Sperm in the urine do not appear just like that. This is a manifestation of the failure of the natural output of sperm from the sperm canal. This pathology is called retrograde ejaculation.
The disease does not affect health. But if a man found such a malfunction in himself, he should contact the appropriate specialist - a urologist or andrologist. The possible causes, symptoms of this phenomenon, as well as the diagnosis and treatment principles should be described in more detail.
Briefly about pathology
Spermaturia - this is the name of the condition, manifested by the appearance of sperm in the urine. Normally, a small amount is acceptable after ejaculation. But if the ejaculate gets into the urine constantly, and in a noticeable amount, there is cause for concern.
In such cases, as a rule, pathological spermaturia is diagnosed, the reason for which usually lies in abnormalities of the development of the genital organs or in other diseases.
Normally, the ejaculate enters the urine from the urethra. However, if spermaturia is pathological, then the bladder becomes its source.
It is important to know that this phenomenon is often a symptom that signals the presence of more dangerous health problems.
Retrograde ejaculation
This is the most common reason sperm appear in the urine. With this violation, the ejaculate enters directly into the bladder, and not into the peripheral parts of the urethra.
It should be noted that this pathology is also called "dry orgasm." With retrograde ejaculation, despite the full sensations of orgasm, ejaculation does not occur. By the way, this phenomenon is one of the most common causes of infertility in men.
Retrograde ejaculation is partial. With it, one part of the ejaculate leaves through the urethra, and the other enters the bladder. In men with complete retrograde ejaculation, the seed through the urethra does not exit at all.
Normally, the sphincter of the bladder at the time of "climax" is compressed. So the man’s body prevents the seed from entering it. But it happens that the sphincter does not shrink. This is the reason for getting the ejaculate there.
Causes of retrograde ejaculation
If sperm are found in the urine, it is likely that one of the following was a provoking factor:
- Taking certain medications. In particular, Tamsulosin, which is an effective tool in the fight against benign prostatic hyperplasia.
- Multiple sclerosis.
- Problems with the nervous system.
- Spinal cord injuries.
- Prostatitis.
- Taking antidepressants.
- Operation on the prostate gland.
- Impaired functioning of the sphincter of the bladder.
- Hemorrhoids.
- Diabetes.
- Pelvic venous congestion.
- The habit of pinching the urethral opening at the time of masturbation, which prevents full ejaculation.
- Defects of the seminal ducts of congenital origin.
The condition is complicated by depression, a violation of the psycho-emotional background, stagnation of sperm, refusal of a sexual life, as well as impotence.
Detection of ailment
It is possible to detect the pathology in question with the naked eye. If urine leaches sperm, and this is constantly observed, it means that a man has spermaturia. Often, by the way, urine becomes cloudy due to the ejaculate contained in it.
It happens that retrograde ejaculation, due to which the seed appears in the urine, is confused with the so-called aspermatism (another name is anejaculation). This is a more rare disorder. It is characterized by an absolute absence of ejaculation. The difference between these phenomena is obvious. With anejaculation in urine, the seed is absent.
Diagnostics
At a routine examination by a urologist, a diagnosis cannot be made. The man himself should voice complaints and tell him that he has sperm in his urine.
After the survey, the doctor will conduct a manual examination of the prostate gland and may recommend a spermogram.
Thanks to this analysis, it will be possible to find out if he has other diseases or not. According to the results of spermograms, by the way, azoospermia is often detected. This is the name of the pathology in which there are no sperm in the ejaculate.
Another diagnosis includes the following activities:
- Examination of the urethra with an urethroscope.
- Definition of a nervous pulse.
- The study of bioelectric potentials of muscles.
- Ultrasound of the bladder cavity.
- Urine analysis performed after ejaculation. It allows you to determine whether sperm are actually present in the urine.
The causes of this pathology can also be determined after the patient has undergone the above measures.
Forecast
It is compiled after the detection of sperm in the analysis of urine. Since this pathology is a symptom, not a disease, the prognosis always depends on the reason why the ailment was caused. As already understood from the above, almost anything can provoke its appearance. Because of this, by the way, in many cases, complex diagnosis is complicated.
