Retrograde ejaculation in men is a relatively uncommon condition that can arise after prostate or testicular surgery, disorders of the autonomic nervous system, diabetes, or when certain medications are used. A urologist at the Remedi Institute of Reproductive Medicine, Andrei Dmitriev, explains that during orgasm the semen does not exit through the penis. Instead, it travels backward into the bladder. This often leads to infertility because sperm do not reach the urethral opening for ejaculation. Treatment approaches depend on the underlying cause and may involve medication, physical therapy, or, in rare cases, surgery. [Citation: Remedi Institute of Reproductive Medicine]
In practical terms, the condition shows up as a very small amount of semen during ejaculation or a complete lack of semen, a phenomenon commonly known as a dry orgasm. The urine may appear cloudy because sperm have entered the bladder. Medical professionals stress that pinpointing the root cause is essential to choosing the best treatment path. [Citation: Remedi Institute of Reproductive Medicine]
Beyond the physical signs, retrograde ejaculation can create emotional strain, stress, and insecurity for men. The specialist notes that psychological pressure can contribute to additional erection-related concerns. When stress increases, it can affect hormonal balance, which in turn influences ejaculation. This link may lead to premature ejaculation or delayed response, and it can also be tied to psychogenic erectile difficulties. [Citation: Remedi Institute of Reproductive Medicine]
Understanding the condition involves recognizing the possible triggers. Postoperative changes, nerve-related issues, and metabolic conditions such as diabetes can disrupt the signals that direct semen toward the urethra. In some cases, the problem stems from medications that alter normal nervous system function. Clinicians assess symptoms, review medical history, and consider imaging and hormonal tests to uncover the specific cause. Treatment plans aim to restore normal reflexes or to manage fertility concerns through alternatives when natural ejaculation remains affected. [Citation: Remedi Institute of Reproductive Medicine]
Treatment effectiveness depends on a careful evaluation of the individual case. Drug therapies may help adjust bladder neck function or improve nerve signaling. Physiotherapy can strengthen pelvic floor muscles and support the recovery of normal ejaculatory pathways. In rare situations, surgical intervention might be explored to correct anatomical issues or nerve damage that contributes to the condition. Clinicians emphasize that responses to therapy can vary, and a tailored plan often yields the best prospects for regaining normal sexual function and fertility. [Citation: Remedi Institute of Reproductive Medicine]