Anejaculation

Anejaculation is the absence of ejaculation and compromises fertility because there is no seminal fluid available to transport sperm on their way to the female genital tract.

Situational anejaculation and total anorgasmic anejaculation usually occur due to psychological factors, however, total orgasmic anejaculation can be caused by:

Causes

-Diabetes
-Prostatic hyperplasia (prostate enlargement)
-Prostatitis (inflammation of the prostate)
-Abdominal surgeries
-Urological surgeries such as prostatectomies
-Neurological disorders
-Parkinson's disease
-Multiple sclerosis
-Spinal cord injuries
-Use of antidepressant drugs such as fluoxetine
-Cancer treatments such as chemotherapy and radiation therapy
-Retrograde ejaculation

Symptoms

Anejaculation has no symptoms, so it is necessary to see a specialist for diagnosis.

Diagnosis

The more information you can give the specialist about your medical history, the better able he or she will be to identify the causes of anejaculation.

In addition to a physical examination for evidence of other medical conditions, your doctor may perform a post-orgasmic urine test. If sperm are found in the urine, the diagnosis of retrograde ejaculation is confirmed.