During normal ejaculation, semen is propelled forward through the urethra and out the tip of the penis. In men with retrograde ejaculation, the muscle at the opening of the bladder, which usually stops semen from entering the bladder during orgasm, does not close normally. This allows semen to flow back into the bladder. Therefore little or no semen is discharged from the penis during ejaculation, and the first urination after sex looks cloudy as the semen mixes into the urine. This uncommon condition is harmless.
What can cause retrograde ejaculation?
Retrograde ejaculation can happen after surgery to the prostate or bladder neck. Diabetes, multiple sclerosis, spinal cord injury, and some medications, in particular drugs to treat blood pressure can also cause it. It may be a temporary or permanent condition.
How is retrograde ejaculation treated?
Most men who have retrograde ejaculation do not need treatment. The important message is that it is not a sign of serious illness.
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