Urologist Explains Retrograde Ejaculation, Vaginal Dryness and Tadalafil | AMA

Causes

Retrograde ejaculation occurs when semen enters the bladder instead of exiting through the urethra. Rena Malik explains that this condition is often caused by prostate surgeries or medications that affect the bladder neck, as well as severe diabetes 1. She emphasizes that while it can be distressing, especially for those trying to conceive, it is not harmful if pregnancy is not a concern 1.

When the bladder neck gets relaxed, either through medication or gets affected through prostate surgery, you can have retrograde ejaculation.

--- Rena Malik

In some cases, pressure on the perineum during certain sexual positions can also lead to this condition 2.

   

Management

Managing retrograde ejaculation involves addressing the underlying causes and exploring fertility options if needed. Rena Malik suggests that infertility specialists can help by altering the pH of urine to retrieve sperm for insemination 1. She also notes that Kegel exercises may help in cases of low ejaculate volume but are ineffective for true retrograde ejaculation 1.

If you are trying to get someone pregnant, you can go to an infertility specialist and they can help you change the pH of your urine to save the ejaculate.

--- Rena Malik

Understanding these management techniques can alleviate stress and provide practical solutions for those affected by this condition.