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Urology (Expert Forum)
No Ejaculation since last week, although feel orgasm usually
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.
No Ejaculation since last week, although feel orgasm usually
by kpatterson, Jul 27, 2006 12:00AM
Hello, I am writing becasue I am concerned about a problem whihc started a few days ago. Firstly, I am a 22 year old male.
I masturbate daily, and engage in sexual intercourse weekly. Until about 7 days ago I had no problems.
For the last 7 days my penis seems somewhat dead, although I can still achieve an errection it does not seem as strong. Also I find it harder to obtain an errection. When I get an errection going, I have been experiencing dry orgasm's meaning that I am unable to ejaculate. WHile masturbating I notice that the pre-ejaculate is still present. I read a lot about this and believe it can be regrograde ejaculation, however I haven not really noticed a change in the color of my urine. In addition, I have been having some pain on the right lower abdomen, slightly above the groin area. The pain seems dull and not strong.
I have visited my family doctor twice since and he believes it might be a groin pull or another injury while lifting weights at the gym. he did a urine sample which came out normal. I talked to him about the ejaculation issue, he said he believes ill be fine in a month and hasn't even heard of retrograde ejaculation. However im still worried since I am very young and do not want sexual problems at such an early age.
IN the past everytime i had an orgasm i would ejaculate. However in teh past 4 months there have been about 3 times where I didnt, ejaculate but I always ejaculated the next time I masturbated. HOwever the last 7 days I have been completely unable to ejaculate.
My question is, do you think I should seek immediate help for this particular issue, or do u think my fmaily doctor is right, with a rest for about a month he says ill be okay.
I masturbate daily, and engage in sexual intercourse weekly. Until about 7 days ago I had no problems.
For the last 7 days my penis seems somewhat dead, although I can still achieve an errection it does not seem as strong. Also I find it harder to obtain an errection. When I get an errection going, I have been experiencing dry orgasm's meaning that I am unable to ejaculate. WHile masturbating I notice that the pre-ejaculate is still present. I read a lot about this and believe it can be regrograde ejaculation, however I haven not really noticed a change in the color of my urine. In addition, I have been having some pain on the right lower abdomen, slightly above the groin area. The pain seems dull and not strong.
I have visited my family doctor twice since and he believes it might be a groin pull or another injury while lifting weights at the gym. he did a urine sample which came out normal. I talked to him about the ejaculation issue, he said he believes ill be fine in a month and hasn't even heard of retrograde ejaculation. However im still worried since I am very young and do not want sexual problems at such an early age.
IN the past everytime i had an orgasm i would ejaculate. However in teh past 4 months there have been about 3 times where I didnt, ejaculate but I always ejaculated the next time I masturbated. HOwever the last 7 days I have been completely unable to ejaculate.
My question is, do you think I should seek immediate help for this particular issue, or do u think my fmaily doctor is right, with a rest for about a month he says ill be okay.
Doctor's Answer
by Kevin Pho, MD, Jul 28, 2006 12:00AM
, Jul 28, 2006 12:00AM
I would consider an evaluate by a urologist.
A cystoscopy can be considered to evaluate for any stricture or blockage. Infection should also be ruled out via urine tests as well as a prostate exam.
Metabolic disorders like thyroid dysfunction, testosterone deficiency or diabetes can also uncommonly lead to your symtoms.
These options can be discussed with your personal physician, or in conjunction with a urology referral.
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_
A cystoscopy can be considered to evaluate for any stricture or blockage. Infection should also be ruled out via urine tests as well as a prostate exam.
Metabolic disorders like thyroid dysfunction, testosterone deficiency or diabetes can also uncommonly lead to your symtoms.
These options can be discussed with your personal physician, or in conjunction with a urology referral.
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_
Member Comments (2)
by kpatterson, Jul 27, 2006 12:00AM
To: Sexual Dysfunction
0
by kpatterson, Jul 27, 2006 12:00AM
To: Sexual Dysfunction
0