Inability to ejaculate during masturbation despite reaching orgasm?
A few days ago, I went to the hospital to have my kidney stones broken up with ultrasound.
After returning home, my urination was normal and the color was normal.
In the evening, during masturbation, I was able to ejaculate.
However, the next day, during masturbation, I couldn't ejaculate at all.
I thought resting would help, but today when I tried again, it was the same; I couldn't ejaculate during climax for two consecutive times.
Doctor, what could this symptom indicate?
A-Yan, 20~29 year old female. Ask Date: 2016/07/11
Dr. Liu Jiaju reply Urology
Both stone surgery and extracorporeal shock wave lithotripsy do not affect ejaculation function.
It is possible that the postoperative use of alpha-blockers, intended to facilitate the passage of residual stones, may lead to ejaculation disorders as a side effect, particularly in younger individuals who are more susceptible.
However, this condition typically improves after discontinuation of the medication.
Reply Date: 2016/07/11
More Info
Experiencing a dry orgasm after kidney stone treatment can be concerning, but it is not uncommon. This phenomenon, known as "dry orgasm," occurs when a person reaches orgasm without the expulsion of semen. There are several potential reasons for this, especially following medical procedures related to the urinary tract or reproductive system.
Firstly, it's important to understand that kidney stone treatments, such as extracorporeal shock wave lithotripsy (ESWL), can lead to temporary changes in the body. The procedure involves using sound waves to break up kidney stones, which can sometimes affect the surrounding tissues, including those involved in ejaculation. The shock waves can cause inflammation or irritation in the urinary tract, which might temporarily disrupt normal function.
Additionally, medications prescribed after kidney stone treatment, such as pain relievers or muscle relaxants, can also impact sexual function. Some medications may affect the nerves or muscles involved in ejaculation, leading to a dry orgasm. If you have been taking any new medications or have adjusted dosages, this could be a contributing factor.
Another possibility is psychological. Stress or anxiety about your health or the treatment can affect sexual performance and arousal. The mind plays a significant role in sexual function, and if you are preoccupied with concerns about your health or recovery, it may impact your ability to ejaculate.
Moreover, the body may need time to heal after any medical procedure. If there was any trauma to the nerves or tissues during the treatment, it might take some time for normal function to return. It is also worth noting that some individuals may experience changes in sexual function after any surgical procedure, and these changes can be temporary.
If this condition persists, it is advisable to consult with your healthcare provider. They can conduct a thorough evaluation to rule out any underlying issues, such as nerve damage or other complications related to the kidney stone treatment. They may also assess your current medications and suggest alternatives if they are contributing to the issue.
In the meantime, here are a few recommendations to help manage your situation:
1. Stay Hydrated: Continue to drink plenty of fluids, as hydration is essential for recovery and can help maintain normal urinary function.
2. Monitor Symptoms: Keep track of any other symptoms you may experience, such as pain, discomfort, or changes in urination. This information can be helpful for your doctor.
3. Reduce Stress: Engage in relaxation techniques such as deep breathing, meditation, or gentle exercise to help alleviate any anxiety related to your health.
4. Communicate with Your Partner: If you are in a sexual relationship, discuss your experiences with your partner. Open communication can help reduce anxiety and improve intimacy.
5. Follow-Up: Schedule a follow-up appointment with your healthcare provider to discuss your symptoms. They may recommend further tests or evaluations to ensure everything is healing properly.
In conclusion, while experiencing a dry orgasm after kidney stone treatment can be unsettling, it is often a temporary condition. By monitoring your symptoms and consulting with your healthcare provider, you can gain a better understanding of your situation and find appropriate solutions.
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It is likely a case of retrograde ejaculation, which will return to normal after discontinuing the medication, so there is no need for concern.[Read More] Post-Stone Treatment: Why Am I Experiencing Dry Ejaculation?
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Hello, I'm not sure if your extracorporeal shock wave lithotripsy was performed on the kidney or the ureter. Generally, if it is not a kidney issue, it is rare to hear about the symptoms you mentioned occurring after lithotripsy. I recommend that you promptly consult the phy...[Read More] Why Am I Experiencing No Ejaculation After Kidney Stone Treatment?
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Dr. Liu Mingyue reply Urology
Hello: The information provided here is for reference only. Medications that may assist in stone passage can affect ejaculation, so please discuss this with your physician during your follow-up visit. Currently, increase your fluid intake. Wishing you good health.[Read More] Post-Shockwave Lithotripsy: Why Am I Experiencing Dry Ejaculation?
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