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Conditions

Retrograde Ejaculation

Retrograde Ejaculation

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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.

Watch the Live from the Clinic interactive case video on retrograde ejaculation >

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I am a 69 year old gay man and for some years now I have not been able to ejaculate after sex or masturbation. I reach climax but the semen just seeps out after a while and does so for some time. Is this just an age thing or something else?





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Hi there i have been with my boyfriend for over 4 years but he has never been able to ejaculate when we have sex. He says he can feel it get to the tip then it just stops.He is getting very frustrated.Yet he can ejaculate when he masturbates but never while he is with me. He is 38. What could this be ? many thanks.





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I had a Turp in 2009 because of urinary problems and as I wasn't in a relationship at the time I didn't think much about it. The operation never cured the original problem but I was warned that the success rate was not that high. It was only about 3 years after the operation that I discovered that I had developed retrograde ejaculation. I am sure that this was not discussed prior to the operation. Had I have know about this I would never have consented to it. The whole thing has left me very depressed and suicidal. I don't feel like a "real man" anymore. Is there anything that can be done to improve the situation. I have never had children and now I am older and on my own with no living relatives I am regretting this. Could I still have children by some means.





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Hi, My partner and I have been trying to have a baby for two years now with no luck we went to see a doctor and done some tests. Her tests where fine but my sperm test came back negative for any sperm in the sample I have done two tests with the same result. What do you think could be the problem here? And how can it be fixed?





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im getting a up and getting off but its very little like a few drops. and I feel like I have blue balls





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i am an HIV positive man and have a daughter and my problem is i cant ejaculate.my penis can erect and iam on medication





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Wa is he treatment for RE for men that want t have children





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Can a backward ejaculation caused by wearing a cockring cause infection?





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Hi can retrograde ejaculation happen at any ageits been since September that my husband ( 28years old )has been experiencing for a few months now. His penis can still erect and he can still have an orgasm but a few watery squirts come out only? We had been having protected sex for some time now and we'll Ive been trying to get pregnant since September so we stopped using condoms. Can you tell me what is going on I can't believe he's having this kinda trouble at such an early age?





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I am 66 and have been referred for Trans urethral resection of the Penis (TURP) to assist with poor flow of urine arising from enlarged prostate. I have been told this will have the side effect of retrograde ejaculation. Is there any procedure which will avoid this?





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Generally the answer is no. Retrograde ejaculation is the most common side effect of a TURP. Some physicians believe in muscle exercises or other ways to minimize it and have some sperm ejaculate normally, but almost all doctors will counsel patients that it is what it is. So you will have to adjust to it. For men, especially in their 60s, not seeing the sperm ejaculate out is not only a medical issue, but a psycho-social issue as well. The feeling of advancing age and "things going downhill" when you cannot see it shoot out is real, and in some men may cause deep depression. It is best to see a mental health professional as needed for these instances. It is least worrisome for married men who have been with their partners for decades. For them, it is an issue that couple can talk through. For single men, embarrassment can happen during sex. It is important to remember to the man still gets an erection, and still feels an orgasm - only at the end of the event there will be no sperm or only a few drops. In reality, some men who were concerned now look at the advantages, particularly if the man is masturbating or is gay - no rag or cloth needed for clean up! The major issue of course for men who are still desiring of an opportunity to be a father. In most instances this won't be possible now. But in any instance of concern or worry, a medical physician ( urologist or sexual health professional) should be consulted.


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