Materiały źródłowe

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

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

  Retrograde ejaculation occurs when semen enters the bladder instead of emerging through the penis during orgasm. Although you still reach sexual climax, you might ejaculate very little or no semen. This is sometimes called a dry orgasm. […] Retrograde ejaculation signs and symptoms include: Orgasms in which you ejaculate very little or no semen out of your penis (dry orgasms). […] 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). […] Retrograde ejaculation isn’t harmful. However, potential complications include: Inability to get a woman pregnant (male infertility).

• #2 Retrograde Ejaculation: Causes, Symptoms & Treatment

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

  Retrograde ejaculation is also called dry orgasm. It happens when sperm doesnt leave the body through the penis but is pushed back into the bladder where urine is stored. It may be found during examinations for fertility. […] Retrograde ejaculation is a term that refers to semen going backward into your bladder instead of out of your body through your urethra and the tip of your penis during sexual climax. The urethra is the tube that lets urine and sperm leave your body. […] Retrograde ejaculation is also called dry orgasm. It can be a factor in infertility. […] You might not notice if you have retrograde ejaculation. Or you might notice the following: You produce little to no semen when you orgasm. You have cloudy urine after you orgasm. Youre having fertility issues. […] 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 doesnt work correctly, your bladder neck stays open instead of closing allowing the ejaculate to take the path of least resistance into the bladder.

• #3 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. […] Retrograde ejaculation is sometimes referred to as a „dry orgasm.” A man may notice that no semen is produced during masturbation despite the occurrence of orgasm. […] In retrograde ejaculation, these bladder neck muscles are either very weak or the nerves controlling the muscles have been damaged. […] 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. […] Retrograde ejaculation can also be a complication of diabetes, especially in cases of diabetics with long term poor blood sugar control. […] Diagnosis is usually determined after a medical professional performs a urinalysis on a urine specimen that is obtained shortly after ejaculation. In cases of retrograde ejaculation, the specimen will contain an abnormal level of sperm. […] The treatment depends on the cause. Medications may work for retrograde ejaculation but only in a few cases. […] Retrograde ejaculation can be deliberately induced by squeezing the urethra at the base or applying pressure to the perineum during orgasm.

• #4 Retrograde ejaculation, painful ejaculation and hematospermia

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5002007/

  Ejaculation is an essential step in normal human reproduction and its failure leads to infertility. Many ejaculatory disorders can have both psychological as well as organic causes; however, retrograde ejaculation is unique in that as it is almost exclusively organic in origin. […] Men with retrograde ejaculation have little to suggest a diagnosis in terms of symptoms beyond that of reduced ejaculation or dry orgasm. Post orgasm, many men will describe the passage of cloudy urine. This can be attributed to the mixing of semen in the bladder with urine. A number of men will present with fertility issues for the obvious reasons. […] Hypospermia or aspermia should highlight to the clinician the possibility of retrograde ejaculation. The presence of either though cannot differentiate between a disorder of emission and true retrograde ejaculation.

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

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

  The main symptom of retrograde ejaculation is that theres very little or no semen when you have an orgasm. Thats because the semen found its way into your bladder instead of your urethra. […] Another sign of retrograde ejaculation is that youve been trying unsuccessfully to conceive a child. This is known as male infertility. […] Retrograde ejaculation impairs your fertility, but its not a common cause of infertility. It causes only about 0.3 to 2 percent of infertility problems. […] Retrograde ejaculation doesnt mean that your sperm arent viable. Instead, infertility occurs because your sperm isnt making it to your partner. […] If youre having frequent dry orgasms, it might be a good idea to see your doctor. […] A urine test is a good way to find out if the lack of ejaculate is due to retrograde ejaculation.

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

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

  Ejaculation is an essential step in normal human reproduction and its failure leads to infertility. Many ejaculatory disorders can have both psychological as well as organic causes; however, retrograde ejaculation is unique in that as it is almost exclusively organic in origin. Despite being a common type of ejaculatory dysfunction, it is responsible for only 0.32% of infertility. The combination of dry orgasm and issue with fertility make the condition distressing to both patient and their partner especially when trying to conceive. […] Men with retrograde ejaculation have little to suggest a diagnosis in terms of symptoms beyond that of reduced ejaculation or dry orgasm. Post orgasm, many men will describe the passage of cloudy urine. This can be attributed to the mixing of semen in the bladder with urine. A number of men will present with fertility issues for the obvious reasons.

• #7 Retrograde ejaculation – UF Health

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

  Retrograde ejaculation occurs when semen goes backward into the bladder. Normally, it moves forward and out of the penis through the urethra during ejaculation. […] Symptoms include: Cloudy urine after orgasm, Little or no semen is released during ejaculation. […] If the problem is caused by a medicine, normal ejaculation will often come back after the drug is stopped. Retrograde ejaculation caused by surgery or diabetes often can’t be corrected. This is most often not a problem unless you are trying to conceive. Some men do not like how it feels and seek treatment. Otherwise, there is no need for treatment. […] The condition may cause infertility. However, semen can often be removed from the bladder and used during assistive reproductive techniques.

• #8 Ejaculation problems

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

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

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

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

  Retrograde ejaculation occurs when semen goes backward into the bladder. Normally, it moves forward and out of the penis through the urethra during ejaculation. […] Symptoms include: Cloudy urine after orgasm, Little or no semen is released during ejaculation. […] If the problem is caused by a medicine, normal ejaculation will often come back after the medicine is stopped. Retrograde ejaculation caused by surgery or diabetes often can’t be corrected. This is most often not a problem unless you are trying to conceive. Some men do not like how it feels and seek treatment. Otherwise, there is no need for treatment. […] The condition may cause infertility. However, semen can often be removed from the bladder and used during assistive reproductive techniques.

• #10 Retrograde Ejaculation – Harvard Health

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

  Retrograde ejaculation has several possible causes, including: […] Retrograde ejaculation does not interfere with a man’s ability to have an erection or to achieve orgasm, but it can cause infertility because the sperm cannot reach the woman’s uterus. Retrograde ejaculation is responsible for about 1% of all cases of male infertility in the United States. […] In men with retrograde ejaculation, the amount of semen is decreased dramatically or there is a dry climax (orgasm without semen). […] If your retrograde ejaculation is a side effect of medication, the problem may go away when your doctor switches you to a different drug. On the other hand, if your retrograde ejaculation is caused by severe nerve or muscle damage, the condition may be permanent. […] Most men who have retrograde ejaculation do not need specific treatment. If the condition is a side effect of medication, your doctor may be able to switch you to a different drug that does not cause the problem.

• #11 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. […] In retrograde ejaculation, the part of the bladder that normally closes during ejaculation (the bladder neck) remains open, causing the semen to travel backward into the bladder. […] Men with retrograde ejaculation can still have orgasms. However, retrograde ejaculation decreases the amount of semen ejaculated out of the penis. Sometimes, no semen comes out. The condition can cause infertility but is otherwise not harmful. […] A doctor makes the diagnosis of retrograde ejaculation by finding a large amount of sperm in a urine sample taken shortly after orgasm. […] About one-third of men with retrograde ejaculation improve after treatment with medications that close the bladder neck (such as pseudoephedrine or imipramine). However, men who use these medications should be alert and periodically checked by their doctor for increases in heart rate and blood pressure. Use of these medications is limited to men seeking fertility. […] If infertility requires treatment and medications do not help, doctors can sometimes collect a man’s sperm for insemination.

• #12

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

  Retrograde ejaculation occurs when semen enters the bladder instead of emerging through the penis during orgasm. Although you still reach sexual climax, you might ejaculate very little or no semen. This is sometimes called a dry orgasm. […] Retrograde ejaculation signs and symptoms include: Orgasms in which you ejaculate very little or no semen out of your penis (dry orgasms), Urine that is cloudy after orgasm because it contains semen, Inability to get a woman pregnant (male infertility). […] 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.

• #13 Dry orgasm: Causes and treatment

  https://www.medicalnewstoday.com/articles/325757

  A dry orgasm is when someone with a penis has an orgasm but does not ejaculate. […] However, unintentional dry orgasms are different. This can be the result of a person having already ejaculated recently. But if an individual often has dry orgasms with no clear cause, it could indicate an underlying condition. […] If they do not, and someone continues having little or no semen when they orgasm, it could be a result of the following factors. […] Damage to the nerves that control ejaculation may also lead to dry orgasms. […] In addition to a risk of nerve damage, some surgeries also involve removing body parts that produce sperm or semen. These surgeries may affect ejaculation. […] Some people do not produce enough semen to ejaculate because of their genetics. […] Many people confuse a dry orgasm with a retrograde ejaculation, but they are not the same thing.

