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Retrograde ejaculation doesn't affect your ability to get an erection or have an orgasm — but when you climax, semen goes into your bladder instead of coming out of your penis. Retrograde ejaculation signs and symptoms include:
Orgasms in which you ejaculate very little or no semen out of your penis (dry orgasms)
Urine that is cloudy after orgasm because it contains semen
Inability to get a woman pregnant (male infertility)
When to see a doctor
Retrograde ejaculation isn't harmful and requires treatment only if you're attempting to father a child. However, if you have dry orgasms, see your doctor to be sure your condition isn't caused by an underlying problem that needs attention.
If you and your female partner have had regular, unprotected intercourse for a year or longer and have been unable to conceive, see your doctor. Retrograde ejaculation might be the cause of your problem if you ejaculate very little or no semen.
Five weeks ago I had a new form of robotic prostate surgery, Aquablation. It uses water without heat to resection the prostate. The robotics company that created the procedure, PROCEPT BioRobotics, advertises that this procedure has had far fewer cases of RE than with TURP. I talked at length to my urologist about risks of RE. Before and after the surgery he stated that he would take and took extra care to avoid the possibility of RE. Now I find that I have RE in spite of the extra care by my surgeon. He is a very good surgeon that couldn't avoid the inevitable. My spouse doesn't mind but I find sex much less satisfying. By the way, I experienced occasional RE before the surgery due to side effects of Flomax and the Finasteride meds. I am still somewhat hopeful that after I am off the meds ( I still use them to "relax" the prostate) and have a bit more time to heal that the RE will somewhat reverse itself. Wishful thinking? The good news is the my sex drive is strong, I have an amazingly patient spouse, and that I am able to climax but with a retrograde ejaculation.
Wow, thank you all for this information! I feel like I dodged a bullet. I went to a urologist for testosterone replacement therapy, and they did a ultrasound to also check for urine retention. Unbeknownst to me I did have it (holding about 200ml after urination, although it never bothered me). He did a cystoscopy and recommended the laser surgery. To his credit he did discuss RE, saying it was about sixty percent (sounds low by the testimony here!). I was most definitely not wild about that idea, and he gave me the option of intermittent catheters, which I've been using a couple of times a day. I really don't mind them, and have gotten fairly fast with the whole routine (I have gotten two UTIs in the last six months however). Unless things get WAY worse I'm not even going to consider this procedure. If it's a choice between croaking or getting it done then I'll sign off, until then I'll live with the inconvenience (and the occasional UTI).
I would have thought that we could believe that Urologists are people who are medical specialists and who are supposed to tell as the truth. Like telling us about all the different treatments and possible side effects as well as the fact that some side effects might be ok for some men and not for others.I found much more truth on the internet than from my urologist and Im so angry at myself that I believed the urologist. I kept on going back to him to tell him that he changed me from a very happy person to a complete angry and depressed man. Of course he told me to find myself another urologist but the damage is done and another doctor can only tell me that
he is sorry but he he cant do anything now that the turp is done.. Well I hate RE and the fact that I will never have a good climax again. How can a specialist think that a dry climax is just as good as a wet one. How can it be legal to tell such lies in the name of the medical profession.. Surely they should be obliged to tell you that if you want to ejaculate then you have other options. When I told my urologist that my new much better urologist told me that a urologist should discuss and decide with the patient what is the best treatment for the patient and not the best money making procedure for the doctor he was furious.At least I think we should keep on going back to these urologists and make life hell for them as well.
The truth is doctor´s don´t care about us or they simply don´t know what i am about to tell you now and to be honest that´s something that i´ve found all by myself with persisting google searches.
The hormone that triggers ejaculation is called Norepinephrine, so what you and everybody who has retrograde ejaculation needs, is to take a
Norepinephrine reuptake inhibitor before sex.
I´m talking about Reboxetine ( Edronax ) 4mg, and i ejaculate every single time :)
https://en.wikipedia.org/wiki/Reboxetine
If Reboxetine is not avaiable in U.S. there are others Norepinephrine reuptake inhibitors:
https://en.wikipedia.org/wiki/Norepinephrine_reuptake_inhibitor
Good luck to you all!