What is Retrograde Ejaculation, Withdrawal of Semen?
Retrograde Ejaculation, or Withdrawal of Semen; It is the escaping of the semen back to the bladder instead of the external environment during orgasm, in whole or in part. Even with an orgasm, the semen doesn't
ever come out, which is called a dry orgasm, or only a part of it comes out. Retrograde
ejaculation is not harmful. Ejaculation is not harmful to the body and may require treatment only if you are
trying to conceive. In addition, if there is retrograde ejaculation, a specialist can be consulted to determine the underlying
cause. If pregnancy does not occur despite regular,
unprotected sexual intercourse for a year or more, it may be beneficial to see a specialist. If very
little or no semen comes out, the problem may be semen escaping backwards.
Retrograde Ejaculation, What Causes Semen Backing Up?
Male orgasm During orgasm, the semen duct, called the vas deferens, carries the sperm to the semen and
prostate, where it combines with the prostate fluid to form the final fluid called semen. itching to the bladder
is prevented, the penis is thrown out
by passing through the urethra with strong muscles in the prostate region. In the case of retrograde ejaculation, the bladder neck muscle does not contract properly and
during orgasm, the semen fluid escapes into the bladder instead of the external environment and is emptied into the bladder instead of being thrown out.
Problems with the muscle that closes the bladder during ejaculation. may cause ejaculation
. These reasons are:
- Surgical interventions such as bladder neck surgery, testicular cancer or retroperitoneal lymph node dissection surgery for prostate surgery
- High blood pressure, prostate enlargement and depression
side effect of certain drugs used to treat - Nerve damage caused by a medical condition such as diabetes, multiple sclerosis, alcoholism, Parkinson's disease, and spinal cord injury
A dry orgasm or no semen) is the primary sign of retrograde ejaculation. However, other causes of dry orgasm - little or no ejaculation of semen
include
- Surgical removal of the prostate (prostatectomy)
- Surgical removal of the bladder (cystectomy)
- Radiation therapy to the pelvic region for cancer treatment
Risk factors for Retrograde Ejaculation, Semen Retraction
increased risk of retrograde ejaculation:
- Diabetes or multiple sclerosis
- Prostate or bladder surgery
- Antidepressants taken for high blood pressure or mood disorder and
antipsychotic drugs. - Spinal Cord Injury
- Alcohol addiction
Retrograde Ejaculation,Side Effects and Complications of Semen Withdrawal
Retrograde ejaculation is not harmful to the body. However, it can cause some side effects and potential
complications:
Male infertility: inability to have children naturally
because semen does not come out or not enough
Less pleasure in orgasm due to anxiety and worry about lack of ejaculation or if you have some
health problems that cause this, a specialist may be consulted to reduce the risk of retrograde. there is. If you are planning
having children in the future, it is recommended to give semen to be stored in a sperm bank before surgery.
Diagnosing Retrograde Ejaculation, Withdrawal of Semen
To diagnose retrograde ejaculation, one can do the following:
- Taking a detailed history of retrograde ejaculation symptoms and how long they have been present is the first step in diagnosis. Also, information about previous health
problems, surgeries or cancers treatments and medications
was important for diagnosis r. - Penis, testicles and rectal examination are performed in physical examination
- Detection of semen in the urine after orgasm is diagnostic. This
procedure is usually done in the doctor's office. In general, masturbation
in office conditions and then a urine sample is taken for laboratory analysis, if there is a high
amount of sperm in the urine, it means that there is retrograde ejaculation.
In spite of dry orgasm If semen is not detected, there may be a problem with semen production. This
can result from damage to the prostate or semen-producing glands, mostly as a result of surgery or radiation therapy in the pelvic region due to cancer.
Treatment of Retrograde Ejaculation
Retrograde ejaculation may not require treatment as long as it does not interfere with fertility, the need for treatment
depends on the underlying cause.
Medicine Treatment of Retrograde Ejaculation
For retrograde ejaculation caused by nerve damage, some medications may work. Such
damage can result from diabetes, multiple sclerosis, certain surgeries and other causes, and certain treatments. If the retrograde ejaculation is caused by an operation that causes permanent physical changes in the body anatomy, such as bladder neck surgery and transurethral
resection of the prostate, medications may not have an effect.
These drugs can be stopped for a while if it is thought to cause
. Medications that can cause retrograde ejaculation include medications for depression and alpha-blockers, which are used to treat
high blood pressure and certain prostate conditions.
Treatment of Infertility Caused by Retrograde Ejaculation
If there is retrograde ejaculation and pregnancy is desired, a sufficient
amount of sperm must be injected into the vagina or uterus to achieve pregnancy. If the drugs do not allow the semen to come out
, assisted reproductive technology, that is, vaccination or in vitro
baby, can be tried for pregnancy. In vaccination, the sperms are taken together with the urine, processed in the laboratory
and injected into the vagina or uterus during the ovulation period of the partner. Base Even more
advanced in vitro fertilization techniques may be required.
Coping with and Supporting the Distress Caused by Retrograde Ejaculation
Changes in orgasm, couples It causes stress and can cause a decrease in emotional and physical satisfaction
. If the spouses want to have children, retrograde ejaculation can be even more difficult. Understanding all your options and communicating with the expert and your partner
can help with this.
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