Retrograde ejaculation after prostate disease treatment

The article is expertly consulted by MSc Vo Thien Ngon - Urologist, Vinmec Danang International General Hospital.

Retrograde ejaculation is a disorder in ejaculation that can adversely affect reproductive health and even cause male infertility. There are many causes of retrograde ejaculation, including prostate disease.

1. What is reverse sex?

Retrograde ejaculation is an ejaculation disorder in which during normal intercourse during orgasm, semen instead of being ejected outside the male genitalia, is ejaculated back into the bladder later. go out through urine. After intercourse, the urine is mixed with milky white particles.
The ejaculatory tract combines with the urethra to form a Y-shaped structure. Semen from the vas deferens into the urethra can communicate with the bladder.
The structure of the sphincter in the bladder neck and in the urethra is like a door, when the sphincter in the bladder neck tightens, the "door" of the urethra opens so that when ejaculating, semen will be ejected. But if the sphincter in the bladder neck loses the ability to contract, the urethral opening is closed, the semen will not be able to come out anymore, but will flow back into the bladder, causing retrograde ejaculation.

2. Causes of retrograde ejaculation

The cause of retrograde ejaculation is damage to the sympathetic nerve fibers mediating the bladder neck and prostate sphincter, causing the sphincter in this region to lose the ability to contract, which can be seen in some patients. following pathology:
Diabetes: Due to damage to the sympathetic nerve branches to the bladder neck, it can lead to no ejaculation, decreased ejaculation or retrograde ejaculation;

Xuất tinh ngược sau điều trị bệnh lý tiền liệt tuyến — Người bị bệnh tiểu đường hay xuất tinh ngược

After surgery to remove prostate cancer, remove colon... and some complications from spinal diseases such as degeneration, double spine, deformity...; Due to the side effects of drugs affecting the nerves that control the muscles involved in ejaculation, such as drugs to treat mental illness, hypertension, prostate enlargement ...; Other causes: After cystoscopy, diseases that cause bladder neck sclerosis, urethral muscle spasms... or endocrine causes in pituitary tumors increase prolactin in the blood; Prolonged ejaculation suppression: This is a condition that many men have, during intercourse, because in order to maintain an erection for as long as possible, men often try to refrain from ejaculating, or because Some couples want to avoid conception.

3. How to treat retrograde ejaculation?

Retrograde ejaculation does not affect sex life much because you can still achieve orgasm and feel the partner's orgasm during love. However, this is one of the leading causes of male infertility. When sperm flows back into the bladder, not out, the sperm count is low and weak, which makes it difficult to conceive.
To prevent retrograde ejaculation, men need to have a healthy diet, scientific activities, and control blood sugar at a stable level.
When detecting retrograde ejaculation, you should go to a specialist for timely examination and treatment advice, do not arbitrarily use drugs without a doctor's prescription.

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