatic hyperplasia (BPH) such as such as alpha blockers tamsulosin, alfuzosin, or terazosin; mood disorders such as selective serotonin reuptake inhibitors including fluoxetine and sertraline among several others; antipsychotics – such as chlorpromazine, thioridazine, and risperidone. […] Unlike other ejaculatory disorders, which exhibit a mixture of both psychological and organic origins, causes of RE are mainly organic and include pharmacological, neurogenic, and anatomical abnormalities.

• #52 What Is Retrograde Ejaculation? – Klarity Health Library

  https://my.klarity.health/what-is-retrograde-ejaculation/

  Prostate surgery for non-cancerous prostate enlargement is a frequent cause of retrograde ejaculation. Procedures such as transurethral resection of the prostate (removal of part of the prostrate) or retroperitoneal lymph node dissection after testicular cancer can easily result in retrograde ejaculation. Additionally, radiation cancer treatment in the pelvic areas can be a contributing factor. […] Certain medical conditions that affect muscles and the nervous system can increase the risk of developing retrograde ejaculation due to their ability to cause nerve damage. Examples of such conditions include Parkinson’s disease, multiple sclerosis, diabetes, and diabetic neuropathy (nerve damage caused by diabetes). […] Additionally, certain medications that impact the nervous system, like alpha-blockers and antidepressants, can have retrograde ejaculation as a side effect. Alpha-blockers used to treat blood pressure, such as doxazosin, and those used to treat benign prostatic hyperplasia (enlarged prostate), like tamsulosin, can affect bladder muscles and trigger retrograde ejaculation. Antidepressants such as duloxetine or selective serotonin reuptake inhibitors, as well as antipsychotics like thioridazine and risperidone, have also been associated with retrograde ejaculation.

• #53 Ejaculatory Dysfunction and Male Infertility — Male Infertility Guide

  https://www.maleinfertilityguide.com/ejaculatory-dysfunction

  Some men are born with anatomic abnormalities of the bladder neck that can lead to retrograde ejaculation later in life—for example, bladder exstrophy. […] […] The diagnosis of retrograde ejaculation is made with a post-ejaculatory urinalysis (PEU). A PEU is performed by having the man provide a urine sample into a separate cup right after giving a semen analysis specimen. […] […] Tamsulosin (Flomax) and silodosin (Rapaflo) seem to be the alpha-blockers that are most likely to cause ejaculatory problems. If the urinary problems are not severe, then stopping the alpha-blocker until pregnancy is achieved is usually the most effective approach. […] […] Alpha agonists work by increasing the strength of bladder neck closure during ejaculation. In men without bladder neck scarring (for example, those who have not had prior prostate surgery), the success rate in reversing retrograde ejaculation is about 20-30 percent. […] […] Pseudoephedrine can be used in the following manners: 1) Prior to semen analysis (to assess response to treatment). […]

• #54 Retrograde ejaculation – Wikipedia

  https://en.wikipedia.org/wiki/Retrograde_ejaculation

  The medications that mostly cause it are antidepressant and antipsychotic medication, as well as NRIs such as atomoxetine; patients experiencing this phenomenon tend to quit the medications. […] Retrograde ejaculation can also be a complication of diabetes, especially in cases of diabetics with long term poor blood sugar control.

• #55 Retrograde ejaculation – Wikipedia

  https://en.wikipedia.org/wiki/Retrograde_ejaculation

  The medications that mostly cause it are antidepressant and antipsychotic medication, as well as NRIs such as atomoxetine; patients experiencing this phenomenon tend to quit the medications. […] Retrograde ejaculation can also be a complication of diabetes, especially in cases of diabetics with long term poor blood sugar control.

• #56 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 more likely to occur in men who: Use some types of medications, Have undergone some surgical procedures, Have medical conditions that affect nerve function. […] This can be caused by a number of things, including: Some medicines, including some types of antidepressants and drugs used to treat urinary symptoms associated with benign prostatic hyperplasia (BPH), Neurological conditions such as multiple sclerosis, Parkinsons disease and stroke, Surgical procedures that affect the nerves involved in orgasm and ejaculation, Nerve damage due to diabetes, Surgery to treat BPH. […] In some cases, there are anatomical causes of retrograde ejaculation (for example, developmental abnormalities).

• #57 Retrograde Ejaculation: What is It, Causes and Treatment

  https://dreminozbek.com/en/retrograde-ejaculation-what-is-it-causes-and-treatment/

  Nerve Damage: Any condition or injury that affects the spinal cord or nerves controlling the bladder and reproductive system can lead to retrograde ejaculation. This can include spinal cord injuries, multiple sclerosis, or other neurological disorders. […] Congenital Abnormalities: Some men are born with structural abnormalities in the bladder neck or urethra that can cause retrograde ejaculation. […] Radiation Therapy: Radiation treatment for cancers in the pelvic area, such as prostate or bladder cancer, can damage the nerves and muscles involved in ejaculation.

