Though many men don’t like to talk about it, discharge problems are very common. Some of the most common issues include premature, delayed, or retrograde discharge.
Retrograde discharge is a medical condition characterized by the backflow of semen into the bladder after discharging — instead of coming out the tip of the privates. It’s usually not harmful but could impact fertility if you’re trying to have children or are planning to in the future.
Retrograde discharge itself is unlikely to cause complications, but it can sometimes be a sign of an underlying medical condition that may require treatment, like diabetes. In other cases, it may develop simply due to a man’s individual anatomy.
Stay with us as we explain everything you need to know about retrograde discharge, including the potential causes, symptoms, and treatment options.
What Is Retrograde Discharge?
Retrograde discharge happens when semen travels into the bladder instead of out the tip of your privates. It can result in either a weak discharge during climax. Another name for when you don’t emit anything is a dry climax.
Normally during a male climax, fluids travels out of the body through the urethra with the help of contracting muscles in the pelvis and around the privates. The urethra is the tube that exits the tip of the privates. It also serves as a passage for urine.
As semen travels through the urethra, a muscle at the bottom of the bladder closes to prevent semen from traveling backwards into the bladder. In men with retrograde discharge, the bladder neck muscle doesn’t fully close off the bladder, which allows some or all of the fluids to flow into the opening of the bladder instead of out the tip of the privates.
How Common Is Retrograde Discharge?
It’s not exactly clear how common retrograde discharge is. But in studies looking at its frequency among males visiting fertility clinics, the condition affects up to two percent of men in this demographic.
Symptoms
What about retrograde discharge symptoms?
Retrograde discharge doesn’t typically cause any symptoms other than little or no semen released during climax — and possibly low fluids volume or weak discharge .
Symptoms of Retrograde Discharge
Retrograde discharge isn’t painful and usually doesn’t feel different from any other orgasm. It also doesn’t interfere with function.
Most men produce around one-quarter to one teaspoon of fluids when they climax. Those with retrograde discharge may see less climax coming out of their privates since some or all of it enters their bladder.
With semen in the bladder, retrograde discharge can cause cloudy urine the next time you pee after climax.
If your retrograde discharge is mild, you might not notice these signs. But some men may have stress or anxiety about noticing changes in their discharge.
Causes
Retrograde discharge happens when semen flows backward from the urethra to the bladder due to problems with the bladder neck muscle.
The bladder neck muscle is also sometimes called the bladder neck sphincter. A sphincter is a ring-shaped muscle in the body that opens and closes a passage.
What Causes Retrograde Discharge?
There are many possible retrograde discharge causes.
Any condition that can change the function of the bladder neck muscle can potentially lead to retrograde discharge. But most often, it happens because of:
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Medication side effects
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Surgical complications
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Medical conditions or anatomical abnormalities
Medications That Cause Retrograde Discharge
Some types of medication can potentially cause retrograde discharge, including those used to treat benign prostatic hyperplasia (BPH or enlarged prostate) and high blood pressure (hypertension).
Some medications linked to retrograde discharge include:
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Alpha-blockers. Alpha-blockers are used to treat high blood pressure and benign prostatic hyperplasia. Most medications in this class, such as tamsulosin, and silodosin (Rapaflo, Urorec), have been linked to an increased risk of retrograde discharge because they relax muscles around the bladder.
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Antidepressants. Research suggests some antidepressants may cause retrograde discharge in very rare instances.. For example, a 2023 study reported a case thought to be caused by the serotonin-norepinephrine reuptake inhibitor (SNRI) venlafaxine (Effexor).
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Antipsychotic medications. Some medications used to treat psychotic disorders might also rarely cause discharge problems, including retrograde discharge. This includes thioridazine (Mellaril or Melleril), iloperidone (Fanapt), clozapine (Clozaril), and risperidone (Risperdal).
Surgical Procedures That May Cause Retrograde Discharge
Some surgical procedures can damage the muscles and nerves around the bladder and lead to retrograde discharge.
