Should retrograde ejaculation be treated?

Patient's question:

The physical examination revealed retrograde ejaculation.

Doctor's answer:

Hello, retrograde ejaculation refers to a condition where, during sexual intercourse, although the ejaculation action occurs, the semen does not shoot forward from the urethral meatus but instead flows backward into the bladder. Because the semen does not follow the normal path to be expelled outside but reverses into the bladder, this condition is one of the causes of male infertility. There are many reasons that can cause retrograde ejaculation, such as: medication factors, severe urethral stricture, bladder stones, bladder inflammation, urethritis, etc. Traumatic and inflammatory urethral strictures, due to increased urethral resistance, can obstruct the flow of semen during ejaculation, leading to retrograde ejaculation. It is recommended that you identify the cause and treat the root of the problem.

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