Best Selling Medicine 
Dr. Aditya Shah
Expert In Clinical Pharmacology And Drug SafetyView moreRetrograde Ejaculation is a type of sexual disorder where the semen goes into the bladder and won’t go to the penis while engaged in any sexual activation. During ejaculation, usually, the neck of the bladder remains closed and hence, does not allow the semen to enter the bladder. However, in the case of retrograde ejaculation, the bladder neck either won’t close or closes weakly. Thus, semen cannot join the sperm, and that results in dry orgasm.
What Causes Retrograde Ejaculation?
Before you go for the treatment of retrograde ejaculation, first know what causes the same. This will make your concept clear about the ailment and hence, the treatment mechanism will also be easier to be understood. For your ease of understanding, here are the major causes of such ejaculation:
Causes of Retrograde Ejaculation
| Cause Type | Examples |
|---|---|
| Medical conditions | Diabetes, multiple sclerosis, spinal cord injury |
| Surgery | Prostate, bladder, or urethral surgery |
| Medications | Alpha-blockers, blood pressure drugs, antidepressants |
| Nerve damage | Pelvic nerve injury |
| Birth defects | Bladder neck abnormalities |
- Diabetes: Diabetes hampers the health of the nerves. As the health of the nerves deteriorates, the effect of the same is exerted on the bladder and your bladder neck. Naturally, it won’t close, or if it closes, there remains a gap for the semen to pass inside the bladder, causing retrograde ejaculation.
- Surgeries: The bladder nerves can be weakened for a surgery in the bladder itself or in your prostate. Surgery in the urethra and prostate (usually at the time of prostate cancer) weakens the nerves of the bladder and often causes retrograde ejaculation.
- Effect of medicines: Antidepressants and alpha-blockers (usually used to treat enlarged prostate) cause relaxation in the bladder neck and can divert your semen during an ejaculation.
- Injuries: Direct injuries like injury to the lymph nodes, or indirect injuries like sclerosis or spinal cord injury, also affect the nerves of the bladder, causing retrograde ejaculation.
- Birth defects: Although very rare, but still there are cases where male faces nerve issues in their bladder as a birth defect. The effect is same in such cases, and you will face such issues from an early age itself.
4 Effective Methods Of Treating Retrograde Ejaculation:
The main treatment that you need in treating retrograde ejaculation is tightening of the bladder neck. The same can be done using 4 effective methods, such as:
- Medication to take:
The primary sort of treatment that is highly effective to fix such ejaculation is to take certain medications that will bind the neck of the bladder. The drugs that are commonly prescribed for the issue are:
- Midodrine: This is basically a medicine to control your BP, but it is a medicine that is often referred to as a prescription drug for curing nerve damage and causing retrograde ejaculation, though off-label.
- Imipramine: It is an antidepressant and can do the same work. Make sure that your bladder neck weakness is not caused by any antidepressant, as if it is the case, then taking Imipramine can worsen the case. The brand often prescribed in this category is Imipramine (Tofranil).
- Pseudoephedrine: The brand commonly prescribed in this category is Sudafed. The drug is a decongestant, and it effectively does its duty to bind the neck of the bladder.
- Stop taking medication:
If your ejaculation fault is caused due to some medication, you can simply stop taking the medication and retrieve back your condition. In certain cases, lowering the dose also works a lot. Drugs taken for high pressure and BPH, or depression drugs, often cause such ejaculation problems. Note here that only when your retrograde ejaculation is in the primary stage, you will get aid from this mechanism.
- Kegel Exercise:
Kegel exercises are verily effective for any anomaly in your pelvic region. Be it is premature ejaculation, be it ED, or be it retrograde ejaculation, Kegel exercise is highly effective for all. The process to conduct such exercises is also easy. Just identify the muscle that stops the midstream urination and
stiffen it for 10 seconds. Now relax the muscle for another 20 seconds. Repeat the action 10-15 times and repeat the total process 3 times a day. You will get results within 30 days. But continue doing this for at least 3 months to get a complete cure.
- Conceive techniques:
In case you are trying to conceive, and you explore that you are having retrograde ejaculation issue, you won’t have that much time in your hand to go through some long-end treatments. Hence, you need to undergo some instant treatments like:
- Retreating sperm from your urine. In some cases of IVF or IUI, the same is done by the doctor to make the fertilization possible.
- Emptying the bladder at the time of intercourse is deemed to be another solution, although there are different researchers who have a different opinion on it.
- Stimulating the proper nerve can help the semen to move forward from the bladder neck and reach the penis.
It is the semen that makes the sperm able to float to the ovum. Hence, never ever have the notion that retrograde ejaculation will not cause an issue. It affects your fertility a lot. Hence, take care of the same from the start. If you can notice it at the early stage, you can easily come out of the same with simple medication or even by stopping to take some drugs.
FAQs
Q. Can Retrograde Ejaculation Affect My Fertility?
Yes, it is the semen that allows the sperm to float down to the ovum. If you have an issue with semen, then the sperm motility and sperm flow will be lost, and that will not allow fertilization.
Q. Can ED Pills Cause Retrograde Ejaculation?
No, there is no connection between ED pills and retrograde ejaculation. While ED pills concentrate on giving you a hard erection and to enable that, reduces your blood pressure, retrograde ejaculation is all about semen moving to the bladder neck.
Q. Can Young Men Develop Retrograde Ejaculation?
Yes, retrograde ejaculation can be a birth defect in some, too. Hence, from the very beginning of puberty to adolescence, the issue can be faced by anyone.
Q. Does Retrograde Ejaculation Affect My Libido?
No, there is no effect of retrograde ejaculation on your libido. Libido will not allow you to get stimulated, but you are generating semen means you are well aroused.