{"id":11878,"date":"2025-07-23T10:51:41","date_gmt":"2025-07-23T14:51:41","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/ejaculation-retrograde\/"},"modified":"2026-10-06T18:04:57","modified_gmt":"2026-10-06T22:04:57","slug":"retrograde-ejakulation-de","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/de\/glossary-term\/retrograde-ejakulation-de\/","title":{"rendered":"Retrograde Ejakulation"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[126],"glossary-product":[],"class_list":["post-11878","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-urological-conditions"],"acf":{"gt-definition":"<p>Die retrograde Ejakulation ist eine St\u00f6rung, bei der das Sperma w\u00e4hrend der Ejakulation in die Harnblase gelangt, anstatt \u00fcber die Harnr\u00f6hre ausgesto\u00dfen zu werden.<sup>1<\/sup> Bei einer normalen Ejakulation zieht sich der Blasenhalsmuskel zusammen, damit kein Sperma in die Blase gelangt, w\u00e4hrend es von der Prostata in die Harnr\u00f6hre \u00fcbertritt.<sup>2<\/sup> Bei der retrograden Ejakulation schlie\u00dft dieser Blasenhalsmuskel nicht richtig, sodass die Spermien r\u00fcckw\u00e4rts in die Blase statt vorw\u00e4rts durch den Penis gelangen.<sup>3<\/sup> Die St\u00f6rung f\u00fchrt trotz normalen Orgasmusempfindens zu einem verringerten oder fehlenden Ejakulatvolumen, was oft als \u201etrockener Orgasmus\u201c bezeichnet wird.<sup>4<\/sup> Zwar ist die retrograde Ejakulation f\u00fcr die k\u00f6rperliche Gesundheit nicht sch\u00e4dlich, sie kann jedoch die Fruchtbarkeit erheblich beeintr\u00e4chtigen und bei den Betroffenen psychische Belastungen verursachen.<sup>5<\/sup><\/p>","gt-synonyms":"Retrograde Ejakulation, trockener Orgasmus, retrograde Ejakulation, Aspermie (wenn abgeschlossen), Blasenejakulation, Ejaculatio retrograda","gt-citation":"[1] Konstantinidis C, Zachariou A, Evgeni E, \u00c7ayan S, Boeri L, Agarwal A. Recent Advances in the Diagnosis and Management of Retrograde Ejaculation: A Narrative Review. Diagnostics. 2025 Mar 14;15(6):726. DOI: 10.3390\/diagnostics15060726\n\n[2] Parnham A, Serefoglu EC. Retrograde ejaculation, painful ejaculation and hematospermia. Transl Androl Urol. 2016 Aug;5(4):592-601. DOI: 10.21037\/tau.2016.06.05\n\n[3] Jefferys A, Siassakos D, Wardle P. The management of retrograde ejaculation: a systematic review and update. Fertil Steril. 2012 Feb;97(2):306-12. DOI: 10.1016\/j.fertnstert.2011.11.019\n\n[4] Mieusset R, Walschaerts M, Isus F, Almont T, Daudin M, Hamdi SM. Diagnosis of Partial Retrograde Ejaculation in Non-Azoospermic Infertile Men with Low Semen Volume. PLoS One. 2017 Jan 6;12(1):e0168742. DOI: 10.1371\/journal.pone.0168742\n\n[5] Gupta S, Finelli R, Agarwal A, Leisegang K. A Comprehensive Guide to Sperm Recovery in Infertile Men with Retrograde Ejaculation. World J Mens Health. 2022 Apr;40(2):204-216. DOI: 10.5534\/wjmh.210069","gt-clinical-context":"<p>Die retrograde Ejakulation wird vorwiegend im Rahmen der Abkl\u00e4rung m\u00e4nnlicher Unfruchtbarkeit diagnostiziert und ist f\u00fcr etwa 0,3\u20132 % der F\u00e4lle m\u00e4nnlicher Unfruchtbarkeit verantwortlich.<sup>1<\/sup> Die Diagnose erfolgt anhand der Anamnese, der k\u00f6rperlichen Untersuchung und der Laboranalyse von Urinproben nach der Ejakulation, wobei der Nachweis von 10\u201315 Spermien pro Gesichtsfeld bei starker Vergr\u00f6\u00dferung (High-Power Field) die Diagnose best\u00e4tigt.<sup>2<\/sup><\/p>\n    \n    <p>Die Auswahl der Patienten f\u00fcr eine Behandlung h\u00e4ngt von der zugrunde liegenden Ursache ab; dazu k\u00f6nnen anatomische Faktoren (z. B. Prostataoperation, Blasenhalsoperation), neurologische Erkrankungen (z. B. Diabetes mellitus, multiple Sklerose, R\u00fcckenmarksverletzungen) oder Nebenwirkungen von Medikamenten (z. B. Alphablocker, Antidepressiva) geh\u00f6ren.<sup>3<\/sup> Die Behandlungsans\u00e4tze richten sich nach der \u00c4tiologie und dem Kinderwunsch.<\/p>\n    \n    <p>Bei Patienten mit Kinderwunsch umfassen die Behandlungsoptionen pharmakologische Ma\u00dfnahmen mit Sympathomimetika (z. B. Pseudoephedrin, Ephedrin) und Antimuskarinika (z. B. Imipramin), um den Verschluss des Blasenhalses w\u00e4hrend der Ejakulation zu verbessern.<sup>4<\/sup> Wenn Medikamente unwirksam sind, k\u00f6nnen Verfahren der assistierten Reproduktion mit Spermien aus Urinproben nach der Ejakulation eingesetzt werden, darunter die intrauterine Insemination oder die In-vitro-Fertilisation.<sup>5<\/sup><\/p>\n    \n    <p>Die zu erwartenden Ergebnisse h\u00e4ngen von der zugrunde liegenden Ursache und dem Behandlungsansatz ab. Pharmakologische Behandlungen zeigen Wirksamkeitsraten von etwa 28 % f\u00fcr Sympathomimetika allein und 39 % f\u00fcr die Kombinationstherapie mit Antimuskarinika.<sup>2<\/sup> Aus dem Urin nach der Ejakulation gewonnene Spermien k\u00f6nnen f\u00fcr die assistierte Reproduktion verwendet werden; berichtet werden Schwangerschaftsraten von etwa 15 % pro Zyklus nach Zentrifugation und Resuspension und von etwa 24 % pro Zyklus mit der (modifizierten) Hotchkiss-Technik.<sup>5<\/sup><\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":118},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.7 (Yoast SEO v28.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Retrograde Ejakulation: Diagnose und Behandlung | Rigicon<\/title>\n<meta name=\"description\" content=\"Die retrograde Ejakulation bezeichnet den R\u00fcckfluss des Samens in die Harnblase w\u00e4hrend des Orgasmus anstelle des 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