Home Symptoms Dry Orgasm – 8 Possible Causes, Diagnosis & Treatment

Dry Orgasm – 8 Possible Causes, Diagnosis & Treatment

Dry Orgasm

A dry orgasm, alternatively called orgasmic anejaculation, occurs when you climax through sex or masturbation but do not release sperm.

It is a type of anejaculation, a state in which you are unable to ejaculate despite the stimulation of your penis. Another form is anorgasmic anejaculation, which occurs when an individual is unable to orgasm or ejaculate while awake.

Dry orgasms can be brief or persist for an extended period of time, depending on the cause. Dry orgasms are not always harmful to your health and may affect you just if you are attempting to conceive.

Causes of Dry Orgasm

A dry orgasm can occur as a result of radical prostatectomy (removal of the prostate gland and surrounding lymph nodes) or bladder removal surgery (cystectomy). You stop producing semen following either of these treatments. It can occur with some testicular cancer procedures, such as retroperitoneal lymph node dissection, which can disrupt the nerves that control orgasm.

Semen is produced in some cases of dry orgasm but remains in the bladder rather than exiting through the penis during sexual climax. This is referred to as retrograde ejaculation, and it frequently occurs as a result of medical treatments, most notably certain prostate surgery. Additionally, certain drugs and medical conditions can induce it. In some instances of a dry orgasm, men are unable to ejaculate due to reproductive system genetic disorders.

Orgasms performed repeatedly exhaust the body’s supply of fresh sperm and semen. As a result, a subsequent orgasm may be dry. This is not a cause for concern and usually resolves with a few hours of rest.

Dry orgasm can also result from:

  • nerve damage due to diabetes, multiple sclerosis, or a spinal cord injury
  • medications that treat high blood pressure, enlarged prostate, or mood disorders
  • a blocked sperm duct
  • testosterone deficiency
  • a genetic reproductive disorder
  • laser prostate surgery and other procedures to treat an enlarged prostate
  • radiotherapy to treat prostate cancer
  • surgery to treat testicular cancer


If you’ve experienced a dry orgasm and are unsure why schedule an appointment with your doctor. Your doctor will inquire about your symptoms, medication use, and any recent treatments. Additionally, they will perform a physical examination of your penis, testicles, and rectum.

After you’ve climaxed, your doctor may also analyze your urine for semen. This will assist them in determining whether you are having a dry orgasm or experiencing retrograde ejaculation.

This analysis is typically performed at your doctor’s office. Your doctor will provide you with a container for urine collection and send you to the nearest bathroom. You will masturbate until you have a climax, at which point you will take a urine sample for testing.

If your doctor discovers a significant amount of sperm in your urine, he or she may diagnosis retrograde ejaculation. If no sperm are detected in your pee, they will most likely diagnose dry orgasm. They may conduct more tests or refer you to a specialist to ascertain the underlying cause.


Because the majority of men will still feel pleasure during orgasming, this may not be a problem for everyone. There is no one-size-fits-all approach to treating dry orgasms. The treatment will vary according to the underlying cause.

If, for example, you’re experiencing dry orgasms as a side effect of tamsulosin (Flomax), your ability to ejaculate properly should return once the medicine is discontinued. If your dry orgasms are situational and are a result of psychological stress, counseling may be able to assist you in regaining normal function.

If your dry orgasms are caused by retrograde ejaculation, your doctor may prescribe medication to assist in closing the bladder neck muscle during a climax. These include the following:

  • midodrine
  • brompheniramine
  • imipramine (Tofranil)
  • chlorpheniramine (Chlor-Trimeton)
  • ephedrine (Akovaz)
  • phenylephrine hydrochloride (Vazculep)


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