• #14 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. […] 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. […] Alterations in orgasm are linked with lower emotional and physical satisfaction, which might lead to stress for you and your partner. […] Many men with retrograde ejaculation are able to get their partners pregnant once they seek treatment.

• #15 Retrograde ejaculation: Treatment and causes

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

  Normalnie, nasienie wydobywa się z penisa, gdy mężczyzna ejakuluje. Retrogradna ejakulacja powoduje, że część nasienia przemieszcza się wstecz do pęcherza. […] Mężczyźni z retrogradną ejakulacją mogą nie ejakulować wcale. […] Retrogradna ejakulacja jest objawem, a nie diagnozą. […] Retrogradna ejakulacja nie jest niebezpieczna i nie jest bolesna. […] Niektórzy mężczyźni zgłaszają mętny mocz bezpośrednio po ejakulacji, co prawdopodobnie wynika z wymieszania nasienia z moczem. […] Retrogradna ejakulacja może powodować niepłodność. […] Retrogradna ejakulacja nie zawsze jest odwracalna. […] Mężczyźni z retrogradną ejakulacją mogą mieć inne objawy związane z powiększeniem prostaty, cukrzycą lub operacją prostaty.

• #16

  https://community.prostatecanceruk.org/posts/t31271-Retrograde-ejaculation

  Since my robotic prostatectomy I’ve noticed that after orgasm my urine is cloudy. […] It appears that after prostatectomy, sperm can back flow into the bladder and I wonder whether that could cause the cloudy pee? […] I don’t understand that paper. There’s no ejaculation, retrograde or otherwise, after a prostatectomy for prostate cancer. […] I know the op removes the plumbing to produce semen, and that we can no longer ejaculate but my consultant and ED nurses definitely call the disability 'dry ejaculation’ […] There is definitely some link to the episodes of cloudy urine, (which is almost like fresh orange juice, that leaves a white sediment in the bottle,) and orgasms. It only happens on 'orgasmic days’ and never at any other time.

• #17 Retrograde Ejaculation: Causes, Symptoms & Treatment

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

  Retrograde ejaculation doesnt seem to be painful or harmful. If you dont want children, your provider may suggest that it doesnt need treatment. […] Healthcare professionals dont believe that retrograde ejaculation is harmful or painful. Your outlook is good, unless youre trying to have children. Even then, there are treatments for both retrograde ejaculation and infertility. […] Retrograde ejaculation can go away with treatment. It can also go away if youre able to change the medications that cause it. […] The rate of retrograde ejaculation after TURP is estimated to be as high as 70% to 90%. If the bladder neck is preserved during TURP, there may be less risk of retrograde ejaculation. […] Retrograde ejaculation is a somewhat common occurrence due to many causes, including medication use, surgery and medical conditions. While healthcare providers dont see it as being painful or harmful, it can be a problem for people who want to conceive. There are ways to treat retrograde ejaculation. Speak to your healthcare provider about any of your concerns.

• #18 Retrograde ejaculation: Causes, symptoms & treatment

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

  Retrograde ejaculation is when semen travels backwards into the bladder when you have an orgasm. […] If you have retrograde ejaculation, you might notice you have very little or even no ejaculate when you reach orgasm. You might also notice your urine is cloudy when urinating after orgasm. […] Retrograde ejaculation does not have serious implications for your health, but it may reduce your fertility. […] If you have a very small volume (less than 1-2 ml) of ejaculate, or no ejaculate at all, you should see your doctor about it. Although retrograde ejaculation itself is not a serious health problem, it can be caused by conditions that require treatment. […] If you have retrograde ejaculation and are having trouble conceiving a pregnancy, your doctor can refer you to someone who can help.

• #19

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

  Retrograde ejaculation isn’t harmful. However, potential complications include: Inability to get a woman pregnant (male infertility), Less pleasurable orgasm due to worries about absent ejaculate. […] Retrograde ejaculation typically doesn’t require treatment unless it interferes with fertility. In such cases, treatment depends on the underlying cause. […] If you have retrograde ejaculation, you’ll likely need treatment to get your female partner pregnant. In order to achieve a pregnancy, you need to ejaculate enough semen to carry your sperm into your partner’s vagina and into her uterus.