• #58 Retrograde Ejaculation: Causes & Infertility Treatments – Raadina Health

  https://raadinahealth.com/en/blog/retrograde-ejaculation

  Some men are born with a congenital abnormality of the bladder neck, allowing semen to move to the bladder instead of being ejaculated through the penis. […] Retrograde ejaculation can cause male infertility. […] Retrograde ejaculation can be temporary or permanent, depending on the underlying cause. […] This medical condition can be permanent if the underlying cause is surgery or nerve damage. […] Retrograde ejaculation can cause male infertility. However, the sperm in men with the condition above is still viable and can be retrieved to fertilize the egg through assisted reproductive technologies.

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

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

  The majority of men undergoing transurethral surgery for benign prostatic hyperplasia (BPH) using classical techniques experience permanent RE. […] Bladder neck disorders encompass both congenital broad bladder necks and surgically induced injuries to the bladder neck, which can result in insufficient closure and retrograde ejaculation. […] Nerve damage linked to uncontrolled diabetes mellitus, multiple sclerosis, retroperitoneal lymph node dissection without nerve sparing, or spinal cord injury can result in functional impairment in the closure of the bladder neck. […] Endocrine factors, such as hypothyroidism, can manifest as mononeuropathy or sensorimotor polyneuropathy, potentially resulting in retrograde ejaculation.

• #60 Retrograde ejaculation – GPnotebook

  https://gpnotebook.com/pages/urology/retrograde-ejaculation

  Retrograde ejaculation (RE) occurs when the semen passes into the bladder rather than along the urethra. […] RE is a common type of ejaculatory dysfunction, but accounts for only 0.3%-2% of male infertility. […] underlying causes of RE may be divided into pharmacological, neurogenic and anatomic causes. […] pharmacologically-induced RE, as previously discussed, is largely attributable to psychotropic medications and alpha-adrenergic blockers. […] neurogenic causes include spinal cord lesions, surgical causes (including lumbar sympathectomy, retroperitoneal lymph node dissection(RPLND), aortoiliac vascular surgery and abdomino-perineal resection), and neuropathies (such as diabetic autonomic neuropathy and multiple sclerosis). […] anatomic etiologies can be subdivided into congenital (posterior urethral valves, utricular cysts and exstrophy) and acquired conditions. […] far more common and usually result from mechanical disruption of the bladder neck and/or prostate. […] four causes collectively account for more than 80% of cases. These factors are DM, prior history of RPLND, bladder neck surgery and transurethral resection of the prostate.

• #61 Retrograde ejaculation – GPnotebook

  https://gpnotebook.com/pages/urology/retrograde-ejaculation

  Retrograde ejaculation (RE) occurs when the semen passes into the bladder rather than along the urethra. […] RE is a common type of ejaculatory dysfunction, but accounts for only 0.3%-2% of male infertility. […] underlying causes of RE may be divided into pharmacological, neurogenic and anatomic causes. […] pharmacologically-induced RE, as previously discussed, is largely attributable to psychotropic medications and alpha-adrenergic blockers. […] neurogenic causes include spinal cord lesions, surgical causes (including lumbar sympathectomy, retroperitoneal lymph node dissection(RPLND), aortoiliac vascular surgery and abdomino-perineal resection), and neuropathies (such as diabetic autonomic neuropathy and multiple sclerosis). […] anatomic etiologies can be subdivided into congenital (posterior urethral valves, utricular cysts and exstrophy) and acquired conditions. […] far more common and usually result from mechanical disruption of the bladder neck and/or prostate. […] four causes collectively account for more than 80% of cases. These factors are DM, prior history of RPLND, bladder neck surgery and transurethral resection of the prostate.

• #62 Retrograde ejaculation – GPnotebook

  https://gpnotebook.com/pages/urology/retrograde-ejaculation

  Retrograde ejaculation (RE) occurs when the semen passes into the bladder rather than along the urethra. […] RE is a common type of ejaculatory dysfunction, but accounts for only 0.3%-2% of male infertility. […] underlying causes of RE may be divided into pharmacological, neurogenic and anatomic causes. […] pharmacologically-induced RE, as previously discussed, is largely attributable to psychotropic medications and alpha-adrenergic blockers. […] neurogenic causes include spinal cord lesions, surgical causes (including lumbar sympathectomy, retroperitoneal lymph node dissection(RPLND), aortoiliac vascular surgery and abdomino-perineal resection), and neuropathies (such as diabetic autonomic neuropathy and multiple sclerosis). […] anatomic etiologies can be subdivided into congenital (posterior urethral valves, utricular cysts and exstrophy) and acquired conditions. […] far more common and usually result from mechanical disruption of the bladder neck and/or prostate. […] four causes collectively account for more than 80% of cases. These factors are DM, prior history of RPLND, bladder neck surgery and transurethral resection of the prostate.

