What is retrograde ejaculation?
If you ejaculate little or no semen when you orgasm, you might be experiencing retrograde ejaculation.
Retrograde ejaculation is when the muscle at the opening of the bladder, which usually stops semen from entering the bladder when you orgasm, doesn’t close properly. This causes semen to flow back into the bladder.
What causes retrograde ejaculation?
Retrograde ejaculation can have a number of causes.
It can happen after surgery on the prostate or the bladder. It can be caused by diabetes, multiple sclerosis, spinal cord injury, and some medications — in particular, medicines for treating high blood pressure or benign prostate enlargement. Depending on the cause, retrograde ejaculation can last just a little while, or it can be a lifelong problem.
What treatments are there?
If you’re experiencing retrograde ejaculation, the best thing to do is to talk to your doctor about possible causes and treatments.
Retrograde ejaculation doesn’t cause serious problems, and most of the time it doesn’t need treatment. However, it can make it difficult to have a baby naturally.
If you want to have a family, you and your partner might need to consider using an assisted reproduction method such as in vitro fertilisation (IVF).
Although you might find ejaculation problems difficult to talk about, it’s important to visit your doctor to make sure it’s not a symptom of something more serious.
Your doctor’s appointment
Questions to ask your doctor
Do I need to be treated for retrograde ejaculation?
How does this condition affect my fertility?
Things to think about before your appointment
Ejaculation problems fact sheet
Clinical summary guide
Ejaculatory disorders clinical summary guide (#8)