Retrograde Ejaculation and Infertility

Ejaculation refers to the process of discharging semen forward through a man's urethra and out of his penis. When semen enters the bladder instead of releasing through the penis during orgasm, the process is called retrograde ejaculation. This results in the mixing of the semen with urine present in the bladder. And the semen passes out as waste.

⦁    Certain medical conditions. One of the most frequent is Diabetes.
⦁    Anatomical defects
⦁    Prior prostate/urethral surgery 
⦁    Intake of certain medications or drugs

These symptoms may involve:
⦁    Loss of fertility
⦁    Cloudy urine post orgasm
⦁    Slight or no ejaculate during orgasm

For males with this problem, it is certainly unfeasible to conceive a child naturally. As a result, couples should consider fertility treatments for attaining conception.

Retrograde ejaculation can be diagnosed employing a 3-Step strategy. 
Step 1: Discussion of queries concerning the patient's medical history, medications, surgeries, etc.
Step 2: Physical evaluation of his reproductive parts, scrotum, testicles, penis, and rectum.
Step 3: Urine examination that gets discharged after an orgasm.

In most cases of retrograde ejaculation, sperm can be recovered from a urine sample and used during an IVF-ICSI cycle. 
Otherwise, sperm can be obtained directly from the testicles, using techniques as Fine Needle Aspiration or TESE.