Dry Ejaculation: Causes, Symptoms and Solutions | Men's Sexual Health

Are you reaching orgasm but noticing little to no semen coming out? Feeling confused or worried about what’s happening to your body?

In this medically backed video, Dr. Mika Hayashi, a board-certified urologist with over a decade of experience helping men over 50 restore confidence and performance, explains everything you need to know about dry ejaculation — also called retrograde ejaculation.

You’ll learn why this happens, what it means for your fertility, and the safe, science-based treatments that can restore normal function or help you adapt confidently.

👉 Here’s what you’ll discover:
✅ What dry (retrograde) ejaculation really is — and how semen flows backward into the bladder instead of outward
✅ The most common causes — medications, prostate surgery, diabetes, radiation, and nerve damage
✅ Why alpha-blockers like tamsulosin and silodosin often cause this side effect
✅ Key symptoms every man should recognize — from cloudy urine after orgasm to reduced semen volume
✅ Step-by-step medical tests that confirm diagnosis, including the post-orgasm urinalysis
✅ Proven treatments: medication adjustments, bladder-neck–tightening drugs, and fertility options
✅ When reassurance and counseling are the best approach for men no longer seeking conception
✅ Real-patient examples that show how small medical changes can fully restore normal ejaculation
✅ The emotional side of dry ejaculation — how to handle anxiety, relationship strain, and confidence issues
✅ When to see a doctor immediately (pain, blood in urine, sudden changes, or infertility concerns)

💡 The truth: Retrograde ejaculation is rarely dangerous — but it is important to understand. Once you know the cause, there are practical solutions that can help you regain control, clarity, and peace of mind.

🎯 PERFECT FOR:
Men 40 to 75+ experiencing little or no semen during orgasm, post-surgery changes, medication side effects, or fertility concerns who want clear, judgment-free guidance from a medical professional.

🧠 Knowledge is power.
When you understand what your body is doing and why, fear turns into confidence — and that’s the first step toward better health and stronger performance.

📍 Subscribe to Dr. Mika Hayashi / ‪@Drmikahayashimenssexualhealth‬
💬 Comment below: Were you aware of retrograde ejaculation before this? Do you have questions about your own experience? Share your story — your question could help another man get answers too.

👨‍⚕️ About This Channel – Dr. Mika Hayashi | Men’s Health & Performance
At this channel, we help men over 50 take control of their health, confidence, and vitality.
From prostate care and erectile function to testosterone, circulation, and intimacy — every video is built on real science and real-world experience.
📌 New educational videos weekly — clear, practical, and focused on what truly matters to men at every stage of life.

⚠️ Disclaimer:
This video is for informational and educational purposes only and is not a substitute for personalized medical advice. Always consult a licensed healthcare provider about your specific symptoms, medications, or treatments.

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