• #20 Retrograde Ejaculation: What You Need to Know About This Sexual Dysfunction | MyloFamily

  https://mylofamily.com/article/retrograde-ejaculation-unraveling-the-mystery-behind-this-uncommon-sexual-dysfunction-221614?srsltid=AfmBOooKNMPouvAqEVGHLN2t6lNZ-Y-_ZU9SsaZwWc7h8Qfto6895NEu

  In some cases, men with retrograde ejaculation may also experience a dry orgasm, where they still feel the pleasurable sensations of orgasm but without the release of semen. This can be emotionally challenging for individuals who desire to father children or who find satisfaction in the physical aspects of ejaculation. […] Retrograde ejaculation can significantly reduce a man’s fertility because the sperm is not able to reach the cervix during sexual intercourse. This can make it difficult for couples to conceive naturally. […] The inability to ejaculate normally can cause feelings of inadequacy, frustration, and distress. Men may experience a loss of self-esteem and may also feel anxious or depressed. […] Retrograde ejaculation over time can lead to the following complications: When semen is redirected into the bladder, it can increase the risk of urinary tract infections. This is because semen contains bacteria that can cause infection if not properly expelled from the body. […] Retrograde ejaculation can put strain on a relationship, particularly if the couple desires to have children. The emotional impact of this condition can lead to communication difficulties and intimacy issues.

• #21 Retrograde Ejaculation: Symptoms, Causes, & Treatment

  https://www.emedicinehealth.com/can_retrograde_ejaculation_cure_itself/article_em.htm

  Most men with retrograde ejaculation will not need treatment. The answer as to whether retrograde ejaculation can be cured depends on its cause. […] Symptoms of retrograde ejaculation include: […] Dry orgasm, in which little to no semen is expelled […] Cloudy urine after orgasm, due to semen being misdirected into the bladder […] Infertility, which may take time to notice. […] Retrograde ejaculation is diagnosed with a medical history, and a physical exam of the penis, testicles, and rectum. […] Urinalysis to detect if semen is present in the urine is used to confirm the diagnosis. […] Retrograde ejaculation is not harmful or painful, and treatment may not be needed if fertility is not a concern. […] Treatment for retrograde ejaculation depends on the underlying cause and may include the following options in the table below.

• #22 Retrograde ejaculation, painful ejaculation and hematospermia

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5002007/

  Consequently, Vroege et al. suggested that the analysis and confirmation of sperm in a post orgasmic urine sample could help differentiate between these two separate disorders. […] Medical and surgical strategies exist for the treatment of retrograde ejaculation. In recent years the reliance of medical treatment as first line management has become common practice. […] Infertility has been the major concern of patients with retrograde ejaculation. Beyond the use of standard sperm retrieval techniques such as TESE and PESA, three different methods of sperm retrieval have been identified for the management of infertility in the patient suffering from retrograde ejaculation. These include; centrifugation and resuspension of post ejaculatory urine specimens, the Hotchkiss (or modified Hotchkiss) technique and ejaculation on a full bladder.

• #23 Retrograde Ejaculation – Treatment, Causes and Symptoms

  https://www.hexahealth.com/condition/retrograde-ejaculation

  Retrograde ejaculation symptoms include: […] Patients with retrograde ejaculation don’t face any problems regarding erection or reaching climax. It only affects the patient’s ability to ejaculate. […] Retrograde ejaculation symptoms include: Dry Orgasms – Little or no ejaculation upon orgasm, Cloudy urine after orgasm due to the presence of semen, Male infertility – Inability to get a woman pregnant. […] Retrograde ejaculation is usually diagnosed during fertility tests. […] As mentioned earlier, dry ejaculation may be the symptom of some other underlying medical condition. So, if the patient has been experiencing frequent dry orgasms, it is better to consult a doctor for a diagnosis. […] If the patient is experiencing frequent dry orgasms, consulting a doctor becomes necessary to rule out any underlying health condition that may need medical attention.

