CausesBy Mayo Clinic staff
In younger men, dry orgasm can occur after repeated orgasms. There is a temporary absence of semen, so little or nothing comes out of the penis. This is not a cause for alarm, and generally improves after a few hours of rest.
In some cases of dry orgasm, semen goes into the bladder instead of out through the penis during sexual climax. This is known as retrograde ejaculation and is most often a consequence of medical procedures, particularly prostate surgery. It can also be caused by certain medications and health conditions.
In other cases of dry orgasm, men don't produce enough semen to ejaculate because of genetic abnormalities of the reproductive system.
Underlying causes of dry orgasm include:
- Bladder cancer
- Blocked sperm duct (ejaculatory duct obstruction)
- Certain medications used to treat high blood pressure, enlarged prostate and mood disorders
- Genetic abnormalities of the reproductive system
- Male hypogonadism
- Multiple sclerosis
- Open prostatectomy
- Prostate laser surgery
- Radiation therapy
- Retrograde ejaculation
- Seminal vesicle obstruction
- Spinal cord injury
- Transurethral incision of the prostate (TUIP)
- Transurethral microwave therapy (TUMT)
- Transurethral needle ablation (TUNA)
- Transurethral resection of the prostate (TURP)
Causes shown here are commonly associated with this symptom. Work with your doctor or other health care professional for an accurate diagnosis.
- Gerber GS, et al. Evaluation of the urologic patient: History, physical examination, and urinalysis. In: Wein AJ, et al. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa.: Saunders Elsevier; 2007. http://www.mdconsult.com/books/page.do?sid=1157817763&eid=4-u1.0-B978-0-7216-0798-6..50005-4&isbn=978-0-7216-0798-6&uniqId=243525138-3. Accessed May 10, 2011.
- Bhasin S, et al. Sexual dysfunction in men and women. In: Kronenberg HM, et al. Williams Textbook of Endocrinology. 11th ed. Philadelphia, Pa.: Saunders Elsevier; 2008. http://www.mdconsult.com/books/page.do?sid=1157826154&eid=4-u1.0-B978-1-4160-2911-3..50021-2--cesec57&isbn=978-1-4160-2911-3&uniqId=243525138-4. Accessed May 10, 2011.