Does Holding the Urethra During Masturbation Cause Semen Backflow?

Questions about masturbation?

I would like to ask if, when I masturbate, I hold my urethra to prevent semen from flowing out onto the bed and then release it in the bathroom, will this cause retrograde ejaculation?

K, 20~29 year old female. Ask Date: 2016/03/16

Dr. Li Xinyi reply Urology

This could potentially lead to retrograde ejaculation into the bladder.

Reply Date: 2016/03/16

More Info

When it comes to the mechanics of ejaculation and the potential for semen backflow, it's important to understand the anatomy and physiology involved. During ejaculation, sperm travels from the testicles through the vas deferens and mixes with seminal fluid to form semen. This mixture is then expelled through the urethra.
If you are holding the urethra during masturbation to prevent semen from flowing out, you may be creating a situation where the pressure builds up in the reproductive tract. This can lead to a few different outcomes:
1. Increased Pressure: By squeezing the urethra, you are increasing the pressure within the reproductive system. This pressure can cause semen to backflow into the seminal vesicles or the vas deferens, rather than being expelled out of the body. However, this backflow is typically not significant enough to cause any long-term issues or health concerns.

2. Potential Discomfort: Holding the urethra tightly may lead to discomfort or pain during ejaculation. The body is designed to expel semen forcefully, and obstructing this process can create an unnatural sensation.

3. Ejaculatory Duct Obstruction: In some cases, excessive pressure or manipulation of the urethra can lead to temporary obstruction of the ejaculatory duct. This could potentially cause a sensation of fullness or pressure in the pelvic area.

4. Risk of Infection: While not directly related to backflow, manipulating the urethra can introduce bacteria from the skin or other surfaces, increasing the risk of urinary tract infections (UTIs) or other infections.

5. Normal Function: It's worth noting that the body has mechanisms to prevent backflow during ejaculation. The internal urethral sphincter closes to prevent urine from mixing with semen, and the muscles involved in ejaculation are designed to expel semen forcefully.

In summary, while holding the urethra during ejaculation may create some pressure that could lead to minor backflow, it is unlikely to cause significant issues. However, it is not recommended as a regular practice due to the potential for discomfort and the risk of infection. If you have concerns about your sexual health or experience any unusual symptoms, it would be wise to consult a healthcare professional for personalized advice.
Additionally, if your primary concern is about cleanliness during masturbation, consider using a towel or other protective covering on your bed to avoid any mess, rather than manipulating your urethra. This approach would allow for a more natural and comfortable experience without the potential complications associated with obstructing the urethra.

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