Surgical procedures that may cause retrograde discharge include:
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Surgeries for enlarged prostate. Discharge complications are common among people who have prostate surgeries for an enlarged prostate, such as transurethral resection of the prostate (TURP). TURP is the gold standard treatment for BPH, but it can lead to retrograde discharge in up to 70 percent of cases. Retrograde discharge is also reported in up to 75 percent of those who get a procedure called holmium laser enucleation of the prostate (HoLEP). Newer prostate surgeries such as the Urolift procedure have a much lower risk of causing discharge problems, but may not be as effective long term for the management of an enlarged prostate.
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Bladder surgery. Some types of bladder surgery, like transurethral bladder neck incisions, may contribute to retrograde discharge if the bladder neck muscle is damaged.
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Cancer surgery. Some surgical procedures to stage or treat pelvic cancers involve removal of abdominal and pelvic lymph nodes that are very close to the nerves that control discharge. Surgical damage to these nerves may cause retrograde discharge.
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Other surgeries. Other surgeries that have been linked to retrograde discharge include those used to treat rectal or testicular cancer, lower spine injuries, and aortic aneurysms. These surgeries can also damage the nerves in the pelvis that control discharge.
Medical Conditions That Cause Retrograde Discharge
Certain medical conditions can lead to dysfunction in the muscles or nerves around the bladder and cause retrograde discharge. These conditions include:
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Diabetes complications
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Multiple sclerosis
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Nerve damage
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Lower spinal cord injury
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Stroke
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Congenital abnormalities (birth defects)
If you have any of these conditions and are also experiencing retrograde discharge, let your healthcare provider know.
Risk Factors
Although it’s not entirely clear how common retrograde discharge is, some groups may be at a higher risk than others. These people include males with diabetes and males who’ve had bladder or prostate surgery.
Risk Factors for Retrograde Discharge
In recent years, the number of retrograde discharge cases caused by diabetes seems to be increasing.
Diabetes can cause chronically elevated blood sugar levels. High blood sugar can damage nerves throughout your body. This nerve damage is called diabetic neuropathy.
Retrograde discharge can develop if the nerves controlling discharge are damaged.
Men who undergo prostate surgery or have surgery in their pelvic area are at a very high risk of developing discharge complications.
As many as 70 to 90 percent of men who get TURP surgery develop retrograde discharge.
Diagnosing
To diagnose retrograde discharge, your healthcare provider will ask you questions about your symptoms and likely perform a physical examination.
They’ll also review your personal and family medical history to rule out other possible causes and may perform specialized tests..
Diagnosing Retrograde Discharge
To diagnose retrograde discharge, your healthcare provider or a urology specialist will collect a urine sample after you have a climax.. This test is called post-discharge urinalysis. They’ll look to see if sperm is in the urine sample.
A retrograde discharge diagnosis can be made if there are five sperm per high-power field in your urine sample. A high-power field is the area seen under a microscope at maximum magnification, typically 400 times magnification.
Treatment
The best treatment for retrograde discharge depends on the underlying cause. It often doesn’t require surgery unless it’s affecting fertility.
Retrograde Discharge Treatment
Your healthcare provider may recommend changing medications, taking a new medication, lifestyle adjustments, or fertility treatment.
Changing Medications
If your symptoms are linked to a medication you currently use, such as an alpha-blocker or antidepressant, your healthcare provider may recommend adjusting your dosage or switching to a different prescription.
You might get back to normal discharge after the medication is stopped.
Medications to Treat Retrograde Discharge
There are no specific medications that are FDA-approved for retrograde discharge treatment. But some prescription drugs might help reduce symptoms depending on the cause.
Medications you might be prescribed:
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Imipramine
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Pseudoephedrine
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Antihistamines
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Chlorpheniramine
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Phenylephrine
All medications can cause side effects. Your healthcare provider can go over these with you and tell you about the potential risks.
Other Treatments That Might Help With Retrograde Discharge
If retrograde discharge is caused by a medical condition like diabetes, a healthcare provider might recommend medications or lifestyle changes to lower blood sugar levels.
Folks with diabetes sometimes need to take insulin to keep their blood sugar levels at a healthy range. Medical providers also sometimes suggest medications like metformin or semaglutide (Ozempic and Rybelsus).
If you’re okay with not discharging when you climax, your healthcare provider may not suggest any specific treatment. You might be wondering if there are benefits to not discharging.