• #63 Ejaculatory Dysfunction and Male Infertility — Male Infertility Guide

  https://www.maleinfertilityguide.com/ejaculatory-dysfunction

  Some men are born with anatomic abnormalities of the bladder neck that can lead to retrograde ejaculation later in life—for example, bladder exstrophy. […] […] The diagnosis of retrograde ejaculation is made with a post-ejaculatory urinalysis (PEU). A PEU is performed by having the man provide a urine sample into a separate cup right after giving a semen analysis specimen. […] […] Tamsulosin (Flomax) and silodosin (Rapaflo) seem to be the alpha-blockers that are most likely to cause ejaculatory problems. If the urinary problems are not severe, then stopping the alpha-blocker until pregnancy is achieved is usually the most effective approach. […] […] Alpha agonists work by increasing the strength of bladder neck closure during ejaculation. In men without bladder neck scarring (for example, those who have not had prior prostate surgery), the success rate in reversing retrograde ejaculation is about 20-30 percent. […] […] Pseudoephedrine can be used in the following manners: 1) Prior to semen analysis (to assess response to treatment). […]

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

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

  The majority of men undergoing transurethral surgery for benign prostatic hyperplasia (BPH) using classical techniques experience permanent RE. […] Bladder neck disorders encompass both congenital broad bladder necks and surgically induced injuries to the bladder neck, which can result in insufficient closure and retrograde ejaculation. […] Nerve damage linked to uncontrolled diabetes mellitus, multiple sclerosis, retroperitoneal lymph node dissection without nerve sparing, or spinal cord injury can result in functional impairment in the closure of the bladder neck. […] Endocrine factors, such as hypothyroidism, can manifest as mononeuropathy or sensorimotor polyneuropathy, potentially resulting in retrograde ejaculation.

• #65

  https://www.amerikanhastanesi.org/mayo-clinic-care-network/mayo-clinic-health-information-library/diseases-conditions/retrograde-ejaculation

  A dry orgasm is the primary sign of retrograde ejaculation. But dry orgasm the ejaculation of little or no semen can also be caused by other conditions, including: Surgical removal of the prostate (prostatectomy); Surgical removal of the bladder (cystectomy); Radiation therapy to treat cancer in the pelvic area. […] You’re at increased risk of retrograde ejaculation if: You have diabetes or multiple sclerosis; You’ve had prostate or bladder surgery; You take certain drugs for high blood pressure or a mood disorder; You had a spinal cord injury. […] Retrograde ejaculation typically doesn’t require treatment unless it interferes with fertility. In such cases, treatment depends on the underlying cause. […] Medications might work for retrograde ejaculation caused by nerve damage. This type of damage can be caused by diabetes, multiple sclerosis, certain surgeries, and other conditions and treatments. […] 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.

• #66 Retrograde ejaculation – Hancock Health

  https://www.hancockhealth.org/mayo-health-library/retrograde-ejaculation/

  Retrograde ejaculation occurs when semen enters the bladder instead of emerging through the penis during orgasm. […] Retrograde ejaculation can cause male infertility. […] Several conditions can cause problems with the muscle that closes the bladder during ejaculation. These include surgery, side effects of certain medications, and nerve damage caused by medical conditions. […] Youre at increased risk of retrograde ejaculation if you have diabetes or multiple sclerosis, have had prostate or bladder surgery, take certain drugs for high blood pressure or a mood disorder, or had a spinal cord injury. […] Retrograde ejaculation typically doesnt require treatment unless it interferes with fertility. In such cases, treatment depends on the underlying cause. […] If medication doesnt allow you to ejaculate semen, you will likely need infertility procedures known as assisted reproductive technology to get your partner pregnant. […] Retrograde ejaculation might be the cause of your problem if you ejaculate very little or no semen.

• #67 Retrograde Ejaculation – Causes and Treatment – Sexologists in Chennai treating Men’s Infertility (Premature Ejaculation, Erection Problems etc) since 28 years

  https://www.metromaleclinic.com/retrograde-ejaculation-causes-and-treatment/

  Now, the question is, what caused this weak muscle problem: Surgery, such as ‘bladder neck surgery’ or surgery for testicular cancer or prostate surgery. Side effect of some medications that are used to treat High blood pressure, prostate enlargement and depression. Problems such as diabetes, multiple sclerosis, parkinson’s disease or a spinal cord injury can cause nerve damage that can lead to Retrograde ejaculation. Surgical removal of the prostate can also cause RE. Surgical removal of the bladder (Cystectomy). Radiation therapy to treat cancer in the pelvic area. […] Who is at risk of getting Retrograde Ejaculation problem? Men suffering from diabetes or multiple sclerosis. Men who had prostate or bladder surgery. Men taking medicines for high blood pressure or a mood disorder. Men who had spinal cord injury.

• #68 Retrograde Ejaculation – Causes and Treatment – Sexologists in Chennai treating Men’s Infertility (Premature Ejaculation, Erection Problems etc) since 28 years

  https://www.metromaleclinic.com/retrograde-ejaculation-causes-and-treatment/

  Now, the question is, what caused this weak muscle problem: Surgery, such as ‘bladder neck surgery’ or surgery for testicular cancer or prostate surgery. Side effect of some medications that are used to treat High blood pressure, prostate enlargement and depression. Problems such as diabetes, multiple sclerosis, parkinson’s disease or a spinal cord injury can cause nerve damage that can lead to Retrograde ejaculation. Surgical removal of the prostate can also cause RE. Surgical removal of the bladder (Cystectomy). Radiation therapy to treat cancer in the pelvic area. […] Who is at risk of getting Retrograde Ejaculation problem? Men suffering from diabetes or multiple sclerosis. Men who had prostate or bladder surgery. Men taking medicines for high blood pressure or a mood disorder. Men who had spinal cord injury.

• #69 Retrograde Ejaculation – Causes and Treatment – Sexologists in Chennai treating Men’s Infertility (Premature Ejaculation, Erection Problems etc) since 28 years

  https://www.metromaleclinic.com/retrograde-ejaculation-causes-and-treatment/

  Now, the question is, what caused this weak muscle problem: Surgery, such as ‘bladder neck surgery’ or surgery for testicular cancer or prostate surgery. Side effect of some medications that are used to treat High blood pressure, prostate enlargement and depression. Problems such as diabetes, multiple sclerosis, parkinson’s disease or a spinal cord injury can cause nerve damage that can lead to Retrograde ejaculation. Surgical removal of the prostate can also cause RE. Surgical removal of the bladder (Cystectomy). Radiation therapy to treat cancer in the pelvic area. […] Who is at risk of getting Retrograde Ejaculation problem? Men suffering from diabetes or multiple sclerosis. Men who had prostate or bladder surgery. Men taking medicines for high blood pressure or a mood disorder. Men who had spinal cord injury.

• #70 Retrograde Ejaculation – Causes and Treatment – Sexologists in Chennai treating Men’s Infertility (Premature Ejaculation, Erection Problems etc) since 28 years

  https://www.metromaleclinic.com/retrograde-ejaculation-causes-and-treatment/

  Now, the question is, what caused this weak muscle problem: Surgery, such as ‘bladder neck surgery’ or surgery for testicular cancer or prostate surgery. Side effect of some medications that are used to treat High blood pressure, prostate enlargement and depression. Problems such as diabetes, multiple sclerosis, parkinson’s disease or a spinal cord injury can cause nerve damage that can lead to Retrograde ejaculation. Surgical removal of the prostate can also cause RE. Surgical removal of the bladder (Cystectomy). Radiation therapy to treat cancer in the pelvic area. […] Who is at risk of getting Retrograde Ejaculation problem? Men suffering from diabetes or multiple sclerosis. Men who had prostate or bladder surgery. Men taking medicines for high blood pressure or a mood disorder. Men who had spinal cord injury.

• #71 Retrograde Ejaculation: Causes & Infertility Treatments – Raadina Health

  https://raadinahealth.com/en/blog/retrograde-ejaculation

  Retrograde ejaculation usually occurs in 10-15% of men who had prostatectomy to remove part of their prostate gland. […] Spinal cord injury and nervous system disorders such as multiple sclerosis (MS) or Parkinson’s disease can cause dysfunction of the internal urethral sphincter, leading to retrograde ejaculation. […] Uncontrolled diabetes, which is one of the common causes of erectile dysfunction, can damage the nerves and organs that control ejaculation, leading to retrograde ejaculation. […] Undergoing pelvic radiotherapy during the treatment of prostate cancer can cause pelvic damage and, therefore, increase the risk of retrograde ejaculation. […] Some medications, primarily those used to treat high blood pressure (Prazosin), depression, or prostatic hyperplasia (enlargement of the prostate gland), can interfere with the muscle contractions that force semen out of the body, causing semen to travel backward into the bladder.

• #72 Retrograde Ejaculation – Symptoms, Causes and Treatment

  https://www.diabetes.co.uk/diabetes-complications/retrograde-ejaculation.html

  Retrograde ejaculation is an uncommon type of ejaculation problem. It occurs when semen enters the bladder instead of coming out through the urethra (the tube in which urine passes) during orgasm. […] Retrograde ejaculation can result in male infertility, and treatment would be required for fertility to be restored. […] Diabetes can cause retrograde ejaculation, in which poor blood sugar control over a long-term period leads to neuropathy of the bladder. […] Retrograde ejaculation can occur in diabetic males as a consequence of diabetic autonomic neuropathy (nerve damage). […] Retrograde ejaculation is caused when the muscle at the opening of the bladder (bladder neck muscle) doesn’t tighten properly to prevent ejaculate which is transported during orgasm from the prostate to the urethra entering the bladder.

• #73 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. […] One of the most common causes is prostate surgery for noncancerous prostate enlargement. Other common causes of retrograde ejaculation include diabetes, spinal cord injuries, certain medications, and some surgical operations (including major abdominal or pelvic surgery). […] Retrograde ejaculation decreases the amount of semen ejaculated out of the penis. […] The condition can cause infertility but is otherwise not harmful.

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

  https://www.merckmanuals.com/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. […] One of the most common causes is prostate surgery for noncancerous prostate enlargement. Other common causes of retrograde ejaculation include diabetes, spinal cord injuries, certain medications, and some surgical operations (including major abdominal or pelvic surgery). […] The condition can cause infertility but is otherwise not harmful.

