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Urology  (Expert Forum)
 | 
Hard to ejaculate
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.

Hard to ejaculate

by cannot, Dec 17, 2005 12:00AM
I have an extremely hard time reaching a climax. I am male, 68 years old, in good shape taking no medications. I have an annual physical. I have a very attractive, much younger wife. We have sex about twice a week. For the last several months about 1/3 of the time I can’t come or at best it takes a lot of work, this is true even masturbating. I get hard but.........

by Kevin Pho, MD, Dec 19, 2005 12:00AM
You may want to ensure there isn't an obstructive cause that may be causing your symptoms.  



An exam to evaluate for prostate enlargement can be done (via a digital rectal exam or transrectal ultrasound).  You can also consider a cystoscopy to evaluate for urethral strictures or polyps.



These options can be discussed with a urologist.



Followup with your personal physician is essential.



This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.



Kevin, M.D.

kevinmd_b
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