Everything about Retrograde Ejaculation totally explained
In
males,
retrograde ejaculation occurs when the fluid to be
ejaculated, which would normally exit via the
urethra, is redirected towards the
urinary bladder. Normally the
sphincter of the bladder contracts and the sperm goes to the urethra towards the area of least pressure. In retrograde ejaculation this sphincter doesn't function properly.
Causes
Causes may be in the
autonomic nervous system or the operation of the
prostate. Retrograde ejaculation is a common complication of trans-urethral resection of the prostate, a procedure in which diseased, or non-diseased (enlarged prostate) tissue is removed, slice by slice, through a resectoscope passed along the urethra.
Retrograde ejaculation is a common side effect of medications such as
Tamsulosin that are used to relax the muscles of the urinary tract for various purposes. These medications may cause the bladder sphincter to relax as well and fail to contract fully.
But the medications that mostly cause it are
antidepressant and
antipsychotic medication, and the patients experiencing that tend to quit them.
Retrograde ejaculation can also be a complication of
diabetes especially in cases of diabetics with long term poor blood sugar control. This is due to
neuropathy of the bladder sphincter.
Diagnosis
Diagnosis is usually by way of a
urinalysis performed on a urine specimen that's obtained shortly after ejaculation which will have an abnormal level of
sperm within it.
Anejaculation often, especially in case of
orgasmic anejaculation, can be confused with retrograde ejaculation, and they share some fundamental aspects of the
etiology. Urinalysis is used also to distinguish between them.
Potential treatments
Retrograde ejaculation may cause a couple to experience problems such as
infertility, as most
sperm don't get to the
vagina and the rest of the
female reproductive system. As a method to induce
pregnancy, the retrograde ejaculator's urine is
centrifuged and the isolated sperm is then injected into the woman.
Around 40% of sufferers from retrograde ejaculation have found that use of
pseudoephedrine (brands names include Sudafed) noticeably improves the quantity of ejaculate. The
tricyclic antidepressant imipramine has also been used as an effective treatment for retrograde ejaculation. It must be noted that both medications have links to
erectile dysfunction,
pseudoephedrine being the frontline treatment for
priapism. People with erectile dysfunction and retrograde ejaculation (not uncommon in those with diabetes) are strongly advised to seek medical advice about the best 'dual' treatment methods available to them, for example combining
pseudoephedrine or an alternative with an erectile dysfunction treatments such as
sildenafil.
In most cases those suffering from retrograde ejaculation are advised that a normal sex life is to be expected, however a significant number of those patients who do have it have reported reduced sensation during
orgasm.
Retrograde ejaculation and alternative medicine
Taoists and some fields of
alternative medicine actually recommend and teach deliberate retrograde ejaculation as a way of "conserving the body's energy". One manner of achieving this is by applying pressure to the
perineum during orgasm. It is believed the sensation of sperm passing through the urethra causes intense physical sensations that can drain the body of "sexual energy". Others believe the energy is conserved physically by keeping the sperm (and thereby, the "intelligence" that created it) in the body; however, there's no scientific basis for this, as the retrograde-ejaculated sperm are simply lost at the next urination.
Due to its aforementioned effects on fertility, there's a potential misconception that inducing this condition can be used as a method of
contraception. However, it's neither reliable nor effective, due to some sperm still potentially emerging. Many doctors also don't recommend inducing retrograde ejaculation as there's a risk of putting pressure on the
pudendal nerve, which can cause numbness in the penis. It is also possible—through repeated use over a long period—that the muscle can become stuck in this configuration. This can be difficult to correct.
Further Information
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