• #24 TMC Puchong: What are the Symptoms of Retrograde Ejaculation

  https://www.goldengateklfertilitycentre.com/tmc-puchong-what-are-the-symptoms-of-retrograde-ejaculation/

  Retrograde ejaculation occurs when the internal sphincter muscle at the base of the bladder fails to close properly during orgasm. This dysfunction allows semen to flow backward into the bladder rather than exiting through the urethra (Dohle Colpi, 2022). Although the amount of semen released during orgasm may decrease or disappear, the individual can still experience the sensation of climax. […] A key indicator of retrograde ejaculation is producing little to no semen during orgasm. […] Since the semen flows into the bladder, men with RE often notice their urine appears cloudy after orgasm. […] Couples struggling to conceive may discover retrograde ejaculation during fertility assessments. […] Men experiencing dry orgasms are often recommended to undergo a urine analysis post-ejaculation. The presence of sperm in the urine confirms retrograde ejaculation (Niederberger, 2017). […] Retrograde ejaculation may go unnoticed until couples encounter difficulties with conception. However, recognizing the symptoms such as dry ejaculation, cloudy urine, and infertility issues is crucial for early diagnosis and treatment.

• #25 Ejaculation problems

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

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

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

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

  With semen in the bladder, retrograde ejaculation can cause cloudy urine the next time you pee after an orgasm. […] If your retrograde ejaculation is mild, you might not notice these signs. But some men may have stress or anxiety about noticing changes in their ejaculation. […] Retrograde ejaculation happens when semen flows backward from the urethra to the bladder due to problems with the bladder neck muscle. […] 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. […] As many as 70 to 90 percent of men who get TURP surgery develop retrograde ejaculation.

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

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

  Although research has shown some success in retrieving sperm from individuals with retrograde ejaculation, there remain notable gaps in understanding related to diagnosis, recovery methods, handling procedures, and in vitro fertilization treatments. 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. Additionally, urethral conditions such as urethral valve syndrome or strictures caused by trauma or inflammation can heighten urethral resistance. […] Men with spinal cord injuries (SCIs) may experience retrograde ejaculation at a higher rate, ranging from 8% to 37%. During ejaculation, the closure of the bladder neck is typically regulated by the sympathetic nervous system, which originates from the T12–L2 spinal cord segments. In males with SCIs, disruptions to these sympathetic pathways, such as those caused by nerve damage or lesions, can prevent proper bladder neck closure, resulting in semen being redirected into the bladder instead of being expelled through the urethra.

• #28 Retrograde Ejaculation: Symptoms, Causes & Treatment – Tua Saúde

  https://www.tuasaude.com/en/retrograde-ejaculation/

  Retrograde ejaculation is a condition that refers to sperm that travels into the bladder instead of flowing out through the urethra. This can cause a reduction or absence of sperm during orgasm. […] Although retrograde ejaculation does not cause any pain and is not harmful to health, it can have emotional implications, as men may have the feeling that they are unable to ejaculate. In cases of a total absence of ejaculation, infertility may also occur. […] The most common signs and symptoms of retrograde ejaculation are: Reduction or absence of sperm during ejaculation, Cloudy or slightly whitish urine, Difficulty getting your partner pregnant. […] Retrograde ejaculation does not cause pain. Men with retrograde ejaculation are also able to achieve and feel orgasm, and will typically have a satisfactory erection.

• #29 Retrograde Ejaculation: Symptoms, Causes & Treatment – Tua Saúde

  https://www.tuasaude.com/en/retrograde-ejaculation/

  Retrograde ejaculation can be diagnosed through a urine test, which is done after achieving an orgasm. The presence of sperm in the urine sample confirms the existence of the problem. […] Treatment for retrograde ejaculation is usually only necessary when it interferes with a man’s fertility. In these cases, the main treatment options include: Medications, Fertility treatments, Psychological support. […] Psychological support is very important for all men, regardless of the type of treatment they are undergoing. This is because not having an effective ejaculation can greatly reduce a man’s emotional and physical satisfaction, which can be stressful and cause anxious feelings.

• #30 Retrograde ejaculation – Hancock Health

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

  Alterations in orgasm are linked with lower emotional and physical satisfaction, which might lead to stress for you and your partner. Retrograde ejaculation can be especially challenging if you and your partner want to conceive a child. […] If you’re trying to get your female partner pregnant, you might also want to ask: Will medications help me ejaculate normally? Can sperm be retrieved from my bladder and used for fertility treatment? Will my partner and I likely need to use assisted reproductive technology, such as intrauterine insemination, to achieve pregnancy? What’s the best treatment to use to try to get my partner pregnant?