• #75 Retrograde Ejaculation: Treatment, Symptoms, and More

  https://www.healthline.com/health/mens-health/retrograde-ejaculation

  In retrograde ejaculation, this muscle fails to contract. Because it stays relaxed, the ejaculate ends up in your bladder. […] Retrograde ejaculation is the result of a physical problem. […] It can be caused by anything that affects the reflex of the muscle at the opening of the bladder. […] Retrograde ejaculation is a potential side effect of some medications, including those prescribed to treat enlarged prostate, high blood pressure, or depression. […] The most common causes of retrograde ejaculation are prostate surgery and bladder surgery. […] These factors may put you at higher risk of developing retrograde ejaculation: diabetes, multiple sclerosis, Parkinsons disease, a spinal cord injury, surgery involving your prostate or bladder, certain medications to treat enlarged prostate, high blood pressure, or depression. […] If lack of ejaculate causes you distress, it can certainly interfere with your sexual pleasure. […] The major complication is infertility, and thats only a problem if you want to father a child.

• #76

  https://www.amerikanhastanesi.org/mayo-clinic-care-network/mayo-clinic-health-information-library/diseases-conditions/retrograde-ejaculation

  A dry orgasm is the primary sign of retrograde ejaculation. But dry orgasm the ejaculation of little or no semen can also be caused by other conditions, including: Surgical removal of the prostate (prostatectomy); Surgical removal of the bladder (cystectomy); Radiation therapy to treat cancer in the pelvic area. […] You’re at increased risk of retrograde ejaculation if: You have diabetes or multiple sclerosis; You’ve had prostate or bladder surgery; You take certain drugs for high blood pressure or a mood disorder; You had a spinal cord injury. […] Retrograde ejaculation typically doesn’t require treatment unless it interferes with fertility. In such cases, treatment depends on the underlying cause. […] Medications might work for retrograde ejaculation caused by nerve damage. This type of damage can be caused by diabetes, multiple sclerosis, certain surgeries, and other conditions and treatments. […] 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.

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

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

  A dry orgasm is the primary sign of retrograde ejaculation. But dry orgasm the ejaculation of little or no semen can also be caused by other conditions, including: Surgical removal of the prostate (prostatectomy). […] A dry orgasm is the primary sign of retrograde ejaculation. But dry orgasm the ejaculation of little or no semen can also be caused by other conditions, including: Surgical removal of the bladder (cystectomy). […] A dry orgasm is the primary sign of retrograde ejaculation. But dry orgasm the ejaculation of little or no semen can also be caused by other conditions, including: Radiation therapy to treat cancer in the pelvic area.

• #78 Retrograde Ejaculation: Symptoms, Causes, Complication and Treatment- GoMedii

  https://gomedii.com/blogs/english/health-a2z/retrograde-ejaculation/

  There are some causes of Retrograde Ejaculation include: […] Diabetes: Blood sugar that persists uncontrolled for a long time can damage the organs and nerves, affecting the muscles of the bladder. […] Damage to the nervous system: Injuries and illnesses that damage the nervous system, such as multiple sclerosis and spinal cord injuries, can damage the nerves and muscles of the bladder. […] Surgery: Surgery on the prostate, testicles, colon, rectum, bladder, or the lower spine causes retrograde ejaculation. […] Medication: Some medications can interfere with ejaculation. Those include drugs for an enlarged prostate, some antidepressants, and some antipsychotic drugs. […] Retrograde ejaculation harms fertility, but its not a common cause of infertility. It causes only about 0.3 to 2 percent of infertility problems. […] Inability to get a woman pregnant (male infertility) […] Retrograde ejaculation isn’t harmful. However, potential complications include: […] Less pleasurable orgasm due to worries about absent ejaculate.

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

  https://pmc.ncbi.nlm.nih.gov/articles/PMC11941111/

  Retrograde ejaculation (RE) is a condition where the forward expulsion of seminal fluid is impaired, leading to infertility and psychological distress in affected individuals. […] Causes of RE include anatomical, neurological, pharmacological, and endocrine factors, with common triggers such as diabetes, spinal cord injury, and prostate surgery. […] Common causes include conditions such as multiple sclerosis, spinal cord injuries, and diabetes, as well as the use of alpha-blocker medications or complications following prostate surgery. […] Bladder neck dysfunction induced by pharmacological agents is a prevalent factor contributing to RE. […] The majority of men undergoing transurethral surgery for benign prostatic hyperplasia (BPH) using classical techniques experience permanent RE.

