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This means that the semen goes backwards into the bladder instead of coming out of the penis, so that very little or no semen is ejaculated at the time of orgasm, and the urine looks cloudy after having sex. This occurs when the bladder sphincter muscle does not contract properly during orgasm, as a result of which the semen leaks back from the urethra into the bladder. This could be caused by prostate surgery, a spinal injury, diabetes, high blood pressure, medication and congenital problems.
A simple way to diagnose retrograde ejaculation is to examine a man's urine after he ejaculates. If there are sperm in the urine, this confirms the diagnosis.
Self-help includes trying to have sex with a full bladder and while standing up, because this makes the muscle around the opening of the bladder more likely to stay closed. Some medications like decongestants can also help the sphincter muscle to close. Surgery can also be performed on the opening of the bladder to prevent it from misbehaving but this is not very successful.
An effective treatment option is to collect the sperm and use it for artificial insemination. After passing urine, the man alkalinizes his urine by drinking sodium bicarbonate; and then urinates immediately after ejaculation. The recovered sperm in the urine are processed and used for insemination. Pregnancy rates with insemination are usually low because the recovered sperm are often of poor quality, and sometimes IVF needs to be done with these sperm to give a reasonable chance of pregnancy.
© Dr. Aniruddha Malpani and Dr. Anjali Malpani www.drmalpani.com
Credits: How to Have a Baby: Overcoming Infertility
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