November 1, 2010

Q&A: I Don’t Produce Semen When I Climax.

Retrograde ejaculation is not harmful in and of itself. If sperm enter the bladder, they will come out the next time the man urinates.

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Question: I have been trying for some time now to be able to ejaculate, but I haven’t had any success. I masturbate all the time just for the feeling I’m able to get. The problem is that I reach climax, but I don’t produce or shoot any sperm at all. Is there anything I can do?

Retrograde Ejaculation

If you are experiencing the feeling of a climax or orgasm, but you don’t notice any semen coming out of your penis during orgasm, then you may be experiencing what is called retrograde ejaculation.

With this condition, men are producing all the components of semen, which is composed of sperm from the testicles and fluid from the prostate gland and seminal vesicles. However, with retrograde ejaculation, a man’s bladder neck muscles don’t tighten the way that they should, and instead of ejaculating, the sperm and possibly the rest of the semen enters the bladder instead of leaving the body through the penis.

Men with retrograde ejaculation tend to ejaculate only a little bit of semen or none at all.

Causes and Solutions

Several different conditions can cause retrograde ejaculation. Even some medications can cause retrograde ejaculation as a side effect.

I would recommend asking your doctor about your experience or making an appointment with a urologist, as urologists often have experience diagnosing and treating men for this condition.

Preparing for Reproduction

Retrograde ejaculation is not harmful in and of itself. If sperm enter the bladder, they will come out of the bladder the next time that a man urinates when he goes to the bathroom.

However, retrograde ejaculation often becomes a problem if a man wishes to have a baby, as the sperm have no way of coming out of the body through ejaculation unless the condition is treated.

For more information and for a diagnosis and possible treatment, please check in with your healthcare provider.

Next Question: Age Appropriate Sex Education

“As the parent of a young child, I’m trying to figure out how to raise my child to feel good about their sexuality but don’t know where to start. When will my child become curious about sexuality? And at what ages does it become appropriate to talk to my child about sex and bodies and how girls and boys are different?”

Read Dr. Debby Herbenick’s response.

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