Retrograde Ejaculation
While ejaculating, a tiny muscle called the sphincter located at the entrance of the bladder contracts to prevent semen from entering. Retrograde ejaculation or dry orgasm is a condition where during orgasm, the bladder sphincter stays relaxed and the semen travels backward into the bladder instead of leaving the body through the penis. In this case, pleasure and orgasms are felt normally, however only a small quantity of semen is expelled out of the body, and since the residual amount is present in the urine, pee after an orgasm may seem hazy or cloudy. In addition, individuals dealing with retrograde ejaculation might find some difficulties when trying to conceive.
Causes:
The causes of retrograde ejaculation are usually linked with:
Medical conditions such as diabetes, multiple sclerosis, or spinal cord injuries, and cases that interfere with the sphincter muscle’s proper functioning.
Medications: particularly those used to treat high blood pressure or certain mental health conditions.
Surgical procedures or injuries that may affect the nerves and muscles that control ejaculation, such as prostate or bladder surgeries.
Less commonly, some psychological factors can contribute to this condition.
Treatment:
Treatments are always tailored to each individual’s case and preferences.
Medical checkup: medical screening tests and managing existing health conditions.
Medications: to treat the underlying medical condition. Moreover, switching or adjusting medications (e.g. antidepressants) with the guidance of a healthcare provider is essential in some cases.
Counseling or therapy/sex therapy: assists in addressing psychological concerns, such as anxiety, depression, or performance problems.
Assisted fertilization procedures when experiencing challenges in conceiving.
Written by:
Cristel Lahoud | Sexual health educator, midwife
Cristel Lahoud is a sexual health educator at Marsa, holding a Bachelor's degree in Midwifery and currently pursuing a Master's degree in Clinical Psychology. Her profound dedication lies in raising awareness and promoting advocacy for both sexual and reproductive health.