Patient's question:
I and my wife always feel good during intimacy, and every time it's an internal ejaculation. We are also trying to have a child, but every time my wife feels that there are no sperm in her vagina. Later, we consulted a doctor at the hospital, and the doctor said that the sperm was retrograde.Doctor's answer:
Retrograde Ejaculation - During sexual intercourse, when reaching orgasm, there is an ejaculation-like action, but no semen is expelled forward from the urethral meatus, instead flowing backward into the bladder, which can be diagnosed as this condition. After intercourse, the first urination may contain mucus or white stringy substances. Urinalysis reveals a large number of sperm and fructose under the microscope, which aids in diagnosis.Retrograde ejaculation is a form of male sexual dysfunction. The key feature is that semen does not exit the urethra during intercourse, but the symptoms, causes, and mechanisms differ fundamentally. In retrograde ejaculation, the individual can still achieve orgasm and experience the pleasure of ejaculation, but the semen flows backward into the bladder. Conditions such as diabetes, spinal cord injury, neurogenic bladder, urethral stricture, and postoperative retrograde ejaculation after transurethral resection of the prostate, as well as the use of medications like reserpine or guanethidine, may lead to retrograde ejaculation.
The massage therapy for retrograde ejaculation involves the "Rubbing the Center of the Umbilicus" technique. This method helps regulate the kidneys and bladder to achieve the goal of treating retrograde ejaculation.
The following steps: First, with the umbilicus as the center, place the palms of both hands overlapping, with the palms ( - the) facing each other and aligned with the umbilicus. Rub in a clockwise direction, starting small and gradually increasing the circle size, for 36 rotations. Then, rub in a counterclockwise direction, starting large and gradually decreasing the circle size, for 36 rotations. When the circle is at its largest, move upward to the hypochondriac region and downward to the pubic bone. Repeat the same technique, aligning with the Zhongji () point, for 36 rotations each time. When the circle is at its largest, move upward to the umbilicus and downward to the pubic bone. Apply gentle and soothing pressure throughout the process.