Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
1
Is any of this happening now?
Call 911
Go to urgent or emergency care if you cannot pass urine, have sudden severe testicular pain or swelling, or have serious pelvic or genital trauma.
These symptoms suggest another problem that needs rapid assessment.
Other emergency signs, for anyone
Someone who is struggling to breathe, gasping, choking, or cannot get words out
Someone who has chest pain, tightness or pressure lasting more than a few minutes
Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
Someone who is unconscious, or cannot be woken
Someone who is bleeding heavily and it will not stop with firm pressure
Someone who has had a seizure that will not stop, or does not wake up afterwards
Someone who has lips or skin that look pale, blue, grey or blotchy
Someone who you believe has taken an overdose or swallowed something poisonous
2
Is any of this happening?
Be seen today
Seek prompt medical advice if the change occurs with:
Pain during ejaculation or urination
Blood in semen or urine, particularly if it returns
Fever, pelvic pain, or unusual discharge
New weakness, numbness, or loss of bladder control
Symptoms that began after an injury or medical procedure
3
Does any of this apply?
Book an appointment
Arrange a routine appointment if you repeatedly release little or no semen, especially if this is a new change.
An assessment is also appropriate if you are worried about the effect on your sex life or are having difficulty causing a pregnancy.
The article also says
Retrograde ejaculation itself is not an emergency.
Every sign above is quoted from the sofidex article on Retrograde ejaculation. If you are not sure, err upward — it is always reasonable to be checked.