For many men, the ability to conceive a child is an important life goal. However, when problems arise and a pregnancy does not occur, it can be a significant burden for the affected couples. One possible cause of male infertility is the rare condition of retrograde ejaculation.
What is Retrograde Ejaculation?
In retrograde ejaculation, or “dry orgasm,” the semen is not expelled through the penis as usual during orgasm but instead enters the bladder. This can occur due to nerve damage or other medical conditions that affect the bladder sphincter. Retrograde ejaculation is not painful and does not impair sexual function. Still, it can lead to a lack of sperm in the ejaculate.
Diagnosis
When investigating the cause of infertility, the spermiogram is integral to the male initial diagnosis. According to the findings, we can make the first suspicion diagnosis. If there are few or no sperm in the spermiogram, one must think of the rare diagnosis of retrograde ejaculation. Detailed diagnostics are necessary to determine the cause of retrograde ejaculation.
Treatment
The treatment of retrograde ejaculation depends on the underlying cause and the severity of the condition. Medications can help in some cases to find sperm in the ejaculate. If this is unsuccessful, sperm can be extracted from the urine after appropriate pretreatment, for example, directly through a catheter from the bladder. If sperm is present, artificial insemination is an option. The sperm is directly injected into the egg to enable fertilization. This method is known as intracytoplasmic sperm injection (ICSI).
Conclusion
Retrograde ejaculation can be a severe problem for men, particularly if it leads to infertility. However, it is essential to note that there are effective treatment options in most cases. With proper medical care, men with retrograde ejaculation and infertility can achieve a successful pregnancy and lead a fulfilling life.
