Materiały źródłowe

• #1 Retrograde Ejaculation: Causes, Symptoms & Treatment

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

  Retrograde ejaculation is also called dry orgasm. It can be a factor in infertility. […] Retrograde ejaculation often affects individuals who: Have had surgery on their prostate and urethra. […] Retrograde ejaculation is somewhat common. For instance, it happens after most cases of transurethral resection of the prostate (TURP) surgeries. […] Retrograde ejaculation doesn’t seem to be painful or harmful. If you don’t want children, your provider may suggest that it doesn’t need treatment. […] However, if you decide you want treatment, there are medications that help the sphincter close tightly. […] If your condition is actually being caused by the medications you’re on, talk with your provider about making a change to a different type of drug. […] There’s no way to prevent retrograde ejaculation. But if you have diabetes, it’s important to keep your blood sugar levels steady.

• #1 Retrograde ejaculation | UM Health-Sparrow

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

  Retrograde ejaculation isn’t harmful, but it can cause male infertility. Treatment for retrograde ejaculation is generally only needed to restore fertility. […] If you take medications or have health problems that put you at risk of retrograde ejaculation, ask your doctor what you can do to lower your risk. […] If you need to have surgery that might affect the bladder neck muscle, such as prostate or bladder surgery, ask about the risk of retrograde ejaculation. If you plan to have children in the future, talk with your doctor about options for preserving semen before the surgery.

• #1 Retrograde ejaculation: Treatment and causes

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

  Retrograde ejaculation is not entirely preventable. […] Men who need treatment for an enlarged prostate should consider surgeries that are less invasive, such as transurethral microwave thermotherapy (TUMT) or transurethral needle ablation (TUNA) of the prostate. These surgeries are less likely to cause nerve and muscle damage. […] Controlling medical conditions that can cause nerve damage may also prevent retrograde ejaculation. Men with diabetes should take the medications their doctors prescribe and should implement appropriate lifestyle changes as recommended by a doctor.

• #1 Best Practices for Ejaculation Preservation in BPH Surgery: Making Forward Progress on Retrograde Ejaculation – American Urological Association

  https://auanews.net/issues/articles/2021/october-2021/best-practices-for-ejaculation-preservation-in-bph-surgery-making-forward-progress-on-retrograde-ejaculation

  Best Practices for Ejaculation Preservation in BPH Surgery: Making Forward Progress on Retrograde Ejaculation […] Prior to 2013 surgical treatment options that preserved ejaculation were limited, forcing patients to choose the risk of sexual dysfunction vs improvement in LUTS. This discussion will be limited to surgical treatments supported by AUA Guidelines on the Surgical Management of BPH/LUTS, which endorse prostatic urethral lift (PUL) and water vapor thermal therapy as options that may be offered to patients who desire preservation of erectile and ejaculatory function. Aquablation, while not explicitly endorsed by AUA Guidelines as an option for preservation of ejaculation, also carries a lower risk of ejaculatory dysfunction compared to traditional transurethral resection of prostate (TURP).

• #1 Best Practices for Ejaculation Preservation in BPH Surgery: Making Forward Progress on Retrograde Ejaculation – American Urological Association

  https://auanews.net/issues/articles/2021/october-2021/best-practices-for-ejaculation-preservation-in-bph-surgery-making-forward-progress-on-retrograde-ejaculation

  Water vapor thermal therapy (Rezm System) was approved in 2015 as a minimally invasive surgical therapy that uses convective radiofrequency thermal therapy to ablate prostatic tissue. It is endorsed by the AUA Guidelines for glands between 30 g and 80 g, including men with a median lobe. […] The newest addition to the minimally invasive surgical treatments is aquablation (AquaBeam). Aquablation utilizes ultrasound and robotics to ablate prostatic tissue with a heat-free, high-pressured saline jet. It is also endorsed by AUA Guidelines for glands between 30 g to 80 g. […] Unilateral transurethral incision of prostate (TUIP) has also historically been used to preserve ejaculation. AUA Guidelines advise TUIP is an option to treat glands less than 30 g, but do not specifically endorse TUIP as a method to preserve ejaculation. A meta-analysis of TUIP vs TURP demonstrates a lower risk of retrograde ejaculation, 18.2% for TUIP vs 65.4% for TURP, albeit far from neglibile.

• #1 Retrograde Ejaculation After BPH Treatment – Akash Kapadia, MD The Prevalence of Retrograde Adjuration After BPH Treatment

  https://www.kapadiamd.com/posts/retrograde-ejaculation-after-bph-treatment/

  Green Light therapy, which uses a laser to destroy excess prostatic tissue, again using thermal therapy, can cause retrograde ejaculation in upwards of 80% of patients. […] As mentioned above, not all BPH procedures cause retrograde ejaculation, and newer options that do not use heat-based ablative techniques have reduced this risk dramatically. […] Urolift does not involve any cutting away or destruction of prostatic tissue, and consequently, retrograde ejaculation is not a concern. […] Aquablation is another newer therapy that uses a targeted, high-intensity water jet to remove prostatic tissue mechanically. In not using thermal energy, retrograde ejaculation is virtually eliminated. […] the decision on the BPH procedure that is best for you ultimately comes down to a consultation with Dr. Kapadia and an understanding of the various risks and considerations, including retrograde ejaculation.

• #1 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). […] 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. […] 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). […] 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.

• #1 Retrograde Ejaculation – Symptoms, Causes and Treatment

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

  Retrograde ejaculation can result in male infertility, and treatment would be required for fertility to be restored. […] Controlling blood sugar levels is an important step in improving the condition of diabetic males with retrograde ejaculation. […] Certain drugs can be used to treat retrograde ejaculation, such as pseudoephedrine or imipramine, which can keep the bladder neck muscle closed during ejaculation. […] If you are taking certain medication that could cause retrograde ejaculation, stopping that drug can make it go away and restore normal ejaculation. […] If severe damage to the nerves or muscles of your bladder has occurred, you will likely need help in order for your partner to get pregnant. […] A fertility specialist can collect sperm from your urine and used washed sperm to inseminate your partner this procedure is known as intrauterine insemination, in which a small catheter guides the washed sperm inside your partner’s uterus during ovulation.

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

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

  Medications: Certain medications can interfere with the normal functioning of the muscles at the bladder neck. These include drugs used to treat high blood pressure, enlarged prostate (benign prostatic hyperplasia), and depression. Common examples are alpha-blockers, antidepressants, and antipsychotics. […] 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. […] Sympathomimetic Drugs: Medications like pseudoephedrine, ephedrine, or imipramine may be prescribed to strengthen the bladder neck muscles and prevent semen from flowing into the bladder. These drugs stimulate the muscles that control the bladder neck, helping them to close properly during ejaculation.

• #1 Ejaculation problems

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

  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. Speak to your GP before stopping any prescribed medicine. […] 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).

• #1 Retrograde Ejaculation: Causes, Symptoms, Treatment and Cost

  https://www.lybrate.com/topic/retrograde-ejaculation

  Retrograde ejaculation is the medical term for when semen travels backwards into your bladder, instead of forward and out of the penis during orgasm. It occurs when semen does not travel through the urethra. […] It can be caused by damage to nerves or hormones connected to the bladder and ejaculatory ducts, as a result of certain medical conditions and treatments, such as diabetes or nerve damage following prostate surgery. […] Other causes may include certain medications such as certain antidepressants and alpha-blockers, as well as spinal cord injuries or multiple sclerosis. […] Practice pelvic floor exercises: Exercising the muscles that control urination helps strengthen them and can help prevent retrograde ejaculation. […] Quit smoking: Smoking can weaken the pelvic muscles, leading to increased chances of retrograde ejaculation, so quitting smoking may help.

• #1 Retrograde Ejaculation: Causes, Symptoms, Treatment and Cost

  https://www.lybrate.com/topic/retrograde-ejaculation

  Limit alcohol intake: Heavy drinking can reduce muscle tone in the bladder sphincter and contribute to retrograde ejaculation. Limiting alcohol intake may be beneficial to overall sexual health. […] Discuss medications you are taking with your doctor: If a man is taking medications such as certain antidepressants or alpha blockers that could be causing retrograde ejaculation, his doctor may advise changing or lowering the dose of medication. […] Use a condom during intercourse: A condom reduces direct stimulation of the penis and prostate gland and prevents any semen from entering the bladder which in turn can reduce chances of backward ejaculation for some people with mild conditions. […] In order to diagnose and treat this condition, it is best to consult with a urologist, who specializes in conditions involving the urinary and reproductive tract.

• #1 Retrograde Ejaculation: Causes, Symptoms, Treatment and Cost

  https://www.lybrate.com/topic/retrograde-ejaculation

  They can perform tests to determine the cause of retrograde ejaculation and provide treatment options such as medications or surgical intervention. […] Generally, if the underlying cause is managed successfully, then most men can resume normal ejaculatory function within a few weeks to months. […] No, the results of treatment for retrograde ejaculation are not necessarily permanent. […] Depending on the cause of the condition, some treatments may provide only temporary relief from symptoms. […] Avoid putting pressure on the bladder and prostate during activities such as lifting and strenuous exercise. […] Avoid sexual activity that may put pressure on the bladder or prostate, such as prolonged thrusting or anal sex. […] Drink plenty of fluids throughout the day to stay hydrated and reduce the risk of urinary tract infections (UTIs).

• #1 A simple technique to prevent retrograde ejaculation during assisted ejaculation | Spinal Cord

  https://www.nature.com/articles/sc199427

  The aim of this study was to develop a technique which would prevent retrograde ejaculation in chronic spinal cord injured (SCI) patients undergoing vibration and electroejaculation procedures. […] A balloon catheter was used to tamponade the bladder neck in 12 patients who underwent 100 assisted ejaculation procedures. […] Antegrade ejaculations were collected on all occasions with no incidences of urine contamination and no sperm were seen in post ejaculatory urine. […] Silicone catheters had minimal effects on sperm motility and viability. […] All lubricant gels were found to adversely affect sperm quality and were not used.

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

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

  Retrograde ejaculation contributes to male infertility. Pharmacotherapy has a limited role in retrograde ejaculation. Transurethral bladder neck injection of Deflux can be considered as an alternative treatment method for retrograde ejaculation, and natural conception is possible thereafter. This article first reports a patient with idiopathic retrograde ejaculation not only restored antegrade ejaculation, but also successfully fathered a child naturally after transurethral bladder neck injection of Deflux. The patient converted to antegrade ejaculation with high satisfaction 1 month after the surgery without lower urinary tract symptoms or other complications. This patient of retrograde ejaculation demonstrated that transurethral bladder neck injection of Deflux can be considered as an alternative treatment method for retrograde ejaculation, and natural conception is possible thereafter. Transurethral bladder neck injection of Deflux, a minimally invasive technique, can make natural conception possible, save medical expenses, and avoid female discomfort of assisted reproductive technology. In conclusion, transurethral bladder neck injection of collagen or Deflux for retrograde ejaculation is in an exploratory stage.

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

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

  Retrograde ejaculation is a medical condition characterized by the backflow of semen into the bladder after ejaculating — instead of coming out the tip of the penis. It’s usually not harmful but could impact fertility if you’re trying to have children or are planning to in the future. […] Retrograde ejaculation itself is unlikely to cause complications, but it can sometimes be a sign of an underlying medical condition that may require treatment, like diabetes. […] If retrograde ejaculation is caused by type 2 diabetes, you might be able to prevent it by maintaining a healthy weight, staying or becoming physically active, minimizing your intake of foods with added sugar, eating mostly whole foods instead of ultra-processed foods, and eating plenty of fruits and vegetables. […] Researchers are continuing to develop new surgical techniques to treat prostate disorders. Ejaculation-sparing techniques come with better outcomes than traditional surgery when preserving sexual function is a priority. […] Your provider can let you know if you’re a candidate for a less invasive surgical technique that comes with a lower risk of retrograde ejaculation.

• #1 Low Risk of Retrograde Ejaculation – BPH Treatment – Summit IR

  https://summit-irad.com/ir-for-men/retrograde-ejaculation/

  Retrograde ejaculation can be a significant side effect. […] One of the most common and inevitable outcomes of most of these procedures is permanent dry ejaculation, also known as retrograde ejaculation. […] Nevertheless, many men find it undesirable for a variety of physical or psychological reasons. […] First, retrograde ejaculation is a serious issue for men who still want to preserve fertility. […] In these instances, selecting a treatment for enlarged prostate symptoms that does not cause retrograde ejaculation is important. […] In summary, many men are unaware or feel misled about this side effect of most prostate surgeries. […] If you are considering a treatment that has almost no risk of causing retrograde ejaculation, such as prostate artery embolization (PAE), please reach out to us today to schedule a consultation.

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

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

  Retrograde ejaculation typically doesn’t require treatment unless it interferes with fertility. In such cases, treatment depends on the underlying cause. […] If you have retrograde ejaculation, you’ll likely need treatment to get your female partner pregnant. In order to achieve a pregnancy, you need to ejaculate enough semen to carry your sperm into your partner’s vagina and into her uterus. […] If medication doesn’t allow you to ejaculate semen, you will likely need infertility procedures known as assisted reproductive technology to get your partner pregnant. […] Sometimes, more-advanced assisted reproductive techniques are needed. Many men with retrograde ejaculation are able to get their partners pregnant once they seek treatment.

• #1 Retrograde ejaculation: what causes „dry orgasm”: what causes it and how it affects fertility – Give Legacy

  https://www.givelegacy.com/resources/retrograde-ejaculation/

  Medication may be an option for those who do not have permanent physical changes to their anatomy (such as after surgery). Medications used to treat retrograde ejaculation most prescribed off-label include imipramine (Tofranil), midodrine, chlorpheniramine, ephedrine, and brompheniramine. These medications aim to keep the bladder neck muscle closed during ejaculation. […] While retrograde ejaculation may not be harmful or painful, it can be an issue when trying to conceive.

• #1 Retrograde ejaculation – Hancock Health

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

  While most men can get their female partners pregnant with infertility treatment, it can be costly and require stressful medical procedures for both you and your partner. […] 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?

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

  https://www.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. […] 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. […] Younger patients who are looking to have children will most certainly have fertility issues because of retrograde ejaculation. […] For the less frequent cases of BPH in younger patients, a discussion should be had with Dr. Engel to understand the pros and cons of each BPH treatment and see what makes the most sense for their circumstances.

• #1 Retrograde Ejaculation: Symptoms, Causes, Treatment | Ro ManRoRo

  https://ro.co/erectile-dysfunction/retrograde-ejaculation/

  You may be able to lower your risk of medically-induced retrograde ejaculation by trying different treatments for BPH (an enlarged prostate). Common medications for BPH relax the bladder neck muscle, which can lead to retrograde ejaculation. […] Your healthcare provider may also try to limit medications with a higher risk of causing retrograde ejaculation, including some medicines for high blood pressure, mood disorders, and nerve injuries. […] Discuss the risks with your provider before surgery if you need surgery near your bladder or prostate or other surgery that may increase your risk of developing retrograde ejaculation. If your ability to have kids in the future is a concern, talk to your provider about options for saving your sperm for future use before your procedure.

• #1 Common Causes and Treatments for Retrograde Ejaculation

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

  Retrograde ejaculation, while not harmful to a man’s health, can be a significant cause of male infertility. […] This condition occurs when semen flows backward into the bladder instead of exiting through the penis during orgasm. […] The main reason retrograde ejaculation affects fertility is the lack of sperm being released during orgasm. […] For couples trying to conceive, this can be a significant obstacle. […] However, the condition does not mean that conception is impossible. Modern medical treatments and fertility solutions can often help men with retrograde ejaculation with their children. […] The good news is that retrograde ejaculation is treatable, and there are several ways to address the condition. […] Depending on the cause, doctors may recommend one or a combination of the following treatments:

• #2 Retrograde ejaculation | UM Health-Sparrow

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

  Retrograde ejaculation isn’t harmful, but it can cause male infertility. Treatment for retrograde ejaculation is generally only needed to restore fertility. […] If you take medications or have health problems that put you at risk of retrograde ejaculation, ask your doctor what you can do to lower your risk. […] If you need to have surgery that might affect the bladder neck muscle, such as prostate or bladder surgery, ask about the risk of retrograde ejaculation. If you plan to have children in the future, talk with your doctor about options for preserving semen before the surgery.

• #2

  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 isn’t harmful, but it can cause male infertility. Treatment for retrograde ejaculation is generally only needed to restore fertility. […] If you take medications or have health problems that put you at risk of retrograde ejaculation, ask your doctor what you can do to lower your risk. […] If you need to have surgery that might affect the bladder neck muscle, such as prostate or bladder surgery, ask about the risk of retrograde ejaculation. If you plan to have children in the future, talk with your doctor about options for preserving semen before the surgery.

• #2 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/

  Retrograde Ejaculation – One of the ejaculatory dysfunctions experienced by men. In normal ejaculation, during orgasm, the semen comes out of the testicles through the penis. Instead, if the semen enters the bladder and does not come out of the penis – such a condition is called Retrograde Ejaculation. This is also called Dry Orgasm sometimes. Though not harmful, this condition causes Male Infertility (or Infertility in Men). As no semen / sperm comes out of the penis, impregnating your partner may not be possible. […] If you are trying to make off springs, you should certainly see a sexologist/urologist to get this problem treated. […] If you are suffering from any of the above mentioned conditions or taking medications AND planning for a baby, you must talk to your doctor and if necessary, you need to preserve your semen before any surgery. (Cryopreservation of semen)

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

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

  There now are innovative, minimally invasive forms of prostate surgery for enlarged prostates (not cancer) that may cause less retrograde ejaculation than the standard procedures. These newer procedures include transurethral needle ablation of the prostate (TUNA) and transurethral microwave thermotherapy (TUMT). Even if these procedures cause fewer cases of retrograde ejaculation, however, they may not be appropriate for all patients. […] Simple therapies have a good chance of decreasing retrograde ejaculation enough to allow conception. […] In men who do not respond to medication, fathering a child may still be possible with the help of assisted fertilization procedures.

• #2 Best Practices for Ejaculation Preservation in BPH Surgery: Making Forward Progress on Retrograde Ejaculation – American Urological Association

  https://auanews.net/issues/articles/2021/october-2021/best-practices-for-ejaculation-preservation-in-bph-surgery-making-forward-progress-on-retrograde-ejaculation

  Water vapor thermal therapy (Rezm System) was approved in 2015 as a minimally invasive surgical therapy that uses convective radiofrequency thermal therapy to ablate prostatic tissue. It is endorsed by the AUA Guidelines for glands between 30 g and 80 g, including men with a median lobe. […] The newest addition to the minimally invasive surgical treatments is aquablation (AquaBeam). Aquablation utilizes ultrasound and robotics to ablate prostatic tissue with a heat-free, high-pressured saline jet. It is also endorsed by AUA Guidelines for glands between 30 g to 80 g. […] Unilateral transurethral incision of prostate (TUIP) has also historically been used to preserve ejaculation. AUA Guidelines advise TUIP is an option to treat glands less than 30 g, but do not specifically endorse TUIP as a method to preserve ejaculation. A meta-analysis of TUIP vs TURP demonstrates a lower risk of retrograde ejaculation, 18.2% for TUIP vs 65.4% for TURP, albeit far from neglibile.

• #2 Retrograde Ejaculation After BPH Treatment – Akash Kapadia, MD The Prevalence of Retrograde Adjuration After BPH Treatment

  https://www.kapadiamd.com/posts/retrograde-ejaculation-after-bph-treatment/

  Green Light therapy, which uses a laser to destroy excess prostatic tissue, again using thermal therapy, can cause retrograde ejaculation in upwards of 80% of patients. […] As mentioned above, not all BPH procedures cause retrograde ejaculation, and newer options that do not use heat-based ablative techniques have reduced this risk dramatically. […] Urolift does not involve any cutting away or destruction of prostatic tissue, and consequently, retrograde ejaculation is not a concern. […] Aquablation is another newer therapy that uses a targeted, high-intensity water jet to remove prostatic tissue mechanically. In not using thermal energy, retrograde ejaculation is virtually eliminated. […] the decision on the BPH procedure that is best for you ultimately comes down to a consultation with Dr. Kapadia and an understanding of the various risks and considerations, including retrograde ejaculation.

• #2 Retrograde Ejaculation – Symptoms, Causes and Treatment

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

  Retrograde ejaculation can result in male infertility, and treatment would be required for fertility to be restored. […] Controlling blood sugar levels is an important step in improving the condition of diabetic males with retrograde ejaculation. […] Certain drugs can be used to treat retrograde ejaculation, such as pseudoephedrine or imipramine, which can keep the bladder neck muscle closed during ejaculation. […] If you are taking certain medication that could cause retrograde ejaculation, stopping that drug can make it go away and restore normal ejaculation. […] If severe damage to the nerves or muscles of your bladder has occurred, you will likely need help in order for your partner to get pregnant. […] A fertility specialist can collect sperm from your urine and used washed sperm to inseminate your partner this procedure is known as intrauterine insemination, in which a small catheter guides the washed sperm inside your partner’s uterus during ovulation.

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

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

  Retrograde ejaculation occurs when semen goes backward into the bladder. Normally, it moves forward and out of the penis through the urethra during ejaculation. […] Retrograde ejaculation is uncommon. It most often occurs when the opening of the bladder (bladder neck) does not close. This causes semen to go backward into the bladder rather than forward out of the penis. […] Your health care provider may recommend that you stop taking any medicines that may cause retrograde ejaculation. This can make the problem go away. […] To avoid this condition: If you have diabetes, maintain good control of your blood sugar. Avoid medicines that can cause this problem.

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

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

  Retrograde ejaculation is a medical condition characterized by the backflow of semen into the bladder after ejaculating — instead of coming out the tip of the penis. It’s usually not harmful but could impact fertility if you’re trying to have children or are planning to in the future. […] Retrograde ejaculation itself is unlikely to cause complications, but it can sometimes be a sign of an underlying medical condition that may require treatment, like diabetes. […] If retrograde ejaculation is caused by type 2 diabetes, you might be able to prevent it by maintaining a healthy weight, staying or becoming physically active, minimizing your intake of foods with added sugar, eating mostly whole foods instead of ultra-processed foods, and eating plenty of fruits and vegetables. […] Researchers are continuing to develop new surgical techniques to treat prostate disorders. Ejaculation-sparing techniques come with better outcomes than traditional surgery when preserving sexual function is a priority. […] Your provider can let you know if you’re a candidate for a less invasive surgical technique that comes with a lower risk of retrograde ejaculation.

• #2 Retrograde Ejaculation: Causes, Symptoms, Diagnosis and Treatment

  https://www.metropolisindia.com/blog/preventive-healthcare/retrograde-ejaculation-causes-symptoms-and-treatment-options

  How can we prevent retrograde ejaculation? […] Preventing retrograde ejaculation depends on the underlying cause. Some strategies include: […] Managing diabetes through proper diet, exercise, and medication to prevent nerve damage […] Discussing alternative medications with your doctor if you suspect your current drugs are causing retrograde ejaculation […] Considering nerve-sparing surgical techniques, when possible, to minimize damage during prostate or bladder procedures […] Maintaining a healthy lifestyle to promote overall sexual and urological health.

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

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

  Retrograde ejaculation is a potential side effect of some medications, including those prescribed to treat enlarged prostate, high blood pressure, or depression. […] Retrograde ejaculation doesn’t necessarily require treatment. It shouldn’t interfere with your sexual enjoyment, and it poses no risks to your health. But remedies are available. […] If you’re trying to conceive and medication doesn’t help, consider seeing a fertility specialist. It’s possible to retrieve sperm for artificial insemination or in vitro fertilization.

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

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

  Medications: Certain medications can interfere with the normal functioning of the muscles at the bladder neck. These include drugs used to treat high blood pressure, enlarged prostate (benign prostatic hyperplasia), and depression. Common examples are alpha-blockers, antidepressants, and antipsychotics. […] 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. […] Sympathomimetic Drugs: Medications like pseudoephedrine, ephedrine, or imipramine may be prescribed to strengthen the bladder neck muscles and prevent semen from flowing into the bladder. These drugs stimulate the muscles that control the bladder neck, helping them to close properly during ejaculation.

• #2 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. […] If the retrograde ejaculation is caused by medication, then it can be reversed by switching drugs. […] Retrograde ejaculation caused by mild nerve or muscle damage in the bladder may be corrected with medication. […] If the retrograde ejaculation is caused by severe nerve damage, however, it may not be restored. […] 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. […] Changing medications or dosage may help (never stop taking a prescribed medication without first talking to your doctor). […] Certain medications can help improve muscle tone and keep the bladder neck closed during ejaculation, such as: Antihistamines, such as diphenhydramine (Benadryl). […] The last resort if medication and surgery fail. […] This doesn’t correct the condition but can help with conception.

• #2 Retrograde Ejaculation: Causes, Symptoms, Treatment and Cost

  https://www.lybrate.com/topic/retrograde-ejaculation

  Limit alcohol intake: Heavy drinking can reduce muscle tone in the bladder sphincter and contribute to retrograde ejaculation. Limiting alcohol intake may be beneficial to overall sexual health. […] Discuss medications you are taking with your doctor: If a man is taking medications such as certain antidepressants or alpha blockers that could be causing retrograde ejaculation, his doctor may advise changing or lowering the dose of medication. […] Use a condom during intercourse: A condom reduces direct stimulation of the penis and prostate gland and prevents any semen from entering the bladder which in turn can reduce chances of backward ejaculation for some people with mild conditions. […] In order to diagnose and treat this condition, it is best to consult with a urologist, who specializes in conditions involving the urinary and reproductive tract.

• #2 Retrograde Ejaculation: Causes, Symptoms, Treatment and Cost

  https://www.lybrate.com/topic/retrograde-ejaculation

  Monitor urine output to ensure that it is adequate to keep the bladder healthy and reduce the risk of UTIs. […] Take medications as prescribed to help with ejaculation, if needed. […] Ask your doctor about any dietary changes or supplements that may help improve ejaculation control and quality of life.

• #2 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. […] There now are innovative, minimally invasive forms of prostate surgery for enlarged prostates (not cancer) that may cause less retrograde ejaculation than the standard procedures. […] Most men who have retrograde ejaculation do not need specific treatment. […] In some men, retrograde ejaculation requires treatment because it interferes with fertility. […] Simple therapies have a good chance of decreasing retrograde ejaculation enough to allow conception. […] In men who do not respond to medication, fathering a child may still be possible with the help of assisted fertilization procedures.

• #2 Retrograde Ejaculation and Anejaculation — Metrovan Urology

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

  These medications are probably best taken on a continuous basis the can be taken only for the day where ejaculation is hoped for. Options: Pseudoephedrine (Sudafed) 120 mg twice daily, Imipramine 25 mg twice to three times daily, Midodrine 2.5-10 mg three times per day. […] In some cases, catheterization of the bladder and instillation of a small volume of sperm preservation solution followed by masturbation and repeat catheterization for collection will be used.

