What are the symptoms of weak ejaculation. How can aging, alcohol, and psychological factors affect ejaculation. What treatments are available for weak ejaculation. When should you see a doctor about ejaculation concerns.

Understanding Weak Ejaculation: Symptoms and Definitions

Weak ejaculation, also known as delayed or inhibited ejaculation, is characterized by a reduction in semen volume or ejaculation pressure. While occasional instances are typically not concerning, consistent changes may warrant medical attention.

The primary symptoms of weak ejaculation include:

• Reduced force of ejaculation
• Decreased amount of semen
• Less intense orgasms (particularly in older individuals)

Is there a standard for normal ejaculation volume? The International Society for Sexual Medicine states that average semen volume per ejaculate ranges from 1.25 to 5 milliliters (ml), equivalent to one-quarter to 1 teaspoon. However, it’s important to note that volumes can vary between ejaculations and individuals.

When should weak ejaculation be considered a potential medical issue? Ejaculation volumes consistently below 2 ml on two separate occasions may indicate an underlying medical condition and should be evaluated by a healthcare professional.

The Impact of Aging on Ejaculation

As men age, they may experience changes in their ejaculation patterns. How does aging affect ejaculation? Aging can lead to:

• Decreased force of ejaculation
• Reduced semen volume
• Lower levels of male sex hormones

These changes are often a natural part of the aging process. However, if they significantly impact sexual satisfaction or fertility, it’s advisable to consult with a healthcare provider.

Alcohol and Its Effects on Ejaculation

Alcohol consumption can have a significant impact on sexual function, including ejaculation. How does alcohol affect ejaculation? Drinking alcohol can:

• Decrease blood flow to the penis
• Depress the central nervous system
• Reduce overall sexual excitement

These effects can contribute to weak ejaculation and other sexual performance issues. Moderating alcohol intake may help improve ejaculatory function for some individuals.

Psychological Factors Influencing Ejaculation

Mental health and emotional well-being play crucial roles in sexual function. What psychological factors can affect ejaculation? Several psychological elements can impact ejaculation, including:

• History of depression
• Changes in attraction to a partner
• Past psychological trauma
• Stress and anxiety
• Performance anxiety

Addressing these psychological factors through therapy, counseling, or stress management techniques may help improve ejaculatory function.

Medical Conditions and Nerve Damage: Their Role in Weak Ejaculation

Various medical conditions and nerve-related issues can contribute to weak ejaculation. What medical factors can lead to ejaculation problems?

Nerve Damage

Damage to nerves in the spinal cord, bladder, or other areas affecting ejaculation can impact semen flow. Men with diabetes may be particularly susceptible to nerve damage-induced ejaculation issues.

Retrograde Ejaculation

In some cases, nerve damage can lead to retrograde ejaculation, where some or all of the ejaculate flows back into the bladder instead of exiting through the penis.

Prostate Conditions

Prostate-related issues can significantly affect ejaculation. How do prostate conditions impact ejaculation?

• Enlarged prostate
• Prostate cancer
• Nerve damage from prostate surgery

These conditions can alter ejaculation patterns and may require medical intervention to address.

Medications and Their Impact on Ejaculation

Certain medications can cause or contribute to weak ejaculation. What types of medications can affect ejaculation? Common culprits include:

• Antidepressants, especially selective serotonin reuptake inhibitors (SSRIs)
• Antipsychotics
• Beta-blockers and other drugs for treating high blood pressure
• Muscle relaxants
• Powerful analgesics, such as methadone for heroin addiction

If you suspect your medication is causing ejaculation problems, consult your healthcare provider. Never stop taking prescription medications without medical guidance.

Treatment Options for Weak Ejaculation

The treatment approach for weak ejaculation depends on the underlying cause. What are some potential therapies for weak ejaculation?

Pelvic Muscle Exercises

Kegel exercises and other pelvic muscle exercises can help strengthen the muscles controlling ejaculation. These may be particularly beneficial for age-related ejaculation issues.

How to perform Kegel exercises:

1. Identify the pelvic floor muscles by stopping urine flow midstream
2. Contract these muscles for 5 seconds, then release
3. Repeat 10-20 times to complete one set
4. Aim for 3-4 sets per day

Medications

While there are no FDA-approved medications specifically for weak ejaculation, doctors may prescribe drugs to enhance sexual function based on the underlying cause.

