Retrograde ejaculation, in which seminal fluid is not discharged through the urethra to the outside, but enters the urinary cavity, refers to deviations in the functioning of the male genitourinary system. This pathology occurs as a result of various diseases, anomalies in the structure or development of the genital organs.
Despite the fact that sperm in the urine does not affect sexual desire, the number of contacts and the quality of sensations during sexual intercourse, therapy for the disease is necessary, since the development of the disease carries a high risk of infertility. Violation of the ejaculation process is often confused with a deviation such as anejaculation. However, unlike spermaturia, this disease is characterized by a complete or partial absence of seminal fluid, which makes it easy to distinguish these types of pathologies when performing a urine test.
After examining the doctor and passing the prescribed urine tests and examination using a urethroscope based on the information received, the urologist explains to the patient how to prevent complications and, depending on the cause of the pathology, proposes a treatment regimen. Among the possible treatment options for dysfunction of the vas deferens or the penis, an andrologist most often suggests the use of prostate stimulation, medication and physiotherapy, reflexology or surgery.
What is spermatorrhea
Spermatorea is the periodic involuntary discharge of sperm from the urethra, not associated with sexual arousal or orgasm. This usually occurs during physical activity, during bowel movements or coughing, or after urination.
Spermatorrhea in most cases is a characteristic symptom of a number of diseases of the genitourinary system and develops mainly in men aged 20 to 40 years. If this symptom occurs, you should consult a urologist.
Urologist-andrologist Khizriev Khizri Zakirovich talks about what kind of discharge from the urethra occurs in men
Varieties of dribbling
If the discharge is pathological, dribbling is divided into the following types:
Urinary incontinence after prostate removal
- urgent - associated with an acute desire to empty the bladder, even if it is slightly full;
- stressful - occurs during long walking, changing posture to vertical, due to laughter, coughing or sneezing;
- mixed - combining the causes of the first and second types of dribbling;
- temporary – is a consequence of infections, stress and taking certain medications;
- postoperative;
- when the bladder is full.
Causes
Spermatorrhea can be a consequence of congenital anatomical abnormalities of the reproductive system: underdevelopment of sphincters, disruption of the functioning of nerve fibers (paresis) of the walls of the vas deferens.
The basis for the development of spermatorrhea is often the abuse of masturbation in adolescence . The tone of seminal flows decreases, sexual reflexes are disrupted. As a result, even after ejaculation, sperm flows out sluggishly and has to be pressed down. The cause of spermatorrhea can also be congenital increased sexual excitability, against the background of which weakness of the reproductive apparatus occurs due to depletion of the nerve centers.
In some cases, uncontrolled ejaculation occurs after taking pills: antidepressants (based on venlafaxine), muscle relaxants.
Spermatorrhea can occur due to the following diseases:
- Central nervous system: chronic myelitis, progressive paralysis, tabes dorsalis, groin injuries, pelvic bone fractures.
- Intestines: anal itching, fissures, enterobiasis (parasites), prolonged constipation (colitis). Constant inflammation provokes irritation of the surrounding fiber.
- Genitourinary system: colliculitis (inflammation of the spermatic tubercle), urethritis, vesiculitis (inflammation of the seminal vesicles), balanoposthitis, prostatitis, funiculitis (inflammation of the spermatic cord), deferentitis (inflammation of the vas deferens).
Colliculitis is an inflammation of the seminal tubercle.
According to leading urologists, colliculitis is a special case of posterior urethritis - a pathological process in the posterior (prostatic) part of the urethra. Spermorrhea can be asymptomatic, invisible, and may be accompanied by headache, increased fatigue, decreased performance, deterioration of erectile function, and sleep disturbance.
Spermatorea is not always a sign of pathology. For example, with dysuria, strained diarrhea or constipation, severe abdominal tension occurs with simultaneous contraction of the rectum and seminal vesicles. In such cases, the release of sperm from the urethra is not considered a pathological process. Defecatory spermatorrhea can regularly occur in men with prolonged sexual abstinence.
The release of sperm at night (not wet dreams) in young people under 20 years of age is also not considered a pathology. In older men, moderate spermatorrhea is a consequence of natural aging of the body, weakening of the tone of smooth muscle fibers.
Bacteriological seeding of seminal fluid
A type of infection test is flora culture. But unlike standard bacteriological research, in addition to various pathogenic pathogens, culture helps to determine not only viruses, but also their resistance to antibiotic drugs, which makes it possible to quickly select medications to combat them. Cultures for pathogenic flora are prescribed to all patients who have difficulty conceiving a child, since many viruses can cause infertility.
Prescribed for suspected male infertility. If a man goes to the doctor with complaints of various ailments, a standard test for infections is carried out.
When is a preliminary diagnosis made? Only if the couple is sexually active, has not used contraception for a year, the woman is healthy, and the long-awaited pregnancy does not occur. This diagnosis can only be confirmed or refuted by a complex of various diagnostic measures.
It is worth noting that infertility is not a rare diagnosis: according to medical data, representatives of the stronger sex suffer from this disease as often as women. Sowing will help to investigate only one of the possible causes of infertility in a man - the presence of pathogenic flora. If the analysis shows the presence of harmful microorganisms, appropriate medical treatment will be required.
Diagnosis and treatment
Spermatorrhea is easily confused with prostatorrhea , when only prostatic juice is secreted from the urethra, and there are no sperm in the fluid . Based on appearance and smell, only a preliminary, subjective assessment can be given. Diagnostics is necessary to confirm the diagnosis.
