What is Retrograde Ejaculation?

Retrograde ejaculation is kind of ejaculatory problem wherein semen enters the bladder rather than coming out of the penis once orgasm occurs. Though you will be able to reach the climax, but the ejaculation will be  very less or there will be no semen. This is termed as dry orgasm. It isn't harmful, but can cause infertility in men causing issues in sperm production.

Signs & Symptoms

• Dry orgasms, with little ejaculation or or no semen out of penis
• Cloudy urine after orgasm as it contains the semen
• Infertility

Causes of Retrograde Ejaculation

• Surgery, like the bladder neck or prostate 

• Side effect caused by some medication used for the treatment of high BP, prostate enlargement and mood disorders

• Nerve damage caused diabetes, spinal cord injury, or multiple sclerosis 

• Surgical removal of the prostate (prostatectomy)

• Surgical removal of the bladder (cystectomy)

• Radiation therapy to cure pelvic area cancer 

Treatment for Retrograde Ejaculation 

Retrograde ejaculation generally doesn't call for a treatment unless the fertility is getting hampered. If there is any issue with fertility, then under such cases, the underlying cause determines the mode of treatment. Drugs work fine if the retrograde ejaculation is caused by nerve damage. 

However, drugs would be of no help if the retrograde ejaculation is caused due to surgery resulting in  permanent physical alteration of your anatomy. 

Drugs to cure retrograde ejaculation are basically used to treat other underlying causes. They are:

• Imipramine (Tofranil)
• Chlorpheniramine and brompheniramine
• Ephedrine, pseudoephedrine and phenylephrine

These medications aid in keeping the bladder neck muscle closed when ejaculation takes place. You will have to speak to your medical help to figure out what treatment would work better if you are suffering from retrograde ejaculation and your fertility is getting affected due to it.