Psychological Interventions

For ejaculation issues rooted in psychological factors, therapies such as cognitive-behavioral therapy (CBT) or sex therapy may be beneficial.

Lifestyle Changes

Addressing lifestyle factors such as alcohol consumption, stress management, and overall health can positively impact ejaculatory function.

When to Seek Medical Advice for Ejaculation Concerns

While occasional changes in ejaculation are normal, certain situations warrant medical attention. When should you consult a doctor about ejaculation issues?

• Consistent ejaculation volumes below 2 ml
• Sudden or significant changes in ejaculation patterns
• Ejaculation problems causing distress or relationship issues
• Concerns about fertility
• Ejaculation difficulties accompanied by other sexual health issues

A healthcare provider can assess your symptoms, identify potential underlying causes, and recommend appropriate treatment options.

The Role of Sexual Factors in Ejaculation

Various sexual factors can influence ejaculation intensity and volume. How do sexual practices affect ejaculation?

• Sexual position: Different positions may impact the intensity of orgasm and ejaculation
• Duration of sexual stimulation: Longer periods of arousal may lead to more intense ejaculation
• Frequency of sexual activity: Regular ejaculation can affect semen volume

Experimenting with different sexual practices and communication with partners can help address ejaculation concerns related to sexual factors.

Ejaculation and Fertility: Understanding the Connection

While weak ejaculation doesn’t necessarily indicate fertility issues, it can be a concern for those trying to conceive. How does ejaculation relate to fertility?

• Sperm count: Low ejaculation volume doesn’t always mean low sperm count
• Sperm motility: The force of ejaculation can affect sperm’s ability to reach the egg
• Retrograde ejaculation: This condition can significantly impact fertility

If you’re experiencing weak ejaculation and have concerns about fertility, consult with a fertility specialist or urologist for a comprehensive evaluation.

Maintaining Ejaculatory Health: Prevention and Lifestyle Factors

While some causes of weak ejaculation are beyond control, certain lifestyle factors can promote overall sexual health. What steps can you take to maintain healthy ejaculatory function?

• Regular exercise: Improves overall cardiovascular health and blood flow
• Balanced diet: Supports hormone production and general health
• Stress management: Reduces the impact of psychological factors on sexual function
• Limiting alcohol and avoiding tobacco: Minimizes substances that can negatively affect sexual performance
• Regular check-ups: Allows for early detection and management of potential health issues affecting ejaculation

By incorporating these habits into your lifestyle, you can promote better sexual health and potentially prevent or mitigate ejaculation issues.

The Psychological Impact of Weak Ejaculation

Experiencing weak ejaculation can have significant psychological effects on individuals and their partners. How does weak ejaculation affect mental health and relationships?

• Self-esteem: May lead to feelings of inadequacy or reduced masculinity
• Relationship stress: Can cause tension or dissatisfaction in sexual relationships
• Performance anxiety: Worry about ejaculation may exacerbate the issue
• Depression: Chronic sexual dysfunction can contribute to depressive symptoms

Addressing the psychological aspects of weak ejaculation is crucial for overall well-being and sexual satisfaction. Consider seeking support from a mental health professional or sex therapist to navigate these challenges.

Emerging Research and Future Treatments for Weak Ejaculation

The field of sexual medicine is continually evolving, with ongoing research into new treatments for ejaculatory disorders. What are some promising areas of research for weak ejaculation?

• Stem cell therapy: Potential for regenerating damaged nerves affecting ejaculation
• Hormonal treatments: Exploring the role of hormone optimization in ejaculatory function
• Novel medications: Development of drugs specifically targeting ejaculatory disorders
• Neuromodulation techniques: Investigating the use of electrical stimulation to improve ejaculatory function

While these treatments are still in various stages of research and development, they offer hope for more effective management of weak ejaculation in the future.

Understanding weak ejaculation involves recognizing its symptoms, identifying potential causes, and exploring available treatment options. By addressing both physical and psychological factors, individuals can work towards improving their ejaculatory function and overall sexual health. Remember, consulting with healthcare professionals is crucial for proper diagnosis and personalized treatment plans. With the right approach and support, many men can effectively manage weak ejaculation and maintain a satisfying sex life.

