A Common Performance Issue Men Don’t Often Talk About

retrograde ejaculation symptoms

Problems like PE and ED seem to be getting all the press when we talk about male performance problems. However, there is another performance issue that affects many men around the world but doesn’t get mentioned often enough, mainly because some men aren’t even aware they have it. This condition is called retrograde ejaculation.

Here are retrograde ejaculation symptoms, causes, and treatment options.

Retrograde Ejaculation Symptoms

Unlike healthy men who produce around 1.5ml of semen when they ejaculate, men with retrograde ejaculation don’t produce anything. The reason for this is the bladder sphincter – a small muscle that is in charge of closing the bladder so that the semen can’t get in. When this muscle doesn’t work properly, the semen can get into the bladder, instead of coming out.

Some men with this condition may still ejaculate, but they will notice significantly less semen than normal.


Some of the main causes of retrograde ejaculation include:

  • Diabetes – if not treated, high glucose levels can damage nerves and organs and eventually lead to bladder neuropathy.
  • Nervous system problems – injuries to the nervous system or conditions like multiple sclerosis can affect bladder nerves and muscles.
  • Surgery – Surgeries of the lower back, rectum, testicles, colon, bladder, and prostate can all cause retrograde ejaculation.


Because it’s not painful, some men choose not to treat this condition, especially if an underlying condition does not cause it. However, if you’re trying to have a baby, your doctor may prescribe you midodrine or tofranil to help with bladder function. Alternatively, you can try to get a baby by in vitro fertilization or intrauterine insemination.


If you notice the usual retrograde ejaculation symptoms, contact your doctor. Since this condition usually has an underlying cause, you should see what it is and start treating it immediately.

symptoms of testicular cancer

5 Symptoms of Testicular Cancer You Should Look Out For

over-the-counter ED drugs

Do Over-the-Counter ED Drugs Really Work?