Solutions for Retrograde Ejaculation with Expert Consultation

Hello,

Thank you for reaching out to Dr. Galen. Please find the below response to your query.

This condition occurs when semen flows backward into the bladder instead of out through the penis during ejaculation. It can happen due to various reasons, such as surgery (like prostate or bladder surgery), certain medications (like those for high blood pressure, prostate enlargement, or depression), and nerve damage from conditions like diabetes, multiple sclerosis, or spinal cord injury.

While retrograde ejaculation isn't harmful, it can lead to male infertility. Treatment is typically aimed at restoring fertility. This may involve stopping medications that could be causing the issue or taking medications to help the bladder and neck muscles close properly. In some cases, assisted reproductive techniques may be necessary to retrieve sperm from the bladder for use in fertilization.

Regarding Tofranil, it's important to consult with a healthcare professional before starting or changing any medication. Tofranil (imipramine) is a tricyclic antidepressant that has been used off-label to treat retrograde ejaculation. However, its effectiveness and safety for this purpose may vary from person to person. Your healthcare provider can provide personalized advice based on your specific situation.

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