Anyone been to the doctor for retrograde ejaculation?

I haven't seen much on this topic here, but I figured I'd make a thread cause I may be dealing with it.

I was diagnosed with prostatitis years ago but never followed up about it. Now I often have intense perineum pain and when it's really bad my orgasms are weird. It feels like my prostate "hiccups" and then there will be a burning feeling in my urethra and the ejaculate volume will be extremely small. When I pee after sex, there will be a large amount of semen in the urine.

I have a urology appointment coming up for all of this, what might I expect from the doctor? Any experiences would be greatly appreciated.

I have had chronic prostatitis for a couple of years which resulted in severe fibrosis and bladder outlet obstruction. A first I was submitted to TUIP (transurethral prostate incision) which was poorly effective. Then I was adviced to take doxazosine daily which caused partial retrograde. Finally, in May this year I had TURP (transurethral prostate removal) which was very helpful and all my symptoms are gone now. Unfortunately, now I have complete retrograde ejaculation and erection problems.

I was put on Flowmax at the beginning of this year to deal with urination problems I've been having. After starting with the lower dosage and having no improvement, my doctor upped my dosage to the maximum. It does help a little, but not a lot. I've discussed with my doctor whether it's worth taking or not. I still haven't decided if the improvement is worth the expense of the meds and the side effects (mostly retrograde ejaculations). She told me the decision to keep taking it or not is completely up to me.

Usually, I take for awhile, then stop for awhile. I miss the feeling of actually cumming. I still have orgasms, but they're not the same. The feeling isn't nearly as intense and pleasurable, and I miss feeling the sperm shoot out of my urethra. After a week or two of enjoying the feelings of normal orgasms, I get tired of poor urination and resume the meds. It's a vicious cycle of starting and stopping the meds.

On a side note, my doctor has never examined my prostate. She is just assuming that my prostate is enlarged and causing all my problems. I thought that was kind of weird and surprising.

I miss the feeling of actually cumming. I still have orgasms, but they're not the same. The feeling isn't nearly as intense and pleasurable, and I miss feeling the sperm shoot out of my urethra..

Exactly! Very well described. I would only add, that along with diminished intensity and pleasure, duration is shorter.

This was my primary area of concern when I had to face my worsening prostate condition earlier this year. Like everyone else here, I do not like the sensation of retrograde ejaculation (which I have had a few times, using Tamsulosin, but not regularly) and I was very concerned that doing something definitive about my urinary symptoms would lead to permanent RE. I discussed it with my urologist and he recommended Rezum as the procedure least likely to result in RE, still a 5 to 10% chance but better than anything else except aquablation., which is a full-on surgery. My prostate was between 68 and 78 grams, so I was at the upper end of the spectrum for the procedure. I had it done in April and had to have 7 nine-second treatments (in one session.) My skilled urologist did a great job, my urinary symptoms are MUCH better and I have normal antegrade ejaculation, thank God! I sympathize with anybody dealing with this. Be sure to advocate for yourself and do your research before seeking treatment.

Sorry but I can't resist this one. Is a retrograde orgasm like coming during Saturn returns?

... I would only add, that along with diminished intensity and pleasure, duration is shorter.

Agreed, 100%

Retrograde ejaculation, a condition in which semen enters the bladder instead of being expelled through the urethra, can be caused by a variety of factors, including surgeries, medical conditions, and medications.

Some medications, such as alpha-blockers (used for high blood pressure and prostate problems) and some antidepressants and antipsychotics, can cause retrograde ejaculation as a side effect.

In retrograde ejaculation, the bladder neck, which normally closes during ejaculation to prevent semen from entering the bladder, remains open. This allows semen to be redirected to the bladder instead of being expelled through the urethra.

I recommend seeing your urologist.

Flomax was prescribed by my PCP for BPH and it was a cool novelty but, after a few weeks, I missed the sensation of full ejaculation. Doc then was thoughtful enough to let me try Urotraxal and a 5 mg daily dose of Cialis that lessens the RE and still helps with BPH symptoms.

My urologist did a fusion biopsy of my prostate two months ago which, luckily, was negative for cancer. I cringed just contemplating retrograde ejaculation of the bloody mess from that procedure but the Urotraxal/Cialis regimen made for an acceptable recovery.