HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Hi, I Am A Relatively Healthy 67 Year Old Who

default
Posted on Thu, 16 May 2019
Question: Hi, I am a relatively healthy 67 year old who has recently started to experience what I think is "Retrograde Ejaculation". Up until just the recent past this had not been a problem. Around October of last year I started a couple inhalers for mucus congestion. I also have a moderately enlarge prostate. I have been taking Cialis daily (5mg) almost a year to help with my urinary flow and it seemed to work for me. I also was prescribed Cipro for a short time because of occasional difficulty urination and the duration that it took me to completely void my bladder.

I take supplements such as potassium, flak seed oil, magnesium, fish oil, nitric oxide, and turmeric.
I have prescriptions for amlodipine 5mg in the morning and it seems to control my hypertension pretty well. I take Uloric for gout that I developed in years ago in an index finger, and B12.

I have none of the things that are generally listed as potential causes for the Retro Ejac. No diabetes, major surgery to the prostate, (although I did have Brachytherapy at the age of 53 with no complications. I have no nerve damage that I am aware of, and nothing done to my bladder. I have read all of the information suggesting if you stop taking a potential medication that may be causing the issue. I went to my Urologist already knowing that Sudafed in low dosage may help if taken 1 to 2 hours in advance of sexual activity. Of course he suggested that we could confirm what I think by doing a urine test after sexual activity to see if semen was present in urine offering a confirmation of the suspected. Will Kegel exercises help with this situation. I simply looking for options.
doctor
Answered by Dr. Dr. P. T. Patil (2 hours later)
Brief Answer:
Could be due to side effect of Cialis

Detailed Answer:
hello
Thanks for query .

Based on the facts that you have posted you are facing problem of Retrograde Ejaculation .

I shall be happy if you can post me more details to help me in making precise comments
1) Since how long you are facing this problem ?
2) Do you get (experience) sensation of sexual satisfaction (Orgasm ) during sex?
3) Have you done urine test passed immediately after sex to confirm presence of sperms in urine ?

Cialis like other alpha blockers have selective action on alpha 3 adrenergic receptors that cause relaxation of smooth muscles in bladder neck and prostate keeping bladder neck open causing semen to enter back into bladder what is called as Retrograde ejaculation .

Since you have already stopped taking Cialis wait and watch for a week to observe ejaculation to return to normal .

There is no role for kegel exercise or medicines that can help to normalize ejaculation .

Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you
Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
default
Follow up: Dr. Dr. P. T. Patil (27 hours later)
Thanks for the response I will keep an eye on things and perform a urine test after my next orgasm.
doctor
Answered by Dr. Dr. P. T. Patil (5 hours later)
Brief Answer:
O.K Bye and do write whenevr you need my help

Detailed Answer:
hello
Thanks for follow up .
Hello
Thanks for follow up .

Do write after you observe the change and report of urine test done after a week .

Thanks and Regards
Dr Patil.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10590 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Hi, I Am A Relatively Healthy 67 Year Old Who

Brief Answer: Could be due to side effect of Cialis Detailed Answer: hello Thanks for query . Based on the facts that you have posted you are facing problem of Retrograde Ejaculation . I shall be happy if you can post me more details to help me in making precise comments 1) Since how long you are facing this problem ? 2) Do you get (experience) sensation of sexual satisfaction (Orgasm ) during sex? 3) Have you done urine test passed immediately after sex to confirm presence of sperms in urine ? Cialis like other alpha blockers have selective action on alpha 3 adrenergic receptors that cause relaxation of smooth muscles in bladder neck and prostate keeping bladder neck open causing semen to enter back into bladder what is called as Retrograde ejaculation . Since you have already stopped taking Cialis wait and watch for a week to observe ejaculation to return to normal . There is no role for kegel exercise or medicines that can help to normalize ejaculation . Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you Thanks and Regards. Dr.Patil.