Patient's question:
During masturbation, there is pleasure but no ejaculation, and then semen comes out after a while, it's very thin. In the morning, I tried again and although there was ejaculation, it wasn't smooth ~ Is it retrograde ejaculation?》》》 What should I do? This is the first time this has happened ~ I have a 3-year history of masturbation ~ Can it recover on its own?Doctor's answer:
Based on the situation you described above, the key consideration is retrograde ejaculation. At your age, this condition should be taken seriously. Generally, retrograde ejaculation is primarily caused by the dysfunction of the bladder neck sphincter due to various reasons, leading to the inability of the urethral orifice to close during ejaculation. The semen then flows backward from the posterior urethra into the bladder. Common causes include: congenital anomalies, such as congenital urethral valves, bladder diverticula, or bladder neck contracture; surgical factors, such as thoracolumbar sympathectomy, pelvic surgery, or transurethral incision of the bladder neck; trauma, such as spinal cord injury, diabetes; and medication factors, such as drugs that block sympathetic nerve function, such as guanethidine or reserpine.You should first abstain from masturbation. If the symptoms persist, it is essential to seek medical attention as soon as possible to avoid delaying future sexual function and fertility.