• #31 Retrograde Ejaculation: understanding dry orgasm – Edward Calleja

  https://www.edwardcalleja.com/blog-posts/retrograde-ejaculation-understanding-dry-orgasm

  Retrograde ejaculation is a medical condition where semen travels backwards instead of being propelled out of the penis. […] The leading symptom men observe is a dry orgasm, an ejaculation event where little or no semen is released. […] Painful ejaculation can also be a sign and symptom of this condition. […] The primary concern is male infertility since sperm doesn’t reach the partner’s uterus. […] If you’re a man with retrograde ejaculation or suspect you might be, it’s crucial to seek treatment promptly. […] Beyond the physiological concerns, retrograde ejaculation can have profound psychological effects. […] Studies suggest a notable percentage of men undergoing procedures like transurethral resection of the prostate (TURP) experience retrograde ejaculation post-surgery. […] Conditions like multiple sclerosis or diabetes that affect nerve function can increase the risk of retrograde ejaculation.

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

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

  Retrograde ejaculation can be caused by various factors that affect the muscles and nerves involved in the ejaculation process. Some common causes include: Surgery: Procedures involving the prostate, bladder, or urethra can damage the muscles or nerves controlling ejaculation, leading to retrograde ejaculation. This is common after prostate surgery (such as transurethral resection of the prostate, or TURP) or bladder neck surgery. […] Diagnosing retrograde ejaculation involves a combination of medical history review, physical examination, and specific tests to confirm the condition. […] The treatment of retrograde ejaculation depends on the underlying cause and the patients desire for fertility. Here are common treatment approaches: Medication Adjustment: Change or Discontinue Medications: If the retrograde ejaculation is caused by a medication (such as alpha-blockers or certain antidepressants), your doctor may adjust the dosage, switch to a different drug, or discontinue the medication to restore normal ejaculation.

• #33 Brief Note on Signs, Symptoms and Causes of Retrograde Ejaculatio

  https://www.longdom.org/open-access/brief-note-on-signs-symptoms-and-causes-of-retrograde-ejaculation-89545.html

  When sperm that would normally be ejected through the urethra is diverted to the urinary bladder, it is known as retrograde ejaculation. […] A „dry orgasm” is a term used to describe retrograde ejaculation. One sign of male infertility is retrograde ejaculation. During masturbation, a man may observe that despite the presence of climax, no ejaculation is generated. […] Muscles at the end of the bladder neck contract during climax to prevent retrograde semen flow. These bladder neck muscles are either exceedingly weak or the nerves controlling them have been destroyed in 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. […] Retrograde ejaculation is a consequence of diabetes, especially in diabetics who have had poor blood sugar management for a long time. This is caused by bladder sphincter neuropathy. […] A urinalysis on a urine specimen taken immediately after ejaculation is frequently used to make the diagnosis. The samples will include an abnormal amount of sperm in situations of retrograde ejaculation.

• #34 Side Effects of α-Blocker Use: Retrograde Ejaculation

  https://pmc.ncbi.nlm.nih.gov/articles/PMC2812888/

  Specifically, 28% of silodosin-treated patients in the 2 US studies reported abnormal ejaculation (classified as RE), as did 22.3% of silodosin-treated patients in the Japanese study. […] The relationship between the causal efficacy of -blockers (and specifically silodosin) and the occurrence of RE remains to be determined.

• #35 Is Retrograde Ejaculation Cause for Concern?

  https://www.drshrid.com/2019/06/is-retrograde-ejaculation-cause-for-concern/

  Most adults know the outcome of a mans orgasm: ejaculation. A dry orgasm is otherwise known as retrograde ejaculation. Men who have this condition do not typically have any difficulty with sexual performance. However, conception may be a challenge due to the lack of semen and sperm. […] There is no pain associated with retrograde ejaculation nor any sexual performance symptoms. The way a man may realize there is a problem is by noticing: […] There is little to no semen produced during orgasm […] Urine looks cloudy shortly after orgasm due to the presence of semen […] He and his partner are struggling to conceive. […] A mans body will flush semen from the bladder during urination so there is little concern related to this issue itself. Whether or not a man decides to obtain treatment for retrograde ejaculation, it is recommended that he undergo a urological examination to ensure the primary problem is not associated with an underlying health condition. Some of the common factors that may contribute to retrograde ejaculation include medication for depression or high blood pressure, multiple sclerosis, diabetes, or spinal cord injury. Men who have undergone prostatectomy may also have a higher risk of developing retrograde ejaculation. […] Treatment for retrograde ejaculation revolves around the contributing cause. Often, medication that assists the bladder muscle is prescribed for men who want to improve fertility without more invasive assistance. If necessary, sperm can be retrieved from the bladder for fertility purposes.

