Dry ejaculation

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My husband is Type 1 diabetic and was also recently diagnosed with an enlarged prostate. Diabetes affects blood pressure - raising it, and it may in some men cause erectile dysfunction. Tamsulosin Hydrochloride was prescribed and my husband has taken it for approximately 2 - 3 months. I can report that his urine flow has increased significantly but he does not produce semen when ejaculating, something he has been oblivious to and it is only me who has noticed it. Failure to produce semen is not listed as a side affect to the drug and I feel it is of low incidence and has therefore gone unreported. This failure presents no problem to my husband or me presently and only if it does will he report it to his GP. May I respectfully suggest to those men who find it problematical that they tell their doctors who will a) explain the possible cause of the side effect; b) change the medication or c) give reassurance that this will not affect their sexual performance.

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  • Posted

    Tamulosin is prescribed for BNP benign enlargement of prostate. The drug I think restricts blood to the prostate in order to shrink it. By shrinking the prostate rthat will reduce the production of semen. So it is a vicious circle. I am sure Tamulosin effects the sensitivity of your sex organs, in its process of reducing the prostate. This is only my personal opinion, and is not based on medical knowledge. But much of the comments relating to this drug tell the same story. After leaving of t his drug for a few days I notice an inprovement in sexual performance.
    • Posted

      Tamulosin is designed to reduce the pressure which the prostate exerts on the bladder (and I am fine with that) but it seems also to restrict the prostate's production or release of seminal fluid.  Which I know not but either way it seems to result in an orgasm without any seminal fluid coming out.  My consultant has switched me to alfuzosine but that seems to behave in the same way unless I don't take it the day before I am meeting my partner.

  • Posted

    Each person will experience different symptoms. Having a dry ejaculation does not mean the intensity is any less pleasurable in my experience and does not effect sexual performance. It does in my opinion hwoever seem to effect exercise performance and stamina.
    • Posted

      Hi Durteger, thanks for that, can agree with that to some extent, not sure what you mean by effecting exercise and stamina, at 78 my stamina is not too good at the best of times, but you can't expecttoo much at that age!

      Appreciate your response

       

    • Posted

      I agree too, in part, but my partner was disconcerted when there was no ejaculation.  More concerning for us both when ejaculation is much delayed, despite both our efforts.  I think it is the tamulosin which delays things.
    • Posted

      I've no doubt that Tamsulosin is the culprit. However, if that's what it takes to prevent acute retention, so be-it. As a completely irrelevant aside, I now live in N Ireland, but began my prostate adventure (so to speak) when I lived in Sutton, and worked in Croydon. Small world.

