Never been able to masturbate or ejaculate

Hey buddy I feel so sorry for you.  How long have you been this way.  Why did you want so long.  You have a blockage some were that the  blood is not going into the penis  Terazosin does cause pain full erection.  I think you need to see another Urologist.  You need one that specialize in fertility.  The blood is not going to the penis.  He would be able to check.  Do not want to long.  You need this fix not.  I am going to send a e-mail to my doctor to see if he would know what is going on and to make sure I am telling you the right thing  Ken  

As orgasm and ejaculation do not require full erection, you should be able to produce semen. Has this ever happened?

The pain on erection is not at all normal, so surely more medical investigation should be possible. It would be worth pushing for scans to check the physiology of your penile blood vessels. Maybe there's some major block in the arterial system of your penis. If the blood vessels are OK, maybe there's a nerve problem. Have you had any spinal injury?

If you hope to have children, there would be ways of collecting your semen medically using one of 2 methods.

• Penile vibratory stimulation (PVS). With this method, a vibrator is placed at the tip of the penis, triggering a reflex ejaculation.

 Rectal probe electro-ejaculation (RPE). RPE is an option for men who do can’t ejaculate through penile vibratory stimulation. In this procedure, a doctor inserts an electrical stimulation probe through the man’s rectum. In a controlled manner, the doctor uses this probe to stimulate ejaculatory nerves. Usually, the probe is in the rectum for about ten minutes. Some men need anaesthesia for this procedure.

I hope you find some answers as your situation is very detrimental to any man's quality of life.

By you saying "the doctors have no answers" I wonder if you have ever been referred to a Urologist?

If you mean your regular GP / Family Doctor / Regular Practitioner I would simply assert that these people do not have the expertise to deal with what it is that is causing this issue for you.

Depending on which country you are in will determine what level of Urology expertise you have potential access to.  If you are in the UK most large cities will have sufficiently large (an therefore the expertise) Urology departments based at one of the main hospitals.

If you are dealing with a GP ask for a referral to one of the main Urology departments in your area.  Also, many sizable cities in the UK (and elsewhere in the world) will have specialist Sexual Health Centers where you simply find out where they are, give then a ring and say you would like to see one of their duty Urologists and find out the sessions and days when you can access one.  (Practicalities / Logistics of this may mean you take a day's holiday from work, or whatever.) You must assert that you want this sorting once and for all and that if you need to see one of the top UK Urologists at a UK Urology Centre of Excellence then this is what you would like them to arrange.  Ask where the Centre is based as you may have to arrange a referral via your GP - PLEASE be aware ALL NHS patients have the right to access a Centre of Excellence, no matter where it is in the UK.

There are other physical approaches you can take - I certainly would have tried a penis developer and fleshlight as you have done - BUT, only a Urologist can tell you whether you are at great risk of damaging whatever it is that has caused this problem for you.  Often, many medical professionals would be loathe to suggest you try different things yourself in case the worst possible reaction does occur ...

So, try getting to see the top Urologist that you can possibly access - whether in your area, or a one you need to travel to.  Often, asking a Urologist something like this: if this was a close family member of yours what advice would you give them as to who to see and the steps to take to have the problem sorted!