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DrRussMD, Doctor (MD)
Category: Health
Satisfied Customers: 64330
Experience:  Practice Director
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Im 54 years old healthy, have erections on demand but my

Customer Question

Im 54 years old healthy, have erections on demand but my Ejaculation has went fron a good amount to almost nothing, what could be the cause, I dont smoke I dont drink often, I dont drink coffe
JA: The Doctor will need to help you with this. Is there anything else important you think the Doctor should know?
Customer: I get a decent amount of exercise Im athletic and healthy no drug use or supplement use
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Submitted: 1 year ago.
Category: Health
Expert:  Dr Basu replied 1 year ago.

Hi there,
This is Dr Basu, experienced Internal Medicine Specialist.
I am here to address your concerns and provide great service.

Lack of ejaculation can be due to the prostate gland issue.
Enlarged prostate gland can prevent the semen from coming out.
Instead the semen can go to the bladder.
Sometimes, there is no emission at all.
So medication to relax the prostate gland may also help with the ejaculation.
Alfuzosin ( Uroxatral) is favored as it does not interfere with the ejaculation.
In cases of retrograde ejaculation, that is if the semen is going to the bladder, that improves with Sudafed tablets 1 hour before the sexual intercourse.
Best wishes,
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Customer: replied 1 year ago.
no problem with my prostate size wise no interference with urination
Expert:  Dr Basu replied 1 year ago.

Blockage in the spermatic cord is the likely cause then.

Ultrasound should be ordered.

Customer: replied 1 year ago.
this site has to many pop ups to even know whats going on where is the answer you were going to charge $15 now I have had offers for other stuff fo $40. but no answer to my question..this site is confusing.. bye..
Expert:  Dr Basu replied 1 year ago.

I replied to your question above.

Any follow up question?

Expert:  DrRussMD replied 1 year ago.


There are many possible causes here.

This includes medications you might be on.

Urethra problems can also cause this.

You need to see a urologist.

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