Retrograde ejaculation is rare in men. Pathology is revealed in the form of a decrease in the volume of seminal fluid or its complete absence. A man notices such a change during ejaculation. The process is not accompanied by discomfort and pain. Patients do not attach much importance to these changes. This leads to infertility in men. To correct the situation, you need to seek the advice of a specialist. Treatment of retrograde ejaculation depends on the causes that caused it.
How the ejaculation occurs
To understand how the pathology develops, it is necessary to study the process of ejaculation. Several organs of the genitourinary system participate in ejaculation. When there is excitation, a nerve impulse passes from the cerebral cortex to the nerve endings of the spinal column. The nerve roots of the sacral department transmit the signal to the penis. In this case, a significant release of blood into the cavernous bodies of the penis.
Blood is blocked in the body until the end of the sexual intercourse. This increases the pressure on the urethral canal. When ejaculation is achieved, the seminal fluid leaves the testes through the urinary tract. To prevent fluid from entering the bladder, its neck is blocked by the sphincter. The sphincter is in a compressed position until the end of sexual contact. After ejaculation, he relaxes.
For various pathological factors there is a disruption of the sphincter. During excitation, it does not contract. With ejaculation, the seminal fluid flows to where there is no obstruction. In this case, it enters the bladder. If the sphincter overlaps the neck of the bladder not completely, then there is a decrease in the secreted semen during ejaculation. This pathology is called retrograde ejaculation.
Causes of disruption of vasoconstriction
The process of excretion of the ejaculate can be disturbed for various reasons. Specialists distinguish such pathological factors as:
-
Disturbance of the structure of the urinary system; - Concomitant diseases;
- Chronic form of prostatitis;
- Intestinal pathologies;
- Unsuccessful surgical intervention.
A frequent cause of retrograde ejaculation is a violation of the structure of the urinary tract. If there is excitation, the sphincter can not block the neck of the bladder due to an incorrect location. If it is below the neck or has a deformed shape, compression does not occur. To identify pathology, you need to undergo medical diagnostics.
Various concomitant diseases of the genitourinary system and the body affect the violation of ejaculation. In many patients with diabetes mellitus there is a disturbance of the nerve impulse. This is due to chronic neuralgia. The process is accompanied by a violation of signal transmission to sphincter roots. It does not shrink. This sperm enters the bladder in full. Treatment of this form of retrograde ejaculation is very difficult. The problem can be solved only in single cases.
Prolonged flow of chronic form of prostatitis has a negative effect on the process of vas deferens. Chronic inflammation of the prostate gland leads to the adhesion process.
Spikes overlap individual organs and disrupt their operation. If the spikes develop in the urinary canal, then the seminal fluid immediately enters the bladder. Treatment is performed after an ultrasound examination.
Various pathological processes occurring in the intestines of men, affect the erection. A common cause of retrograde ejaculation is hemorrhoids. Hemorrhoidal cones exert pressure on the sphincter through the walls of the intestine. It shifts and does not overlap the neck of the bladder. To eliminate the problem, the patient needs surgical intervention.
In some patients, retrograde ejaculation occurs after operations on the genitourinary system. After any surgical intervention, organs and tissues form scars. Scar tissue is significantly different from usual. A scar on the bladder, prostate gland or external part of the abdominal cavity can affect the excretion of seminal fluid. Therapy depends on the characteristics of the scar tissue and the location of its localization.
Symptoms of
Men with retrograde ejaculation have the following symptoms:
- Turbid urine after sexual intercourse;
- Discomfort at excretion of seminal fluid;
- Decreased ejaculate volume.
The seminal fluid consists of the secretion of sperm and sex cells. If sperm enters the urine when ejaculating, it changes color. After sexual contact, blurred urine, the presence in her small light fibers. With repeated emptying of the bladder, impurities are not observed.
If the pathology is associated with the presence of an adhesion process or inflammation of the prostate gland, then the man has a slight discomfort when removing the ejaculate. He is connected with the passage of semen of clogged paths. Painful sensations do not arise in this case.
If the sphincter does not shrink completely, a partial sperm entry into the bladder occurs. The volume of secreted seminal fluid decreases. With retrograde ejaculation, no more than 1 ml of sperm is released in patients.
Diagnosis of pathology
To determine the causes of retrograde ejaculation, a thorough medical examination is necessary. The patient needs to undergo the following examinations:
- Ultrasound examination;
- Urinalysis;
- Physiological examination.
Ultrasound examination is conducted to establish the causes of retrograde ejaculation. A hardware test can detect inflammation, adhesions, or disruption of pelvic organs. Ultrasound of the small pelvis is done on all organs.
If a cause is found, carefully examine the patient. If you have problems with the intestines, you need to consult a proctologist.
Retrograde ejaculation is well manifested when taking urine for study. The analysis should be collected immediately after sexual contact. If there was no contact, then the patient needs to self-200 before ejaculation and only then pass urine. The time of collecting the analysis does not matter. When studying the fluid, doctors detect various inclusions. In the urine, you can find out the secret of seminal fluid, live sex cells and the products of sperm disintegration. If all these inclusions are present in the analysis, the patient needs treatment.
Therapy of pathology
Treatment of retrograde ejaculation depends on the causes that caused it. The impact can be varied. Specialists use such methods as:
- Electrostimulation of the prostate;
- Intervention;
- Drug treatment;
- Conservative methodology.
For various adhesions or chronic prostatitis, experts recommend that you undergo electrostimulation of the prostate. This method of treatment consists in conducting low-power electrical discharges through the patient's genitals. This produces heat energy. It has a harmful effect on the pathological changes in organs. Spikes dissipate, the process stops. Inflammation of the prostate gland decreases, the swelling from the body disappears. Treatment shows good. Efficacy in retrograde ejaculation on the background of inflammation of the genitourinary system.
Many specialists repair retrograde ejaculation with the help of surgical treatment. For this, an operation is performed on the organs that have changed their location. During the operation, a number of contraindications must be considered. Many patients this operation is not carried out because of the presence of type 2 diabetes, oncological processes in the intestine or urethra, stricture of the urethra, a transferred heart attack. If the patient underwent surgery for other organs less than six months, surgical treatment is also contraindicated.
After the operation, the process of excretion of the seminal fluid is restored within 7-10 days. At the same time, the sphincter and testes are monitored. Recovery after surgery is accompanied by a medicamental effect.
If the patient has noticed that there is no semen in ejaculation, he should immediately consult a specialist. The doctor will find out why retrograde ejaculation has developed, and will prescribe the necessary treatment.
