This is an unusual report of a 33-year-old male with retrograde ejaculation as a complication of stand-alone L5-S1 anterior lumbar spinal fusion. This case is discussed in detail, with particular interest directed toward fertility issues and their implications. A plant-based diet was suggested as a treatment option due to the diet’s blood viscosity reduction properties. The patient initially noticed improvement after two months of starting the diet, with complete resolution of his retrograde ejaculation six months after beginning a plant-based diet. He successfully fathered a child a few years afterward.
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