Post-Kidney Stone Treatment: No Semen During Ejaculation Concerns - Urology

Share to:

After developing kidney stones, I experienced frequent urination. Recently, after taking medication, I noticed that during masturbation, there was no semen during ejaculation?


Hello Doctor, I recently underwent treatment for kidney stones and discovered an issue with frequent urination.
After consulting a physician, I was prescribed medication to alleviate bladder and prostate hyperactivity.
Today, during masturbation, I experienced the sensation of orgasm and ejaculation, but there was no semen or any lubricating fluid secreted from the urethra.
Could this be related to the medication or is it indicative of a prostate issue?

Zhi, 40~49 year old female. Ask Date: 2017/04/03

Dr. Du Shixi reply Urology


Hello: Some medications may reduce semen volume or cause retrograde ejaculation (not everyone will experience this).
It does not mean that semen is not produced, but rather that it may flow back into the bladder.
Please discuss this with your doctor during your follow-up visit, as alternative medications or discontinuation of the current medication may be considered.
Thank you for your inquiry.

Reply Date: 2017/04/03

More Info


Experiencing a lack of semen during ejaculation after undergoing treatment for kidney stones can be concerning and may stem from various factors. It is essential to understand the potential causes and implications of this symptom, especially in the context of your recent medical history.

Firstly, medications prescribed for bladder and prostate issues, such as those you mentioned for alleviating frequent urination, can indeed affect sexual function. Certain medications, particularly those that are anticholinergic or alpha-blockers, can lead to side effects that include changes in ejaculation. For instance, some medications may cause retrograde ejaculation, where semen enters the bladder instead of exiting through the urethra during ejaculation. This condition can result in a dry orgasm, which may explain the absence of semen during your experience.

Additionally, the prostate gland plays a crucial role in the production of seminal fluid. If there are underlying prostate issues, such as inflammation or benign prostatic hyperplasia (BPH), this could also contribute to changes in ejaculation. It is important to consider whether you have experienced any other symptoms related to prostate health, such as pain, difficulty urinating, or changes in urinary flow.

Moreover, the psychological impact of your recent medical treatments and the stress associated with health concerns can also affect sexual function. Anxiety and stress can lead to temporary changes in libido and sexual performance, including ejaculation issues.

Given these considerations, it is advisable to consult with your healthcare provider or a urologist. They can perform a thorough evaluation, including a physical examination and possibly additional tests, to determine if there are any underlying conditions affecting your prostate or if your current medications are contributing to the issue. They may also discuss alternative treatment options or adjustments to your medication regimen to alleviate the side effects you are experiencing.

In the meantime, maintaining open communication with your healthcare provider about any changes in your symptoms is crucial. If you notice any additional symptoms, such as pain during urination, blood in urine, or persistent discomfort, it is essential to seek medical attention promptly.

In summary, the absence of semen during ejaculation after kidney stone treatment could be related to medication side effects, prostate health issues, or psychological factors. A thorough evaluation by a healthcare professional is necessary to identify the underlying cause and determine the appropriate course of action. Your sexual health is an important aspect of your overall well-being, and addressing these concerns with a qualified provider can help you regain confidence and comfort in your sexual function.

Similar Q&A

Post-Stone Treatment: Why Am I Experiencing Dry Ejaculation?

After taking medication for kidney stone treatment, there is no semen during ejaculation.


Dr. Fu Shizhang reply Urology
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?


Understanding Ejaculation Issues After Kidney Stone Treatment

A few days ago, I went to the emergency room due to severe pain in my right abdomen. After examination, it was found that I had a ureteral stone blockage. That day, I underwent shock wave lithotripsy treatment and went home. I experienced pain for three to four days, with only th...


Dr. Du Shixi reply Urology
Hello: The information provided here is for reference only. Medications that may assist in stone passage can affect ejaculation. Please discuss this with your physician during your follow-up visit. Currently, increase your fluid intake. Wishing you good health.

[Read More] Understanding Ejaculation Issues After Kidney Stone Treatment


Why Am I Experiencing No Ejaculation After Kidney Stone Treatment?

I recently underwent extracorporeal shock wave lithotripsy for ureteral stones this week. Due to recent sexual urges, I have been resolving them through masturbation, which has led to orgasm; however, I noticed that there was no ejaculation. Could this be due to kidney injury? I ...


Dr. Sun Hongshun reply Urology
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?


Why Am I Experiencing Dry Orgasm After Kidney Stone Treatment?

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&#x...


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...

[Read More] Why Am I Experiencing Dry Orgasm After Kidney Stone Treatment?


Related FAQ