retrograde ejaculation is a condition where semen, instead of being expelled through the urethra, is redirected to the bladder during ejaculation. This condition can affect fertility, as sperm fails to leave the body in the normal way.
As part of the thermal contraception: #.
To use this method, you need to have a normal sperm count according to WHO standards. This means you shouldn't have a low sperm volume or very low sperm concentration. If you have a condition where sperm goes into your bladder instead of out (retrograde ejaculation), it might look like you have a low sperm count on a regular semen analysis. In this case, you'll need a post-ejaculation urine analysis to check your actual sperm count to see if you can use this method.
Causes of retrograde ejaculation #
Possible causes include:
- Prostate or bladder surgery: Some surgical procedures can damage the nerves or muscles involved in ejaculation.
- Diabetes: Diabetes can damage the nerves responsible for ejaculation.
- Medications: Certain medications, especially those used to treat hypertension or prostate disorders, can cause retrograde ejaculation.
- Neurological disorders: Conditions affecting the nerves, such as multiple sclerosis or spinal cord injury, may also be involved.
Types of spermograms to diagnose retrograde ejaculation #
A spermogram is a semen analysis to assess various parameters related to male fertility. To diagnose retrograde ejaculation, the following steps are often performed:
- Post-ejaculatory urine analysis :
- Procedure: After asking the patient to urinate to empty the bladder, they are then asked to masturbate to ejaculate. The urine is then collected in a second pot and analyzed for the presence of spermatozoa.
- Expected results: If spermatozoa are found in the urine, this indicates retrograde ejaculation.
- Classic spermogram :
- Procedure: A semen sample obtained by masturbation is analyzed in the laboratory to measure parameters such as sperm volume, concentration, motility and morphology.
- Expected results: A low volume of semen, or even no semen at all in the ejaculate, could suggest retrograde ejaculation if coupled with a significant presence of spermatozoa in the urine.
Treatment of retrograde ejaculation #
Treatment options vary depending on the underlying cause and may include:
- Medication modification: If the condition is caused by medication, a change in prescription may be considered.
- Medication: Medications such as ephedrine or alpha-agonists can sometimes be used to help close the bladder neck during ejaculation.
- Assisted reproduction: Assisted reproduction techniques, such as intrauterine insemination (IUI) or in vitro fertilization (IVF), can be used to help overcome associated fertility problems.
Conclusion #
If you suspect retrograde ejaculation, it's crucial to consult a urologist or fertility specialist. They can perform the appropriate tests, such as post-ejaculatory urine analysis and the classic spermogram, to diagnose the condition and suggest the most appropriate treatment.
Disclaimer: The information provided in this FAQ is based on user testimonials and is for general information purposes only. It does not constitute medical advice, diagnosis or professional treatment. We are not medical doctors. Always consult a qualified healthcare professional for personalized and appropriate medical advice. We accept no responsibility for any consequences arising from the use of the information provided in this FAQ. Send us an e-mail.