• #80 Retrograde Ejaculation: Symptoms, Causes, Complication and Treatment- GoMedii

  https://gomedii.com/blogs/english/health-a2z/retrograde-ejaculation/

  There are some causes of Retrograde Ejaculation include: […] Diabetes: Blood sugar that persists uncontrolled for a long time can damage the organs and nerves, affecting the muscles of the bladder. […] Damage to the nervous system: Injuries and illnesses that damage the nervous system, such as multiple sclerosis and spinal cord injuries, can damage the nerves and muscles of the bladder. […] Surgery: Surgery on the prostate, testicles, colon, rectum, bladder, or the lower spine causes retrograde ejaculation. […] Medication: Some medications can interfere with ejaculation. Those include drugs for an enlarged prostate, some antidepressants, and some antipsychotic drugs. […] Retrograde ejaculation harms fertility, but its not a common cause of infertility. It causes only about 0.3 to 2 percent of infertility problems. […] Inability to get a woman pregnant (male infertility) […] Retrograde ejaculation isn’t harmful. However, potential complications include: […] Less pleasurable orgasm due to worries about absent ejaculate.

• #81 Retrograde Ejaculation – Harvard Health

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

  Retrograde ejaculation has several possible causes, including: […] Damage from surgery to the muscles of the bladder, or to the nerves that control these muscles. […] Nerve damage caused by medical illness. […] Side effects of medication. […] Retrograde ejaculation is responsible for about 1% of all cases of male infertility in the United States. […] If your retrograde ejaculation is caused by severe nerve or muscle damage, the condition may be permanent. […] 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.

• #82 Retrograde Ejaculation Guide: Causes, Symptoms and Treatment Options

  https://www.drugs.com/health-guide/retrograde-ejaculation.html

  Side effects of medication — Medications that may cause retrograde ejaculation include drugs to treat: Symptoms related to an enlarged prostate gland — tamsulosin (Flomax), alfuzosin (Uroxatral), or terazosin (Cardura) […] Retrograde ejaculation is responsible for about 1% of all cases of male infertility in the United States. […] If your retrograde ejaculation is caused by severe nerve or muscle damage, the condition may be permanent. […] 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.

• #83 Retrograde Ejaculation: Causes & Infertility Treatments – Raadina Health

  https://raadinahealth.com/en/blog/retrograde-ejaculation

  Some men are born with a congenital abnormality of the bladder neck, allowing semen to move to the bladder instead of being ejaculated through the penis. […] Retrograde ejaculation can cause male infertility. […] Retrograde ejaculation can be temporary or permanent, depending on the underlying cause. […] This medical condition can be permanent if the underlying cause is surgery or nerve damage. […] Retrograde ejaculation can cause male infertility. However, the sperm in men with the condition above is still viable and can be retrieved to fertilize the egg through assisted reproductive technologies.

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

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

  To diagnose retrograde ejaculation, your doctor may: […] If you have dry orgasms, but your doctor doesn’t find semen in your bladder, you might have a problem with semen production. This can be caused by damage to the prostate or semen-producing glands as a result of surgery or radiation treatment for cancer in the pelvic area. […] Retrograde ejaculation typically doesn’t require treatment unless it interferes with fertility. In such cases, treatment depends on the underlying cause. […] Medications might work for retrograde ejaculation caused by nerve damage. This type of damage can be caused by diabetes, multiple sclerosis, certain surgeries, and other conditions and treatments. […] Drugs generally won’t help if retrograde ejaculation is due to surgery that causes permanent physical changes of your anatomy. Examples include bladder neck surgery and transurethral resection of the prostate.

• #85 Retrograde ejaculation // Middlesex Health

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

  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. […] Several conditions can cause problems with the muscle that closes the bladder during ejaculation. […] With retrograde ejaculation, the bladder neck muscle doesn’t tighten properly. As a result, sperm can enter the bladder instead of being ejected out of your body through the penis. […] A dry orgasm is the primary sign of retrograde ejaculation. […] 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. […] 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. […] Many men with retrograde ejaculation are able to get their partners pregnant once they seek treatment.

• #86 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. […] 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. […] 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. […] The condition may cause infertility. However, semen can often be removed from the bladder and used during assistive reproductive techniques.

• #87 Retrograde Ejaculation: Symptoms, Causes & Treatment | hims

  https://www.forhims.co.uk/blog/retrograde-ejaculation-causes-treatments

  Some types of medication can potentially cause retrograde ejaculation, including those used to treat benign prostatic hyperplasia (BPH or enlarged prostate) and high blood pressure (hypertension). […] Certain medical conditions can lead to dysfunction in the muscles or nerves around the bladder and cause retrograde ejaculation. These conditions include: Diabetes complications, Multiple sclerosis, Nerve damage, Lower spinal cord injury, Stroke, Congenital abnormalities (birth defects). […] Although it’s not entirely clear how common retrograde ejaculation is, some groups may be at a higher risk than others. These people include males with diabetes and males who’ve had bladder or prostate surgery. […] Retrograde ejaculation can develop if the nerves controlling ejaculation are damaged. […] Men who undergo prostate surgery or have surgery in their pelvic area are at a very high risk of developing ejaculatory complications.

