Retrograde Ejaculation: A Rare Presenting Symptom of Type 1 Diabetes Mellitus.
A 19 year old presented with a progressive decline in ejaculate volume over 2 weeks, followed by a complete absence of ejaculate emission. A post-ejaculatory urine specimen demonstrated spermatozoa confirming a diagnosis of retrograde ejaculation. Investigations revealed a raised blood glucose level of 24.5 mmol/L and HbA1c >15%, with positive tests for anti-GAD antibodies and anti-IA2 antibodies consistent with a diagnosis of Type 1 diabetes mellitus. Retrograde ejaculation in diabetes is associated with autonomic neuropathy and is a late feature of the disease. This case is unique with retrograde ejaculation being the primary presenting symptom of Type 1 diabetes mellitus.
Northern Sydney Local Health District, Sydney, Australia; University of Newcastle, Newcastle, Australia.
Jonathan
J
Kam
Department of Endocrinology, Royal North Shore Hospital, St Leonards, Sydney, Australia; University of Sydney, Sydney, Australia.
Venessa H
VH
Tsang
Northern Sydney Local Health District, Sydney, Australia; University of Sydney, Sydney, Australia.
Venu
V
Chalasani
Diabetes mellitus; Diabetic autonomic neuropathy; RE, retrograde ejaculation; Retrograde ejaculation; Sexual dysfunction