  • Posted

    I am in the same boat. I ended up in hospital because the passing of urine was extremely painful and little was passing out until one day the problem got worse and no more than a trickle of urine was passing. At the hospital I was put on a catheter and carry bag and finally I got some relief at fully empting the bladder. Then I stayed overnight to make sure things were going accordingly. Next day I got discharged with the catheter and the nuisance of limited movement but otherwise I was able to manage. However, I wasn't happy with the hospital because even though they are professional doctors they caused inflamation that bled blood through the tube and outside the uretha opening because they have falied to moisture the tube with lubricating jelly at each bit of tube insertion in the uretha and that caused a lot of pain because the tube was actually 'scraping' on the inflamated uretha. Then when they sent me home they did not provide me with medicines if that's what they though it was the enlarged prostate. So I was at home with the catheter for two weeks and not knowing whether it was really the prostate causing urinal blockage. After 2 weeks I returned to the hospital to have the catheter removed and see if I could pass using by drinking water and walk around inside the hospital. By the afternoon I still couldn't pass urine with ease. There was s this burning pain every time using pass passing a certain area near the uretha muscles that stops the urine from escaping. THe hot and acidy using was actually causing the muscle to lock and stop the urine from fully passing out without some straining and pain. I was bedded again and a doctor then reinserted the catheter again, and frankly enough it was the wrong size but I did not know, all I noticed later that the first one had a green band on the tube and the new one was orange. So, this larger one was causing more pain upon insertion because A) too thick, B) no lubrication at each insertion, only lubrication they did was before insterting the tip. The rest of the tube length was insterted without lubrication and that absolutely caused excruciating pain that I almost fainted if the stupid doctor (supposed to be a doctor mind you) didn't stop for a minute, or checked that he had inserted the wrong size tube. when done, the bleeding started to get worse and I was told this usually happens during this process. But then, it bled even during my hospital discharge, the bag was filling with blood and clots and for the next two days, more and less clots and traces of blood flowed from inside the tube and into the bag. Before sending me home I was given a medicine, Tamsulosin Hydrocloride, to take one a day after food, preferably after dinner for another two weeks. For two more weeks it was increasingly difficult in sleeping with the tube and the bag placed on the floor and in moving I was unable to walk far with a urine bag attached to one of my legs. After two more weeks, I returned to have it removed without results, they said the medicine wasn't working, so they started to suggest surgery, of which I refused because I really felt this is not a prostate problem, this has to be something else that I did not know at that time. As with all the other times that they removed the catheter and told me to hang around the hopital, walk, dring water and use the loo to try and pass water, it didn't work and when I needed to have the catheter back on once again, guess what? The hospital had no doctors, they went on holidays. I was told. So, in bloated pain and little urine passing through, I had to wait nearly 6 hours to have another catheter inserted and the only doctor available was a surgeon. Can you you imagine what it felt like during those waiting hours? When the surgeon finally arrived at the Ward, I painstakingly made it to a hospital's inspection chair, as there were no beds to lay on, and the surgeon inserted the correct coloured catheter, and he did it the correct way, slow insertion and lubricating the tube as he inched in to stop the scraping of the tube inside the uretha. This in turn caused no noticeable blood or clots, and I was happy with that. After these extra two weeks, I decided to tell the doctor that I have no intention to have the catheter removed, instead I asked the doctor to give me a further two week extention. The reason I did that was because the feeling to pass urine was so strong, I just relaxed the muscles and let it go in the toilet. The urine not only passed through the utheter but also outside the uretha. This was happening during the last two weeks, indicating that the prostate opening was expanding to allow urine to escape sideways along the side of the bubble of the catheter. When I returned back to the hospital, I told the doctor and a nurse then removed the catheter and told me to hang around and drink water. Amazingly, I was able to pass uring more and more each time I felt going to the toilet. The nurse scanned the bladder on each occasion until after 4 times, the remailing urine in the bladder was only 50ml. As soon as I was give the go ahead you're cured, I got out of hte hospital but, despite the rough treatment in catheter insertion, I will not go back, I will instead seeks a better diet and lots of exercises. But I was told to continue with the same medication for a while, then seek my GP for further tests. What I noticed during my release from hospital was the lack of ejaculation, from a drop or two and then not one drop. I became concerned and decided to have a discussion with my GP and he said that he need to do a blood and urine test. After the test he said that if my burning pain is lower than the prostate, then it is a Urinary Tract Infection. I was given one week of Antibiotics and one week without them. By the end of taking Antibiotics I felt a massive relief in urinating, just like a little boy urinating about 2 and half feet away. And I told the doctor this. Then the blood tests revealed that I have Type 2 Diabetes and was quite high. My GP prescribed another medicine, Metformin Hydrocloride to try and drop the high level. The when I returned after a week of taking this medicine the diabete level dropped considerably, all because I also changed diet, Oats and Porridge with Pumpkin seeds, Walnuts and crushed Brasilian nuts and Almond spread sparingly on the Oats in warm milk with a little honeys, soon after one Metoformin tablet. Then, for lunch, Union, garlic, beetroots and tuna or Salmon salad sandwich to begin with. And at dinner, the usual meal of wholemeal pasta and vegetables, lots of vegetables, not just a springle here and there. Add tomato sauce because tomato is great for your prostate as well as garlic and red onions. But, as for the problem with ejaculating, nothing comes out when in erected state. Once it goes limp, some 'juice comes out, not much, about half or a quarter of a tea spoon. In which case the doctor told me that is not cause of concern because the prostate medicine in combination with the diabete medicine results in slowing or stopping the production of sperm and liquid that carries them out. I will soon stop taking these medicines as I now have returned to good health and walk a lot, run a few hundreds of meters just to give the abdonomen a bit of shake, rattle and roll and to help strengthening the rectal and urinary tract muscles and burn calories to control the amount of glucose sugar in the blood and use it to feed the muscles that make us move. I was obese before going to hospital on that dreadful 18th December 2016. I am now 70 kilos and feel fit. So, if you have a problem passing urine and it burns like crazy, don't hesitate to seek you GP, or some doctor who specializes in the that area. You will be amazed what other options there are instead of going straight to the scalpel. Smoke, alcohol, sugary drinks and obesity can cause the least you didn't expect. But once you're done the damage, you wouldn't want to think of being cut up, wouldn't you? So, stay trim, eat natural foods and occasionally exercise. I wish you people with the same problem good luck.  Michael.

