Self-management

Coping and support

Alterations in orgasm are linked with lower emotional and physical satisfaction, which might lead to stress for you and your partner. Retrograde ejaculation can be especially challenging if you and your partner want to conceive a child.

While most men can get their female partners pregnant with infertility treatment, it can be costly and require stressful medical procedures for both you and your partner. Talking with a counselor might help.

Understanding all of your options and communicating with your doctor and partner can help.

  • Know what it will cost. Your insurance may or may not cover the costs necessary for sperm retrieval and artificial insemination of your partner.
  • Talk to your doctor. Ask about all your options. You'll need to meet with a urologist who specializes in male infertility.
  • Communicate with your partner. Make sure you and your partner both understand your options and the potential risks of fertility procedures. You should both attend every consultation appointment.

Prevention

If you take medications or have health problems that put you at risk of retrograde ejaculation, ask your doctor what you can do to lower your risk.

If you need to have surgery that might affect the bladder neck muscle, such as prostate or bladder surgery, ask about the risk of retrograde ejaculation. If you plan to have children in the future, talk with your doctor about options for preserving semen before the surgery.

Oct. 26, 2016
References
  1. Ferri FF. Ejaculation and orgasm disorders. In: Ferri's Clinical Advisor 2017. Philadelphia, Pa.: Elsevier; 2017. https://www.clinicalkey.com. Accessed Sept. 9, 2016.
  2. Mehta A, et al. Management of the dry ejaculate: A systematic review of aspermia and retrograde ejaculation. Fertility and Sterility. 2015;104:107.
  3. Althof HE, et al. Contemporary management of disorders of male orgasm and ejaculation. Urology. 2016;93:9.
  4. What is infertility? Resolve: The National Infertility Association. http://www.resolve.org/about-infertility/what-is-infertility/frequently-asked-questions-about-infertility.html. Accessed Sept. 15, 2016.
  5. Ohl DA, et al. Anejaculation and retrograde ejaculation. Urologic Clinics of North America. 2008;35:211.
  6. Wein AJ, et al., eds. Disorders of male orgasm and ejaculation. In: Campbell-Walsh Urology. 11th ed. Philadelphia, Pa.: Elsevier; 2016. http://www.clinicalkey.com. Accessed Sept. 9, 2016.
  7. Samplaski MK, et al. Adverse effects of common medications on male fertility. Nature Reviews Urology. 2015;12:401.
  8. Jefferys A, et al. The management of retrograde ejaculation: A systematic review and update. Fertility and Sterility. 2012;97:306.