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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Retrograde Ejaculation?

what type of medication one takes can cause ejaculation problems? such as none after 3 days later of ejaculating during sex. have sex few times a week and seems at least one of them has no ejaculation. I am under stress and do take a heart burn medication and blood pressure pill now and then. also have an inhaler for breathing
Tue, 26 Jun 2018
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General & Family Physician 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

During a male orgasm, a tube called the vas deferens transports sperm to the prostate, where they mix with other fluids to produce liquid semen (ejaculate). The muscle at the opening of the bladder (bladder neck muscle) tightens to prevent ejaculate from entering the bladder as it passes from the prostate into the tube inside the penis (urethra). This is the same muscle that holds urine in your bladder until you urinate. Several conditions can cause problems with the muscle that closes the bladder during ejaculation. These include:

1. Surgery, such as bladder neck surgery, retroperitoneal lymph node dissection surgery for testicular cancer or prostate surgery
2. Side effect of certain medications used to treat high blood pressure, prostate enlargement and depression
3. Nerve damage caused by a medical condition, such as diabetes, multiple sclerosis, Parkinson's disease or a spinal cord injury.

A dry orgasm is the primary sign of retrograde ejaculation. But dry orgasm — the ejaculation of little or no semen — can also be caused by other conditions, including.

1. Surgical removal of the prostate (prostatectomy).
2. Surgical removal of the bladder (cystectomy).
3. Radiation therapy to treat cancer in the pelvic area.

I suggest you to consult a urologist. Some tests like uroflowmetry, USG etc has to done to see the cause.

Hope I have answered your query. Let me know if I can assist you further.
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What Causes Retrograde Ejaculation?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. During a male orgasm, a tube called the vas deferens transports sperm to the prostate, where they mix with other fluids to produce liquid semen (ejaculate). The muscle at the opening of the bladder (bladder neck muscle) tightens to prevent ejaculate from entering the bladder as it passes from the prostate into the tube inside the penis (urethra). This is the same muscle that holds urine in your bladder until you urinate. Several conditions can cause problems with the muscle that closes the bladder during ejaculation. These include: 1. Surgery, such as bladder neck surgery, retroperitoneal lymph node dissection surgery for testicular cancer or prostate surgery 2. Side effect of certain medications used to treat high blood pressure, prostate enlargement and depression 3. Nerve damage caused by a medical condition, such as diabetes, multiple sclerosis, Parkinson s disease or a spinal cord injury. A dry orgasm is the primary sign of retrograde ejaculation. But dry orgasm — the ejaculation of little or no semen — can also be caused by other conditions, including. 1. Surgical removal of the prostate (prostatectomy). 2. Surgical removal of the bladder (cystectomy). 3. Radiation therapy to treat cancer in the pelvic area. I suggest you to consult a urologist. Some tests like uroflowmetry, USG etc has to done to see the cause. Hope I have answered your query. Let me know if I can assist you further.