Consultant urologist Dr George Lee Eng Geap, or a.k.a Dr G, helps a reader open up about the problem of having no ejaculate after he reaches his early fifties.
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NewsTranscript
00:00As you know in the whole month of March we're focusing on various conditions that causes
00:05ejaculatory disorders and today we're talking about something called retrograde ejaculation
00:18Retrograde ejaculation in the colloquial terms is also described as dry climax or dry orgasm
00:26Why would something like that happen? In fact let's talk about the basic physiology
00:31For a man to ejaculate it needs several components in the anatomy and physiology that's working
00:39Ejaculation itself actually comes from the prostate so in order not to mix the sperms
00:44together with the urine the bladder neck needs to contract and there will be propulsions of
00:50the semen forward to the outside of the body so if anything that actually makes the bladder
00:57neck relax then it will cause a retrograde ejaculation. Some people are very alarmed by
01:03this for example when you have an orgasm that's completely dry then you think something has gone
01:09wrong. Don't worry the actual retrograde ejaculation will not cause any harm to your body
01:15however it may cause a bit of frustration and also infertility. So let's go down to the basic
01:23details of what cause retrograde ejaculation. The commonest reason why actually is something
01:30called the medications such as alpha blockers or anticholinergic. Medications like this intend to
01:39open up the smooth muscles it's used in blood pressure and also prostate enlargement as a result
01:46of that men who takes this apart from getting lower blood pressure they also get retrograde
01:52ejaculations. Apart from that the other common reason why people get this is a neurological
01:59condition as a result of diabetes. For example actually severe diabetes or uncontrolled diabetes
02:07will cause neuropathy and the neuropathy itself may result in the constrictions of the bladder
02:13neck to be impaired hence retrograde ejaculations. The other type of reasons why people get it is
02:20because of an operation. We do an operation called TURP which is transurethral resections of bladder
02:29or prostate. After this resection the bladder neck is opened up as a result of that men will
02:36permanently have problem with retrograde ejaculation. So now you know if this happens
02:42what are the causes. When we rectify the causes most of the time it can be improved however after
02:48surgery it's permanently becoming retrograde ejaculations as a complication and also sadly
02:56there's no medication that can be used in order to rectify retrograde ejaculation. From one type
03:04of ejaculate disorder we're focusing on another type of ejaculate disorder what we call an
03:09ejaculation or delayed ejaculations. So if you want to find out then stay tuned for next week's
03:17Putting Dr G on the Spot.