BACK TOTOP Browse A-ZSearchBrowse A-ZABCDEFGHIJKLMNOPQRSTUVWXYZ0-9 E-mail FormEmail ResultsName:Email address:Recipients Name:Recipients address:Message: Print-FriendlyBookmarksbookmarks-menuRetrograde ejaculationEjaculation retrograde; Dry climaxRetrograde ejaculation occurs when semen goes backward into the bladder. Normally, it moves forward and out of the penis through the urethra during ejaculation. Causes Retrograde ejaculation is uncommon. It most often occurs when the opening of the bladder (bladder neck) does not close. This causes semen to go backward into the bladder rather than forward out of the penis.Retrograde ejaculation may be caused by:Diabetes DiabetesDiabetes is a long-term (chronic) disease in which the body cannot regulate the amount of sugar in the blood.ImageRead Article Now Book Mark Article Some medicines, including drugs used to treat high blood pressure and some mood-altering drugs High blood pressureBlood pressure is a measurement of the force exerted against the walls of your arteries as your heart pumps blood to your body. Hypertension is the ...ImageRead Article Now Book Mark Article Medicines or surgery to treat prostate or urethra problems Symptoms Symptoms include:Cloudy urine after orgasm Little or no semen is released during ejaculation Exams and Tests A urinalysis that is taken soon after ejaculation will show a large amount of sperm in the urine.UrinalysisUrinalysis is the physical, chemical, and microscopic examination of urine. It involves a number of tests to detect and measure various compounds th...ImageRead Article Now Book Mark Article Treatment Your health care provider may recommend that you stop taking any medicines that may cause retrograde ejaculation. This can make the problem go away.Retrograde ejaculation that is caused by diabetes or surgery may be treated with drugs such as pseudoephedrine or imipramine. Outlook (Prognosis) If the problem is caused by a medicine, normal ejaculation will often come back after the drug is stopped. Retrograde ejaculation caused by surgery or diabetes often can't be corrected. This is most often not a problem unless you are trying to conceive. Some men do not like how it feels and seek treatment. Otherwise, there is no need for treatment. Possible Complications The condition may cause infertility. However, semen can often be removed from the bladder and used during assistive reproductive techniques. InfertilityInfertility means you cannot get pregnant (conceive). There are 2 types of infertility:Primary infertility refers to couples who have not become preg...ImageRead Article Now Book Mark Article When to Contact a Medical Professional Call your provider if you are worried about this problem or are having trouble conceiving a child. Prevention To avoid this condition:If you have diabetes, maintain good control of your blood sugar. Avoid drugs that can cause this problem.Open ReferencesReferencesBarak S, Baker HWG. Clinical management of male infertility. In: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Adult and Pediatric. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 141.McMohan CG. Disorders of male orgasm and ejaculation. In: Partin AW, Domochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021:chap 71.Niederberger CG, Ohlander SJ, Pagani RL. Male infertility. In: Partin AW, Domochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021:chap 66.AllVideoImagesTogMale reproductive system - illustration The male reproductive system, viewed from a sagittal section.Male reproductive systemillustrationMale reproductive system - illustration The male reproductive system, viewed from a sagittal section.Male reproductive systemillustrationRelated Information Diabetes(Condition)High blood pressure - adults(Condition)Prostate resection - minimally invasive - discharge(Discharge)Transurethral resection of the prostate - discharge (Discharge)Radical prostatectomy - discharge(Discharge)Diabetes - type 1(In-Depth)High blood pressure(In-Depth) Review Date: 1/10/2021 Reviewed By: Kelly L. Stratton, MD, FACS, Associate Professor, Department of Urology, University of Oklahoma Health Sciences Center, Oklahoma City, OK. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- © 1997- All rights reserved. A.D.A.M. content is best viewed in IE9 or above, Firefox and Google Chrome browser.Content is best viewed in IE9 or above, Firefox and Google Chrome browser.