Retrograde Ejaculation: Risks and Considerations for Couples

Retrograde ejaculation due to medication?

Recently, I have been taking UroLift, which has caused retrograde ejaculation.
After ejaculation while using a condom, not a single drop came out.
Can I just have intercourse without a condom in the future? Would this pose a risk of pregnancy? My partner has not had her period for over a year due to menopause, and due to her age, lubrication is already poor, making condom use even less comfortable.

Xie Li, 50~59 year old female. Ask Date: 2023/11/16

Dr. Sun Hongshun reply Urology

Hello, thank you for your message.
There is still a risk of pregnancy with retrograde ejaculation! It is advisable to use protection during intercourse.
However, if your wife has not had her period for over a year, she should consult a gynecologist.
If it is confirmed that she has reached menopause, then pregnancy is no longer possible, and you would not need to use protection.

Reply Date: 2023/11/16

More Info

Understanding retrograde ejaculation is crucial for couples navigating the complexities of sexual health and fertility. Retrograde ejaculation occurs when semen enters the bladder instead of exiting through the penis during ejaculation. This condition can be caused by various factors, including certain medications, nerve damage, or surgeries affecting the bladder or prostate. In your case, the use of the medication UroLift may be contributing to this phenomenon.

When you mention that you experience no ejaculation while using a condom, it indicates that the semen is likely being redirected into the bladder. While this can be concerning, it’s important to understand the implications for fertility and sexual health. Since your partner has not had a menstrual period for over a year, she is likely in menopause, which significantly reduces her chances of becoming pregnant naturally. Menopause typically occurs between the ages of 45 and 55, and during this time, the ovaries cease to produce eggs, making natural conception unlikely.

Given these circumstances, if you choose to engage in sexual activity without a condom, the risk of pregnancy is minimal due to your partner's menopausal status. However, it’s essential to consider other factors, such as sexually transmitted infections (STIs). If either partner has had multiple sexual partners or is unsure of their STI status, using condoms is still advisable to reduce the risk of transmission.

Regarding the discomfort your partner experiences with condoms, this is not uncommon, especially during menopause when vaginal dryness can occur. This dryness can lead to discomfort during intercourse, making it essential to explore alternatives. Water-based or silicone-based lubricants can significantly enhance comfort and pleasure during sex. Additionally, discussing these concerns with a healthcare provider may provide options such as vaginal moisturizers or hormone replacement therapy, which can alleviate dryness and improve sexual satisfaction.

If you decide to forgo condoms, it’s crucial to have open communication with your partner about your sexual health and any potential risks. Regular check-ups with a healthcare provider can also help monitor any changes in sexual health and address concerns related to retrograde ejaculation or other sexual dysfunctions.

In summary, while the risk of pregnancy is low due to your partner's menopausal status, it’s essential to consider the implications of engaging in unprotected sex, particularly concerning STIs. Exploring lubricants and discussing these issues with a healthcare provider can enhance your sexual experience while addressing any discomfort your partner may face. Open communication and regular medical consultations are vital for maintaining a healthy sexual relationship.

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