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Experiencing orgasms with little or no semen? This could be retrograde ejaculation (also called dry ejaculation or dry orgasm)—a common but often misunderstood condition where semen flows backward into the bladder instead of out through the penis. Dr. Kala, a urologist with 10+ years of experience, explains everything: causes (medications like alpha blockers/tamsulosin, prostate surgery/TURP up to 75% cases, diabetes nerve damage, radiation, spinal injuries), symptoms (little/no semen, cloudy urine after orgasm, infertility risk, reduced satisfaction), diagnosis (post-orgasm urinalysis for sperm in urine), and treatments (medication switches, drugs like imipramine/pseudoephedrine, fertility options like IUI/IVF, pelvic exercises, acceptance for non-fertility cases). It's harmless physically—no pain, no ED, orgasms feel normal—but it can cause infertility (1-2% of male infertility cases) and emotional distress. Many cases are treatable or manageable. If you're over 50, on prostate meds, post-surgery, or diabetic—this video is for you. Subscribe for more men's sexual health facts—no myths, just science. Timestamps: 0:00 - What is retrograde ejaculation / dry orgasm? 2:30 - How it happens inside your body 5:00 - Common causes: Medications, prostate surgery (75%), diabetes, nerve damage 9:15 - Key symptoms: No semen, cloudy urine, infertility 12:40 - Diagnosis: Post-orgasm urine test 15:20 - Treatment options: Med changes, drugs, fertility tech, acceptance 20:00 - Self-help tips: Pelvic exercises, blood sugar control, partner communication 23:30 - When to see a doctor urgently 26:00 - Final reassurance & next steps Like if this helped ease your worries! Comment: "Dry orgasm here" or "Was this caused by meds/surgery?" + your location/time. Share with any man who needs this. Subscribe + bell for weekly urology truths! #RetrogradeEjaculation #DryEjaculation #DryOrgasm #MensSexualHealth #UrologistExplains #ProstateSurgery #TamsulosinSideEffects #MaleInfertility #CloudyUrineAfterSex #SexualHealthMen #DrKala retrograde ejaculation, dry ejaculation, dry orgasm, retrograde ejaculation causes, retrograde ejaculation treatment, dry orgasm symptoms, no semen during orgasm, cloudy urine after sex, prostate surgery retrograde, tamsulosin retrograde ejaculation, alpha blockers ejaculation, diabetes retrograde ejaculation, male infertility retrograde, post orgasm urinalysis, bladder neck sphincter