    • Posted

      Many thanks for your detailed experience. I too over the years have had catheters passed, and it's not my idea of fun (along with the cystoscope camera to have a look inside) but sometimes there seems to be little choice. At the moment I'm on Tamsulosin and Finasteride.I'm aware that 'dry' ejaculation is due to the Tamsulosin, and in theory could give them u for a day or so prior to sex. However, I'm might then get acute retention, which I'm told (and you comment) is something best avoided. I think I'll just settle for dry ejacs at the moment, after all, I'm seventy next month, so can't really complain.  

    • Posted

      Wow! what a history of pain (?and bad advice).  Getting weight down (I am 71 Kg) and plenty of exercise seems to help a lot
  • Posted

    I have been taking Tamsulosin for 2 years and have experienced retrograde ejaculation from the start. The semen goes into the bladder and shows up when I pee. It is very annoying for me because it greatly reduces the sensation of  orgasm. I will have a PAE procedure soon and then stop taking the drug. Things should return to normal in a few weeks.
    • Posted

      Hi Charal. I have recently stopped taking Tamsulosin (aka Duodart)about 3 weeks ago as I felt this drug is causing some side effect and decided to end it. My prostate weren't the problem in the first place that put me in hospital and had tubes inserted. The problem was diagnosed by my family doctor and found that I had a serious case of UTI that has inflamed the entire urinary tract to a point where passing urine was quite painful, especially at night when the urine is hotter than normal and the hot urine passing down the inflamed urethra causes a response that lock the urinary muscles near the prostate, blocking its flow. Several tests later and a week does on Antibiotics cleared the infection and I was able to pass urine just like a 10 year old, a real relief. So, I went through hospital procedures and a bleeding pain at having had 7 tubes inserted, including tests, and none of them has ever mentioned I had UTI and not Prostate problems. The symptoms of UTI are easily identified. You go to the toilet more than you should, you sweat, and sometimes get the shivers (shakes), everything locks and you can't pass stools too. And when that happens, you get a severe case of UTI, you find it harder to cope or sleep and in this case your only option is to get to the hospital and have a tube inserted to relieve the bloated bladder, before it bursts. The hospital releases you to go home with a catheter and bag. While you're home, visit your doctor who will do a full blood and urine tests, where he/she oversee the results of the tests and quite certainly will tell you the results, that you have a severe case of UTI and or even Type-2 Diabetes. You doctor will prescribe antibiotics for UTI. A week of antibiotic is usually plenty. Once you have taken the antibiotics, stop for another week and see your doctor for another test. Most certainly you're cleared. You will notice that, after the antibiotics, the urine is able to pass alongside the urethra and the catheter tube. If this happens, your infection is gone. Return to the hospital and have the catheter removed. You will probably have to stay there all the afternoon, or until the bladder scans show that your bladder is empting normally after 3 times visiting the loo. It is understood that this problem is connected with Type-2 Diabetes, like me because after going to hospital several times I ended up getting swolled angles and feet. When tested, I was quite high, on the danger zone. My doctor prescribed a drug to combat the Diabetes, Metformin (Diaformin X1000. So, now that I've taken this medication for about a month, I feel better and the swollen feet are no more. But I had to fight with it by avoiding sugary diets and doing plenty of exercise and walks. Just sitting there and doing nothing is bad you.

