Treatment of infertility in men with retrograde ejaculation

Retrograde ejaculation is a type of physiological disorder in men and is one of the leading causes of infertility. So is the treatment of retrograde ejaculation difficult or not?

Retrograde ejaculation is an abnormality in ejaculation during male orgasm. At that time, the semen will not be exported outside, but back into the bladder through the urethra. This is easy to see by a number of manifestations such as:
No semen is seen after each orgasm. After ejaculation, the patient's urine was mixed with some coarse, milky white.

Theoretically, retrograde ejaculation is a painless abnormality and poses no danger to the patient. In fact, men with retrograde ejaculation still see a small amount of semen coming out, so many people do not even know they are sick.
However, retrograde ejaculation is the cause of male infertility and infertility. Therefore, patients need to be examined and treated if they want to have children.

Due to not ejaculating out or ejaculating too little, fertility in men will be severely limited, causing infertility and infertility. Accordingly, to treat retrograde ejaculation in men, doctors will base on the cause of the disease.

3.1. Treatment of retrograde ejaculation with drugs Drugs will be used when the cause of retrograde ejaculation is nerve damage. Usually, these lesions come from diabetes, multiple sclerosis, some other type of surgery/treatment.
However, medication will not help if the cause of retrograde ejaculation is surgery that causes physical changes in the body, such as bladder neck surgery, prostate removal...Some Medications used to treat retrograde ejaculation include:
Imipramine (Tofranil). Midodrine. Chlorpheniramine (Clor-Trimeton) and Brompheniramine (Veltane). Ephedrine (Akovaz and others), Pseudoephedrine (Sudafed), and Phenylephrine (Vazculep). Most of these drugs will help keep the bladder neck muscle closed during ejaculation. While it is an effective treatment for retrograde ejaculation, it can cause side effects or adverse reactions with other medications. In addition, some medications also increase blood pressure and heart rate, so the risk is high if you have high blood pressure or heart problems.
In addition, you need to pay attention to the declaration of drugs you are using, because some drugs have the ability to cause retrograde ejaculation such as antidepressants, alpha blockers (treatment of high blood pressure and prostate diseases). prostate...).

3.1 Treatment of infertility/infertility due to retrograde ejaculation The use of drugs does not always bring high treatment effect. In some cases, to treat male infertility caused by retrograde ejaculation, doctors are forced to try to extract sperm. The surgical procedure includes:
Sperm aspiration (TESA): local anesthetic and needle to remove sperm from the testicle. Epidural sperm aspiration (PESA): local anesthetic and needles are used to remove sperm from the epididymis - the tube that connects to the testicles. Testicular Extraction (TESE): Similar to TESA, TESE will remove sperm directly from the testicles under the effect of anesthetic. The difference with TESA is that TESE will require an incision in the testicle.

After successfully extracting semen from men, doctors will support insemination in 2 ways:
In vitro fertilization : need to remove eggs from women and then fertilize them in petri dishes. After the fertilization is successful and the embryos develop, the doctors will implant the embryos in the woman's uterus. Intrauterine insemination: In this procedure, doctors inject semen directly into a woman's uterus during the time she ovulates.

In fact, retrograde ejaculation is not too dangerous, but in the long run, it will affect fertility and infertility in men.
Vinmec Reproductive Support Center - Vinmec International General Hospital is the leading modern center in Vietnam built and applied a treatment process that combines comprehensive examination, combining both Orthodontics and Obstetrics and Gynecology. department to come up with the optimal plan for each patient case. Up to now, Vinmec IVF fertility center has performed fertility support for over 1000 infertile couples with a success rate of 45%-50%. This rate is equivalent to developed countries such as the UK, USA, Australia, etc. With high professional qualifications and extensive experience, Vinmec's team of experts is capable of synchronous implementation. and comprehensively the most advanced assisted reproductive techniques today, helping to realize the dream of parenthood of hundreds of families across Vietnam.