Fact Checked

Guide on Retrograde Ejaculation: Causes, Symptoms, & Treatment

Guide on Retrograde Ejaculation

Retrograde Ejaculation - (Image Credit: Shutterstock)

  • Most adults know what male ejaculation is. It’s the result of sexual stimulation, which leads to orgasm known as ejaculation.
  • Ejaculation happens when a man reaches a sexual climax and semen is released from the penis.
  • Not all men experience the release of semen from the penis. That’s called a “dry orgasm”. Another name for it is what we are discussing today, retrograde ejaculation.
  • A man who experiences retrograde ejaculation doesn’t generally suffer from his sexual performance. He can still have an erection, maintain it, and reach a sexual climax.
  • There are retrograde ejaculation treatments to consider.


Retrograde ejaculation causes the semen, which usually gets ejaculated from a man’s penis when he reaches sexual climax, to enter the man’s bladder instead. Why does this happen? It’s as a result of the man’s anatomy.

When he experiences an orgasm, the sperm travels to the prostate, which is situated between the bladder and the penis. When semen leaves the prostate, in the case of retrograde ejaculation, it goes down the ‘wrong’ passage to the bladder instead of the passageway leading to the penis.

Usually, the muscles of the bladder tighten at this time, causing the semen to head to the penis. But if the muscle doesn’t contract properly, then the semen could enter the bladder.

The Definition of Retrograde Ejaculation

Retrograde ejaculation can be medically defined as ‘backward passage of semen into the bladder after emission usually due to failure of closure of the bladder neck mechanism, demonstrated by the presence of spermatozoa in the urine after orgasm’ (Hendry et al., 2000).

The prevalence of retrograde ejaculation is unknown but it can be classified as acquired, congenital, or psychological. Although not harmful, one of the retrograde ejaculation symptoms that do remain is the problem of the man and his partner trying to conceive.
Because of the lack of sperm and semen, it becomes a challenge.

What are the Causes of Retrograde Ejaculation?

Spinal cord injury

Retrograde ejaculation causes can be a result of certain diseases or injuries. These are:

  • Diabetes – Diabetes can cause a man to develop retrograde diabetes. This would have resulted from poor blood control over a long period that caused neuropathy of the bladder, which is nerve damage.

    The disorder would be called diabetes autonomic neuropathy, where a man loses control of the bladder, and either urinates too much or too little.

  • Multiple sclerosis – Approximately 91% of men say that they have difficulty achieving erections during intercourse because they have MS. It varies from man to man. It is an autoimmune disease, often causing scar tissue (sclerosis) to develop.

    Men with MS often receive poor auditory, visual, or sensory sexual cues from the brain. Therefore, the neurological impulses may not convert effectively from the brain to the genitalia.

  • Parkinson’s disease – Men often have problems with sexual function caused by Parkinson’s disease. They might experience muscle movement and stiffness, which makes sex difficult.

    Parkinson’s disease can affect the nerves that control the sexual organs, and this can cause a man to experience difficulty in getting or maintaining an erection as well as delayed ejaculation. It can also affect arousal[1] in both women and men.

  • Spinal cord injury – When a man has a spinal cord injury, his ejaculation will likely be affected. Ejaculation becomes even more complex than having an erection. There are very few men with complete SCI who can ejaculate.

    Sometimes, an SCI injury can prevent the neck of the bladder from closing, which means the semen goes into the bladder instead of out the penis.

    Fortunately, retrograde ejaculation doesn’t harm a man, and the semen goes out with the urine.

    However, there is still the chance that semen will come out. Birth control would be required if the couple does not want children.

  • Surgery involving your prostate or bladder – Surgery to these areas, for instance in prostate cancer, can damage the nerves that affect the bladder, prostate, and seminal vesicles.

    A surgery known as TURP or transurethral resection of the prostate can cause damage to the valve of the bladder. Prostate and bladder surgery are the most common retrograde ejaculation causes.

What are the Symptoms of Retrograde Ejaculation?

Symptoms of Retrograde Ejaculation

  • Dry Orgasm – As a guy, you will wonder why there is no semen present when you ejaculate. The semen went into your bladder instead of out of your penis. It’s known as a dry orgasm.

    Experts say that there could be many reasons for a dry orgasm. It could be the side effects of medicine or having sex that lasts very long, where a man has several orgasms and his semen just gets depleted.

