Retrograde Ejaculation Treatment

Retrograde ejaculation is a dire condition when semen is not discharged from the urethra. Rather it goes back into the bladder during the sexual climax. The urethra is a thin tube by which both the urine and sperm are discharged from the body. Also known as dry orgasm, it is a major concern in male infertility. Unless fertility is an issue, this condition is not a big botheration. If fertility is the cause, the underlying cause will have to be looked into. 

Causes that Lead to this Condition

When circular muscle also known as bladder sphincter does not stretch properly, and lets semen pass into the bladder rather than out of bladder, this condition occurs

Some of the causes are listed below:

1. Surgery:

• Prostate or bladder surgery can injure the nerves that regulate the bladder neck. 

2. Nerve injury: 

• Pelvic nerve or bladder muscle injury can induce this condition.

3. Medicines: 

• Certain drugs when taken for high blood pressure, depression, or an enlarged prostate might induce this ill-health. 

Different Medical Conditions:

• The below mentioned conditions can all result in retrograde ejaculation:
• Diabetes, 
• Multiple sclerosis, 
• Parkinson’s disease, and 
• Spinal cord injury

Signs & Symptoms

You may notice the following:

• You create little to no sperm when you orgasm.
• You have murky urine after an orgasm.
• You’re experiencing fertility troubles.

Diagnosis 

Your provider will ask you various questions pertaining to your health. And a physical exam will be carried out. 

To diagnose this condition, your healthcare provider may request the following:

a) Semen samples: 

• If you generate a very small volume of sperm in at least two samples, you may have retrograde ejaculation.

b) A sample of urine taken immediately after you orgasm:

• Fructose is found in semen samples. If you experience retrograde ejaculation, laboratory tests will detect fructose in your urine. The lab will also determine the number of sperm in your pee.

Procedure

1.Diagnosis: 

• This is the first step in the process and involves the patient’s history, physical exam, and analysis of urine to determine the sperm location.

2. Fundamental causes: 

• The underlying causes need to be identified and addressed. It may include diabetes, certain neurological disorders, or some type of drugs that adversely affect bladder function. 

3. Adjustment to medications:

• If the intake of medicines is causing harm to this condition, then stopping or adjusting them under medical supervision may be needed.

4. Application of learning techniques: 

• The patients undergoing this condition need to be taught the principles that include the use of tension to the bottom of penis. This will make sure the semen will not fall into the bladder during orgasm. 

5. Fertility issues: 

• Use assisted reproductive treatments, such as in-vitro fertilization (IVF) to preserve sperm from sperm samples.

6. Counseling and support: 

• Offering victims and their partners support and guidance in coping with the psychological and emotional consequences of dumping as well as its impact on fertility and sexual intimacy.

7. Follow up: 

• To discuss advancements, make adjustments, and handle any additional issues or challenging circumstances, stick to your regular routine with your fitness care provider.

Drugs for treating this condition are chiefly used to treat other disorders, such as:

1. a) Imipramine is an antidepressant, 
2. b) Midodrine constricts blood arteries.
3. c) Chlorpheniramine and brompheniramine are antihistamines that aid to better allergies.
4. d) Ephedrine, pseudoephedrine, and phenylephrine are medications that can alleviate symptoms of the common cold.

When to Consult Your Doctor?

You should get in touch with your healthcare when:

• You contemplate starting a family and things are not going ahead as planned.
• You do not feel easy during the orgasm.
• Your treatment is not working as it should be.