• #36 Side Effects of α-Blocker Use: Retrograde Ejaculation

  https://pmc.ncbi.nlm.nih.gov/articles/PMC2812888/

  According to the Medical Dictionary for Regulatory Activities, the definition of retrograde ejaculation (RE) includes a broad spectrum of patient-reported events of abnormal ejaculation, including absence of seminal emission, reduced ejaculate volume, and reduced ejaculation force. […] In a seminal study, Hellstrom and coworkers examined the effects of tamsulosin and the nonselective -blocker alfuzosin on ejaculatory function in healthy volunteers and found that tamsulosin 0.8 mg/day caused markedly reduced ejaculate volume in 90% of patients and anejaculation in 35% of patients. […] The most recent FDA-approved -blocker, silodosin, has unique receptor subtype and tissue selectivity. […] However, consistent with the findings of earlier clinical studies of silodosin in Japanese patients, high incidences of abnormal ejaculation were reported.

• #37 Side Effects of α-Blocker Use: Retrograde Ejaculation

  https://pmc.ncbi.nlm.nih.gov/articles/PMC2812888/

  There are currently 5 -blockers that are approved by the US Food and Drug Administration to treat lower urinary tract symptoms (LUTS). […] However, -blockers differ in their likelihood of causing abnormal ejaculation. […] Specifically, sexual dysfunction has been related to changes in ejaculation (either retrograde or diminished ejaculation). […] In controlled clinical trials, the percentage of patients treated with the 1A-selective -blocker tamsulosin who reported abnormal ejaculation varied between 4% and 26%, depending on dose and study duration. […] In a long-term, open-label extension study, 30% of patients treated with tamsulosin reported abnormal ejaculation. […] In contrast, incidences of abnormal ejaculation related to the use of nonselective -blockers, such as doxazosin, terazosin, or alfuzosin, generally were lower than 1.5%.

• #38 Retrograde Ejaculation – What Is It, and Why Does It Occur After BPH Treatment?

  https://dcurology.net/2024/10/10/retrograde-ejaculation-what-is-it-and-why-does-it-occur-after-bph-treatment/

  Retrograde ejaculation is the process by which semen does not exit the body via the penis but instead gets pushed back into the bladder during ejaculation. This is also known as a dry orgasm and can be caused by specific heat-based BPH treatments. […] One of the considerations of any heat-based BPH procedure, however, is retrograde ejaculation. This is a virtual certainty after a bipolar TURP but occurs far less often in a minimally invasive Rezum procedure, where between 1 and 4% of patients will be affected. Retrograde ejaculation does not cause pain, erectile dysfunction, loss of sensation, or any sexual problems. Instead, some patients and their partners may be concerned about the lack of semen upon ejaculation. […] Younger patients who are looking to have children will most certainly have fertility issues because of retrograde ejaculation. Knowing this, patient selection for a specific BPH procedure becomes very important.

• #39 Recently, I have lost the ability to ejaculate. What to do?

  https://www.icliniq.com/qa/retrograde-ejaculation/my-ejaculation-quantity-has-diminished-how-to-improve

  I am a 60 year old male with type 2 diabetes (HbA1c 6.2). Recently, I have lost the ability to ejaculate. […] Over the last couple of years, the ejaculation quantity has diminished. Now, it seems to be dry. […] Poor or absent ejaculation occurs due to medicines for prostate or due to diabetes. In some diabetic patients, there is retrograde ejaculation (into the bladder) or sometimes no ejaculation. […] You will simply be shooting blanks or having a dry orgasm. […] My recent laboratory result was 716 ng/dL. Before year also, my libido has almost disappeared and the current lack of orgasm has developed.

• #40 Retrograde Ejaculation- Symptoms, Causes and Treatment – Eva Hospital

  https://evahospital.in/retrograde-ejaculation-symptoms-causes-and-treatment/

  Retrograde ejaculation usually requires treatment only if the man is wanting to father a child. Dry orgasms are an indication to consult a doctor and make sure that the condition is not caused by an underlying condition that needs attention. […] Though Orgasms without ejaculation, present no serious risks to health or necessarily interfere with the sex life, they are still reason enough to consult the doctor to examine the cause and rule out any underlying disease. […] Retrograde ejaculation or dry organism is not always reversible, but infertility caused by it is treatable.

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