Disturbed ejaculation
All content is checked by medical journalists.What is disturbed ejaculation?
Typically, semen is expelled every time the man orgasms. It is a whitish liquid that smells like a chestnut. Sometimes there are threads of mucus or gelatinous grains in the semen.
The amount of sperm can vary widely. It depends, among other things, on how long ago you last ejaculated. For three to five days, the normal volume is two to six milliliters.
The prostate and seminal vesicles produce 95 percent of the seminal fluid, only about five percent come from the testicles.
A distinction is made between a "misdirected" ejaculation that empties back into the urinary bladder (retrograde ejaculation) and the complete absence of the ejaculation (anejaculation).
Retrograde ejaculation
Retrograde ejaculation can be determined by examining the urine under a microscope immediately after ejaculation - provided that there are seminal filaments in the semen. The urologist sees the sperm in the urine.
The prerequisite for normal semen output is that the bladder sphincter is adequately closed and the movements of the pelvic floor muscles that expel the sperm are coordinated. The timely and effective nerve stimulation of the muscles plays an important role in this complex process.
The most common cause of retrograde ejaculation is surgical removal of the prostate through the urethra (transurethral prostate resection). This therapy is used to treat benign prostate enlargement and the associated urination disorders.
Other causes of retrograde ejaculation can be diseases of the nerves (neuropathies). They can occur as a result of diabetes (diabetes mellitus) or too much alcohol. Sometimes slipped discs, multiple sclerosis, and rare nerve disorders are responsible. Operations on or in the pelvic area can also trigger this problem.
In rare cases, high blood pressure medication (alpha blockers) and inflammation of the sperm-draining pathways can trigger retrograde ejaculation.
Total anejaculation
Total anejaculation is when ejaculation never occurs even though an orgasm has occurred. The cause is usually a "blockage" of the seminal ducts, the lack of semen or a congenital disorder in the prostate area. Very rarely seminal vesicles and / or prostate are missing from birth.
One should first treat the condition that is causing the disorder. Drug therapy uses active ingredients that directly or indirectly affect the autonomic nervous system. The aim is to improve the closure of the internal bladder sphincter (bladder neck).
In the case of total anejaculation, a urologist should be consulted immediately to uncover the cause of the disease. A further examination by a neurologist is often necessary.
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