Modern nerve-sparing techniques seek to reduce this risk; however, it may also occur as the result of Green Light Laser prostate surgery.

Surgery on the bladder neck accounted for about ten percent of the cases of retrograde ejaculation or anejaculation reported in a literature review.

[5] Retrograde ejaculation is a common side effect of medications, such as tamsulosin,[6] that are used to relax the muscles of the urinary tract, treating conditions such as benign prostatic hyperplasia.

Post-pubertal males (aged 17 to 20 years) who experience repeated episodes of retrograde ejaculation are often diagnosed with urethral stricture disease shortly after the initial complaint arises.

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).

[12] 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.

[2] Retrograde ejaculation can be deliberately induced by squeezing the urethra at the base or applying pressure to the perineum during orgasm.

[1] In certain cultures, such as in the Oneida Community,[13] retrograde ejaculation is performed as a form of primitive male birth control (coitus saxonicus).

Besides the lack of protection from STDs, the technique itself can be hard to execute correctly during the act of coitus, especially if the male does not fully understand the anatomy involved.

Many doctors also do not recommend coitus saxonicus due to the risk of putting pressure on the pudendal nerve, which can cause numbness in the penis.

[citation needed] Taoists and some fields of alternative medicine recommend and teach deliberate retrograde ejaculation as a way of "conserving the body's energy".