      You say you have used Tamsulosin for 2 years? That's too long. The question is, are you sure the Prostate is the problem? What if it is a UTI from the bladder and past the Prostate? Do you feel burning pain before the scrotum, of after? If it is before the scrotum, the infection is near the Prostate. If it is on top of around the scrotum, the infection is in the urethra after the Prostate, but can be both. So, if you're a case where your problem is the Prostate, you need to ask your doctor why are you continuing to take Tamsulosin. And since you didn't say how much longer you need to take it, It would also help if you saw another specialist/doctor who specializes in this field so that you will not suffer further complications. As for me, after I stopped taking Tamsulosin, I noticed a return in ejaculation but not that much, It's probably my age and the lack of lubricating fluids, but at least it is going forward and outside, instead of going into the bladder. Hope you will get better. Regards.

    • Posted

      Hi Valiantman, a very sorry history you have experienced. I have been on Tamulosin together with Finisteride for about two and a half year. In 2014 following blood tests I was refered to a urologist for a high psa reading of 7.5

      After extensive examinations and further blood tests I was discharged and a recent blood test read 3.5 psa so no problem there. I understand the Tamulosin drug shrinks the prostate and the muscles around which is why you get a reduced ejaculation of semen and it tends to retrograde into the bladder. I am intereted in your comment that 2 years on Tamulosin is too long! I am not sure whether it has done much for me as I still need to get up at least twice in the night to pass urine. I do leave of taking for a few days and do not suffer any effects other than ejaculation is more normal. I do fear that if I stop long term I my get enlargement of the prostate.

    • Posted

      Hello David. Re your comments on Tamsulosin. I've been on it, and Finasteride for the best part (now) of thirty years, for BPH. As I understand it, the Tamsulosin works to relax the muscle surrounding the prostate, allowing for free-er peeing (so to speak) The Finasteride is a hormone which works by shrinking the prostate. In theory, with a well shrunken prostate, I should no longer need Tamsulosin, thus reverting to normal ejaculation, but havent yet had the courage to try it out, for fear of acute and total retention (which would mean hospital and a catheter). Maybe, one day, I'll try it !!

    • Posted

      My own doctor have just 'transferred' me to finasteride because I was getting bout of Priapism. this last one almost sent me A&E. From what I have read there is less of dry ejaculation..  I await to find out

  • Posted

    I use the sme DUODART 500 my PSA was 4.87 was drop to 2.2 sometimes Prostate can enlarged the ejaculation issues that the medication relax the Prostate and leave it open so he ejaculate inside him , happens to all of us of course , I was supprise to , it does shrink the Prostate , we do not want cancer there do we ? Inflammation certain testosterone hormone can make the Prostate grow and block the water out , diabetes I suggest insulin like NOVOMIX 30 certain medicines effect the kidneys like JANUMET yes do cause albuminoria protein lose , and of course other issues , insulin is safe that is what the body produce anyway , regarding Prostate does have erectile issues because it block the DHT the testosterone hormone who cause cancer and enlarged Prostate we as a man have more testosterone than woman , as we grow older , we drop in all functions , to me the ejaculation is no big issue Prostate make the sperm I doubt if anyone can have kids with those medications, they close the tap as we speak that’s life 

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