Ejaculation Issues: Causes, Treatments, and Concerns

Q: Ejaculation Issues: Causes, Treatments, and Concerns

Hello： Your question pertains to the effects of medication. <br>Discontinuing the medication may lead to recovery; some individuals may experience this while others may not. <br>Since the effects of Western medicine are quite precise, medications that relax the prostate may resul

Ejaculation issues

Hello, doctor.
I have been experiencing a feeling of pressure and pain in the area of the prostate for quite some time.
After examination, it was found that there is hypertrophy, with the prostate volume measured at 28.
Additionally, I previously noticed some blood in my ejaculate, and it was diagnosed as aseptic prostatitis.
I later consulted a doctor who prescribed silodosin 4mg.
I returned for a follow-up today.
Since I had blood in my semen before, I refrained from ejaculation for a week.
Today, the doctor mentioned that I could ejaculate once a week, but after trying to do it myself, I was unable to ejaculate at all.
Should I stop the medication? Could this lead to permanent inability to ejaculate? Thank you for your assistance!

Aben, 30~39 year old female. Ask Date: 2016/10/13

Dr. Du Shixi reply Urology

Hello: Your question pertains to the effects of medication.
Discontinuing the medication may lead to recovery; some individuals may experience this while others may not.
Since the effects of Western medicine are quite precise, medications that relax the prostate may result in a decrease or complete absence of ejaculate volume.
If your discomfort improves after taking the medication, it is advisable to consult your physician for a medication adjustment (some patients find that switching to a different prostate medication alleviates the issue, but it is also possible that ejaculate volume may still decrease or be absent, depending on individual responses).
If you do not experience relief from discomfort after taking the medication, it may not be necessary to continue.
However, it is recommended to maintain a normal lifestyle, ensure adequate sleep, and when experiencing discomfort, follow a light diet, avoiding spicy foods and alcohol.
Walking for half an hour each day may also be beneficial.
Thank you for your inquiry.
(If you have hemorrhoids, it is advisable to get checked.)

Reply Date: 2016/10/13

More Info

Ejaculation issues, particularly in the context of prostate health, can be concerning and may arise from various underlying causes. In your case, you have been diagnosed with benign prostatic hyperplasia (BPH) and acute prostatitis, which can lead to symptoms such as pelvic pain, urinary difficulties, and changes in ejaculation.

Causes of Ejaculation Issues
1. Prostate Conditions: Conditions like prostatitis (inflammation of the prostate) and BPH can affect the prostate's ability to function properly, leading to discomfort and changes in ejaculation. Inflammation can cause swelling and pain, which may interfere with the normal ejaculation process.

2. Medications: Silodosin, the medication you are taking, is an alpha-blocker that helps relax the muscles in the prostate and bladder neck, making it easier to urinate. However, one of the side effects of alpha-blockers can be retrograde ejaculation, where semen enters the bladder instead of exiting through the penis during ejaculation. This may lead to a sensation of not ejaculating or a reduced volume of ejaculate.

3. Psychological Factors: Anxiety or stress related to your condition can also impact sexual function and ejaculation. The pressure to perform or concerns about pain can create a cycle of anxiety that further complicates the issue.

Treatments and Recommendations
1. Continue Medication: It is essential to follow your doctor's advice regarding the use of silodosin. If your doctor has recommended a specific frequency for ejaculation, it is advisable to adhere to that guidance. Stopping the medication without consulting your doctor may not be beneficial, especially if it has been helping with your symptoms.

2. Monitor Symptoms: Keep track of any changes in your symptoms, including pain, the presence of blood in your semen, or changes in urinary habits. If you experience persistent issues or new symptoms, it is crucial to report these to your healthcare provider.

3. Follow-Up Appointments: Regular follow-ups with your urologist are important for managing your condition. They can assess the effectiveness of the treatment and make necessary adjustments. If you have concerns about the side effects of the medication, discuss these openly with your doctor.

4. Consider Counseling: If anxiety or stress is contributing to your ejaculation issues, consider speaking with a mental health professional. They can provide strategies to manage anxiety and improve your overall sexual health.

Concerns About Permanent Changes
It is understandable to worry about the possibility of permanent changes to your ejaculation function. In most cases, the effects of medications like silodosin are not permanent and can resolve after discontinuation or adjustment of the dosage. However, it is essential to have an open dialogue with your healthcare provider about your concerns. They can provide reassurance and help you understand the potential side effects of your treatment.

Conclusion
In summary, ejaculation issues can stem from various causes, including prostate health, medication side effects, and psychological factors. It is crucial to continue your prescribed treatment while monitoring your symptoms and maintaining open communication with your healthcare provider. If you have any concerns about your condition or treatment, do not hesitate to reach out to your doctor for guidance. They are best equipped to address your specific situation and provide the necessary support.

Similar Q&A

Understanding Urological Issues: Ejaculation Problems and Treatment Options

Hello doctor, I encountered a problem after masturbation last month. During that session, I tried to suppress my urges by tensing my abdomen, but it seemed like I still reached orgasm. However, while my mind felt like it had climaxed, no semen was ejaculated, and afterward, my pe...

Dr. Du Shixi reply Urology
Hello: Please note that this response is for reference only and cannot replace a doctor's consultation. 1. The doctor hasn't clearly explained my condition, and my symptoms persist. Could I have chronic prostatitis or other issues? -- It's hard to say. If there ha...

Effective Solutions for Managing Premature Ejaculation: A Comprehensive Guide

Hello Doctor, I have a problem with premature ejaculation. I previously consulted a doctor who suggested self-control techniques, and I also tried using antidepressants, but the results were not very satisfactory. I really want to find a fundamental solution to this frustrating i...

Dr. Lai Ronghao reply Urology
Hello: Generally, treatment focuses on medication and psychotherapy, along with attention to physical and mental well-being, balanced nutrition, and regular exercise. If you have any concerns, please visit the outpatient clinic for further examination and treatment. Thank you!

Understanding Ejaculation Issues: Causes and Concerns for Men

Hello, I have two questions: First, every time I am about to ejaculate during masturbation, my sperm seems to get stuck and I feel very uncomfortable. I have to stop moving before I can slowly ejaculate. Why does this happen? Could it be due to insufficient thyroid function lea...

Dr. Xu Weikai reply Urology
Hello, erection and ejaculation are regulated and controlled by the sympathetic and parasympathetic nervous systems. Ejaculation disorders require further examination. Additionally, penile curvature, unless the angle is too severe, typically does not hinder fertilization. If you ...

Understanding Premature Ejaculation: Causes and Solutions Beyond Medication

It is common for individuals to experience a difference in ejaculation timing between masturbation and sexual intercourse. This can be due to various factors, including anxiety, arousal levels, and the physical sensations involved in each activity. To improve this situation, as...

Dr. Du Shixi reply Urology
Hello: Masturbation and sexual intercourse are not exactly the same. If your sexual intercourse, as you mentioned, involves minimal thrusting before ejaculation, this is considered premature ejaculation, and you should seek medical attention from a urologist. What you can do on y...