The practice of fluid retention has become trendy — whether through abstaining from “solo time” or intimacy with a partner. But there isn’t much evidence to support a benefit from refraining from climaxing.
In rare cases, surgery to bulk up or improve the function of the bladder neck muscle and sphincter may be performed. The effectiveness and safety of these procedures, though, is not well established.
Fertility Treatments
If you have retrograde discharge and would like to have children in the future, it’s best to talk to a fertility specialist.
Several fertility procedures may be available, including:
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Intrauterine insemination (IUI) or in-vitro fertilization (IVF) using discharged sperm
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Intrauterine insemination (IUI) or in-vitro fertilization (IVF) using sperm collected from urine
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In-vitro fertilization (IVF) using sperm surgically retrieved from the privates
Consult a fertility specialist or reproductive urologist if you’re interested in exploring these options.
Prevention
You may or may not be able to prevent retrograde discharge, depending on the underlying cause.
Retrograde Discharge Prevention Tips
If retrograde discharge is caused by type 2 diabetes, you might be able to prevent it by:
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Maintaining a healthy weight
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Staying or becoming physically active
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Minimizing your intake of foods with added sugar
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Eating mostly whole foods instead of ultra-processed foods
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Eating plenty of fruits and vegetables
Researchers are continuing to develop new surgical techniques to treat prostate disorders. Discharge-sparing techniques come with better outcomes than traditional surgery when preserving intimate function is a priority.
In a 2021 study, researchers found that discharge-sparing TURP surgery provided better results than discharge-sparing HoLEP in 119 men with BPH.
Your provider can let you know if you’re a candidate for a less invasive surgical technique that comes with a lower risk of retrograde discharge.
This article originally appeared on Hims.com and was syndicated by MediaFeed.org.
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8 Foods that Help Men with ED
Whether we’re craving salt, sugar, a cold beer or a perfectly cooked steak, every guy knows how to satisfy his own cravings.
Here’s the thing though: if you’re having some problems in the bedroom, you might want to satisfy someone else’s cravings and nutritional needs.
These days when ED pops up (or rather, doesn’t pop up), doctors and knowing friends name-drop a certain little blue pill as the quickest pathway to righting the ship.
But, making changes to your habits, lifestyle and diet can also improve your performance and make it easier to get and stay aroused.
Yes, foods might be able to help play a role in managing ED — they potentially do so by improving cardiovascular health, increasing blood flow and supporting your body’s production of essential hormones.
It’s impressive that by making dietary shifts, you can make yourself healthier and stronger and maybe your arousals as well.
Below, we’ve outlined how foods do it, which foods to eat and some ways to address ED once you’re done with your meal.
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Before we get into the specifics of using food to treat ED, it’s important to put the soon-to-come advice in context. We’ll skip the lecture on how arousal work — you figured that out on your own.
Instead, we’ll start with our first ED fact — that ED can vary in severity. Most of us might assume that it’s either up or down, but ED is more nuanced than that.
Some men experience mild ED — they can mostly get hard, but occasionally struggle to get all the way hard. Others have such severe ED that they’re unable to get any arousals, at any time.
Food is important for overall health and might help both types of men and those in-between, but will likely have the most effect for men at the milder end of the spectrum.
If you have mild to moderate ED, making changes to your diet and lifestyle can be an important part of making it easier for you to get aroused.
If you have severe or persistent ED meanwhile, it’s best to think of diet as one aspect of management on a list of several useful ones.
Either way, it’s important to talk to a healthcare provider to discuss the best holistic plan to address your ED. In some cases, dietary changes only have an effect in the long term — meaning you need to shift your diet long-term in order to see a potential benefit (you can’t just eat a food and expect it to correct your ED an hour later). In other cases, diet may only help if you have an actual vitamin or mineral deficiency that’s contributing to your ED, which can be rare.
We’ve talked more about the other options (including medications for ED) in our full guide to ED symptoms, causes and treatments.
But you can look at that later. For now, let’s take a peek at your pantry.
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The reason the following foods might be helpful isn’t because they’re delicious or hot (you wouldn’t say that about protein powder, for instance), but because they contribute to overall cardiovascular health or contain supplies of the critical building blocks our bodies need to produce a healthy arousal.
