The variety of reasons for retrograde ejaculation requires the physician to take an individual approach to the development of a patient's treatment regimen, which should be aimed at restoring normal erection with the allocation of a sufficient amount of sperm during intercourse.
The easiest way is with patients, in whom retrograde ejaculation developed as a result of drug therapy of other diseases (psychotropic drugs, antidepressants, hypotensive drugs). In this case, it is sufficient to identify which particular drug caused this reaction, and to cancel it (or replace it with another one). After a time after the drug is canceled, ejaculation usually returns to normal.
In some cases, the only prescribed treatment that allows to normalize the work of the reproductive system, are physical exercises that are aimed at strengthening the musculature of the legs and pelvic floor.
If retrograde ejaculation is observed against a background of poorly expressed polyneuropathy, which is a complication of diabetes, you can try to correct the situation with the help of preparations of alpha-lipoic acid. In the treatment of ejaculation disorders due to polyneuropathy, drugs such as Tiogamma, Berlition 600, Oktolipen and other drugs that improve energy metabolism in the tissues of the nervous system and disturbed blood circulation in the lower part of the body have proven themselves well.
If the cause of ejaculation, in which the sperm moves in the wrong direction, is a violation of the innervation of the bladder and a weak tone of his sphincter, the patients are shown the reception of sympathomimetics "Ephedrine", "Midodrin", etc. It should be taken into account the fact that these drugs are not suitable for patients with arterial hypertension.
Since, against the backdrop of negative thoughts about their insolvency, some men may become depressed, in that case, counseling of the therapist and taking antidepressants (for example, Imipramine, Desipramine) may additionally be prescribed.
To improve the functionality of the nervous tissue, in parallel with the basic medicines, vitamins and vitamin-mineral complexes with a high content of B and magnesium vitamins are prescribed, which positively influence the work of the nervous system of the body.
In addition, the doctor can prescribe to the patient such procedures as stimulation of the prostate, electrostimulation of the bladder and urethra, improving the contractile ability of muscles, and other methods of physiotherapeutic treatment. Sometimes non-traditional techniques are used to treat retrograde ejaculation, for example, reflexology (acupuncture).
If the above treatment does not bring the desired result, and the couple wants to have children, you can try to remedy the situation by making love in an unusual way. This is a sexual act with a filled bladder. The valve that closes the entrance to the bladder, in this case is tightly pressed and does not pass the semen into the organ. She will have nothing else but to go outside through the urethra.
It is more difficult if the cause of retrograde ejaculation is the anatomical defects in the development of the genitourinary system. In these cases, the optimal way out of the situation is surgical treatment. In the absence of contraindications, sphincteroplasty of the bladder or urethral plastic can be prescribed, during which the internal structure of the genitourinary organs is corrected.
It must be said that, despite all the variety of methods of treatment, it is not always possible to achieve a positive result. In principle, retrograde ejaculation does not particularly affect the quality of sex, so it does not always require extreme measures. If a couple does not plan to have children and sex does not cause negative emotions in men, you can not change anything.
But if there is a great desire to become a father, you can either adopt a baby, or resort to an IVF procedure. The material for the procedure in the absence of sperm excretion during intercourse will be spermatozoa, which are extracted from a urine sample taken with a catheter immediately after ejaculation.
Medicines for retrograde ejaculation
It can not be said that retrograde ejaculation in all cases is successfully treated with the help of drug therapy. In pharmacies there are no such drugs, in the indications for the application of which retrograde ejaculation would be indicated. And the treatment is aimed primarily at combating the underlying disease that caused ejaculation disorders, therefore it is carried out depending on the revealed cause.
If reversible ejaculation is not a consequence of anatomical prerequisites or irreversible neurological disorders (for example, lesions of nerves responsible for innervation of the bladder and urethra during a lumbar operation), drug therapy can show fairly good results associated with the use of sympathomimetics.
