Dry orgasm: What causes orgasm without ejaculation?

A dry orgasm — an orgasm with no discharge of semen — can have many causes. It is typically not a health concern, although it can impair fertility.

Causes of dry orgasm include:

• Retrograde ejaculation. In this condition, semen is forced back into the bladder instead of out through the penis. Causes of retrograde ejaculation include diabetes, damage or injury to the prostate such as due to prostate surgery, and certain medications, such as alpha blockers used to treat enlarged prostate.
• Surgical removal of the prostate (prostatectomy).
• Surgical removal of the bladder (cystectomy).
• Radiation therapy directed at the pelvic area, such as for prostate cancer.

If you're concerned about having dry orgasms or if you are experiencing pain associated with dry orgasms, consult a urologist for an evaluation. When possible, treatment is directed at the underlying cause. If the cause of dry orgasm is retrograde ejaculation and infertility is an issue, it may be possible to retrieve sperm from the urine following orgasm for use in artificial insemination.