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Ask Nadim Al-Mubarak Your Own Question
Nadim Al-Mubarak
Nadim Al-Mubarak,
Category: Medical
Satisfied Customers: 378
Experience:  MD at University Hospital Case Medical Center
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I am a male, 66 yrs old, cannot ejaculate, have been able to

Customer Question

I am a male, 66 yrs old, cannot ejaculate, have been able to do so all my life, however, since my Mother's death, I refused to ejaculate, now I cannot. Is the adage if you do not use it you lose it? I am in therapy regarding my situation. Any suggestions?
Submitted: 5 months ago.
Category: Medical
Expert:  DrRussMD replied 5 months ago.


Welcome to just answer.

You need to see a urologist.

This can actually represent prostate disease.

It can be worse with psychological problems, but prostate treatment might be in order.

There are medications that can help with this specifically.

OK, so you might have more questions or want to give me more information: Please use reply to expert if you have further questions. Also, please click a positive rating [hopefully excellent (5)—that’s how we are paid, per rating]. If you forgot something, just use reply and come back. I am here

Customer: replied 5 months ago.
I have had routine prostate exams, a digital rectal exam a year ago. However, after trying to resolve medication issues, I have reduced the xanax I took for 10 years. Also, I have taken effexor for the past 15yrs. and I could achieve a successful ejaculation, however in the past 7 years, I had no desire to do so as I felt guilty about my Mom's death. Guilt can be devastating, I am addressing the guilt, now, I cannot achieve a ejaculation climax.
Expert:  DrRussMD replied 5 months ago.


So what is your question at this point?

Expert:  Nadim Al-Mubarak replied 5 months ago.