Weak ejaculation: Symptoms, causes, and treatment

Weak ejaculation refers to a reduction in the amount of semen a person ejaculates or a reduction in the pressure of the ejaculation. Doctors may also call weak ejaculation delayed or inhibited ejaculation.

Experiencing periodic weak ejaculation is rarely cause for concern. However, consistent changes to a person’s ejaculation may warrant a visit to the doctor.

The underlying cause of weak ejaculation may be physical or psychological. In some cases, both factors may be involved.

This article outlines the potential causes and symptoms of weak ejaculation. We also discuss treatments and provide information on when to see a doctor.

Weak ejaculation occurs when a person has both the sexual stimulation and desire to ejaculate but experiences either or both of the following symptoms:

• reduced force of ejaculation
• reduced amount of semen

Weak ejaculation may also result in a person experiencing less intense orgasms. This experience is more likely to be the case as an individual becomes older.

According to the International Society for Sexual Medicine, the average semen volume per ejaculate ranges from 1.25 to 5 milliliters (ml). This amount is the equivalent of one-quarter to 1 teaspoon of semen.

It is important to note that semen volumes can vary from one time to another. A person who has not ejaculated for several days is likely to ejaculate more semen than someone who ejaculated more recently.

Also, some males release small amounts of ejaculate despite having typical sperm counts.

According to a 2016 review, ejaculation volumes of less than 2 ml on two separate occasions may signal an underlying medical disorder.

Doctors have identified many different factors that may affect ejaculation. Examples include the following:

Aging

A man’s ejaculation may decrease in force and volume as he ages. Doctors often attribute this to lower levels of male sex hormones.

Alcohol

Drinking alcohol may decrease blood flow to the penis and depress the central nervous system. These knock on effects will result in reduced sexual excitement.

Psychological factors

The following psychological factors can all affect someone’s ability to ejaculate when they compare it to how they did so previously:

• a history of depression
• changes in attraction to a partner
• past psychological trauma

Nerve damage

Damage to the nerves in the spinal cord, bladder, or other areas that affect ejaculation can impact semen flow.

Males with diabetes may be especially prone to nerve damage induced ejaculation issues.

Sometimes, nerve damage leads to retrograde ejaculation. This condition is where some or all of the ejaculate goes back into the bladder instead of exiting the penis.

Prostate conditions

Having an enlarged prostate or prostate cancer can both affect ejaculation. Additionally, individuals who have had prostate surgery may experience changes in ejaculation due to nerve damage from the surgery.

Sexual factors

The position a person adopts when they are engaging in sex, and a short period of sexual stimulation may affect the intensity of their orgasm. In turn, these factors can affect their ejaculation.

Medications

Share on PinterestCertain medications may cause weak ejaculation.

Certain medications can also cause weak or delayed ejaculation. Examples include:

• antidepressants, especially selective serotonin reuptake inhibitors (SSRIs)
• antipsychotics
• beta-blockers and other drugs for treating high blood pressure
• muscle relaxants
• powerful analgesics, such as methadone for heroin addiction

A person who is concerned that their medication may be causing ejaculation problems should talk to their doctor. People must not stop taking prescription medications without their doctor’s consent.

The treatments to help relieve weak ejaculation depend upon the underlying cause. Some potential therapies are as follows:

Pelvic muscle exercises

In some cases, doctors may recommend performing Kegel exercises or some other form of pelvic muscle exercise. These exercises help to strengthen the muscles that control ejaculation. They may be particularly beneficial for anyone whose ejaculation issues are the result of natural aging.

Kegel exercises involve tightening and releasing the pelvic floor muscles. These are the muscles people can feel if they stop their urine flow midstream.

In the case of males, they should contract the muscles for 5 seconds at a time, then release the contraction. Repeating this process 10 to 20 times completes one set of exercises. Males should aim to perform three or four sets per day.

Medications

There are currently no Food and Drug Administration (FDA)–approved medications to treat weak ejaculation. However, doctors may prescribe several different drugs to enhance sexual function.

The type of medicine a doctor prescribes will depend on the underlying cause of weak ejaculation. Some examples include:

• amantadine
• bethanechol
• bupropion
• buspirone
• cyproheptadine
• yohimbine
• testosterone

Psychotherapy

A doctor may ask a person about any psychological factors that could be affecting their sexual function.

