Brief Answer:
No semen could be due to retrograde ejaculation

Detailed Answer:
Hello,
Thanks for posting your query on HealthcareMagic.
Inability to ejaculate semen despite normal sexual drive and erection could be due to retrograde ejaculation.
Retrograde ejaculation is a condition wherein the semen is redirected into the urinary bladder instead of directed into the urethra.
Retrograde ejaculation can occur in hypertension, diabetes mellitus, autonomic disorders affecting the bladder sphincter, previous surgery etc.
Thus, first it is important to rule out retrograde ejaculation.
A urine analysis is indicated at this point of time.
If sperms are detected in the urine sample, it is probably due to retrograde ejaculation.
Thus, I suggest you to go for urine analysis.
Depending on the result of urine analysis further action will be decided.

Thanks
Dr Shailja P Wahal

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Brief Answer:
Repeat urine analysis to look for sperms

Detailed Answer:
Hello and welcome again,
The urine test which you took up previously showed infection in the urinary tract.
You were prescribed antibiotic for the infection.
However, you can get a repeat urine analysis specifically asking to look for sperms in semen.

Thanks
Dr shailja p Wahal

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Brief Answer:
Retrograde ejaculation- due to autonomic disorders

Detailed Answer:
Hello and welcome again,
Retrograde ejaculation is one of the possibility of absence of ejaculate.
It is caused by various conditions like autonomic disorders, diabetes mellitus, hypertension, previous surgery etc.
Other cause of absence of ejaculate is obstruction in the reproductive tract.
Thus, clinical examination and relevant investigations are required to assess the genital tract.

Thanks and take care
Dr Shailja P Wahal

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