  • Cloudy Urine – You will notice that your urine is cloudy after orgasm[2]. That is because it contains semen in it. Usually, during sex, semen will travel out the body and the penis, but with retrograde ejaculation, the semen backs up into the bladder.

    It is not likely[3] you will be able to get a woman pregnant because the semen doesn’t come out of the penis but enters the bladder instead.

    Retrograde Ejaculation – doesn’t make getting pregnant impossible. It’s just that the number of available sperm is decreased, making the chances of pregnancy lower.

    It could be that some retrograde ejaculation treatments would simply just be stopping a certain medication. It’s not always that simple though.

  • Male InfertilityRetrograde ejaculation can impair a man’s fertility. It doesn’t mean your sperm isn’t viable, it means that infertility occurs because your sperm isn’t arriving into your partner.

    You might wonder at the pain you could experience because repeated retrograde ejaculation can lead to bladder infections[4], which in themselves, can be painful.

The Diagnosis for Retrograde Ejaculation

  • The doctor will ask you important health questions about your retrograde ejaculation symptoms.
  • He will want to find out what medications you take.
  • He will do a physical examination of your penis, testicles, and rectum.
  • Then he will test your urine to check for semen after you have had an orgasm.

All these activities and procedures will normally get done at the doctor’s office. If the doctor finds a high volume of sperm in your urine, he will probably tell you he suspects retrograde ejaculation.

If you do have dry orgasms but there isn’t semen in your bladder, then you might have problems with the production of semen caused by damage to your prostate or semen-producing glands. Further tests might be required if your dry orgasms are not because of retrograde ejaculation.

What are the Treatments of Retrograde Ejaculation?

Treatments of Retrograde Ejaculation

Retrograde ejaculation doesn’t require treatment unless it concerns fertility.

  • Drug Therapy – Medicines can work for retrograde ejaculation that is caused by nerve damage in diseases such as multiple sclerosis, diabetes, certain surgeries, and other conditions and treatments.

    If your doctor thinks there are medicines you are taking that might be affecting your ability to ejaculate normally, then he might ask you to stop taking them for some time.
    Some medications for depression can cause this, or medicines for treating high blood pressure or some prostate conditions.

  • Retrograde Ejaculation Treatments for Infertility – These treatments will be because you cannot get your female partner pregnant.

    Semen needs to be ejaculated into your partner’s vagina and then into her uterus to be successful.

    For this, you will need infertility procedures, which are called Assisted Reproductive Technology to get your partner pregnant. Sometimes, sperm can get recovered from the bladder and processed in a lab, and then used to inseminate your partner.

  • Surgery – Surgery is available but not usually recommended. It is only recommended when all other methods fail and can have inconsistent results. Your doctor will discuss this with you, if necessary.

  • Exercises– Physical activities and training can help great deals when you show signs of retrograde ejaculation symptoms. Additionally, being overweight can cause problems as well.

What Are the Risk Factors Associated with Retrograde Ejaculation?

There are a few risk factors associated with retrograde ejaculation such as:

  • Nerve Damage – This would be because you have multiple sclerosis or diabetes.
  • Prostate or Bladder Surgery – The removal of any of these parts through surgery is one of the common retrograde ejaculation causes – Around 10-15% of men undergoing this type of surgery can expect to get RE. Often, surgery damages the muscles and nerves of the bladder.
  • Medications – You can experience side effects from certain drugs that you take for mood disorders or high blood pressure, or for spinal cord injuries, for example. Then your doctor might recommend that you stop taking them for some time to check.

Retrograde Ejaculation Medication

Are there Any Complications Associated with Retrograde Ejaculation?

Even though retrograde ejaculation isn’t harmful, one of the most potential complications is you will not be able to get a woman pregnant.

Experiencing orgasms with the ejaculation of semen might seem less pleasurable to a guy[5] and he would worry about whether the woman’s pleasure would be satisfied knowing that no semen is being ejaculated out the penis.

What Should I Expect from My Doctor?

He will ask you what symptoms you have had and how long you have had them. Also, he will ask you about other health problems and surgeries concerning retrograde ejaculation causes, checking whether you have any current health problems such as cancer, or diabetes, for example.

He will find out if you are taking any medications. And you can expect to get a physical examination of your testicles, penis, and rectum.


Naturally, men will be asking if retrograde ejaculation symptoms are reversible. Well, not always, but infertility is treatable. Even if a guy can’t ejaculate at all, a fertility specialist can help.

