Retrograde Ejaculation: Symptoms, Causes, Complication and Treatment

Sonali Kapoor

, Health A2Z



Our body holds a versatile role in our day to day life. It has to be healthy in order to enjoy every moment to the fullest. One such moment is ‘Orgasm’. Orgasm is also known as ejaculation, where a human body releases semen as the result of sexual pleasure. Ejaculation is considered a vital function of a body as it releases hormones which are meant to reduce stress and calms the body.


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A proper ejaculation is very important, but, if you one of them who face difficulties while ejaculating, you may need a medical examination for your condition. Do not hesitate to share your problems with the doctor as he is the one who can help you to deal with the situation. An improper ejaculation in males means that the sperm is not able to meet the women’s ovulation completely which majorly affects fertility.



What is Retrograde Ejaculation?


It is also known as a dry orgasm. Some men with retrograde ejaculation still ejaculate but observe less fluid than they once did. It begins when semen enters into the bladder instead of emerging through the penis during orgasm. Although when you reach the sexual climax, you might ejaculate very little or no semen. It is not harmful, but it can cause male infertility for sure.


What are the Symptoms of Retrograde Ejaculation?


The prime symptom of retrograde ejaculation is that there’s little or no semen when you have an orgasm. That’s because the semen found its way into the bladder instead of the urethra.


The semen becomes mixed with urine, sometimes you might also notice that your urine looks a little cloudy right after you’ve or had sex. There is another sign of retrograde ejaculation is that when you’ve been trying unsuccessfully to conceive a child. This is known as male infertility. Consult a urologist once you start feeling any symptoms.



What are the Causes of 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.


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How Does it Affect Fertility?


Retrograde ejaculation harms fertility, but it’s not a common cause of infertility. It causes only about 0.3 to 2 percent of infertility problems. Although it doesn’t mean that the sperm isn’t viable. Instead, infertility begins because the sperm isn’t making it to the partner.


What are the Side Effects of Retrograde Ejaculation?


Side effects of retrograde ejaculation include- dizziness, headache, asthenia, postural hypotension, rhinitis, and sexual dysfunction. Particularly, sexual dysfunction has been related to changes in ejaculation (either retrograde or diminished ejaculation).


What are the Complications of Retrograde Ejaculation?


Retrograde ejaculation isn’t harmful. However, potential complications include:



  • Less pleasurable orgasm due to worries about absent ejaculate.


How to Treat Retrograde Ejaculation?


There are three main treatments of retrograde ejaculation if it wouldn’t treat through medications. Surgical procedures for removing the sperm include:


Testicular sperm aspiration (TESA): This procedure is performed under local anesthesia, and uses a needle to remove sperm from the testicles.


Percutaneous epididymal sperm aspiration (PESA): This procedure, which uses local anesthesia, relies on a needle to remove sperm from the epididymis—the duct that connects to the testes.


Testicular sperm extraction (TESE): Like TESA, TESE removes sperm directly from the testicles under sedation. Unlike TESA, TESE requires an incision in the testicle.




Here we have discussed in the above-mentioned blog, Retrograde Ejaculation and what are the treatments which a person need. It’s highly recommended if you ever seen any of the above symptoms of ejaculation then consult a urologist as earlier as you can.


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