Does retrograde ejaculation need treatment?

Patient's question:

Issues with retrograde ejaculation.

Doctor's answer:

Retrograde ejaculation refers to a condition where, despite normal penile erection, sexual intercourse, reaching sexual climax, and the actions and sensations of ejaculation occur, no semen is expelled from the urethra but instead reverses and enters the bladder. This is a disease because the semen does not enter the vagina, which can lead to infertility. Retrograde ejaculation means that even with normal penile erection during sexual intercourse, sexual climax is achieved, accompanied by the actions and sensations of ejaculation, but no semen is expelled from the urethra; instead, it reverses and enters the bladder. Friends who suffer from this condition may be more concerned about the actual harm of retrograde ejaculation. Today, let's explain the harm of this disease to patients.
Retrograde ejaculation occurs because the sperm cannot pass smoothly through the urethra into the female vagina, preventing the sperm from fertilizing the egg to form a zygote, thus making it impossible for the woman to conceive. If retrograde ejaculation is detected, it is important to seek treatment from a urologist promptly. In terms of treatment, different causes may require medication, surgical intervention, or the collection of semen for artificial insemination to ensure the needs of fertility.
In normal men, the bladder neck closes during ejaculation, so the possibility of semen flowing backward into the bladder is avoided. However, if the normal anatomical integrity of the bladder neck is damaged or its nerve tone becomes disordered, retrograde ejaculation may occur. In elderly men, retrograde ejaculation is commonly caused by prostatectomy, neurogenic bladder surgery due to diabetes, or trauma.
Retrograde ejaculation affects fertility, and this is a very common issue. It is essential to actively prevent and treat retrograde ejaculation. In daily life, if related symptoms are detected, it is important to seek medical treatment promptly and not delay treatment, allowing the condition to worsen.

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