If appropriate, the doctor may make a referral for the individual to see a therapist or psychiatrist, including psychiatrists who may specialize in sexual medicine.

Share on PinterestA person can talk to a doctor if they experience consistent episodes of weak ejaculation.

Weak ejaculation is rarely a medical emergency. However, it can be very concerning for someone experiencing it regularly.

If a person has consistent episodes of weak ejaculation for 6 months, they should talk to his doctor who can help them to identify the underlying cause.

A person should also see a doctor is they think that changes to their ejaculation could be affecting their fertility. This may be the case if the individual and their partner have been trying to conceive for a long time.

Weak ejaculation is a complicated condition with many potential underlying causes.

There are currently no FDA-approved medicines for weak ejaculation. As a result, people may have to try several different therapies or approaches to enhance their sexual function.

Males who notice continued changes in their ejaculation should talk to their doctor. In some cases, weak ejaculation can reduce fertility or may indicate an underlying health condition.

Weak ejaculation: Symptoms, causes, and treatment

Weak ejaculation refers to a reduction in the amount of semen a person ejaculates or a reduction in the pressure of the ejaculation. Doctors may also call weak ejaculation delayed or inhibited ejaculation.

Experiencing periodic weak ejaculation is rarely cause for concern. However, consistent changes to a person’s ejaculation may warrant a visit to the doctor.

The underlying cause of weak ejaculation may be physical or psychological. In some cases, both factors may be involved.

This article outlines the potential causes and symptoms of weak ejaculation. We also discuss treatments and provide information on when to see a doctor.

Weak ejaculation occurs when a person has both the sexual stimulation and desire to ejaculate but experiences either or both of the following symptoms:

• reduced force of ejaculation
• reduced amount of semen

Weak ejaculation may also result in a person experiencing less intense orgasms. This experience is more likely to be the case as an individual becomes older.

According to the International Society for Sexual Medicine, the average semen volume per ejaculate ranges from 1.25 to 5 milliliters (ml). This amount is the equivalent of one-quarter to 1 teaspoon of semen.

It is important to note that semen volumes can vary from one time to another. A person who has not ejaculated for several days is likely to ejaculate more semen than someone who ejaculated more recently.

Also, some males release small amounts of ejaculate despite having typical sperm counts.

According to a 2016 review, ejaculation volumes of less than 2 ml on two separate occasions may signal an underlying medical disorder.

Doctors have identified many different factors that may affect ejaculation. Examples include the following:

Aging

A man’s ejaculation may decrease in force and volume as he ages. Doctors often attribute this to lower levels of male sex hormones.

Alcohol

Drinking alcohol may decrease blood flow to the penis and depress the central nervous system. These knock on effects will result in reduced sexual excitement.

Psychological factors

The following psychological factors can all affect someone’s ability to ejaculate when they compare it to how they did so previously:

• a history of depression
• changes in attraction to a partner
• past psychological trauma

Nerve damage

Damage to the nerves in the spinal cord, bladder, or other areas that affect ejaculation can impact semen flow.

Males with diabetes may be especially prone to nerve damage induced ejaculation issues.

Sometimes, nerve damage leads to retrograde ejaculation. This condition is where some or all of the ejaculate goes back into the bladder instead of exiting the penis.

Prostate conditions

Having an enlarged prostate or prostate cancer can both affect ejaculation. Additionally, individuals who have had prostate surgery may experience changes in ejaculation due to nerve damage from the surgery.

Sexual factors

The position a person adopts when they are engaging in sex, and a short period of sexual stimulation may affect the intensity of their orgasm. In turn, these factors can affect their ejaculation.

Medications

Share on PinterestCertain medications may cause weak ejaculation.

Certain medications can also cause weak or delayed ejaculation. Examples include:

• antidepressants, especially selective serotonin reuptake inhibitors (SSRIs)
• antipsychotics
• beta-blockers and other drugs for treating high blood pressure
• muscle relaxants
• powerful analgesics, such as methadone for heroin addiction

A person who is concerned that their medication may be causing ejaculation problems should talk to their doctor. People must not stop taking prescription medications without their doctor’s consent.

