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Hi, I'm 45 years old and experiencing lower urinary tract symptoms. I thought I was too young to be experiencing these problems and yet here I am. My problems started spontaneously about 3 weeks. Got home from work feeling a bit "off". This feeling of "off" was also accompanied by some mild pain in my lower groin. But I really became worried when I tried to urinate later that night and just couldn't. At 2am it became unbearable and decided it was time to go to hospital. I jumped in the shower to get freshened up and as soon as the warm water started running, I could feel my muscles relax and was able to urinate. That was my life for the next week. I was home bound and only able to urinate in a warm shower or warm bath. I saw the doctor that same night and he organised some blood tests and ultrasounds and urine test. He thought it may have been a UTI, but the urine tests have come back negative. Likewise my PSA (and CRP) levels are normal. The ultrasound showed that my kidney, bladder and prostate all look fine and that my prostate is not enlarged. I have now seen a urologist who has booked me in for some Urodynamic function tests to identify where the problem is, but I have to wait a few more weeks for that test.
For now, my doctor has prescribed me Flomaxtra (tamsulosin) and this has helped a lot. Took about 3 days to notice the affect but urination has sort of returned to normal, although some days are better than others for reasons I don't understand. The only side effects I've experienced are the sexual related ones. I seem to now have retrograde ejaculation, and the orgasm intensity is significantly reduced. I'm happily married and with children, but as a 45 year old male this is all very alarming and has really gotten me down over the last few week, to the point of feeling very depressed. I don't know if I will have to stay on these meds long term or if there is another solution for my problem, once they can work out what the problem is.
I was thinking of switching to Alfuzosin which seems to work as well as Tamsulosin, but with less sexual side effects. I'm wondering if anyone has experience with both medications and what their experience was? Do you prefer one over the other?
I'm not seeking a medical diagnosis, but it would just be nice to hear from some people with similar experiences and how they have managed. This is all very new to me and not something I expected. Are there any other people here in my age group with the same problem as me?
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