What is reverse ejaculation? The four main reasons

Retrograde ejaculation is a very serious problem. During ejaculation, semen will be ejected from the urethra through urethral dilation. However, if there is a disorder in the vas deferens, which causes the bladder to contract, the direction of semen ejection is incorrect. Because men still feel casual during ejaculation, they may not pay attention and cause infertility. So let's take a look at what is going on with retrograde ejaculation?

1. Abnormal anatomical structure: congenital factors such as abnormal opening of the ejaculatory duct, posterior urethral valve disease, etc. Or surgical complications such as transurethral resection of the prostate, posterior urethral injury, spermatocyst hyperplasia and inflammation.

2. Neurological factors: Retroperitoneal lymph node resection, sympathetic nerve resection, colorectal surgery, diabetes, spinal cord injury, etc. can lead to dysfunction of the nerves that control the bladder neck.

3. Drug factors: antipsychotic drugs, antihypertensive drugs, etc. For example, guanethidine, reserpine, etc. have the effect of blocking adrenergic nerves.

4. Idiopathic factors: the cause is unknown.

Symptoms of Retrograde Ejaculation

The patient's symptoms are that the penis can erect normally, orgasm and ejaculation occur during sexual intercourse, but no semen flows out of the urethra. The first urine test after sexual intercourse shows that the urine is turbid with a large amount of sperm and fructose, which can be used to diagnose retrograde ejaculation. In addition, the cause of the disease can be determined based on the medical history, such as whether there is a history of surgical trauma, a history of diabetes, and a history of medication.

How to treat retrograde ejaculation

1. Surgical treatment

The indications for surgical treatment are patients with a history of bladder neck surgery. Bladder neck YV plasty can be performed, but the surgery can only be performed after the disease is confirmed.

2. Drug treatment

The main indication for drug treatment is for patients with sympathetic nerve dysfunction. Adrenergic drugs can be used for treatment, and anticholesterol drugs can also be used according to the specific situation. These drugs must be taken under the guidance of a doctor to avoid unnecessary side effects.

Retrograde ejaculation caused by chronic infection can be treated with antibiotics such as norfloxacin and metronidazole. When taking western medicine is not effective, Chinese medicine can be selected for treatment. The advantage of Chinese medicine lies in holistic treatment and treatment according to symptoms. Generally, ephedra, lianxu, red bean, zexie, bihua, plantago seed, red peony root, etc. can be selected, which have a positive effect on improving symptoms and relieving the condition.