The treatment depends on the cause. Medications may work for<unk>  but only in a few cases. Surgery rarely is the first option for<unk>  and the results have proven to be inconsistent. Medications do not help<unk>  if there has been permanent damage to the prostate or the testes from radiation. Medications also do not help if prostate surgery has resulted in damage to the muscles or nerves. Medications only work if there has been mild nerve damage caused by diabetes, multiple sclerosis, or mild spinal cord injury. Medications * Tricyclic antidepressants like imipramine. * Antihistamines like chlorphenamine. * Decongestants like ephedrine and phenylephrine. These medications tighten the bladder neck muscles and prevent semen from going backwards into the bladder. However, the medications do have many side effects and they have to be taken at least 1–2 hours prior to sexual intercourse. In many cases, the medications fail to work at the right time because most men are not able to predict when they will have an orgasm. Infertility treatments If a couple is experiencing infertility as a result of<unk>  and medications are not helping, the collection of the semen collection may undergo a special procedure. First, the patient alkalinizes his urine by intake of sodium bicarbonate (3g dissolved in water in the evening before bed, and then another dose after complete bladder emptying right before going to the laboratory). Before semen collection the patient must empty his bladder. The patient then has to masturbate in one container and immediately after has to urinate in another container. The male's ejaculate may be centrifuged from urine voided, and the isolated sperm injected directly into the woman through the use of intrauterine insemination. In more severe cases, in-vitro fertilization with intracytoplasmic sperm injection may be used.
Retrograde ejaculation
Delayed ejaculation
Premature ejaculation
Anejaculation
Dyschronometria
Pelvic floor dysfunction
Overflow incontinence
Neurogenic bladder dysfunction