Dry ejaculation

Can you get permixon from GPS in the uk. I'm taking tamsolosin at the moment and am fed up with the side effects. I wanted to see if I could find out as sometimes GPS need persuading to let you try something else.

Have no knowledge of Permixon, but will check it. I have an appointment with my doctor next week, and have recently had a blood test so will find out latest psa reading. My age (78) so that doesnt help!

Steve. Apologies for being slow but have been abroad for a week without proper computer access. The short answer is I don't know,  My urologist suggested either Finasteride or Dutasteride to help shrink my prostate.  But I demurred as he said this could affect sexual performance.  For the time being (I am 74) I will live with the longer wait sometimes to pee.

thanks for your commemt.....

Hi Clive, 

Thanks for your reply. I had a raised psa, of 6.5 and was refered to a urologist who monitored and checked prostate. After six months he signed me off. I requested something to stop being disturbed in the night to pass urine. The Doctor put me on Tamulosin and also Finisteride which he said would take three months to be fully effective. However I have been on these drugs for a year, and still need to get up in the night usually 3am. So the drugs have not stopped that. A recent psa test gave a result of 3.5 so I wonder if I need these drugs or not. The Doctor says I won't know how much unless I stop taking. I think there is no harm in leaving off occasionally.

So message to all out those like me on Tamulosin. The Practice I am registered with have just switched me to Pamsvax XL 400mcg capsules which I understand from them is the same as Tamulosin MR 400mcg capsules. This is more cost effective and will save the NHS which will result in more funds availble to improve care in other areas.  Has anyone else used this variation, and does it have any noticable effect?

Google search says " The active ingredient in Pamsvax XL is tamsulosin hydrochloride. facilitating urination. In addition, it diminishes sensations of urge."  It will be interesting to learn if it makes any difference for you,  My urologist is trying me on alfuosine.  This is relaxing the prostate, but in sudden bursts - a bit like a dam about to break. I doubt I will continue with it when the course ends

Hello David. I read your concern and wish to advise that while Tamusolin is trying to keep the prostate in check by limiting the flow of blood and therefore the rediction of ejaculation, I don't think it is able to control the amount of urine it passes in the middle of the night. I used to get up at least 5 times at night but it wasn't because I could have a problem with my kidneys, hell not. By carefully monitoring myself on what I eat and what I don't I discovered that the vegetables eaten at dinner are the reason why there is a lot of urine in the bladder. and a full bladder will immediately tell the brains it's time to wake up to drain it or suffer the pain. If you hold on, then it starts to cause a LOCK effect, you go to the toilet and sit there for quite some time and the urine won't pass until you wake up completely to relax the uretha sphincter muscles near the prostate. After the urine flows, there is this feeling that the bladder hasn't drained well, so you return to bed and have that unusual feeling that the bladder is still half filled. So, either you remain on the toilet bowl and wait till the muscles relax and pass the second and final urine, or go back to bed. And because the bladder was half full, in one hour you have to get up again half asleep to repeat the same sleepless cycle. This is the result of either eating water rich vegetable late in the evening or you have cups of tea and other drinks after 9pm. It's a bad habit that makes you sleepless and tired during the day. For this reason, vegetables and other meals that have a high water contents need to be eaten earlier in the evening, usually 6pm. Try it and see. If you eat broccoli, gabbage, spinach, silverbeets, carots and other water retaining vegetable, you're likely to end up going 3 or 4 times to the toilet during the night. But if you have the same veggie meals earlier in the evening, the body digests and processes it and while you do a small workout, you are fully awake to feel the bladder getting full and go to the toilet. So, by the time you go to bed, the kidneys have already done their job and will be rested when you go to bed. I eat Veggie dinners around 6pm and 7pm, no later and then do some non strenious exercises on my garage gym and a brisk one hour walk. I don't watch TV muck because there is nothing to watch these days, only ads.So, if I must eat later than 7pm, I will have something less watery. Better to have something very light so that the energy that the body has stored doesn't end up as fat. Normally people who are active have dinners after 6pm, but then they either do home exercises one way or another so that the energy is transferred to the exercised muscles, or go for a walk/jog to keep the legs from muscle shrinkage if you're in the 60's. Tamusolin has no effect on the flow of urine at night. If it did, then I am also in trouble. I've used it since December 2016 and it took 2 months to take effect, and on the third month I noticed the lack of ejaculation. My GP assured that it is not only Tamusolin that is causing no ejaculation but type 2 diabetes too, and urged to fight to keep diabetes in check then he will stop the prescriptions on condition that I continue to stay active. Cheers.

Thank you for your correspondence on this matter. You clearly understand the problem and I can relate to many of the effects you have explained. I think your way of exercising control on production of urine is particularly interesting. Being diabetic you are probably more aware than others how important diet is in controlling your health.  Thank you for the advice I think that you have made some excellent suggestions.