Retrograde Ejaculation, and Delayed Ejaculation Symptoms, and Treatment

Retrograde Ejaculation

Retrograde ejaculation is ejaculation which does not follow the normal pathway of semen and being expelled through the urethra.

It is in fact semen going into the bladder and the use of drugs like antidepressants and alpha-blockers are the main causes of this problem. It has also been loosely termed as a dry orgasm. It is also defined as a condition where the semen or sperm does not exit the body but goes back into the bladder at the time of orgasm.

It is not a harmful condition however if this problem occurs to a younger man, then it can be a source of infertility. Retrograde ejaculation doesn’t affect your ability to have an erection or engage in sexual intimacy or achieve an orgasm.

Delayed Ejaculation

Delayed ejaculation is an inability to take charge of and therefore control the ejaculation. It is quite opposite to premature ejaculation.

Side effects of medication and too much use of tobacco smoking is considered as the main causes of Delayed ejaculation. It is also called inhibited ejaculation.

Delayed ejaculation is the condition when men find it difficult or even impossible to ejaculate and experience an orgasm during sexual encounters.

Millions of people suffer from this condition and it is much more common as men age and the number who suffer from delayed ejaculation is only going to increase with the aging of the baby boomers.

The diagnosis of delayed ejaculation is usually made from a sexual history. Also, the doctor may inquire about the use of fantasizing during sexual intimacy and will ask questions about the masturbation patterns or frequency of masturbation.

Delayed ejaculation has the lowest efficacy rate of male sexual dysfunctions. Men with Delayed ejaculation minds reach a point where they no longer can be present or stay connected with their feelings. These kinds of men are highly successful in their external life. But, it is very important to see a physician when you are suffering from Delayed ejaculation.

Symptoms of Retrograde Ejaculation

No signs of semen or sperm when you reach orgasm is the main symptom of retrograde ejaculation. It is the semen or sperm that is going into the bladder instead of the urethra.

As your semen entered into your bladder, it mixes with your urine and when you urinate you notice looks a little cloudy after you have had sex and it is also considered as the main symptom of retrograde ejaculation. Another sign of retrograde ejaculation is an inability to get a woman pregnant.

Symptoms of Delayed ejaculation

If you are taking more than half an hour to reach an orgasm during sexual intimacy, then it is a sign of delayed ejaculation. A person should reach orgasm and ejaculate within thirty minutes during intercourse. When a penis discharge semen or sperm is known as ejaculation. Some men cannot ejaculate while having sex or they will reach orgasm through manual or oral stimulation.

What are the causes of Retrograde Ejaculation?

The main causes of retrograde ejaculation can be due to medications that relax the area of the bladder neck and the urethra. As a result, fluids will go back into the bladder instead of forwarding out to the end of the penis.

Medications that are responsible for retrograde ejaculation include

  • Drugs used to treat High blood pressure
  • Drugs used to treat Enlarged prostrate
  • Drugs Mood disorder

There are certain health conditions are associated with retrograde ejaculation are

  • Diabetes
  • Multiple sclerosis
  • Spinal Cord injury

Along with the above health conditions, surgical procedures on the prostate that injure the area between the bladder and the prostate can cause the fluid to go back into the bladder instead of out of the end of the penis.

What are the causes of Delayed Ejaculation?

Anything can disrupt the nervous system and the path to the penis or the testicles such as multiple sclerosis, spinal cord injury, diabetes, alcoholism, and surgery in the male pelvis can cause delayed ejaculation.

There are a large number of drugs that are associated with delayed ejaculation including medications for treating high blood pressure, antidepressants, anti-psychotic drugs, and even some drugs used to treat the enlarged prostate gland. One of the most common causes of delayed ejaculation is aging with a decreased sensation to the penis.

Birth defects, retrograde ejaculation, injury to pelvic nerves, hormone-related conditions, infections, stroke, prostate surgery, diabetic neuropathy, depression, anxiety, cultural or religious taboos are the main causes of Delayed ejaculation. In many cases, the Delayed ejaculation is due to the use of any medications or drugs such as

  • Antidepressants
  • Alcohol abuse
  • Medications that are used to treat high blood pressure
  • Anti-seizure medications
  • Certain diuretics
  • Antipsychotic medications

Treatment for Retrograde Ejaculation

Some medications are available for treating the problem. One of those is a Tofranil taking thirty to forty-five minutes before participating in intercourse may cause that muscle to constrict and allow the fluid to go forward instead of backward.

There is also the classification of antihistamines such as chlorpheniramine or Bromo pheniramine that can be used half an hour or forty-five minutes before engaging in sexual intimacy. There are decongestants such as

  • Sudafed
  • Ephedrine
  • Phenylephrine

The above drugs can cause the muscle to contract. Using decongestant medication can raise your blood pressure and heart rate which can be dangerous if you have high blood pressure or heart disease.

If the medication does not work then it is possible to use assisted reproductive technology or techniques to get your partner pregnant. This process consists of sperm that is recovered after orgasm and ejaculation that has gone back into the bladder. Men who are suffering from retrograde ejaculation are able to get their partners pregnant once they seek medical attention.

Treatment for Delayed Ejaculation

At present, no drug is approved from the Food and drug administration for treating delayed ejaculation. There are behavioral techniques that are used such as temporarily suspending the use of masturbation and limiting orgasm to sexual encounters and also which is often helpful is to use increased sexual stimulation can occur with the help of a vibrator or with the couple watching erotic videos. However, treatment is usually successful in this common condition.

It has been observed by the medical professionals that certain medications can help people who are suffering from delayed ejaculation or retarded ejaculation. Cyproheptadine (Periactin), amantadine (Symmetrel), and buspirone (Buspar).

Side Effects:

Side effects of the Periactin drug include feeling sleepy all the time, dizziness, unable to see the image or picture, constipation, and runny nose. If you notice these side effects while taking this drug, we would advise you to consult your physician immediately. He or she may reduce the dosage of your drug or switch you to another medication.

Side effects of Symmetrel drug include loss of balance or coordination, nausea, unable to see images perfectly, upset of stomach, runny nose, diarrhea, dry mouth, constipation, feeling nervous all the time, loss of appetite, strange dreams, feeling sleepy all the time, headache, and difficulty in getting sleep.

Side effects of buspirone include dizziness, high levels of excitement, headache, ringing in the ears, feeling nervous all the time, sore throat, feeling sleepy all the time, stuffy nose, blurred vision, stomach upset, restlessness, dry mouth, and sleep problems such as insomnia or strange dreams.

Psychological counseling is needed for people who are suffering from delayed ejaculation. If their problem is caused due to psychological problems like depression, and anxiety, then we would advise you to consult a psychiatrist.


Retrograde ejaculation is not a very common neurologic problem. It is usually related to medication to surgery or various medical conditions such as diabetes, multiple sclerosis, or spinal cord injury.

Delayed ejaculation is a common problem affecting millions of people around the world and it is usually related to aging or previous surgery within the pelvis. Behavior modification or increasing genital stimulation will significantly help resolve the problem.


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