Another great thing about these foods is that you may already have some in your kitchen right now. Many of the foods that have arousal benefits are staples, so you won’t need to find obscure ingredients or look up “tiger nuts benefits arousal”.
Some may help with blood flow, others may support your testosterone production, but the following foods might all play a role in helping your arousal if you’re willing to incorporate them into your diet:
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Spinach, lettuce and other nitrate-rich vegetables
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Oysters and other shellfish
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Proteins like meat, dairy and nuts
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Cocoa, chocolate and other flavonoids
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Tomatoes, watermelon and other sources of lycopene
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Avocados
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Coffee
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The foods of the Mediterranean diet
Now let’s look at why these foods are what your arousal might be craving.
(Related: The 5 Best Drinks for ED)
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Your privates aren’t Popeye, but guzzling spinach might have a similar effect on your arousal that it always had on his muscles before saving Olive Oyl.
That’s because spinach, lettuce and similar vegetables are rich in nitrates, natural chemical compounds that have a vasodilating effect.
Nitrates affect a process called the nitrate‐nitrite‐nitric oxide pathway, in which nitrates are recycled in blood and tissue to produce nitric oxide — an important molecule for your vascular health and blood flow.
And most vegetables (especially the green leafy ones) contain nitrates. Research published in PLOS shows that green, leafy vegetables such as parsley, spinach and beet leaves tend to have the highest concentration of nitrates, while root vegetables and fruiting vegetables (like bell peppers) contain lower amounts.
By the way, these leafy greens are also high in folic acid, and folic acid deficiency may be associated with ED severity.
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Oysters are considered an aphrodisiac, but they’re associated with arousal for more than the familiar slurping noises.
Your favorite blue points and other shellfish are actually rich in zinc — an essential mineral linked to testosterone levels.
As the primary male hormone, testosterone plays a key role in your functioning. When a man’s testosterone levels are low, he may feel less interested in arousal and experience issues like ED.
Zinc supplementation may play a role in increasing testosterone levels in men who are deficient, meaning it could help you get hard if a zinc deficiency is hindering your testosterone production.
Zinc can be found in a wide variety of foods, including:
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Crab
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Lobster
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Beef
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Pork
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Beans
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Chicken
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Fortified breakfast cereals
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Chickpeas
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Pumpkin seeds
And zinc is also commonly available as a supplement. Oysters just contain by far the highest levels of zinc of any common food — and are the best source to consume over cocktails.
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Protein will help you get swole, but sources of protein are also sources of L-arginine — a common amino acid that may help your privates get swole too.
L-arginine is used to create nitric oxide (we already mentioned how that’s important). But research has noted that men with ED often have low levels of L-arginine too.
A 2003 study found that a combination of L-arginine and pycnogenol (a type of bark from the Pinus pinaster tree) helped men affected by ED regain normal performance over the course of several months.
L-arginine is found in:
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Red meat
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Poultry like chicken or turkey
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Seafood like salmon (which gets bonus points for its omega-3 fatty acids)
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Dairy like milk or cottage cheese.
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Nuts like pistachios, almonds and walnuts
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Protein powders and other supplements for athletic performance and general well-being
(Related: Does Honey Make You Last Longer?)
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Most of us view chocolate as a treat rather than a medicinal food — at best, we may fill up on it during the holidays, and keep a supply on hand for when our partner is moody.
But dark chocolate may offer ED benefits through a compound called a flavonoid, which is a type of naturally-occurring plant chemical with antioxidant effects.
Research published in the American Journal of Clinical Nutrition found that a higher intake of foods rich in flavonoids is associated with a reduced risk of developing ED.
Flavonoids are found in many common foods, including:
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Nuts
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Tea and tea leaves
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Cocoa
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Dark chocolate
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Whole grains like oats
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Fruits like oranges, blueberries, apples and peaches
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Vegetables like carrots and chili peppers
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Red wine
While eating chocolate in excess obviously isn’t a good idea if you’re trying to keep weight off, eating one or two small pieces of dark chocolate each day is unlikely to hurt and it might help you to maintain healthy blood flow for arousals.
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What do the most popular fruits of stage comedy performances (watermelons and tomatoes) have in common? Aside from making a great mess when thrown, they may also promote boners when consumed.
Tomatoes, watermelon, guavas, papaya and other fruits are all great sources of lycopene — an important plant-based nutrient with antioxidant properties. There may also be benefits guava leaves arousally, which we explore in this guide.
Lycopene is also associated with improved vascular function generally.
While very little research is available on the potential effects of lycopene on performance in humans, some animal research has found that lycopene may play a role in improving health.
One 2012 study found that lycopene restored arousal function in male rats with diabetes and ED, and another animal study found that lycopene may have certain benefits for cardiovascular health — an important component of arousal.
Full disclosure: animal studies don’t always translate for humans.
But the big picture is that many fruits and vegetables are also rich in other nutrients and compounds that may help with ED.
Watermelon, for example, contains the amino acid L-citrulline, which is linked to a variety of vascular health benefits.
In a 2017 scientific review, researchers found that L-citrulline supplementation may increase nitric oxide levels, reduce blood pressure and improve flow to blood vessels.
Learn about another fruit with potential benefits in our blog on the surprising arousal benefits of mangos.
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They may prevent you from achieving home ownership, but avocados are rich in dietary fiber and healthy fats that can contribute to better cardiovascular health and blood flow.
There’s no direct scientific research on avocados and ED specifically, but these effects could be building blocks of improved arousal wellness.
Consider the cholesterol question. Research found that avocados may help lower levels of low-density lipoprotein, or LDL, a form of cholesterol that can clog arteries and affect blood flow.
Avocados also contain a bit of zinc (remember, zinc deficiency associated with ED severity), and small amounts of vitamin E and selenium, both of which are linked to improvements in sperm motility, semen quality and male fertility. Curious to know more about avocado benefits arousally? Check out this guide for more information about this superfood.
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Perking up your sleepy daytime hours might also perk up your privates, sir.
A study published in PLOS One in 2015 analyzed the relationship between coffee drinking and ED by looking at 3,724 men aged 20 and above. These guys were surveyed about their eating and drinking habits and health.
The study found that men who consumed the least caffeine were more likely to report ED than men who consumed the equivalent of two to three cups of coffee per day.
That said, a different study published by the American Journal of Epidemiology in 2018 found no difference in ED risk between men who consumed the highest amount of coffee (four or more cups per day) and the lowest amount (zero cups per day).
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No, it’s not one specific food, but hear us out. The Mediterranean diet consists of fruits and vegetables, grains, nuts and seeds.
It uses olive oil as its source of fat, and includes protein sources such as fish, poultry, dairy products and eggs in low to moderate amounts. In other words, it combines a lot of the stuff we’ve already mentioned, plus much more.
A 2017 review in the Central European Journal of Urology found that adherence to a Mediterranean diet may reduce the risk of developing ED, specifically by improving metabolism, increasing antioxidants, and raising arousal-promoting arginine levels.
The Mediterranean diet also emphasizes limiting simple sugars, salt, refined carbohydrates, saturated fats and heavily processed or fatty meats — things you should moderate anyway for your well-being.
And it even includes ingredients like turmeric, olive oil and lemon juice, which might also benefit your general well-being.
So maybe whip up a little salmon and a fresh salad dressing to go along with those oysters? It’s your kitchen, not ours, but by now you should understand what the best choices are.
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Eating a handful of the wrong snack isn’t going to make your penis fall off (unless that snack is leprosy-flavored goldfish or something) but we have to admit that a pattern of unhealthy eating can contribute to various circulatory and metabolic syndromes that may lead to ED.
For your health, you should avoid, limit or moderate saturated fats, sugar, alcohol and a few other things.
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You probably have no idea what makes a fat saturated, and that’s fine, because most people don’t.
Saturated fats are fats that are solid at room temperature, like lard, dairy and other animal-based products. They can lead to higher levels of “bad” (artery-clogging) cholesterol in the blood.
Consuming saturated animal fats and trans fats in excess can negatively impact your heart by contributing to atherosclerosis, according to the U.S. National Library of Medicine.
Atherosclerosis is a condition in which fatty deposits accumulate along artery walls, causing the arteries to narrow and increasing the risk for heart attack and stroke.
If your arteries are clogged, reduced circulation could not only affect your heart but also your ability to achieve and maintain arousal.
