I agree with the urologist because it can be retrograde ejaculation. Diabetes can cause neuropathy of the bladder sphincter and hence retrogarde ejaculation. Retrograde ejaculation caused by diabetes or surgery may be improved with a medication that improves the muscle tone of the bladder neck.
In addition he should control his blood sugar levels and do some kegel exercises to tone up the muscles.
Other common cause of such symptoms are ejaculatory duct obstruction, medications for treating high blood pressure, prostate enlargement and mood disorders, multiple sclerosis, spinal cord injury or seminal vesicle obstruction. Sometimes procedures like prostatectomy, transurethral incision of the prostate (TUIP), transurethral microwave therapy (TUMT), transurethral needle ablation (TUNA), laser therapy of prostate and transurethral resection of the prostate (TURP) may also cause such symptoms. I suggest you to consult a urologist and get some investigations done. These include blood sugar levels, blood tests, ultrasound of the prostate, ejaculatory ducts and seminal vesicles and BP monitoring. I
I hope it helps. Take care and regards.
Thanks so much for writing back to me! What I am not understanding is the urologist stated retarded ejaculation which I understand it to be different then retrograde ejaculation. He did tell him he doesn't think it would be retrograde due to his sensations he still feels before, during and after sex. So I am a little lost I would love to do more test but the insurance doesn't cover it. So we will see one day just hope it's not too late. Thanks again :)
As far as the other number of things you listed the only one that applies would be medication for High Blood Pressure. I will hope to get the ultrasounds done but need to find a good doctor because this one seems to want to do nothing. Anyways thanks once more.