• #88 Why Was My Orgasm Dry? Retrograde Ejaculation’s Causes and Treatment

  https://getmegiddy.com/retrograde-ejaculation-causes-treatment

  Another common cause of retrograde ejaculation is surgery, such as prostatectomies for prostate cancer and retroperitoneal lymph node dissection for testicular cancer. […] The most important thing for your urologist to do is warn you in advance if a surgery or medication may cause retrograde ejaculation, so that you aren’t surprised if it happens. […] Retrograde ejaculation doesn’t affect your ability to have an erection or an orgasm. […] If retrograde ejaculation is a side effect of a medication, stopping or switching the drug can help. […] Levine said the most common drug treatment for retrograde ejaculation is the over-the-counter cold medication pseudoephedrine, which is an alpha agonist. […] Imipramine (Tofranil) is a first-generation antidepressant also used for retrograde ejaculation. […] Generally, Stieglitz treats men for retrograde ejaculation only if they’re trying to conceive. […] If you feel that retrograde ejaculation would really affect your sex life, then talk about it with your doctor.

• #89 Ejaculatory Dysfunction and Male Infertility — Male Infertility Guide

  https://www.maleinfertilityguide.com/ejaculatory-dysfunction

  Some men are born with anatomic abnormalities of the bladder neck that can lead to retrograde ejaculation later in life—for example, bladder exstrophy. […] […] The diagnosis of retrograde ejaculation is made with a post-ejaculatory urinalysis (PEU). A PEU is performed by having the man provide a urine sample into a separate cup right after giving a semen analysis specimen. […] […] Tamsulosin (Flomax) and silodosin (Rapaflo) seem to be the alpha-blockers that are most likely to cause ejaculatory problems. If the urinary problems are not severe, then stopping the alpha-blocker until pregnancy is achieved is usually the most effective approach. […] […] Alpha agonists work by increasing the strength of bladder neck closure during ejaculation. In men without bladder neck scarring (for example, those who have not had prior prostate surgery), the success rate in reversing retrograde ejaculation is about 20-30 percent. […] […] Pseudoephedrine can be used in the following manners: 1) Prior to semen analysis (to assess response to treatment). […]

• #90 Retrograde ejaculation: Causes, Diagnosis and Treatment in Delhi

  https://omyafertility.com/retrograde-causes-diagnosis-and-treatment-in-delhi/

  Treatment for retrograde ejaculation depends on the reason causing it. Treatment for retrograde ejaculation caused due to damage of nerves includes medications. Medications can also help keep the sphincter muscle closed during ejaculation. Some of the medications used are: Imipramine (Tofranil) Midodrine A few antihistamines such as Chlorpheniramine and brompheniramine Certain decongestants like Ephedrine, pseudoephedrine, and phenylephrine. […] OMYA specializes in infertility treatment doctors and treatment for retrograde ejaculation at OMYA begins with an accurate diagnostic procedure followed by medications depending on the condition. However, fertility treatment required for retrograde ejaculation is the extraction of sperms from the urine sample collected. The urine sample is primarily processed in the laboratory before extraction.

• #91 Retrograde ejaculation: Causes, Diagnosis and Treatment in Delhi

  https://omyafertility.com/retrograde-causes-diagnosis-and-treatment-in-delhi/

  Treatment for retrograde ejaculation depends on the reason causing it. Treatment for retrograde ejaculation caused due to damage of nerves includes medications. Medications can also help keep the sphincter muscle closed during ejaculation. Some of the medications used are: Imipramine (Tofranil) Midodrine A few antihistamines such as Chlorpheniramine and brompheniramine Certain decongestants like Ephedrine, pseudoephedrine, and phenylephrine. […] OMYA specializes in infertility treatment doctors and treatment for retrograde ejaculation at OMYA begins with an accurate diagnostic procedure followed by medications depending on the condition. However, fertility treatment required for retrograde ejaculation is the extraction of sperms from the urine sample collected. The urine sample is primarily processed in the laboratory before extraction.

• #92 Retrograde ejaculation: Causes, Diagnosis and Treatment in Delhi

  https://omyafertility.com/retrograde-causes-diagnosis-and-treatment-in-delhi/

  Treatment for retrograde ejaculation depends on the reason causing it. Treatment for retrograde ejaculation caused due to damage of nerves includes medications. Medications can also help keep the sphincter muscle closed during ejaculation. Some of the medications used are: Imipramine (Tofranil) Midodrine A few antihistamines such as Chlorpheniramine and brompheniramine Certain decongestants like Ephedrine, pseudoephedrine, and phenylephrine. […] OMYA specializes in infertility treatment doctors and treatment for retrograde ejaculation at OMYA begins with an accurate diagnostic procedure followed by medications depending on the condition. However, fertility treatment required for retrograde ejaculation is the extraction of sperms from the urine sample collected. The urine sample is primarily processed in the laboratory before extraction.

• #93 Retrograde ejaculation: Causes, Diagnosis and Treatment in Delhi

  https://omyafertility.com/retrograde-causes-diagnosis-and-treatment-in-delhi/

  Treatment for retrograde ejaculation depends on the reason causing it. Treatment for retrograde ejaculation caused due to damage of nerves includes medications. Medications can also help keep the sphincter muscle closed during ejaculation. Some of the medications used are: Imipramine (Tofranil) Midodrine A few antihistamines such as Chlorpheniramine and brompheniramine Certain decongestants like Ephedrine, pseudoephedrine, and phenylephrine. […] OMYA specializes in infertility treatment doctors and treatment for retrograde ejaculation at OMYA begins with an accurate diagnostic procedure followed by medications depending on the condition. However, fertility treatment required for retrograde ejaculation is the extraction of sperms from the urine sample collected. The urine sample is primarily processed in the laboratory before extraction.

