the Impact of Semen in Urine on Erectile Function - Urology

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Presence of semen in urine?


Hello doctor, I would like to ask you a question.
Will the presence of semen in urine affect erections? Previously, I had a large volume of ejaculation, but in the past few days, it suddenly decreased.
Yesterday, during intercourse, I lost my erection halfway through, which made my wife feel that she has lost interest.
She is very sad and heartbroken.
Today, when I urinated, I noticed that there was semen in my urine.
Could this have happened many times before without me noticing? I still cannot achieve an erection.
I kindly ask for your help, thank you!

Mr. Zhang, 40~49 year old female. Ask Date: 2020/11/24

Dr. Sun Hongshun reply Urology


Hello Mr.
Chang: Based on what you described, it seems that you are experiencing some retrograde ejaculation, which is harmless to your body, so there is no need for excessive concern.
As for the underlying cause, further examination is required.
Additionally, regarding your ongoing difficulty with achieving an erection, sexual dysfunction is one of my areas of expertise, and you can come to the hospital for a more detailed discussion and treatment.

Reply Date: 2020/11/24

More Info


The presence of semen in urine, a condition known as retrograde ejaculation, can indeed have implications for erectile function and overall sexual health. Retrograde ejaculation occurs when semen enters the bladder instead of exiting through the penis during ejaculation. This can happen due to various reasons, including certain medications, nerve damage, or anatomical issues.
When you experience a decrease in the volume of semen and notice semen in your urine, it can be concerning. The psychological aspect of sexual performance, including anxiety about erectile function, can significantly impact your ability to maintain an erection. The mind and body are closely linked in sexual health; stress or anxiety about performance can lead to erectile dysfunction (ED).
In your case, the sudden change in semen volume and the presence of semen in your urine could be indicative of an underlying issue. It is essential to consider factors such as hormonal changes, psychological stress, or potential medical conditions that could be affecting your sexual health. For instance, conditions like diabetes, prostate issues, or hormonal imbalances can contribute to both changes in ejaculation and erectile difficulties.

Moreover, the emotional impact of these changes cannot be overlooked. You mentioned that your wife is feeling hurt and concerned about the situation. Open communication with your partner about these issues can help alleviate some of the emotional stress. It is also crucial to seek medical advice from a healthcare professional who can evaluate your symptoms comprehensively. They may recommend tests to assess hormone levels, prostate health, and overall sexual function.

In terms of treatment, addressing any underlying medical conditions is vital. If the issue is related to anxiety or psychological factors, counseling or therapy may be beneficial. Additionally, there are medications available that can help with erectile dysfunction, but these should be discussed with a healthcare provider to determine the most appropriate course of action for your specific situation.

In summary, the presence of semen in urine can be a sign of retrograde ejaculation, which may affect erectile function. It is essential to consult with a healthcare professional to explore the underlying causes and receive appropriate treatment. Addressing both the physical and emotional aspects of sexual health is crucial for restoring confidence and intimacy in your relationship.

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