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Hi all, I am 63 years old and have been suffering symptoms of BPH since 2010. I have been taking doxazosin which is an alpha blocker, (similar to flowmax, tamsulosin, etc. ) almost about the same time, starting with 2mg and ended with 4 mg in 2016. I also experienced retro ejaculation (RE). 6 months ago I discovered that I have urinary retention and the result was my kidney was backed up with urine, causing mild decline in kidney functions. Uro wanted to do TURP. I decided to self cath (CIC) instead, waiting for something better.
The issue here is every where I look, every thing is blamed for RE, including all procedures as well as all meds, without any explanations (mechanism) on how they should be blamed for. As far as I understand, the culprit here should be the prostate. It enlarges at the wrong place and squeezes the urethra and prevents the semen from reaching the penis during ejaculation. Having no place to go, the semen ended up going nowhere or going up to the bladder if there is less obstruction that way.
I did not have any procedures so I did not have any experience to share. However, all the meds try to is to relax the prostate. That should helps, not hurts the normal ejaculation. Right ? I feel that the meds have been falsely accused. Some people even stopped taking their meds and found out that RE did not go away. So they started saying things like "It may take months after stopping meds for RE to go away." Sure. This scares many men from taking drugs into suffering needlessly and/or having some procedures that outcomes are uncertain or could be worse.
My experience with doxazosin is whenever I increase its dosage, to 6mg or 8mg, RE is improved significantly, to the point of normal ejaculation. So I proved my point to myself. However, I keep wondering perhaps there is some better explanations or experiences out there that I am missing that any of you can share.
Another experience that I can share is that CIC also improves my RE. This makes sense since the catheter open up the obstruction and may keep it open for a while. During this time, especially very soon after the CIC, there is a path for the semen to reach its supposed destination. So for men out there who are doing the self cathing, reach out for the catheter before sex.
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