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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.

4 likes, 75 replies

75 Replies

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  • theodore_1914
    theodore_1914 Guest

    Posted

    If PSA continues high indicate serious issues , biopsy will insert needle inside to take sample I refuse that , have some serious complications, MRI well recommended , the ejaculation is no that big issue in my 60 years of age unless you are young the combination of DUODART do cause that bit is very beneficial is well . Shrink the Prostate and the bladder is able to remove the fluids the kidneys remove from the blood , no one want Prostate cancer I don’t DUODART is good and works drop the blood pressure to young people however no have this issue only older do have 
  • rayan2018
    rayan2018 Guest

    Posted

    I wish to thank the person who initiated this discussion and also all the people who contributed to the topic and gave accounts of their own experiences with  Tamsulosin. My own experience was exactly the same: dry ejaculation. After I had read all the above posts I realized that it must have been due to  Tamsulosin. I stopped it for 24 hours and everything almost went back to normal. I suppose this differs from one person to another. Now, I'm hesitant about going back to this medication because I fear that if I take it for a longer period of time my ejaculation might go dry forever! 

    Thanks again everybody here.

    • theodore_1914
      theodore_1914 rayan2018

      Posted

      When you take that combination it leave the Prostate open it ehaculate inside , this is one of the issues however do PSA tests to see if grow high , if PSA remain normal is okay , but ask your urologists , ask his advise , who give you this medication in the first place ? He do , because of high PSA depends on your age , if you take DUODART and you still have high PSA ask your doctor to check you for cancer there , if PSA drop and remain drop okay if rase up speak to your urologist, rather than listen here to different individuals, who all have different cases , I follow the professional advise I no do self treatment, 
    • rayan2018
      rayan2018 theodore_1914

      Posted

      Thank you so much theodore1914 for your valuable advice. You are absolutely right. I shouldn't do self treatment based on my personal judgement. I'll definitely consult my doctor on that, at now I am sure that things could go back to normal when the doctor determines that I no longer need this medication. Thanks again.

  • clive24
    clive24 Guest

    Posted

    If you can revert to normal ejac after 24hrs, it's likely you can do so again. The greater risk in stopping Tamsulosin is going into acute urinary retention. This is likely to mean a trip to hospital and a catheter (ugh). Best avoided if at all possible.

  • Guest
    Guest Guest

    Posted

    I was taking both Tamulosin and Finisteride, on Doctors prescription but now just take Finisteride which seems to keep the prostate under control and avoid retrograde problem. He did warn that if I stopped taking any drug I may have problems but so far so good. I also keep as far as possible a dairy free diet which I think has helped a great deal, by avoiding a build up of hormones from cows milk which is very damaging!
    • theodore_1914
      theodore_1914 Guest

      Posted

      The DUODART relax and shrink the Prostate the reason it grow is because of the DTH testosterone hormone who all make , the PSA also grow of inflammation, ejaculation who need that ? Leave it alone , most of those cases run in families , however with age it is acceptable that the Prostate will grow , what you are afraid of ? To die ? Do not be , if the PSA is low is okay some how humans die from something so what you are worry for 
  • thomas_72631
    thomas_72631 Guest

    Posted

    New to the forum and not sure how to post my question so I am trying this.

    I am a 69 year old healthy male and would like advice on my situation. I walk at least 4 times a week with a little jog mixed in. Not overweight, like to have a couple of gin and tonics in evening after supper. My urologist put me on FLOMAX and also Proscar about one and a half years ago. I was getting up to urinate three or four times at night and didn’t feel like my bladder was empting at times. After taking the medications for about 3 months I noticed a difference in my love life. I wasn’t getting as ridged as I once was and sometimes my erection would come and go during intercourse. I looked up the side effects and realized that the medications were the problem. I stopped taking both meds after about 4 months. It has been over a year but I am still not back where I once was in regards to a stiff erection. I have an erection but it is weak and not ridged like before. I tried a free sample of Viagra from my regular DR. but didn’t see much of a difference. Does anyone have any suggestions on how to improve my situation? Thanks Vern

    • alanatcroydon
      alanatcroydon thomas_72631

      Posted

      Thomas. At 75 I sympathise. I found Tamulosin was the problem with dry ejaculation and about a month ago stopped taking it entirely (previously I did not take it the day before meeting my partner).  I have just read about Prostate artery embolisation as a way of dealing with enlarged prostate and am considering it.  I was using Levitra but have now switched to Cialis for the erection problem (it lasts longer than Levitra). Viagra does not help me.  Your GP can provide either a private prescription or an NHS one if you want to get in UK.  In some countries abroad you can just buy at check out (argentina and Dubai were easy). Pharmacies in Spain are very relaxed in selling too
    • thomas_72631
      thomas_72631 alanatcroydon

      Posted

      Thanks for the advice! Does the Cialis give you a flushed red face. The few times I tried Viagra, it really flushed my face. It didn't  work for me either. 

      Thanks

    • alanatcroydon
      alanatcroydon thomas_72631

      Posted

      I think not, though having around the same time having had some glasses of red wine I suspect the latter might be the cause!
  • Guest
    Guest Guest

    Posted

    Hi Thomas, sounds like you take care of yourself, exercise is a vital requirement at our stage of life. I am 79 and try and do as much walking as I can and keep active. I have been on prescription medicine for prostate for about 5 years. Initially on Tamulosin and later combined with Finisteride as the Doc said they work better together. I now just take the Finisteride and generally only need to get up once a night to the bathroom. These drugs shrink the prostate so less semen is produced and the relaxed neck of the prostate leads to reverse ejaculation into the bladder. Once erect and this may take a moment or two I don't suffer your problem, and I don't think it is a symptom of enlarged prostate or the medication. One thing that is beneficial is to do pelvic floor exercises, from time to time, this can strengthen this area and improve erections and orgasms in my opinion.

  • thomas_72631
    thomas_72631 Guest

    Posted

    Thanks David for your advice. I will give this a try.

    Thomas

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