The treatments to help relieve weak ejaculation depend upon the underlying cause. Some potential therapies are as follows:

Pelvic muscle exercises

In some cases, doctors may recommend performing Kegel exercises or some other form of pelvic muscle exercise. These exercises help to strengthen the muscles that control ejaculation. They may be particularly beneficial for anyone whose ejaculation issues are the result of natural aging.

Kegel exercises involve tightening and releasing the pelvic floor muscles. These are the muscles people can feel if they stop their urine flow midstream.

In the case of males, they should contract the muscles for 5 seconds at a time, then release the contraction. Repeating this process 10 to 20 times completes one set of exercises. Males should aim to perform three or four sets per day.

Medications

There are currently no Food and Drug Administration (FDA)–approved medications to treat weak ejaculation. However, doctors may prescribe several different drugs to enhance sexual function.

The type of medicine a doctor prescribes will depend on the underlying cause of weak ejaculation. Some examples include:

• amantadine
• bethanechol
• bupropion
• buspirone
• cyproheptadine
• yohimbine
• testosterone

Psychotherapy

A doctor may ask a person about any psychological factors that could be affecting their sexual function.

If appropriate, the doctor may make a referral for the individual to see a therapist or psychiatrist, including psychiatrists who may specialize in sexual medicine.

Share on PinterestA person can talk to a doctor if they experience consistent episodes of weak ejaculation.

Weak ejaculation is rarely a medical emergency. However, it can be very concerning for someone experiencing it regularly.

If a person has consistent episodes of weak ejaculation for 6 months, they should talk to his doctor who can help them to identify the underlying cause.

A person should also see a doctor is they think that changes to their ejaculation could be affecting their fertility. This may be the case if the individual and their partner have been trying to conceive for a long time.

Weak ejaculation is a complicated condition with many potential underlying causes.

There are currently no FDA-approved medicines for weak ejaculation. As a result, people may have to try several different therapies or approaches to enhance their sexual function.

Males who notice continued changes in their ejaculation should talk to their doctor. In some cases, weak ejaculation can reduce fertility or may indicate an underlying health condition.

Retrograde ejaculation – health articles

Retrograde ejaculation is a disorder in which there is an abnormal movement of semen at the end of intercourse. As a result, the seminal fluid enters the bladder rather than being expelled. At the same time, the man retains the feeling of ejaculation. The minimum amount of ejaculate is released from the glans penis. In some cases, retrograde ejaculation is accompanied by anejaculation (lack of ejaculate).

Currently, the pathology is being successfully treated. The patient only needs to consult a doctor in a timely manner, and not hush up the problem and not try to fix it on their own. Attempts at self-therapy can lead to difficulties in diagnosis and delay the adoption of adequate measures.

Retrograde ejaculation is a rarely diagnosed pathology.

Causes of the disease

Retrograde ejaculation is a rarely diagnosed pathology. Its development does not depend on the age of the patient. In some cases, the disease is detected already in adolescents, at the stage of puberty.

The causes leading to retrograde ejaculation can be divided into 4 groups: pharmacological, neurogenic, anatomical, idiopathic.

Retrograde ejaculation can be provoked by:

• type 1 diabetes mellitus, which is accompanied by metabolic disorders and damage to the peripheral nervous system
• mechanical injuries of the genitals or lower back
• malignant neoplasms
• fractures of the pelvic bones
• hormonal and endocrine disorders that may occur in elderly patients
• inflammatory and infectious diseases of the brain and spinal cord
• multiple sclerosis
• prostatitis
• circulatory disorders of the pelvic organs
• taking medicines

Also, the causes of retrograde ejaculation include surgical interventions on the organs of the reproductive and urinary systems. Often, pathology develops after TUR (transurethral resection). The uncontrolled intake of a number of antihypertensive drugs, antidepressants and alpha-adenoblockers, drug addiction and alcohol abuse can also provoke the development of the disease.

In some cases, retrograde ejaculation occurs in men who self-control or use various methods of prolonging sexual intercourse (ligation of the base of the penis or testicles).

Symptoms

Infertility can become a sign of pathology.

Men suffering from pathology complain of the following symptoms:

• decrease in ejaculate volume
• total absence of ejaculate
• cloudy urine after intercourse (this symptom of retrograde ejaculation indicates the presence of semen in the urine)
• decrease in the quality and strength of orgasm

Infertility can also be a sign of pathology.

