How To Treat Retrograde Ejaculation

How is retrograde ejaculation treated?

There are several different ways of treating retrograde ejaculation. One is to have the man urinate the sperm out of the bladder. And then the sperm are washed. They're taken out of the urine. The urine is alkalinized by having the man take something like Alka Seltzer or bicarbonate prior, because very acidic urine will kill the sperm. And once those sperm are washed, they can be used for insemination. Certain drugs can be used to help close that sphincter. Certainly in men who have diabetes, and some men who have spinal cord injuries, we use a medication like Sudafed, and that causes those muscles to contract, closing the sphincter. In severe cases of retrograde ejaculation where sperm of good quality can't be obtained through these other means, we can go into the testicle, take the sperm out, and use those sperm with in vitro fertilization.