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

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

  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. […] Retrograde ejaculation can be especially challenging if you and your partner want to conceive a child. […] Many men with retrograde ejaculation are able to get their partners pregnant once they seek treatment.

• #95 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. […] 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. […] 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. […] The condition may cause infertility. However, semen can often be removed from the bladder and used during assistive reproductive techniques.

• #96 Retrograde Ejaculation – Male Fertility – Tennessee Fertility Center

  https://www.nashvillefertility.com/treatment-and-care/retrograde-ejaculation/

  When stopping certain medications or taking others don’t help the man and his partner conceive, there are additional options our clinic can provide. […] If specialists are unable to collect sperm from a man’s semen or urine sample, they can utilize MESA. It consists of the doctor collecting semen from the coiled tube lying behind and above each testicle. […] If the man’s partner also has fertility difficulties, the doctor might recommend IVF. This process involves the doctor retrieving eggs from the man’s partner and an embryologist fertilizing the eggs with the man’s sperm.

• #97 Retrograde Ejaculation – Male Fertility – Tennessee Fertility Center

  https://www.nashvillefertility.com/treatment-and-care/retrograde-ejaculation/

  When stopping certain medications or taking others don’t help the man and his partner conceive, there are additional options our clinic can provide. […] If specialists are unable to collect sperm from a man’s semen or urine sample, they can utilize MESA. It consists of the doctor collecting semen from the coiled tube lying behind and above each testicle. […] If the man’s partner also has fertility difficulties, the doctor might recommend IVF. This process involves the doctor retrieving eggs from the man’s partner and an embryologist fertilizing the eggs with the man’s sperm.

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

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

  To diagnose retrograde ejaculation, your doctor may: […] If you have dry orgasms, but your doctor doesn’t find semen in your bladder, you might have a problem with semen production. This can be caused by damage to the prostate or semen-producing glands as a result of surgery or radiation treatment for cancer in the pelvic area. […] Retrograde ejaculation typically doesn’t require treatment unless it interferes with fertility. In such cases, treatment depends on the underlying cause. […] Medications might work for retrograde ejaculation caused by nerve damage. This type of damage can be caused by diabetes, multiple sclerosis, certain surgeries, and other conditions and treatments. […] Drugs generally won’t help if retrograde ejaculation is due to surgery that causes permanent physical changes of your anatomy. Examples include bladder neck surgery and transurethral resection of the prostate.

• #99 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. […] 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. […] 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. […] The condition may cause infertility. However, semen can often be removed from the bladder and used during assistive reproductive techniques.

• #100 Ejaculatory Dysfunction and Male Infertility — Male Infertility Guide

  https://www.maleinfertilityguide.com/ejaculatory-dysfunction

  Any surgical procedures that can open up the urinary channel can also damage the bladder neck, resulting in retrograde ejaculation. […] […] Advanced diabetes can result in nerve damage throughout the body. This nerve damage can affect the bladder neck, leading to retrograde ejaculation. Good blood sugar control can help prevent retrograde ejaculation in diabetic patients. […] […] Any neurologic disease affecting the pelvic nerves can result in bladder neck dysfunction and subsequent retrograde ejaculation. Examples of neurologic problems that can lead to retrograde ejaculation include spinal cord injury, spina bifida, and transverse myelitis. […] […] Rectal and aortic surgery are two examples of pelvic procedures that can damage the nerves controlling bladder neck function and result in retrograde ejaculation. Retroperitoneal lymph node dissection (RPLND) for advanced testicular cancer is another surgery that can lead to retrograde ejaculation. […]

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

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

  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. […] Retrograde ejaculation can be especially challenging if you and your partner want to conceive a child. […] Many men with retrograde ejaculation are able to get their partners pregnant once they seek treatment.

• #102

  https://www.amerikanhastanesi.org/mayo-clinic-care-network/mayo-clinic-health-information-library/diseases-conditions/retrograde-ejaculation

  A dry orgasm is the primary sign of retrograde ejaculation. But dry orgasm the ejaculation of little or no semen can also be caused by other conditions, including: Surgical removal of the prostate (prostatectomy); Surgical removal of the bladder (cystectomy); Radiation therapy to treat cancer in the pelvic area. […] You’re at increased risk of retrograde ejaculation if: You have diabetes or multiple sclerosis; You’ve had prostate or bladder surgery; You take certain drugs for high blood pressure or a mood disorder; You had a spinal cord injury. […] Retrograde ejaculation typically doesn’t require treatment unless it interferes with fertility. In such cases, treatment depends on the underlying cause. […] Medications might work for retrograde ejaculation caused by nerve damage. This type of damage can be caused by diabetes, multiple sclerosis, certain surgeries, and other conditions and treatments. […] 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.

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