Dry orgasms, Should I be worried

For a majority of men, their first sexual experience is of the solo type, which often requires their hand and some imagination. As the young man gains more experience and familiarizes with his body, he may start experimenting with various masturbatory skills and may have possibly gotten his clean-up routine down to a science. Whether he uses toilet paper, facial tissue, an old gym sock or a quick shower clean-up routine, he knows that a perfect climax will need some cleaning afterward.

Having to deal with this aftermath for quite a while, it can come as a shock when this man gets to experience a dry orgasm. This means no ejaculation is released. While he may feel like rushing to the doctor immediately, there are a few things he needs to know first about this condition.

What is a Dry orgasm?

A dry orgasm simply means that a man reaches his orgasm and no ejaculation is released from his penis. Instead, his semen flows backward up the urethra and is released into the bladder. Most men who experience a dry orgasm confirm that they do have a full sensation of orgasm when this happens. As a matter of fact, unless they are using a condom or masturbating, they hardly notice an absence of semen.

Actually, this may happen for quite some time without them knowing they are having a dry orgasm. A man may once experience a dry orgasm and never experience it again. Also, he may have them sporadically, or he experiences it frequently thereby becoming a permanent condition that needs immediate medical attention to correct.

Is Dry orgasm the same thing as Retrograde Ejaculation?

No. Although it has been found that dry orgasm and retrograde ejaculation can happen at the same time, they are not the same type of condition.

Retrograde ejaculation occurs when the neck of a man’s bladder is unable to close during an orgasm. When the bladder is unable to stop backflow, it allows semen to flow back into it. Usually, this is due to the use of alpha-blocker medications such as Flomax or surgeries done on the bladder or prostate which may damage the bladder neck.

Men with this condition experience little to no ejaculation during their climax. However, they may notice that when they pass through the urine after sex, it appears cloudy. While with dry orgasm, there is no presence of semen at all, though this may be as a result of retrograde ejaculation.

What are the Causes of Dry orgasm?

Several physiological and organic causes have been linked to dry orgasm. They include:

Physiological causes

  • Repeated orgasm – Multiple orgasms during a single session of sexual intercourse may result in a dry orgasm at the climax time. This happens due to the full utilization of sperm and semen. In most cases, this is not a serious issue, and it resolves spontaneously after having proper rest. According to research, it has been found out that the frequency of multiple orgasms is 10% in men who are under 20 years and approximately 7% in men above the age of 30 years.
  • Pharmacological Regimen – In some cases, dry orgasm may be as a result of a particular medication or drug regimen, finding an alternative drug can resolve this problem. Some years back, they were scientists who had developed a male contraceptive drug which was a combination of thioridazine and phenoxybenzamine as active agents. This drug was meant to minimize the intensity of tubular contractions.
  • Voluntary Control of Ejaculation – Some men train themselves not to have an ejaculation at their climax. For instance, the medical data shows that men who perform kegel exercises have major control over their pelvic floor muscles and prostate tissue. These exercises render such men the ability to achieve their orgasm without ejaculating. Other methods of controlling an ejaculation include: applying direct pressure on the penis by squeezing it and applying some pressure on the skin between testicles and the anus.
  • Fatigue – Extreme fatigue and chronic insomnia may also be a cause of dry orgasm.

Organic Causes of Dry orgasms

  • Surgeries involving Genital organs – It is common to experience dry orgasms after having a prostate surgery, especially radical prostatectomy for the management of prostate cancer or dissection of inguinal lymph nodes. There are other surgical interventions involving inguinal region that may also culminate to dry orgasms such as removal of urinary bladder or cystectomy, transurethral incision of the prostate, transurethral microwave therapy, surgeries of the spinal and transurethral resection of the prostate.
  • Congenital anomalies of genital organs – Some men are naturally unable to produce enough amount of semen because of the congenital anomalies of the genital organs.
  • Retrograde ejaculation – This urinary condition occurs when semen flows into the bladder other than being ejaculated outside during sexual climax. This urinary condition is a known adverse effect of some pharmacological therapies especially anti-hypertensive, prostatic surgery and other medical conditions.
  • Malignant lesions of gut – According to a recent study, the risk of having a dry orgasm is much higher when a man gets treated of certain malignant lesions of inguinal region or gut such as rectum, colon, urinary bladder and prostate.

Other causes of a dry orgasm that are less common include; multiple sclerosis, radiation therapy, male hypogonadism or deficiency of testosterone, diabetic hypoglycemia, obstruction of the ejaculatory duct and prolapse of the urinary bladder.

Adverse Effects or Risks of Dry orgasms

Dry orgasms expose a man to various risks which have adverse effects. Some of them include:

  • Inability or delay in impregnating the partner – With dry orgasms, it is quite possible that the amount of semen is little or unnoticeable and therefore the chances of getting your partner pregnant are small. Several interventions can be done in case of completely no ejaculation. For instance, in the case of retrograde ejaculation, there can be issues of no ejaculation.
  • Emotional or psychological agitation – It is common for a man to be extremely frustrated or agitated if he is unable to ejaculate regardless of the quality of sex or orgasm. This may highly affect relationships and sex life of the extremely anxious men.

