A dry orgasm can occur as a result of surgery to remove the prostate gland and surrounding lymph nodes (radical prostatectomy) or surgery to remove the bladder (cystectomy). After either of these procedures, a man will no longer produce semen.
In some cases of dry orgasm, semen is produced but goes into the bladder instead of out through the penis during sexual climax. This is known as retrograde ejaculation and is most often a consequence of medical procedures, particularly some prostate surgeries. It can also be caused by certain medications and health conditions.
In other cases of dry orgasm, men don't produce enough semen to ejaculate because of genetic abnormalities of the reproductive system.
Repeated orgasms use up all of the body's fresh semen and sperm. As a result, an orgasm that occurs after repeated orgasms might be dry. This is not a cause for alarm and generally improves after a few hours of rest.
Underlying causes of dry orgasm include:
- Cystectomy (bladder removal surgery)
- Blocked sperm duct (ejaculatory duct obstruction)
- Certain medications used to treat high blood pressure, enlarged prostate and mood disorders
- Genetic abnormalities of the reproductive system
- Male hypogonadism (testosterone deficiency)
- Multiple sclerosis
- Prostate laser surgery
- Radiation therapy
- Retrograde ejaculation
- Spinal cord injury
Jan. 22, 2015
Causes shown here are commonly associated with this symptom. Work with your doctor or other health care professional for an accurate diagnosis.
- Wein AJ, et al. Campbell-Walsh Urology. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2012. http://www.clinicalkey.com. Accessed June 6, 2014.
- Melmed S, et al. Williams Textbook of Endocrinology. 12th ed. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.clinicalkey.com. Accessed June 6, 2014.
- Martin KA. Evaluation of male sexual dysfunction. http://www.uptodate.com/home. Accessed June 9, 2014.
- Swerdloff RS, et al. Causes of male infertility. http://www.uptodate.com/home. Accessed June 9, 2014.
- Ferri FF. Ferri's Clinical Advisor 2014: 5 Books in 1. Philadelphia, Pa.: Mosby Elsevier; 2014. http://www.clinicalkey.com. Accessed June 9, 2014.
- Ohl DA, et al. Anejaculation and retrograde ejaculation. Urologic Clinics of North America. 2008;35:211.
- Barnas JL, et al. The prevalence and nature of orgasmic dysfunction after radical prostatectomy. BJU International. 2004;94:603.
- Hoffman RM, et al. Microwave thermotherapy for benign prostatic hyperplasia. Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD004135.pub3/abstract. Accessed June 9, 2014.
- Update on AUA guideline on the management of benign prostatic hyperplasia. Journal of Urology. 2011;185:1793.
- Tanagho EA, et al. Smith's General Urology. 17th ed. New York, N.Y.: The McGraw-Hill Companies; 2008. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=21. Accessed June 9, 2014.
- Prostate enlargement: Benign prostatic hyperplasia. National Kidney and Urologic Diseases Information Clearinghouse. http://kidney.niddk.nih.gov/KUDiseases/pubs/prostateenlargement/index.aspx. Accessed June 9, 2014.
- How cancer treatment can affect ejaculation. American Cancer Society. http://www.cancer.org/treatment/treatmentsandsideeffects/physicalsideeffects/sexualsideeffectsinmen/sexualityfortheman/sexuality-for-men-with-cancer-ejaculation-and-treatment. Accessed June 9, 2014.
- Gravas S, et al. Critical review of lasers in benign prostatic hyperplasia (BPH). BJU International. 2011;107:1030.