At the same time, patients do not experience pain or erectile dysfunction. A man can experience a slight discomfort only if an adhesive or inflammatory process has developed against the background of the pathology.

When should I see a doctor?

Do not self-medicate, as it may aggravate the condition and lead to difficulties in diagnosis, which will delay the appointment of adequate therapy.

See a urologist or andrologist if you have any symptoms of retrograde ejaculation. It is necessary to make an appointment with a specialist as soon as possible, as the problem can cause infertility.

Important! You should not self-medicate, as it can aggravate the condition and lead to difficulties in diagnosis, which will delay the appointment of adequate therapy.

Diagnosis

To make a diagnosis, a man undergoes a comprehensive examination.

To make a diagnosis, a man undergoes a comprehensive examination. As part of the diagnosis, not only the pathology is detected, but also its cause is determined. This allows you to choose the optimal treatment for a particular patient for retrograde ejaculation.

First, an external examination of the penis with palpation of the prostate. This allows you to exclude hyperplasia and neoplasms. The patient then undergoes a laboratory examination. This usually includes blood and urine tests. Such diagnostics is aimed at identifying inflammatory and infectious processes. Then the patient takes a semen analysis (spermogram). Thanks to it, the doctor can diagnose the pathologies that caused infertility (if any).

The most informative study is the post-ejaculation urine test. It is taken immediately after ejaculation. In the presence of retrograde ejaculation, traces of seminal fluid will be found in the urine.

Instrumental diagnosis may also be required. The patient is referred to:

• Ultrasound of the pelvic organs
• electromyography
• ureteroscopy
• electroneurography, etc.

If necessary, a man is consulted not only by a urologist or andrologist, but also by a proctologist, oncologist, and other narrow specialists. Due to this, diagnosis is possible even at the early stages of the development of the disease. It allows you to identify not only the main, but also secondary pathologies that have arisen against its background.

Since the modern treatment of retrograde ejaculation is complex, a man additionally receives vitamins that help improve metabolic processes in tissues and stimulate the normal functioning of the nervous system.

How to treat retrograde ejaculation?

Conservative therapy

The technique is selected in accordance with the reason that caused violations of the ejaculation process. If the pathology has arisen due to taking medications, they are completely canceled or replaced. In this case, the process is normalized after a few days. If the pathology has developed after surgery, weakening of the muscles or against the background of diabetes mellitus, special preparations are prescribed.

In some cases, retrograde ejaculation provokes depression in the patient. In this case, antidepressants must be additionally prescribed. The patient may also be advised to visit a psychologist or psychotherapist.

Since the modern treatment of retrograde ejaculation is complex, a man additionally receives vitamins that help improve metabolic processes in tissues and stimulate the normal functioning of the nervous system. Physical therapy may also be prescribed.

The most popular today are:

• stimulation of the bladder and urethra with electric currents
• balneotherapy
• massage

All these and other procedures have a positive effect on muscle contractility. In addition, they improve blood circulation and other internal processes in the body.

The man is also given a number of lifestyle recommendations.

Generally advised:

1. Refuse professional sports and intense physical activity (including heavy lifting)
2. Lead a healthy lifestyle. It is important for a man to give up bad habits and eat a balanced diet. The diet should include seafood and chicken meat, a large amount of greens, fresh vegetables and fruits. It is necessary to refuse semi-finished products, fried and smoked dishes
3. Perform special exercises and complexes. You can sign up for physical therapy classes. Useful exercises for men are pelvic rotations, torso tilts to the sides, squats. Exercise complexes are selected individually by rehabilitation specialists and other specialists. They take into account the peculiarities of the work of the musculoskeletal system and various body systems. Also, patients can practice yoga. It allows not only to improve the general condition of the whole organism, but also to stimulate the functioning of the nervous system
4. Regularly visit a urologist or andrologist for the purpose of timely detection of existing pathologies and their adequate treatment

Important! All recommendations are issued exclusively by a doctor. This is due to the fact that a man can also be diagnosed with other diseases in which physical education or a special diet rich in protein are contraindicated!

Surgical treatment of retrograde ejaculation

The technique is chosen exclusively by the physician. The specialist takes into account the patient’s age and individual parameters, the course of the pathology, its severity, cause and a number of other important factors.

