How to Discuss Ejaculation Issues with Your Urologist - Urology

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RE. Inability to control ejaculation


Thank you for the doctor's response.
I still have some concerns.
Due to my dialysis treatment, I believe there should be no urine in my bladder, so I don't experience a feeling of fullness.
If I go to a urologist for an examination, how should I explain my symptoms? Should I say "I cannot control ejaculation" or "I ejaculate without an erection"? After all, discussing ejaculation can be a bit embarrassing.

Da Xiong, 30~39 year old female. Ask Date: 2012/04/25

Dr. Xu Weikai reply Urology


Hello, just inform the physician according to your clinical symptoms.
If it's inconvenient, you can write it down on paper instead of speaking.
Additionally, hemodialysis does not completely eliminate urine output.
Sometimes, urinary tract infections or other irritations can also cause erections and ejaculation.
Recommendations: 1.
Urinalysis 2.
Ultrasound 3.
Cystoscopy If there are any unclear points, feel free to ask again for further discussion and research.
Online responses can only serve as a reference; if necessary, you should seek medical attention at a healthcare facility.
This message is from the Department of Urology, Director Hsu Wei-Kai, Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2012/04/25

More Info


Discussing sensitive issues like ejaculation problems with your urologist can be daunting, especially when you have concerns related to your health condition, such as undergoing dialysis. However, it is crucial to communicate openly with your healthcare provider to receive the best possible care and guidance. Here are some tips on how to approach this conversation:
1. Be Honest and Direct: When you visit your urologist, it’s important to be straightforward about your symptoms. You might start by saying something like, “I have some concerns regarding my sexual health, specifically related to ejaculation.” This sets the stage for an open discussion and lets your doctor know that you are serious about addressing your issues.

2. Describe Your Symptoms Clearly: It’s helpful to describe your symptoms in detail. You could say, “I’ve been experiencing issues where I ejaculate without being able to maintain an erection,” or “I find that I have difficulty controlling ejaculation.” Providing specific details will help your doctor understand your situation better and guide them in making an accurate diagnosis.

3. Discuss Your Medical History: Since you are on dialysis, it’s essential to mention this to your urologist. Explain how your condition might be affecting your sexual health. You could say, “Given my dialysis treatment, I’m concerned about how it might be impacting my sexual function, including ejaculation.”
4. Express Your Concerns: If you feel embarrassed or anxious about discussing these issues, it’s okay to express that. You might say, “I find it a bit uncomfortable to talk about these issues, but I know it’s important for my health.” This can help create a more comfortable environment for the conversation.

5. Ask Questions: Don’t hesitate to ask your urologist questions about your symptoms and potential treatments. You could ask, “What could be causing these issues?” or “Are there any treatments available that could help with my ejaculation problems?” This shows that you are engaged in your health and willing to explore solutions.

6. Follow-Up: After discussing your symptoms, make sure to ask about the next steps. You might say, “What should I expect moving forward?” or “Will I need any tests to further investigate this issue?” This will help you understand the process and what to anticipate.

7. Consider Bringing a Support Person: If you feel particularly anxious about the conversation, consider bringing a trusted friend or family member with you. They can provide support and help you articulate your concerns.

8. Remember That Urologists Are Professionals: Urologists deal with these issues regularly and are trained to handle sensitive topics. They are there to help you, and discussing your symptoms is a vital part of your healthcare.

In summary, when discussing ejaculation issues with your urologist, approach the conversation with honesty and clarity. Describe your symptoms, express your concerns, and ask questions to ensure you receive the best care possible. Remember, your health is the priority, and open communication is key to effective treatment.

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