A rarer variety of ejaculatory problem is one that causes retrograde ejaculation, where the sperm squirt backwards into the bladder, rather than outwards. An orgasm is still achieved, but there is very little semen produced. The cause of the condition is damage to the nerves surrounding the neck of the bladder, where the urethra and the bladder connect. Whilst normally semen cannot go back down the urethra, if the muscles or nerves are damaged then ejaculant can go backwards into the bladder. Common causes of the condition include diabetes, multiple sclerosis and surgery to the prostate gland. Treatment is not normally required, but if a man wants to have children, there are treatments that can strengthen the muscles and improve the flow of semen out of the end of the penis.
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