Dry orgasms in Younger Men

A majority of the younger men that experience dry orgasms misguidedly jump into conclusion that they are having these symptoms due to a much larger prostate-related issue. However, this is a misconception, because problems regarding the prostate health and dry orgasms are almost entirely relegated to the old men. For men who are under the age of 40 years, dry orgasms are most probably caused by multiple ejaculations.

Culminating in a temporary lack of semen may be a red flag of a larger problem, as much as it is possible for dry orgasms to be induced by over-ejaculation in younger men. With that being said, a significant number of younger men may experience orgasm on a daily basis, therefore, subsequent dry orgasms should not be a cause of worry.

How is dry orgasm Diagnosed?

If you have experienced a dry orgasm and you are not sure what the cause is, ensure that you make an appointment to see a doctor. Your doctor will ask you several questions about your symptoms, any medication that you are using (if any) and any recent surgery that you may have had. He/she will also perform a physical exam of your testicles, rectum, and penis.

The doctor may also test your urine for semen after you’ve had a climax. This will assist your doctor to determine if you are suffering from retrograde ejaculation or dry orgasm. Usually, this examination takes place at the hospital whereby you will be given a sample container and directed to a bathroom to collect the urine. You are required to masturbate until you achieve orgasm and collect the urine sample for testing.

If a lot of sperm will be detected in your urine, the doctor may diagnose retrograde ejaculation. If no sperm is found in your urine, you will be diagnosed with a dry orgasm.

How is a dry orgasm treated?

Since a majority of the men still experience pleasure when achieving their orgasm, this condition may not pose a problem for everyone. In fact, there is no one way of treating a dry orgasm. Treatment always depends on the underlying cause. For instance, if you’re dealing with dry orgasms due to the taking of Flomax or tamsulosin, normally your ability to ejaculate will return after stopping using the drug. Also, if the dry orgasms are situational and as a result of psychological stress, going for counseling may help to resolve your problems thus restoring your normal function.

In case your dry orgasms are as a result of retrograde ejaculation, you may get a prescription from your doctor to help keep the neck muscle of the bladder closed during an orgasm. These medications may include:

  • Brompheniramine
  • Midodrine
  • Chlorpheniramine (Chlor-Trimeton)
  • Ephedrine (Akovaz
  • Imipramine (Tofranil)
  • Phenylephrine Hydrochloride (Vazculep)

For men who have infertility issues as a consequence of dry orgasms and they have not responded to any medication or any medical assistance, sperm may be harvested from the bladder and used to inseminate your partner to become pregnant. However, this method may not be successful in all cases and is often not covered by health insurance.


A dry orgasm is not preventable. Men who require to be treated for an enlarged prostate should consider surgeries that are less invasive such as transurethral needle ablation or transurethral microwave thermotherapy of the prostate. Such surgeries are less invasive and are not likely to cause muscle or nerve damage.

Controlling medical conditions that can lead to nerve damage may prevent dry orgasm. Men who have diabetes should follow their doctor’s prescription and implement proper lifestyle changes.

Keeping the penis healthy

There are steps that a man can take to maintain the overall health of his penis regardless of whether it is ejaculating as expected or not. Exercising, maintaining a healthy weight, eating healthy and keeping the blood sugars in check are some of the ways of keeping a penis healthy and ready for action. Also, use of a penis vitamin cream that is full of penis specific nutrients can be of help in improving blood flow and circulation in the penis while soothing and moisturizing its delicate skin.

So, Should a Man be Worried about Dry orgasms?

For the most part, no, dry orgasms cannot cause any harm to a man. The side effect that the man will notice most is the appearance of cloudy urine after he has had an orgasm. However, if that man has an intention of having children, then yes he should be worried. Given the fact that he cannot ejaculate, infertility is an obvious side effect of dry orgasms. After all, he cannot get his partner pregnant because he is not releasing any sperms.

Nevertheless, a midnight trip to the doctor’s office is not necessary in case you experience a dry orgasm. But it is worth mentioning to your doctor if you intended on getting children. Also, due to the fact that dry orgasms are linked to certain health conditions, it is recommended that you do talk to your doctor to find out what the cause of your dry orgasm could be.

Bottom Line

Dry orgasm is not always reversible. But, infertility it causes can be treated. Even when a man cannot ejaculate at all, a fertility expert can be able to save the situation. Men with dry orgasms may experience other symptoms due to diabetes, prostate surgery or an enlarged prostate. So even though a man may believe that his condition cannot be treated, he should report symptoms such as blood in the ejaculate, erectile dysfunction, painful ejaculation and frequent urination to his doctor.

These symptoms may point out to another diagnosis that is not due to dry orgasm. Most men link ejaculation to orgasm. However, not all orgasms involve ejaculation. It can be quite disturbing to orgasm without ejaculating, but it is not harmful. Changing your expectations can be all it takes for you to live a comfortable life with a dry orgasm.

Austin Hanson

After finishing a master degree in Urology at the European University in St. Petersburg, Austin cofounded staustinreview.com in 2015. The purpose of the website is to help men with a wide variety of sexual problems with a language that everybody understand. Austin is a dedicated writer and loves to get his hands dirty with product reviews and the latest urology news. Outside of work his an outdoors person who loves fishing and running, you can follow Austin on Twitter or LinkedIn if you can keep up with him!

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