Our expert says:
The probable cause may well be retrograde ejaculation or total ejaculatory failure. The situation is best assessed by an urologist. In the case of retrograde ejaculation, fertility treatment is certainly possible and semen can be obtained via the bladder. In extreme difficult cases, sperm may be obtained directly from the testes, by means of a testicular biopsy or aspirate and this can be used in a fertility treatment program.
Answered by: Dr M.I. Cassim
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