The most favorable prognoses are given to those patients whose spermaturia was caused by taking medications, hemorrhoids, spinal injuries (not particularly serious), multiple sclerosis and diabetes mellitus. In such cases, general therapy and drug treatment are sufficient.
If the sperm in the urine in a man appears due to damage to nerves or muscles (this can happen due to surgery on the prostate gland or due to radiation), you will need to resort to surgical methods of treatment. However, so far they have not been studied enough, and therefore the results are dubious.
Treatment regimen
What actions need to be taken so that sperm in the urine cease to appear? The type of treatment is determined by the doctor depending on the etiological factor. Either a conservative or a surgical technique is used. Be that as it may, the goal is one - the restoration of the normal process of ejaculation.
If we talk about an inoperable technique, then here is what it is based on:
- Cancel medication that could lead to this disorder. This is the case if during the examination a pharmacological predisposing factor was found.
- Acupuncture (healing effect on the body with needles).
- Electrical stimulation of the bladder or urethra.
- Taking medications that can improve the functioning of the internal sphincter of the bladder.
- Physiotherapeutic procedures.
There is one more nuance, the knowledge of which can also help a person find the answer to the question of whether urine sperms from the urethra. Sex is recommended exclusively with an empty bladder. Otherwise, there is a risk of ejaculate getting into urine.
Medicines for treatment
Drugs indicated for administration to men with spermaturia are aimed at normalizing the work of the sphincter of the bladder. Specialists usually prescribe such medicines:
- Tetracyclic antidepressants. In particular, Amitriptyline and Imipramin.
- Phenylephrine and Ephedrine.
- Antihistamines containing chlorphenamine.
The listed medicines help eliminate spermaturia if it was caused by malfunctions and disturbances in the functioning of the nervous system.
Surgical intervention
Unfortunately, far from always conservative methods of treatment help. Therefore, some men are prescribed surgery. Intervention may include the following activities:
- Reconstruction of urethral strictures.
- Sphincteroplasty of the bladder.
- Urethral plastic.
Typically, these procedures help restore normal ejaculation. And they are required in rare cases.
Incurable cases
They also need to be briefly described. It is believed that if the cause of spermaturia was an unsuccessful operation on the urethra, then treatment will be useless. And all because in such cases, trauma to the nerve endings of the bladder is observed. Unfortunately, it is impossible to restore them.
This causes infertility. But if a man plans to have children in the future, he should not worry much. In such cases, resort to artificial insemination. Its seminal fluid is taken from the urinary cavity, where it erupts. The ejaculate is collected by catheterization. And after that the egg is fertilized.
Such patients are not recommended to take antidepressants. They also need to control their blood sugar. Especially if diabetes is the cause of retrograde ejaculation.
Lady's theme
Oddly enough, there are people who ask themselves the question of where sperm cells appear in the urine of women.
So, the girl’s body cannot produce ejaculate. After all, sperm is produced in the prostate gland and testicles, and only men have them. Therefore, if an ejaculate is found in a woman's urine, 100% he got there from the body of her partner after sex.
How exactly? First into the vagina. Then the woman collected urine in a container, without having previously carried out hygiene procedures (this is necessary if the plans include the delivery of urine for analysis). Accordingly, the male seed also got there with her.
This, by the way, will affect the results of the analysis. Microscopic examination of the sperm will certainly be noticed.
Prevention
So that a man does not encounter spermaturia, he needs to carefully monitor his health in order to prevent the development of retrograde ejaculation. To do this:
- To live an active lifestyle.
- Give up bad habits.
- Monitor blood glucose.
- If there is a need to treat a disease of the male genitourinary system, give preference to operations that are minimally invasive.
- Avoid exposure to radiation if possible.
- Take only drugs prescribed by your doctor. It is important to strictly observe the daily rate and duration of admission.
- At least twice a year, undergo examination by a urologist or andrologist.
- Maintain your immunity. Eat foods enriched with vitamins, as well as macro- and microelements, drink clean water, herbal decoctions. Refuse harmful and fatty foods, try not to use preservatives.
Of course, spermaturia is far from the most pleasant state of the body. But it is relatively harmless. However, even taking into account this nuance, it is not recommended to leave this phenomenon unattended.