Urination problems

Retrograde ejaculation

What is retrograde ejaculation?

After taking medication for prostate enlargement, experiencing the sensation of ejaculation without the expulsion of semen is called “retrograde ejaculation.”

Why does this happen? This is a common question in urology clinics.

During a normal ejaculation process, the bladder neck contracts tightly to allow semen to pass smoothly through the urethra.

However, medications for prostate enlargement relax the bladder neck to facilitate urination, resulting in the bladder neck not closing tightly during ejaculation.

As a result, semen flows into the bladder, giving the sensation of ejaculation without semen being expelled.

The semen that enters the bladder will be expelled during the next urination.

It’s important to emphasize that the health of the reproductive organs, including the testicles and vas deferens, is not affected at all! No worry!!

What should be done?

Patients who experience retrograde ejaculation when just starting medication for prostate enlargement often become very concerned.

Since it does not affect the health of the reproductive organs, it is recommended to consult the doctor to adjust the medication during the next appointment.

If there is a need for fertility, stopping the medication will gradually restore normal ejaculation.

Conclusion: Retrograde ejaculation is a common side effect of medication for prostate enlargement. Although it does not affect health, it may cause distress. If you experience this condition, be sure to inform your doctor.