Overview
Evidence-based guidance and holistic care notes for retrograde ejaculation.
Male Infertility
Retrograde Ejaculation
In retrograde ejaculation, semen moves into the bladder instead of exiting through urethra. Sexual sensation may remain normal, but fertility is affected.
How It Happens
Internal bladder neck sphincter should close during ejaculation. Failure of this mechanism redirects semen into bladder.
Major Causes
Diabetes and neuropathy
Nerve dysfunction can impair bladder neck closure.
Post-surgical change
Prostate or bladder-neck procedures may alter ejaculatory mechanics.
Medication effect
Certain medicines reduce sphincter tone and change flow direction.
Management
Practical Approach
- Confirm diagnosis with urine evaluation after orgasm.
- Review medicines and metabolic factors.
- Use fertility-focused treatment strategy where needed.