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Alternative Names Return to topEjaculation retrograde
Definition Return to top
Retrograde ejaculation refers to the entry of semen into the bladder instead of going out through the urethra during ejaculation.
Causes Return to top
Retrograde ejaculation may be caused by prior prostate or urethral surgery, diabetes, some medications, including some drugs used to treat hypertension (high blood pressure) and some mood-altering drugs.
The condition is relatively uncommon and may occur either partially or completely. The presence of semen in the bladder is harmless. It mixes with the urine and leaves the body with normal urination. Men with diabetes and those who have had genitourinary tract surgery are at increased risk of developing the condition.
Symptoms Return to top
Exams and Tests Return to top
A urinalysis performed on a urine specimen that is obtained shortly after ejaculation will reveal a large amount of sperm in the urine.
Treatment Return to top
If retrograde ejaculation is caused by drugs, your doctor may recommend that you stop taking such drug. This can make the problem go away.
Retrograde ejaculation caused by diabetes or after genitourinary tract surgery may be treated with epinephrine-like drugs (such as pseudoephedrine or imipramine).
Outlook (Prognosis) Return to top
If retrograde ejaculation is caused by medications, discontinuation of the medication often restores normal ejaculation. If retrograde ejaculation is caused by surgery or diabetes, it is often not correctable.
Possible Complications Return to top
The condition may cause infertility.
When to Contact a Medical Professional Return to top
Call for an appointment with your health care provider if you are having difficulty conceiving a child or you are concerned about retrograde ejaculation.
Prevention Return to top
Maintaining good blood sugar control may help prevent this condition in men who have diabetes. Avoiding drugs that cause retrograde ejaculation will also prevent this condition.Update Date: 6/5/2007 Updated by: Marc Greenstein, DO, Urologist, North Jersey Center for Urologic Care, Denville, NJ. Review provided by VeriMed Healthcare Network.