This therapy is relevant for benign and malignant neoplasms, as well as for pathologies of the structure of the organs of the genitourinary system. The scheme and method of interventions are selected individually. Operations for retrograde ejaculation today are carried out mainly by minimally invasive methods. Thanks to this, it is possible to preserve all healthy tissues, reduce the risks of side effects (problems with urination, erectile dysfunction) and shorten the rehabilitation period.

Important! The technique is chosen exclusively by the doctor. The specialist takes into account the patient’s age and individual parameters, the course of the pathology, its severity, cause and a number of other important factors.

Benefits of contacting MEDSI

Our urologists and andrologists have extensive professional experience. They have all the necessary knowledge and skills to detect and treat retrograde ejaculation.

• Qualified professionals. Our urologists and andrologists have extensive professional experience. They have all the necessary knowledge and skills to detect and treat retrograde ejaculation
• Expert diagnostics. For its implementation, clinics use advanced equipment that ensures high accuracy of examinations. Based on the results of the performed diagnostics, a decision is made on further conservative or surgical therapy
• Opportunities for comprehensive patient care. Men are selected medications and procedures that have already confirmed their effectiveness and safety
• Provision of a full range of services. In our clinic, men can undergo a comprehensive diagnosis, consult a doctor, receive treatment, rehabilitation after surgical interventions
• Individual approach. Treatment is selected based on a number of factors: the characteristics of the patient, his current condition, identified pathologies, etc.
• Comfort of visiting the clinic. Our Center is located near the metro, which allows residents of any districts of Moscow to visit it. In addition, we took care of the absence of queues and the need for a long wait for an appointment. It is not in vain that our clinic is recommended to friends and relatives

To undergo retrograde ejaculation treatment in our clinic in Moscow, to clarify the prices for services, just call + 7 (495) 7-800-500. You can make an appointment not only by the specified number, but also with the help of the SmartMed application.

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Contrary to stereotypes, men suffer from infertility no less than women. In about a third of cases, the matter is in the mother, in a third – in the father, and in another third, infertility overtakes the couple, the reasons for which are not fully understood. Therefore, both parents are sent for examination. In this article, we will tell you what male infertility is and explain what to prepare for if the diagnosis is confirmed.

Male infertility is a disease in which a couple cannot conceive a child after a year of regular unprotected sex, although the expectant mother is healthy. The fact is that pregnancy does not always occur on the first attempt. In the first three months, even completely healthy couples under the age of 30 manage to conceive a child only in 20-37% of cases.

Male infertility can only be diagnosed by a doctor. Most often, men’s problems are first detected by a urologist. However, if the couple turned to the family planning center, after examining the future parents, the reproductologist can also make a diagnosis.

The ability to conceive children in men depends on the normal functioning of the testicles. The testicles are regulated by the hypothalamus and pituitary gland, which create the hormones needed to produce healthy sperm. If there is trouble with hormones, a person is less interested in sex, he may experience erectile dysfunction, or the sperm will be defective – all this can lead to infertility.

In addition to hormones, the ability to have children is influenced by lifestyle (eg smoking and drinking). Sometimes testicular trauma or infectious diseases lead to infertility, due to which obstruction of the vas deferens develops.

In some cases, it is not possible to have children due to hereditary diseases. Due to genetic problems, spermatozoa can form incorrectly or move too slowly – and outwardly the person looks completely healthy.

And sometimes the cause of infertility cannot be found. This problem is called “infertility of unknown origin”.

On the other hand, frequent masturbation certainly does not lead to infertility. In fact, regular ejaculation several times a week does not reduce, but increases the chances of conceiving a child. Moreover, the body does not care what exactly caused the ejaculation: masturbation or sexual intercourse.

But it’s better not to get carried away – multiple ejaculation on the same day is not very useful for conception. The number of spermatozoa that can “ripen” during the day is large, but still limited, so there will be fewer and fewer sermatozoa in each new portion of “daytime” sperm.

Finding the true cause of infertility is not easy. To find out, the doctor should:

Collect a medical history – ask the patient in detail about past illnesses and injuries, ask at what age the person started shaving, if he had problems with erection, and what medications he took in the past and takes Now.

Perform a physical examination – measure the height and weight, assess the condition of the patient’s skin, hair and genitals. This helps to understand if a person has hormonal, genetic and physical problems – for example, varicocele, or testicular varicose veins. It is believed that a large amount of blood in the dilated veins “overheats” the testicles, which makes the sperm less “fertile”.

Order tests. The most important analysis for male infertility is a semen analysis. This is a complete semen analysis that allows you to assess the health of sperm: their number, shape and motility.

If there are few spermatozoa, the doctor may order a blood test for hormones: total testosterone, pituitary hormone prolactin, luteinizing and follicle stimulating hormones.

Another test that Dr. may order in addition to the spermogram is the MAR test. Normally, blood and semen do not mix, but due to inflammation or infection, this can still happen. Because of this, immune blood cells begin to consider their own spermatozoa as foreign invaders, and kill them. The MAR test helps identify the problem and start a solution.

If a doctor suspects that infertility may be due to genetic or chromosomal problems, he may order genetic tests to check the “quality” of the chromosomes. This is important – in addition to problems with conception, the test will help assess the risk of transmitting a hereditary disease to the child.

Sometimes the doctor will order a urine test, which is collected after ejaculation. If semen is found in the urine, it means that after ejaculation, the spermatoids get “to the wrong address” – into the father’s bladder, and not into the mother’s genital tract.

Assign diagnostic procedures. These surveys are not always needed. However, if the doctor suspects that infertility is due to blockage of the vas deferens, he may prescribe an ultrasound (ultrasound of the scrotum or prostate).

If there are no spermatozoa in the semen sample submitted for the semen analysis (this also sometimes happens), the doctor will prescribe a testicular biopsy. During this procedure, a small sample of testicular tissue is removed for examination with a special thin needle. By examining the sample under a microscope, the doctor will be able to determine if the person is producing sperm.

By the way, sometimes a test for male infertility can save a life. Sometimes during the examination, testicular cancer or pituitary tumors are found in time at an early stage, which can be successfully treated.

Male infertility is not a sentence. In many cases, the disease is successfully treated. Although approximately 15% of couples suffer from infertility, less than 5% of couples remain childless after treatment. The choice of therapy depends on the problem that led to infertility.

Hormonal disorders. Occurs in 2-5% of cases. The doctor will prescribe hormonal injections, which will need to be done three times a week for 6 months. For most patients, therapy helps well, although sometimes it takes longer to be treated – 1-2 years.

Varicocele. Occurs in 40% of infertile men. Sometimes the expansion of the veins of the scrotum is treated surgically, but this does not always help and not for everyone. An alternative to surgery is assisted reproductive technology. For example, intracytoplasmic sperm injection (ICSI). Even a very small amount of spermatozoa is enough for this.

Obstruction of the vas deferens. This problem is usually treated with surgery – in fact, remove the “blockage” that prevents sperm from leaving the testicles. If the operation is not possible, assisted reproductive technologies again come to the rescue – the sperm necessary for conception can be taken directly from the testicles.

Genetic problems. Unfortunately, we do not yet have a reliable way to treat “problem” spermatozoa and correct chromosomal abnormalities. In this situation, future parents most often have to use donor sperm or adopt a baby.

If a man has at least a few normal spermatozoa, he can resort to ART. Assisted reproductive technologies are not cheap, they require an investment of time and effort, but for some couples this is the only chance to have offspring.

In vitro fertilization (IVF) with ICSI. Leads to pregnancy on the first try in 20-40% of cases. One healthy spermatozoon is selected from a portion of sperm, and an egg is taken from a woman. Then, using the thinnest needle, the sperm is injected into the egg. As a result, an embryo develops from a fertilized egg, which is then transplanted into the uterus. The baby is born in the same way as all other children conceived in the “traditional” way.

In vitro fertilization (IVF) with testicular sperm extraction. If there are no healthy sperm in the semen, you can try to take it directly from the testicles with a special needle. In all other respects, the technique is similar to IVF with ICSI.

In Russia, the IVF procedure can be done free of charge under the MHI policy, but IVF has risks and limitations. The success of the procedure depends on the health and age of the woman, and the first time pregnancy may not occur. Before resorting to the procedure, it is important to discuss all possible risks and consequences with the fertility specialist.

• Men suffer from infertility at least as often as women.