Retrograde ejaculation is the process whereby the semen is passed in a retrograde fashion into the bladder as opposed to out the urethra. There are 3 potential causes to this problem; anatomic (following bladder neck surgery or from a congenital process), neurologic (due to disorders that interfere with the ability of the bladder neck to close during emission, such as diabetes mellitus, retroperitoneal surgery) and pharmacologic (due to paralysis of the bladder neck by certain medications). This process is diagnosed by the finding of seminal fluid and/or sperm within a urine specimen obtained immediately after orgasm. The treatment of retrograde ejaculation depends to some extent on the cause.

There are a number of treatment options men may come across when researching treatments for premature ejaculation on the internet. However, there is little evidence that show they work. These treatments include: hormone therapies, in this case, ejaculation occurs, but the ejaculate goes backward (retrograde) into the bladder instead of coming out of the end of the penis. The ejaculate typically comes out later in the urine. The hallmark sign of this condition is when very little or no fluid comes out of the penis during ejaculation. A urinalysis can help diagnose retrograde ejaculation. We will have you urinate into a cup soon after ejaculation.

Questions to ask your doctor

For many people, a physical exam and answering questions (medical history) are all that's needed for a doctor to diagnose erectile dysfunction and recommend a treatment. If you have chronic health conditions or your doctor suspects that an underlying condition might be involved, you might need further tests or a consultation with a specialist. Tests for underlying conditions might include: physical exam. This might include careful examination of your penis and testicles and checking your nerves for sensation. Blood tests. A sample of your blood might be sent to a lab to check for signs of heart disease, diabetes, low testosterone levels and other health conditions.

If premature ejaculation is interfering with your sex life, talk to your doctor. They will perform a physical exam and ask you some questions. Based on your answers, your doctor may order some lab work and will provide a diagnosis. They will also be able to answer your questions and reassure you that this is a common problem.

If you've been having trouble achieving orgasm, talk with your primary care doctor. Your doctor might refer you to a specialist — such as a doctor who specializes in male genital problems (urologist), a doctor who specializes in the hormonal systems (endocrinologist), a doctor who diagnoses and treats mental health problems (psychiatrist), or another type of specialist. The following information will help you prepare for your appointment, and understand what to expect from your doctor.