If you have dry orgasms, but your doctor doesn't find semen in your bladder, you might have a problem with semen production. This can be caused by damage to the prostate or semen-producing glands as a result of surgery or radiation treatment for cancer in the pelvic area. If your doctor suspects your dry orgasm is something other than retrograde ejaculation, you might need further tests or a referral to a specialist to find the cause. Retrograde ejaculation typically doesn't require treatment unless it interferes with fertility. In such cases, treatment depends on the underlying cause. Medications might work for retrograde ejaculation caused by nerve damage.

Patients and visitors must continue to wear masks while at MSK, including people who are fully vaccinated. To schedule or learn more, read this. This information explains how to get ready for and collect semen for your retrograde semen analysis ordered by your Memorial Sloan Kettering MSK healthcare provider. Retrograde ejaculation is a condition where your semen flows back into your bladder instead of out through your penis during ejaculation.

When a semen analysis shows no sperm count azoospermia or very low levels of sperm cryptospermia , it does not necessarily eliminate the possibility of a couple conceiving. New and exciting interventions may either help the man produce sperm or locate small numbers of sperm, not found on a regular semen analysis. Fortunately, a standard semen analysis that shows the absence of sperm in the ejaculate does not rule out the possibility that:. The first step after receiving the diagnosis of azoospermia is an evaluation with a urologist specializing in male infertility to determine whether the cause is due to a problem with sperm production or sperm delivery. Sperm production problems may be caused by a hormone imbalance, varicocele or testicular failure.