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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Retrograde Ejaculation?

yes i belive i may have reterograde ejaculation and no orgasam along with it i have had a ct. and mri s done on my back but have not seen the dr yet for a reading of the results i belive i may have spineal cord issues can you tell me is it possible thats what my problem is ? and what kind of odds are there that this can be cured
Wed, 21 Aug 2019
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General Surgeon,  's  Response
Hello,

Noted that he is using Meloxicam, Clonazepam (SOS), Verapamil and Zolpidem (SOS).

Considering his age of 71, Enlarged prostate can be one reason. All the above-mentioned medicines are known to cause retrograde ejaculation and hence inability to ejaculate.

Retrograde ejaculation means ejaculation into the urinary bladder. This is provided that there is normal erection and there is a normal feeling of ejaculation but the actual ejaculate is not coming out of urethra. Please clarify on these points too.

I would advise the following in such a condition.

- Ultrasonography for genito-urinary system, prostate in particular.
- Blood: routine and PSA (Prostate-specific antigen)
- Per-rectal examination for the prostate.
- An opinion of a Urologist and further investigations and treatment as per the cause found.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ivan R. Rommstein, General Surgeon
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What Causes Retrograde Ejaculation?

Hello, Noted that he is using Meloxicam, Clonazepam (SOS), Verapamil and Zolpidem (SOS). Considering his age of 71, Enlarged prostate can be one reason. All the above-mentioned medicines are known to cause retrograde ejaculation and hence inability to ejaculate. Retrograde ejaculation means ejaculation into the urinary bladder. This is provided that there is normal erection and there is a normal feeling of ejaculation but the actual ejaculate is not coming out of urethra. Please clarify on these points too. I would advise the following in such a condition. - Ultrasonography for genito-urinary system, prostate in particular. - Blood: routine and PSA (Prostate-specific antigen) - Per-rectal examination for the prostate. - An opinion of a Urologist and further investigations and treatment as per the cause found. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon