Aspermia

Overview

Aspermia is a condition where the men are unable to ejaculate, or the ejaculate contains no semen. They can have an erection, have coitus and orgasm normally. Aspermia is very rare, and the men are not able to even produce a sample for semen analysis.

Causes
  • Retrograde ejaculation
    In this case, the ejaculate happens backwards into the urinary bladder instead of out of the body. Retrograde ejaculation is diagnosed by a history of having an orgasm without ejaculation. A post-ejaculatory urine analysis can confirm this diagnosis. If the urine contains a significant amount of semen, there are problems with the bladder neck sphincter causing retrograde ejaculation.
  • Ejaculatory duct obstruction (EDO)
    In this case, one or both of the ejaculatory ducts are blocked and are called partial EDO and complete EDO, respectively. This is diagnosed with a physical examination with the presence of a palpable seminal vesicle.

    • Prostate, abdomen or bladder surgery
    • Inflammation of the prostate
    • Infections and following inflammation
    • Genetic diseases
    • Multiple sclerosis
    • Diabetes
    • Parkinson’s disease
    • Spinal cord injury
    • Testicular trauma
    • Prostate cancer treatment
Prevention

Avoiding urinary tract infection can help minimize the risk of epididymal or ejaculatory obstruction.

Symptoms
  • Infertility
  • Hazy urination after intercourse
  • No ejaculation during orgasm
  • Pain in the pelvis
  • Blood in urine
Treatment
  • Medication
  • Antibiotics to treat any inflammation causing the obstruction.
  • Surgery to fix the obstruction. The method may include Transurethral Resection of the Ejaculatory Ducts (TURED).
  • ART- if medical and surgical interventions fail, viable sperm in the testes may be extracted to be used for ART treatment to attain pregnancy.

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