Determining the causes of spermatorrhea begins with laboratory tests: PCR and bacterial culture of a urethral smear, prostate juice, sperm (depending on the results of a patient interview and initial examination) with determination of sensitivity to antibiotics. If the analysis reveals pathogenic bacteria, a course of appropriate medications is prescribed. For a more detailed study of the blood supply and structure of the organs of the genitourinary system, ultrasound with contrast or MRI is prescribed. To exclude the neurogenic nature of the disease, a consultation with a neurologist will be required.
As an aid, in addition to the main treatment, supplements are prescribed to restore the functionality of the vas deferens:
- B vitamins to improve nerve conduction.
- Antioxidants (vitamin E, selenium, pycnogenol) to normalize metabolic processes in nerve tissues.
- Complex "Speman Forte", which includes extracts of 10 herbs, including Tribulus terrestris (tribulus). Course: 1-2 tablets per day for 1.5 months.
Speman Forte is a complex medicine of natural origin, in demand in the treatment of male problems (prostate diseases, sperm formation disorders).
Price from 650 rub. In the treatment of spermatorrhea, general restorative procedures are used:
- Pine baths, ascending massage shower.
- Electrotherapy: darsonvalization and galvanization of the spine.
- Kegel exercises.
If the walls of the vas deferens are irreversibly damaged, it is possible to restore them using microsurgical methods, including using the patient’s own tissue.
During treatment, it is necessary to exclude alcohol, spicy foods, smoked foods, sweet carbonated drinks, and strong coffee, so as not to irritate the nerve receptors of the genitourinary system and not provoke the activity of infections.
Impaired motor ability
A man's sperm has a certain consistency, which not only provides the sperm with nutrients, but also allows it to move in a certain direction. Thick ejaculate allows cells to move in one direction and prevents agglutination (clumping together). The tails of the sperm move in different directions, providing a vortex movement that carries the entire number of sperm in the desired direction. With increasing acidity, as well as with decreasing temperature, the tails begin to move only from side to side, and the following occurs:
- Reduced speed.
- Slowing down energy production.
- "Oscillation" of the sperm.
If the temperature and pH of the environment are normalized, then cell mobility is restored and it does not die. The entire number of sperm present in the ejaculate has a negative charge, which prevents them from colliding and sticking together. Thick semen keeps the cells charged. Urine dilutes the ejaculate. In this case, not only the concentration of useful substances decreases, but also the charge decreases, which leads to clumping and disruption of enzyme concentration, changing the characteristics of their shell.
When sperm die, they disperse in the volume of the ejaculate, but not due to an increase in charge, but due to a disruption in the structure of the head shell. A normal concentration of sperm ensures that the cells can move in rows without colliding or interfering with each other, which is very important given the huge number of cells contained in a small volume of ejaculate.
When sperm in men die, they move with the flow of fluid. Living things move against the flow, which is called rheotaxis. Mixing, urine and sperm change all the characteristics, chemistry and physiological properties of each other. A sharp change in normal characteristics leads to a change not only in the direction and speed of sperm movement, but also in the internal composition, at which point they die.
As acidity increases, sperm velocity decreases.
Prevention
Measures to prevent spermatorrhea:
- Maintaining the health of the genitourinary system, timely diagnosis and treatment of infections.
- Moderate sexual activity without excessive masturbation. Sexual arousal should arise and subside naturally, without forcing or prolonging the act.
- Avoid alcohol and other types of intoxication to which nerve fibers are extremely sensitive.
Spermatorrhea can be idiopathic - without any apparent physical cause. In such cases, sleep and daily routine should be normalized, stress factors should be eliminated, and the amount of spicy and salty foods should be minimized.
Is it true that urine spoils sperm?
Many women believe that urine kills male sperm. But one cannot say so categorically. Neither saliva nor urine can greatly affect sperm activity. The quantity and quality of male semen changes constantly.
Sperm die in a very acidic environment. These liquids include:
- lemon juice,
- potassium permanganate,
- vinegar,
- chemical compounds.
Urine does not have such a strong acidic environment and is not able to change the quality of sperm and serve as an effective remedy for conceiving a child.
Many people believe that after intercourse it is enough to visit the toilet or douche with urine, and pregnancy will not occur. But this is fundamentally wrong. It is a common myth that urine can kill sperm. This liquid does not have such properties.
Identification of the disease
The pathology in question can be detected with the naked eye. If urine washes away sperm, and this is observed constantly, it means that the man has spermaturia. Often, by the way, urine becomes cloudy due to the ejaculate contained in it.
It happens that retrograde ejaculation, which causes semen to appear in the urine, is confused with so-called aspermatism (another name is anejaculation). This is a rarer disorder. It is characterized by the absolute absence of ejaculation. The difference between these phenomena is obvious. During anejaculation, there is no semen in the urine.
Ladies theme
Oddly enough, there are people who wonder where sperm appear in the urine of women.
So, the girl’s body cannot produce ejaculate. After all, sperm is produced in the prostate gland and testicles, and only men have them. Therefore, if ejaculate is found in a woman’s urine, 100% of it came from her partner’s body after sex.
How exactly? First in the vagina. Then the woman collected urine into a container without first carrying out hygienic procedures (this is necessary if the plan is to submit urine for analysis). Accordingly, the male seed also got there with her.
This, by the way, will affect the results of the analysis. During microscopic examination, spermatozoa will definitely be noticed.
What factors provoke the appearance of female ejaculation?
What causes the appearance of specific vaginal discharge? The first reason is the orgasm itself. There are also other factors that contribute to the occurrence of squirting: • highly developed sexual desire; • high excitement and liberation of a woman; • well developed vaginal muscles; • volume of urine in the bladder and amount of fluid in the body;
Many experts believe that you can also feel ejaculation after pregnancy and birth of a child.
• duration of action and quality of stimulation; • experienced partner.
