Can Retrograde Ejaculation Cure Itself?

Reviewed on 3/17/2021

Most men with retrograde ejaculation will not need treatment. The answer as to whether retrograde ejaculation can be cured depends on its cause.
Most men with retrograde ejaculation will not need treatment. The answer as to whether retrograde ejaculation can be cured depends on its cause.

Most men with retrograde ejaculation will not need treatment. The answer as to whether retrograde ejaculation can be cured depends on its cause. 

  • If the retrograde ejaculation is caused by medication, then it can be reversed by switching drugs.
  • Retrograde ejaculation caused by mild nerve or muscle damage in the bladder may be corrected with medication.
  • If the retrograde ejaculation is caused by severe nerve damage, however, it may not be restored. 

What Is Retrograde Ejaculation?

Retrograde ejaculation occurs when semen enters the bladder rather than being ejaculated through the urethra in the penis. 

Normally, certain muscles of the bladder contract just before ejaculation to push semen out through the urethra. When the bladder muscles don’t function properly, semen may enter the bladder where it mixes with urine and is eliminated from the body during urination. 

Retrograde ejaculation is not a harmful or painful condition, but it can affect fertility.

What Are Symptoms of Retrograde Ejaculation?

Symptoms of retrograde ejaculation include: 

  • “Dry” orgasm, in which little to no semen is expelled
  • Cloudy urine after orgasm, due to semen being misdirected into the bladder
  • Infertility, which may take time to notice

What Causes Retrograde Ejaculation?

Retrograde ejaculation is the result of dysfunctional bladder sphincter muscles. Factors that can cause this dysfunction include:

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How Is Retrograde Ejaculation Diagnosed?

Retrograde ejaculation is diagnosed with a medical history, and a physical exam of the penis, testicles, and rectum. 

Urinalysis to detect if semen is present in the urine is used to confirm the diagnosis. 

What Is the Treatment for Retrograde Ejaculation?

Retrograde ejaculation is not harmful or painful, and treatment may not be needed if fertility is not a concern. 

Treatment for retrograde ejaculation depends on the underlying cause and may include the following options in the table below.

Treatments for Retrograde Ejaculation
Treatment Type Considerations
Changing Medications
  • If a medication causes the bladder sphincter to relax, this can increase the risk of retrograde ejaculation
  • Changing medications or dosage may help (never stop taking a prescribed medication without first talking to your doctor)
Prescribed/Recommended Medications
  • Certain medications can help improve muscle tone and keep the bladder neck closed during ejaculation, such as:
    • Antihistamines, such as diphenhydramine (Benadryl)
    • Tricyclic antidepressants
    • Collagen injections into the bladder neck
Surgery
  • Not a common option
  • Only used when other methods don’t work
  • Bladder sphincter muscles are reconstructed 
Infertility Procedures
  • The last resort if medication and surgery fail
  • This doesn’t correct the condition but can help with conception
  • Sperm may be harvested from the bladder or gathered from a post-ejaculation urine sample and used for artificial insemination

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Reviewed on 3/17/2021
References
https://www.urologists.org/article/conditions/retrograde-ejaculation

https://www.urologists.org/article/treatments/retrograde-ejaculation-treatments

https://www.health.harvard.edu/a_to_z/retrograde-ejaculation-a-to-z#:~:text=How%20long%20this%20problem%20lasts,the%20condition%20may%20be%20permanent.