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Retrograde Ejaculation


Overview, Causes, & Risk Factors

Retrograde ejaculation is a condition in which semen travels back into the bladder instead of forward through the urethra.

What is going on in the body?

Normally, the bladder neck closes tightly during orgasm. This prevents semen from travelling back into the bladder. The semen has nowhere to go but out of the urethra and the tip of the penis. Damage to the bladder neck or neurologic disorders may prevent it from closing properly.

What are the causes and risks of the condition?

The most common cause of retrograde ejaculation is transurethral resection of the prostate. This is surgical removal of prostate tissue through the urethra. Other causes include:

  • operations involving the abdomen, pelvis, or genitals
  • diabetes
  • multiple sclerosis, a progressive neurological disorder that can disrupt nerve pathways to the bladder neck
  • some medications used to treat heart disease or high blood pressure, which can relax the bladder neck

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