Retrograde Ejaculation (RE) or dry orgasm happens when you do not ejaculate but have an orgasm.
The semen, in such cases, does not come out of the body but enters the bladder.
This is generally not a serious issue and does not require treatment. But it may pose a problem when you want to father a child.
In such case, you may wonder about Retrograde Ejaculation treatment. This article highlights the need for RE treatment and its options.
What is Retrograde Ejaculation
In Retrograde Ejaculation, semen enters the bladder instead of coming out through the penis during an orgasm.
According to a 2015 review, RE is the inability of a man to ejaculate in an anterograde or forward direction.
This ejaculation problem does not affect your ability to have an orgasm. But it may result in ejaculating little to no semen at all.
A 2016 study states that symptoms of RE may include dry orgasms, cloudy urine, and fertility problems.
Read our comprehensive article: 3 Retrograde Ejaculation Symptoms You Must Know.
Need for Retrograde Ejaculation treatment
If you normally visit a doctor about your RE problem, they may tell you that you don’t need treatment.
But they may suggest Retrograde Ejaculation treatment when you are trying to have a child.
RE does not affect orgasms, but it affects the male ejaculation and causes the semen to enter the bladder and not come out of the body.
When the semen does not come out the through the penis, it cannot reach your partner’s body during sex. For this reason, it may result in fertility problems and require treatment.
Treatment options
Currently, there are no FDA-approved treatments for Retrograde Ejaculation. For this reason, a particular treatment does not work for everyone.
A review in 2011 mentioned that Retrograde Ejaculation treatment needs to be specially tailored for each individual.
The treatment of RE is also cause-specific.
If Retrograde Ejaculation results from surgery, treatment may not be possible. Changes in physical anatomy in such cases are permanent.
In such case, you may need to consider fertilization procedures to have a child.
If RE is caused by nerve damage, then treatment may be possible. Health conditions like Multiple Sclerosis and Diabetes can cause nerve damage.
Certain drugs that primarily treat other conditions may help treat RE.
To learn more about the causes of Retrograde Ejaculation, read 3 Retrograde Ejaculation Causes You Should be Aware of
Medications
Source: photobyphotoboyCertain medications can cause RE or nerve damage. If your doctor thinks you are taking them, they may prescribe other drugs that do not cause this problem.
Medications that may lead to RE include medicines for Depression and alpha-blockers.
According to Mayo Clinic, the following drugs may help treat RE.
- Imipramine, an antidepressant
- Midodrine, a medicine that constricts blood vessels
- Ephedrine, pseudoephedrine, and phenylephrine are medicines that help treat common cold symptoms
- Chlorpheniramine and brompheniramine are antihistamines that help relieve allergies
These medicines are primarily used in treating other conditions. The FDA has not approved using them for treating RE.
Yet doctors may prescribe them as they have proven effective in the past.
Fertilization procedures
You may need surgical procedures if the medication does not work for you and helps you treat RE. These fertilization procedures can help you get your partner pregnant.
According to Harvard Health Publishing, some common fertilization procedures include
- Intrauterine insemination (involves using a small catheter to put washed sperm inside your partner’s uterus during the ovulation period)
- In-vitro fertilization combining eggs and sperm in the laboratory to produce fertilization)
- Intracytoplasmic sperm injection (injecting a single sperm cell into your partner’s egg to cause fertilization)
These fertilization procedures can be effective in men who do not respond to medication.
Takeaway
Retrograde Ejaculation occurs when you do not ejaculate during an orgasm. In this case, the semen enters the bladder instead of coming out through the penis.
It is usually not harmful to the body and does not require treatment. But you may need treatment when you want to have a child.
Retrograde Ejaculation causes infertility as semen does not come out of the body. For this reason, the sperm cells cannot reach your partner’s body.
In such cases, you may need Retrograde Ejaculation treatment. If RE is a result of surgery, treatment may not be possible.
When certain medications or health conditions cause RE, treatment may be possible.
If you take any medicines that may lead to RE, you may need to switch to other drugs.
Certain medications like Imipramine and Midodrine can help in treating RE. But these are not FDA-approved medicines for RE and pose a higher risk of side effects.
If your body does not respond to medications, you may need to consider fertilization procedures. They can effectively help you solve your infertility problems.
Visit a doctor if you have Retrograde Ejaculation or face any problems.
Dive deeper into this topic and gain a comprehensive understanding of its causes, symptoms, and available treatments: What is Retrograde Ejaculation? Explained in Detail.
Frequently Asked Questions
What happens if Retrograde Ejaculation is not treated?
Retrograde Ejaculation generally isn’t harmful and does not require treatment. But, if you do not receive treatment for Retrograde Ejaculation, it can lead to fertility problems.
Is Retrograde Ejaculation harmful or not?
According to a 2020 analysis, Retrograde Ejaculation is generally not harmful or painful. But it can result in fertility issues.
Is Retrograde Ejaculation permanent or temporary?
The duration of the problem depends on the cause of Retrograde Ejaculation. If RE results from medications you take, it may go away when you switch to other drugs.
But if it results from severe nerve or muscle damage, Retrograde Ejaculation may be permanent.
Does Retrograde Ejaculation affect sperm count?
According to a study in 2017, Retrograde Ejaculation results from the failure of the bladder to close during orgasm. This causes the semen to go into the bladder.
This can lead to poor ejaculate volume and low or null sperm count.
Which nerve causes Retrograde Ejaculation?
A 2017 research mentions that Retrograde Ejaculation can result from the internal urethral sphincter mechanism.
It can damage the nerve near the neck of the bladder. This can lead to the failure of the nerve to contract during an orgasm and semen to enter the bladder.
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