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Retrograde ejaculationBlood in the semen Delayed ejaculation Premature ejaculation Retrograde ejaculation means the sperm does not come out during ejaculation, but is instead re-routed into the bladder and comes out in the urine. You can give a urine sample to a lab right after ejaculation and have the sperm separated from the urine and it can be used for in vitro. Isn't technology great? Any fertility clinic should be able to do this, no problem.