When it comes to retrograde ejaculation, surgical procedures should be a last resort. There are many treatment techniques, although there are limited published studies.

Therefore, no direct comparisons can be made between the success rates of each method.

Treatment gets generally tailored to treat patients individually. Retrograde ejaculation treatments are started off using the safest and the least invasive of options.

Usually, men associate ejaculation with having an orgasm, but not all orgasms will involve ejaculation, which can be unnerving to a guy. But, at least, they can be assured that retrograde ejaculation is not harmful.

All it might take is for a guy to change his expectations and to live contentedly with it because ‘it can cum right with the treatment.’

View More

0 Reviews for Guide on Retrograde Ejaculation: Causes, Symptoms, & Treatment

Guide on Retrograde Ejaculation: Causes, Symptoms, & Treatment
Guide on Retrograde Ejaculation: Causes, Symptoms, & Treatment User Review Rating
3 / 5.0
Guide on Retrograde Ejaculation: Causes, Symptoms, & Treatment
Write a Review Please review the Guidelines before posting

Hints on how to write a helpful review

A great review should have the following qualities:

  • A helpful review should connect and engage with the readers using personal experience.
  • An excellent review provides the readers with cogent and unbiased information necessary to help them make the best choice.
  • A review must be well-formatted to make reading easier by using multiple paragraphs and avoiding caps.
  • The primary goal of your review must remain to provide accurate and non-salesy information.
  • Above all, let your review be fair and honest.

We have high level of professional editorial section with zero tolerance policy on fake reviews.

To maintain the genuineness of our brand, we ensure all customer reviews submitted to us are verified and confirmed before publishing. Though we might not be a 100% accurate, however, we try our best to ensure being next to best. For a thorough verification of submitted reviews, we spend close to 7 working days before allowing any customer review to be published since we also work on the earliest submissions first.

Leave a Reply

Your email address will not be published. Required fields are marked *

100 characters remaining.

Your Rating:05

Submitting this review means that you agree to our Review Guidelines, confirming that you are a verified customer who has purchased the product and may have used the merchandise or experienced the service, and providing only a real interaction and experience without ulterior motives or has an affiliate or business with the company in any way. By ticking this box and submitting this review, you also accept that submitting fake reviews is a violation of Health Web Magazine Terms of Use and such conduct will not be tolerated.

5000 characters remaining.

Thanks for submitting your comment!


Get the latest in healthy living, nutrition & fitness, mental wellbeing, beauty & skincare, and more, straight to your inbox!



Your Privacy is important to us

Medical Disclaimer: The content published on our website, Health Web Magazine, is to inform and educate the reader only and not a substitute for professional medical advice from your doctor or other health care provider. If you have a specific health question or concern you must consult with a qualified medical professional and in the case of an emergency, immediately contact your local emergency services. Health Web Magazine and the publisher of this content take NO responsibility for any detrimental health issues or injuries that result from following advice found in articles, reports/overviews, or other content on our website. All visitors to Health Web Magazine, particularly pregnant and nursing women and individuals taking over-the-counter or prescribed medication, must consult with their physician before starting a new supplement or making any changes to their diet or exercise plan.

All trademarks, registered trademarks and service-marks mentioned on this site are the property of their respective owners. © 2022. All Rights Reserved. All opinions expressed on this website are the opinion of and were written by owners/operators of this website. Disclaimer: The information provided on this site is intended for your general knowledge only and is not a substitute for professional medical advice or treatment for specific medical conditions. You should not use this information to diagnose or treat a health problem or disease without consulting with a qualified healthcare provider. Please consult your healthcare provider with any questions or concerns you may have regarding your condition. Your use of this website indicates your agreement to these websites published terms of use and all site policies.


All Health Web Magazine content is thoroughly reviewed and/or fact-checked by a team of health industry experts to ensure accuracy.

In keeping with our strict quality guidelines, we only cite academic research institutions, established health journals, or peer-reviewed studies in our content. You will be able to find links to these sources by clicking the numbers in parentheses (1, 2, etc.) that appear throughout our content.

At no time do we advise any of our readers to use any of our content as a substitute for a one-on-one consultation with a doctor or healthcare professional.

We invite you to contact us regarding any inaccuracies, information that is out of date or any otherwise questionable content that you find on our sites via our feedback form.