You should also avoid fatty foods when taking Viagra, but that’s another story.
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Sorry to tell you this, but a sweet tooth can eventually lead to a soft penis. According to the Scientific Advisory Committee on Nutrition (SACN), over-consumption of sugar-sweetened beverages and other sugary foods is linked to weight gain and an increase in body mass index.
Obesity is directly linked to arousal issues, which makes sugar an indirect contributing factor for these same problems.
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In addition to foods, you’ve gotta keep your eye on your drinking, man. Excessive alcohol consumption can inhibit blood flow, reduce sensation and revoke your arousal privileges for the evening.
One study by the Indian Journal of Psychiatry showed that 72 percent of men who are dependent on alcohol had one or more dysfunction disorders, including PE, low arousal desire or ED.
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You are what you eat, but your arousal is what you eat, drink (we’re looking at you, energy drinks), smoke and do with your life. So eat better, but also do better at taking care of your arousal.
Although making changes to your diet and lifestyle can improve your performance and make ED less severe, the most effective way to treat ED is through the use of medication with clinically proven ingredients. Common oral ED treatments include:
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Sildenafil. The active ingredient in Viagra, sildenafil (generic Viagra) provides relief from ED for around four hours.
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Tadalafil. The active ingredient in Cialis, tadalafil is a long-lasting medication that can provide relief from ED for up to 36 hours.
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Vardenafil. The active ingredient in Levitra, vardenafil can provide relief from ED for slightly longer than sildenafil.
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Avanafil. Sold as Stendra, avanafil is a newer ED medication that’s fast-acting and less likely to cause certain side effects than older medications.
These medications can be found in pill, tablet or mint form, if you’re interested in chewable ED meds.
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Since arousal health is so closely linked to your general health, maintaining good habits and a healthy lifestyle can often help to improve your performance.
Try the following changes to habits and lifestyle factors to improve your performance and reduce your risk of ED:
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Maintain a healthy weight. Obesity and ED are closely linked with each other — in fact, research shows that having a body mass index (BMI) in the obese range triples your risk of ED. To reduce your risk of dealing with ED, try to maintain a healthy body weight. Although BMI is far from ideal, the CDC says that aiming for a BMI in the healthy range is a good way to limit your risk of developing health issues.
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Exercise regularly. Research shows that aerobic exercise is linked to improvements in performance. A review of five studies published in the Ethiopian Journal of Health Science found that men with ED who engage in regular physical activity experience significant improvements in health.
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If you smoke, try to quit. Research published in Andrologia shows that smoking is a major risk factor for ED, with the amount of tobacco you smoke closely correlated with your risk of developing ED and cardiovascular disease. If you smoke, make an effort to quit.
Making other changes to your lifestyle, such as reducing stress and treating underlying medical issues such as high blood pressure or heart disease, can also have a positive impact on your health and performance.
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Picking the best foods for your arousal life is about more than avoiding foods that give you bad gas in the night — it’s about a healthy diet.
Leafy greens, dark chocolate and a dozen half shells are a good start, but you’ve got to look at the big picture for stronger arousals (and not the dessert menu). You can also read up on how other foods affect your life too, such as the benefits of pineapple.
Remember, ED is one of the most common men’s health issues out there. According to the National Institute of Diabetes and Digestive and Kidney Diseases, an estimated 30 million men in the United States are affected by some level of ED.
If you want to help manage with diet, keep the following in mind:
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YES, adding certain foods to your diet may help to improve your heart health, promote optimal blood flow and make it easier to get aroused.
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AND over the long term, improving your diet and habits can also have a huge positive impact on your life. It can also help certain health conditions like ED due to obesity, too little exercise, or another physical health issue.
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HOWEVER, it’s important to put the effects of an arousal-friendly diet in context. Eating more spinach is generally a good thing for your health, but improving your diet won’t cause your ED to immediately disappear. Similarly, there may be some celery benefits arousally but the research is iffy.
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SO, you may need more help. Currently, the most effective way to treat ED is through the use of medications like sildenafil (the active ingredient in Viagra) and others.
This article originally appeared on Hims.com and was syndicated by MediaFeed.org.
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Featured Image Credit: stefanamer / iStock.
