When you see the doctor, he or she will probably:
- Ask you a number of questions about your symptoms and how long you've had them. Your doctor may also ask about any health problems, surgeries or cancers you've had and what medications you take.
- Do a physical examination, which will likely include an exam of your penis, testicles and rectum.
- Examine your urine for the presence of semen after you have an orgasm. This procedure is usually done at the doctor's office. Your doctor will ask you to empty your bladder, masturbate to climax, and then provide a urine sample for laboratory analysis. If a high volume of sperm is found in your urine, you have retrograde ejaculation.
If you have dry orgasms, but your doctor doesn't find semen in your bladder, you may have a problem with semen production. This can be caused by damage to the prostate or semen-producing glands as a result of surgery or radiation treatment for cancer in the pelvic area.
If your doctor suspects your dry orgasm is something other than retrograde ejaculation, you may need further tests or a referral to a specialist to find the cause.
Jan. 30, 2014
- Ferri FF. Clinical Advisor 2014. Philadelphia, Pa.: Mosby Elsevier; 2014. http://www.clinicalkey.com. Accessed Aug. 9, 2013.
- Wein AJ, et al. Campbell-Walsh Urology. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2012. http://www.clinicalkey.com. Accessed Aug. 9, 2013.
- Ohl DA, et al. Anejaculation and retrograde ejaculation. Urologic Clinics of North America. 2008;35:211.
- Jefferys A, et al. The management of retrograde ejaculation: a systematic review and update. Fertility and Sterility. 2012;97:306.
- Siassakos D, et al. Male infertility. American Urological Association. http://www.urologyhealth.org/urology/index.cfm?article=102&display=1. Accessed Aug. 9, 2013.
- Barnas JL, et al. The prevalence and nature of orgasmic dysfunction after radical prostatectomy. BJU International. 2004;94:603.
- Ten questions to ask before having an operation. American College of Surgeons. http://www.facs.org/patienteducation/patient-resources/surgery/tenquestions.html. Accessed Aug. 19, 2013.
- Speak up: Become a partner in your healthcare. National Institutes of Health. http://newsinhealth.nih.gov/2007/May/docs/01features_02.htm. Accessed Aug. 19, 2013.
- Anderson CF (expert opinion). Mayo Clinic, Rochester, Minn. Aug. 26, 2013.