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An unusual case of retrograde ejaculation.
1Department of Fertility and Reproductive Endocrinology, Royal Hospital for Women, Paddington, New South Wales.
Summary
Normal semen analysis did not reveal infertility issues. However, persistent negative postcoital tests indicated a rare form of retrograde ejaculation during intercourse, with its cause remaining unclear.
Area of Science:
- Reproductive Medicine
- Urology
- Human Sexuality
Background:
- Seminal analysis via masturbation is standard for assessing male fertility.
- Persistent negative postcoital tests (PCT) can indicate underlying issues despite normal semen parameters.
Observation:
- A patient presented with consistently negative postcoital tests.
- Standard semen analysis after masturbation showed normal results.
Findings:
- Testing postejaculatory urine after intercourse revealed retrograde ejaculation.
- This specific type of retrograde ejaculation occurred exclusively during intercourse.
Implications:
- Identifies a unique clinical presentation of retrograde ejaculation.
- Highlights the importance of considering intercourse-specific factors in unexplained infertility.
- Further research is needed to elucidate the mechanism of intercourse-induced retrograde ejaculation.