• #2 Retrograde ejaculation | Altru Health System

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

  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. In some cases, sperm can be recovered from the bladder, processed in the laboratory and used to inseminate your partner (intrauterine insemination). […] Sometimes, more-advanced assisted reproductive techniques are needed. Many men with retrograde ejaculation are able to get their partners pregnant once they seek treatment.

• #2 Retrograde Ejaculation After BPH Treatment – Akash Kapadia, MD The Prevalence of Retrograde Adjuration After BPH Treatment

  https://www.kapadiamd.com/posts/retrograde-ejaculation-after-bph-treatment/

  Retrograde ejaculation occurs when the urethra becomes damaged and, rather than semen exiting the body through the penis, is forced backward into the bladder. […] This is a significant concern in patients who undergo surgical and heat-based BPH treatments, including simple prostatectomy, transurethral resection of the prostate TURP, Green Light Therapy, and, less often, a side effect of Rezum, which uses targeted steam therapy to destroy prosthetic tissue. […] TURP carries a 40 to 60% chance of retrograde ejaculation, so patients should expect this as a potential side effect. […] Another very effective and popular procedure that comes with an approximately 4 to 6% risk of retrograde ejaculation is Rezum therapy. […] A simple prostatectomy is also an option for larger prostates over 80 grams. Over 80% of patients will experience retrograde ejaculation after this procedure.

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

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

  Though Retrograde ejaculation is not entirely preventable, a few things can be kept in mind: […] The men needing treatment for enlarged prostate should opt for less invasive surgeries, less likely to cause nerve and muscle damage, such as transurethral microwave thermotherapy of the prostate. […] Controlling medical conditions that can cause nerve damage may also help prevent retrograde ejaculation. […] Men with diabetes should manage their sugar levels with the medications their doctors prescribe and appropriate lifestyle changes as recommended by a doctor.

• #2 Common Causes and Treatments for Retrograde Ejaculation

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

  If retrograde ejaculation is caused by medication, your doctor may first suggest adjusting or switching medications. […] Medications that stimulate muscle function at the bladder and neck can sometimes be prescribed. […] If medications are not effective, doctors may suggest a sperm retrieval procedure. […] This method allows men with retrograde ejaculation to father children through assisted reproductive techniques. […] Retrograde ejaculation may be a frustrating condition, especially for men trying to conceive. […] However, it’s important to remember that this condition is well understood and has several treatment options. […] Whether through medication adjustments, muscle-strengthening drugs, or assisted reproductive technology, there are effective ways to address the fertility challenges posed by retrograde ejaculation.

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

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

  Assisted Reproductive Technologies (ART) can treat retrograde ejaculation by using techniques such as intrauterine insemination (IUI) or in vitro fertilization (IVF). It is essential to highlight that these methods involve the conception of fertilized sperm through a biopsy procedure. […] Natural pregnancy with retrograde ejaculation is challenging but not impossible. In cases of retrograde ejaculation, the sperm may still be present in the ejaculate, but the volume may be reduced or the sperm count may be lower. […] Despite the complexities, medical professionals assert that male infertility linked to retrograde ejaculation is treatable, even in instances of complete semen absence during ejaculation (aspermia). […] Although retrograde ejaculation is not completely preventable, the following approaches may help to prevent the condition. […] Therefore, couples who could not conceive despite a year of unprotected sex should seek medical attention to determine the underlying cause.

• #3 Retrograde ejaculation – UF Health

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

  Retrograde ejaculation may be caused by: […] To avoid this condition: […] If you have diabetes, maintain good control of your blood sugar. […] Avoid drugs that can cause this problem.

• #3 Retrograde Ejaculation – Lazare Urology

  https://drjonlazare.com/retrograde-ejaculation/

  Retrograde ejaculation is not completely preventable. However, controlling medical conditions that can lead to nerve damage may help to prevent the condition. […] If you receive medicine or surgery for BPH, you should understand that you will probably have retrograde ejaculation as a result of these therapies.

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