"Ephedrine" - a drug similar in its action to adrenaline, one of the important neurotransmitters, improving the conductivity of nerve impulses, and thus able to normalize the contractile function of the sphincter of the bladder.
"Ephedrine sulphate" with retrograde ejaculation doctors prescribe in a dosage of 10-15 mg with a frequency of reception 4 times a day.
Treatment of drugs in most cases occurs without side effects. Only sometimes after half an hour there may be a brief tremor, which has no negative consequences.
Unfortunately, the drug can not be used in all cases. Contraindications to the use of sympathomimetics are atherosclerosis of vessels and other vascular pathologies with circulatory disorders, organic heart diseases, hypertension, increased thyroid hormone production of thyroid hormones (hyperthyroidism and thyrotoxicosis).
"Midodrin" - a drug from the same group, which has an adrenaline-like effect.
With the pathology of ejaculation with insufficient amount of sperm, the drug is prescribed in a daily dosage of 15 mg, which must be divided into 3 divided doses.
Side effects of the drug can be considered increased blood pressure, a decrease in the pulse (bradycardia), hyperhidrosis, trembling with the appearance of goosebumps, a change in the frequency of urination.
Contraindications to taking the medicine are increased blood pressure, a tumor process in the adrenal glands, pathologies in which there is a decrease in the lumen of peripheral vessels, thyrotoxicosis, prostate adenoma, increased intraocular pressure.
With caution appoint the drug to patients with heart failure and severe kidney disease.
If the cause of weakening the functionality of the bladder becomes diabetes, and in particular diabetic polyneuropathy (prescribe special drugs that improve metabolism in tissues and nerve conduction.) By the way, such a symptom can be observed in neurological disorders of alcoholic nature, so treatment of patients whose retrograde ejaculation has become consequence of alcohol intoxication, is carried out by the same drugs.
One of these drugs is "Octolipen". Take medicine for 1-2 capsules (or tablets) for half an hour and breakfast, washed down with a large amount of water (about 1 cup).
Against the background of taking the drug, symptoms of dyspepsia (nausea with vomiting, heartburn), severe decrease in blood sugar, allergic reactions, including severe ones (against intolerance of the drug) may be observed.
The drug is not prescribed for hypersensitivity to components. The age of patients is at least 18 years old.
Very often, in the context of retrograde ejaculation, irritability and anxiety increase in men, they become more prone to depression because of the inability to have heirs. In this case, the appointment of a therapist to patients shows the use of antidepressants.
"Imipramine" - a drug from depression, which increases the mental and general tone of the body. However, with these drugs should be careful, because they have alpha-adrenoblokiruyuschim action, as well as drugs to treat the prostate gland, among whose side effects are indicated and retrograde ejaculation.
Depending on the patient's condition, the doctor can prescribe the drug at a dosage of 25-75 mg per day (1 tablet 1 to 3 times a day), starting treatment with minimal doses.
Admission of antidepressants can be accompanied by multiple side effects: headaches and dizziness, numbness and tremor of the extremities, convulsive syndrome, coordination and sleep disorders, hallucinations, vision impairment. There may be a decrease in pressure and a frequent pulse (tachycardia), changes in blood composition, drying of the oral mucosa, constipation, impaired liver and kidney function, and a decrease in sexual desire. Infrequently, patients complain about such symptoms as alopecia (baldness), weight gain, increased sweating, and increased photosensitivity.
Contraindications to the use of an antidepressant are deficiency of liver and kidney function, heart ischemia, tachycardia, decompensated heart failure, prostate adenoma, atony of the bladder. Do not prescribe medication with a tendency to convulsions, epilepsy, schizophrenia, glaucoma, and also if the patient has recently suffered a myocardial infarction.
If we talk about the effectiveness of drug therapy, then the worst case for diabetic polyneuropathy, but here it all depends on the degree of damage to nerve endings.
As for alternative treatment, then herbal treatment and homeopathy do not give a tangible result in this pathology. Their use can be justified only for the treatment of underlying diseases that caused retrograde ejaculation.