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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Is He Not Able To Ejaculate Semen During Sex?

Good day. My husband has had an inguinal hernia for about a year now and it is getting more and more painful and the bulge is bigger than it has ever been. He manages it very well but when it comes to sex, he produces no sperm at all. We want to have a baby soon but when he ejaculates, there s very little watery substance that comes out. He still has a strong erection and he reaches orgasm but nothing comes out. Please help
Mon, 19 Oct 2015
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Urologist,  's  Response
Hello
Thanks for query .
Your husband has Inguinal Hernia since one year and now facing problem of not ejaculating (Anejaculation).

First of all the problem of anejaculation can not be due to Inguinal Hernia .This could be either due to one of the following two reasons
1) Retrograde Ejaculation
2) Blockage of the Ejaculatory duct .

He needs to consult qualified Urologist for clinical examination and get following basic test done to establish cause of Anejaculation .
1) Ultrasound Scanning of abdomen and Pelvis
2) Trans Rectal Ultrasound Scanning (TRUS )
3) Urine examination immediately after sexual intercourse .this will rule out retrograde ejaculation.
4) MRI of pelvis this will confirm dilatation of seminal vesicle and confirm blockage of ejaculatory duct .

Further treatment will depend upon result of these tests and final diagnosis.

Dr.Patil.

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Why Is He Not Able To Ejaculate Semen During Sex?

Hello Thanks for query . Your husband has Inguinal Hernia since one year and now facing problem of not ejaculating (Anejaculation). First of all the problem of anejaculation can not be due to Inguinal Hernia .This could be either due to one of the following two reasons 1) Retrograde Ejaculation 2) Blockage of the Ejaculatory duct . He needs to consult qualified Urologist for clinical examination and get following basic test done to establish cause of Anejaculation . 1) Ultrasound Scanning of abdomen and Pelvis 2) Trans Rectal Ultrasound Scanning (TRUS ) 3) Urine examination immediately after sexual intercourse .this will rule out retrograde ejaculation. 4) MRI of pelvis this will confirm dilatation of seminal vesicle and confirm blockage of ejaculatory duct . Further treatment will depend upon result of these tests and final diagnosis. Dr.Patil.