Retrograde ejeculation

I'am 63 and sexually active. Girlfriend is much younger. Due to time contstrains on occasions, can hardly make it twice under 4 hrs. When time allows can handle it every few hours but without rush. However, after the first time, subseuent performances take longer to ejeculate and volume is always very low. My testosterone level is not abnormal. So what can I do to improve my overall performance including that of ejeculation?

[Kevin Pho, MD]

You may want to be evaluated for any systemic diseases that can cause a change in ejaculation.  This can include diabetes as well as various neurological diseases.  

Other considerations would be evaluating the prostate for enlargement as well as anatomical abnormalities (i.e. urethral stricture or polyp).  A thorough digital rectal exam to evaluate the prostate as well as a cystoscopy can be considered.

These options can be discussed with your personal physician.

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.
Medical Weblog:
kevinmd_b

[Hedges]

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