Alfuzosin versus Tamulosin (Flomax).

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I have had Urolift but with not much success. Very disappointed in the results. Have had to be on Tamulosin now for about 6 months. It is the only way I can have a decent stream! But...my sex drive has decrease dramatically and then the retro ejaculation! Would like to hear experiences with Alfuzosin. Is it any better with regards to these issues? Thanks.

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  • Posted

    Yes, no influence on sex drive and little RE frequency, but some do have. Minimum side effects. You exaggerate the influence of RE. Most men don't feel the difference. It's a more complex phenomenon. Partner reactions, libido, amount of semen ejected, etc. It doesn't matter what place it's ejected bladder or urethra, orgasm happens in a different place and semen is ejected. Flomax decreases amount of semen, true. Switch to alfuzosin in the morning.

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    • Posted

      Alfusozin has a much lower side effects profile and you should definitely try it. As for RE - don't let anyone influence you about it or claim that you're exaggerating its impact. You know what you feel and how much that matters to you/ impacts your enjoyment - no one else does. How other men react is completely irrelevant.

      Alfusozin will likely solve your problem, but not forever. You may want to look into why Urolift failed (some get a second one and it works much better) and see if something else might have a better chance of success.

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    • Posted

      You should not say things like "most men" without quoting a study backing that up. I experienced RE immediately after taking 1 Flomax pill, and I can guarantee that the "difference" was massive. I didn't even know what RE was at the time; I'd never heard of it. None of the normal sensation of orgasm; instead I was hit with a wave of nausea as the RE occurred. I had no idea what had happened, until I started googling later on.

      The uro switched me to Rapaflo, which did the same thing. Same experience, same gross feeling.

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    • Posted

      William,

      I did research that issue and have my own reservations, including a few friends who had TURP or similar radical surgeries but have preserved erections.

      Below is excerpt from Healthline:

      If you’re having orgasms without ejaculate, it’s worth checking it out with your doctor to examine the cause and rule out underlying disease.

      There are no serious risks to your health, nor does it necessarily interfere with your sex life.

      Treatment isn’t usually needed unless you’re trying to father a child. If that’s the case, you can pursue your options with a fertility specialist.

      Of course, everybody is different in their sexual life and experience. Try alfuzosin, RE is extremely rare with alfuzosin. It might be psychological also. Some men can control their ejaculation process, most cannot. Even medical literature differs in their opinion on that issue. Most men comment RE as "less mess". Your partner shouldn't feel a difference at all.

      I don't deny the idea that some men feel terrible from dry orgasms, but it's difficult to understand why it happens physiologically. Orgasm and pulsation happens before the semen is expunged from the vesicles. It's a minor part of the climax, the end of it.

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  • Posted

    Alfuzosin the only thing I'm taking because I'm not noticing any side effects. I started with Tamulosin but couldn't deal with the side effects. Through this forum I found Alfuzosin which is an older drug that doesn't seem to have any real side effects especially any sexual ones. My urologist didn't even tell me about it. However I wish there was other drugs without side effects that either shrunk the prostate or help better urination.

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  • Posted

    Alfuzosin is a newer alpha blocker and is more selective in the sense that it has much less likely to cause floppy iris syndrome. FIS is an issue if you need cataract surgery. Probably less so if you've already had cataract surgery in both eyes.

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  • Posted

    William,

    Ditto for me exactly except for the dramatic drop in drive (moderate + drop) and the retro issue (decrease but not drastic). Tamulosin otherwise is working for me. As for the Uro, a bust!

    Good luck.

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