The treatment of retrograde ejaculation can be done with medicines like ephedrine or phenylpropanolamine, for example, however this treatment is not always effective. Therefore, when the man intends to have children, but has not obtained results with the remedies indicated by the doctor, the urologist can recommend the collection of spermatozoa or the use of techniques of assisted reproduction, like the Intrauterine Insemination, where a small portion is inserted of sperm inside the woman's uterus.
Retrograde ejaculation, which is the reduction or absence of sperm during ejaculation, causes no pain, and the man has the sensation of orgasm but does not ejaculate as expected.
Sperm trajectory in normal ejaculation.
Semen trajectory in retrograde ejaculation.
Retrograde ejaculation is primarily caused by prostate surgery or diabetes, and may also be caused by:
In addition, retrograde ejaculation can also be caused by certain medications, such as antidepressants, anxiolytics or blood pressure, for example.
The main symptom of retrograde ejaculation is reduction or absence of sperm during ejaculation. Retrograde ejaculation does not cause pain, because what happens is that the semen is sent to the bladder and is later expelled in the urine.
Men with retrograde ejaculation are able to reach and feel orgasm, with no erection problems.
Retrograde ejaculation can be diagnosed through a urinalysis, performed after an orgasm, in which the presence of sperm in the urine confirms the existence of the problem. Despite having a simple diagnosis, retrograde ejaculation must first be identified by the man, who in these cases observes a reduction or complete absence of sperm during the climax.
See other sexual dysfunctions of man: