Dry ejaculation, Tamsulosin Hydrochloride, Patient, Diffundox And Viagra.



Dry ejaculation

Posted 18 January 2011 at 18:39

My husband is Type 1 diabetic and was also recently diagnosed with an enlarged prostate. Diabetes affects blood pressure – raising it, and it may in some men cause erectile dysfunction. Tamsulosin Hydrochloride was prescribed and my husband has taken it for approximately 2 – 3 months. I can report that his urine flow has increased significantly but he does not produce semen when ejaculating, something he has been oblivious to and it is only me who has noticed it. Failure to produce semen is not listed as a side affect to the drug and I feel it is of low incidence and has therefore gone unreported. This failure presents no problem to my husband or me presently and only if it does will he report it to his GP. May I respectfully suggest to those men who find it problematical that they tell their doctors who will a) explain the possible cause of the side effect; b) change the medication or c) give reassurance that this will not affect their sexual performance.

63 Replies

I started taking Tamsulosin Hydrochloride and after 12 days experienced dry ejaculation, You are right, my wife did not notice it as we were using KY jelly and it was wet, but i could feel that i did not spill. It was not a good feeling. My doctor told me this will happen along with other side effects such as dizziness, nausea which i have been experiencing.

I have stopped taking this tablets and feel the dizziness is gone. I have not tried to ejaculate as they effect of the tabs might last for some time. I will post the expereince once I try.

Just for your information, i read on the net that Keagal exercises will help to strengthen the prostrate and i have started doing it. The effect will only be know after few weeks.

I will investigate to see if there is any alternate medication to help with my problem.

How about your husband. did he get any relief or is he still using this tabs. How are you copinng with the dry ejaculation

please share your experiences.

I was prescribed Tamsulosin Hydrochloride By my GP for an enlarged prostate 6 weeks ago. She told me that in her experience no patients she had prescribed this drug for had experienced any side effects.After taking it for about 2 weeks I also noticed very little semen being ejaculated and then followed by dry ejaculation which felt unsatisfactory. I also experienced a somewhat stuffy nose when in bed at night. After taking the drug for 5 weeks I was still having to get up at night 3 or 4 times to urinate which was the same as before I took this drug. I decided to stop taking the drug and after a week or so my ejaculation of semen returned to normal.

Talking to a friend who has the same prostate problem he told me he has been taking a supplement called Prostate Gold and that now he only ever gets up once a night to urinate and sometimes not at all. So I have ordered a supply and will write on here my experience of this supplement after 4 to 6 weeks of taking it.

I asked my doctor what side effects Petyme had and he said none really, it was well tolerated and could assist by lower blood pressure slightly. Well immediate dry ejaculation is a pretty dramatic side effect to me and I guess most men and the term abnormal ejaculation on the products information sheet does not properly describe what is obviously a common symptom from this forum.

I also experience a stuffy nose at night with no hint of a cold.

My doctor said I should take it for 3 months to see its affect so I imagine the drug can take that long to shrink the prostate although that is a guess. I will keep taking it to see if it works – it hasnt done for urine what it has done for semen yet! – but I might give up based on the ejaculation issues, it does diminish the experience somewhat.

You may well need to take the drug for life.  The alternative may be an operation on prostate [TURP etc] which may leave you impotant.  Which is worse dry ejaculation or that?

It may be that the semen is passing back into bladder [retrograde ejaculation] you can sometimes see cloudy strings in urine passed thereafter

Regarding your query about "dry ejaculations" when taking Tamsulosin;

This is alluded to on the leaflet which is enclosed with the medication, but it is usually referred to as erectile dysfunction and doesn't say what exactly that means. Internet enquiries explained that it is not a "dry" process, as the ejaculation is made into the bladder. A scarey experience when you know what has happened! So, until I had my very recent surgery (a TURP) to resolve an enlarged prostate, I opted for abstinence. Sadly, it appears necessary to jump through all the preparatory NHS hoops via medication before the inevitable surgery is performed. I had 9 months of worry before it was agreed that I had a "very large" prostate requiring surgery.

My other negative side-effect was rhinitis, which exacerbated that already caused by Amlodipine (for high blood pressure). The outcome was dense headaches and a snotty, cruddy nose which kept me (and my partner) awake and often struggling for breath. Thankfully the prostate medication ceased with surgery, so I'm getting back to delaing with just one set of side-effects.

Surgery appears to be the inevitable outcome for most people, so it also appears that the medication has to be endured until such time as the consultant is sufficiently concerned to advocate surgery.

Hang on in there and good luck

I also am experiencing dry ejaculation.  I have found my orgasms to be just as satisfactory as prior to beginning the medication.  I have also not had issues related to dizziness.  I am having the stuffy nose.  I plan to keep taking the medication as it has made a significant difference in the number of trips to the bathroom during the night.

Nasal congestion can be an issue any time of day, though most of us have a tougher time of it while lying down.  My doctor had recommended taking it at night, but I can't sleep with a stuffy nose, so I shifted to taking it right after breakfast.

FOR ME the results were great!

It is worth noting that Tamsulosin specifically relaxes the muscles of the prostate.  An orgasm normally causes robust contraction of these muscles.  However, under the influence of Tamsulosin, the very relaxed muscles are less responsive (as they should be) and have difficulty contracting.  Weak contractions mean less fluid will be forced out of the prostate – resulting in little or no ejaculate.

Planning for sex is not always possible, but try this as it works for me.

Tamsulosin's suggested dosing is once per 24-hour period, and strictly at the same time every day.  Most of us engage in sexual activity during one portion of the day only (late evening, morning, etc.).  Taking the dosage AFTER one's usual time for sex (such as after the 8 a.m. breakfast for those engaging in sexual activity before breakfast) may help with the muscles' ability to contract.  The logic is that the body metabolizes the drug and has a much reduced concentration of Tamsulosin twenty-one hours after it is taken (than one hour after it is taken).  Conversely, if one's usual time (sexual activity) is late evening, then Tamsulosin shouldn't be taken any time in the evening unless it is taken after sexual activity.  Just remember to take it about 30 minutes after eating.

Personally, I would suggest taking the dosage in the morning, even for those who usually engage in sexual activity during late evening.

thanks everyone for your open honest replies to the OP

I have suffered from dry ejaculations since taking this drug but not everytime we have sex. sometimes everything works as normal and sperm is produced then next time we have sex it is dry again. at least the comments on here help me to understand that it is likely to be a side effect of the medicine.

I am a Type 2 diabetic controlled by Metformin and am taking Tamsulosin for a slightly enlarged prostate (50mms) and to lessen the need for nocturnal visits to the bathroom.

I have been taking the drug for 3 months now and can report that the dry orgasms persist but not all the time. Sometimes the ejaculate is near to normal but the orgasm remains dull and not totally satisfactory. I still make two visits to the bathroom per night and am contemplating asking my Doctor whether the treatmaent is worthwhile.

good article here:

I sympathise. I have been having occasional dry ejaculations after taking tamulosin. My solution so far is to not take it the day before expecting intercourse.  A bit of prior organisation but easier for older men

How long did it take you after using Tamsulosin to produce semen?

I was snipped 40 years ago (my wife was then diagnosed – wrongly – with a disease caused by oral contraception) so do not produce semen; only a seminal fluid.  Since reducing tamulosin to 1/2 dose on day before sex, and to zero dose on the day, and resuming dosage on day after, I seem to have avoided dry ejaculation.  Requires advance planning but much preferable to no sexual activity IMHO.

Is there any alternative to Tamsulosin as I have been experiencing the lack of ejaculation, no production of sperm at all. I was given Tamsulosin to treat me for urination problem I.e. Having to Waite an age to pass water. 

this is exactly what I experience atm. 

can you please update how long it took you after using Tamsulosin to produce sperm?

Same Diagnosis as me, stopped taking Tamulosin for months now, still no ejaculation. 

I have not taken Tamsulosin Hydrochloride for over a year but instead was prescribed Permixon following a heart attack in January 2015. All the side effects of Tamsulosin disappeared and I have benefited from a lessening of the requirement to visit the loo several times each night. The sexual problems have also disappeared. 

Thank you for writing this. it gives me hope that the dry ejaculation is really caused from Tamsulosin. Tomorrow's the last day I'll take that medicine, so I hope I'll go back to normal ejaculation soon.

Can you get permixon from GPS in the uk. I'm taking tamsolosin at the moment and am fed up with the side effects. I wanted to see if I could find out as sometimes GPS need persuading to let you try something else.

Hi Steve, re your comments on Tamulosin. I have been on this together with Finisteride for last two years. The two drugs are prescribed for prostrate enlargement and work together to reduce the prostate. As a result after a while there is less fluid ejeculated, and what does goes int the bladder, which I feel does cause an irritation. Have you experienced that?

Have no knowledge of Permixon, but will check it. I have an appointment with my doctor next week, and have recently had a blood test so will find out latest psa reading. My age (78) so that doesnt help!

Steve. Apologies for being slow but have been abroad for a week without proper computer access. The short answer is I don't know,  My urologist suggested either Finasteride or Dutasteride to help shrink my prostate.  But I demurred as he said this could affect sexual performance.  For the time being (I am 74) I will live with the longer wait sometimes to pee.

Tamsulosin is one horrible drug. Taking this drug is the end of a persons sex life as he once knew it. Had my doctor told me of this side effect, I would not have taken the drug.

I had a P.A.E. in June and much of my BPH urinary problems have subsided. However, my sex life it still totally *&ucked up. I stopped taking Tamsulosin 6 weeks ago and there has been no improvement. I still have no siemen as well as retrograde ejaculation.

Accordingly, My urologists says I should return to normal in 2 to 3 months. I'm waiting.

I was told it can take up to 4 to 6 months to get it out of your system.

Rick. I find that stopping it the day before I meet my GF deals with it. Then I resume the day after.

I would try that i take the flomax at night befor bed and i also take procar in the morning after i eat so until  i find a better solution.

thanks for your commemt.

i guess i will just live with it the way it is

Why have we had so few posts from healthcare professionals on this subject? My GP simply shrugged her shoulders and told me to stop using the medication. 

Thank you for talking abt this..I hv been taking tamsulosin hydrochloride 400mg daily for abt three years now, due to problems of urine retention due to BPH, on suggestion of my GP.

Of last since abt one month i have noticed the problem of dry ejaculate. am wondering whether there is any other medication which would help me get around this problem and whether the problem would autocorrect once I stop taking the medication.

Re dry ejaculation, I have found omitting the Tamsulosin the day before sex goes some way to improving matters, without noticeably affecting urine stream ( I take the tab immediately after sex, just to be safe)

I agree entirely. I do the same

Yes this is very true.I am experiencing the same thing. My seamen dose not come out and more over my penis dosent get a hard on. I was having a little hard time passing urin so my uncle advised me to take urinal 0.4 mg I took just one strip of 10 tablets.and my sex life was gone. I am struggling with erection.and dryness of semen.ans pain and blister at the top of my penis. I have stopped taking tablets. Will it come bace to normal please advice.

Yes in my case it did. I stopped taking Tamulosin and after around six weeks I started to have wet ejaculations again. 

No doubt you used Tamsulosin in the first place because you needed. Yes, wet ejacs would be great, but how did you cope urine wise, without Tamsulosin ?  Thanks

Thanks for your reply. I had a raised psa, of 6.5 and was refered to a urologist who monitored and checked prostate. After six months he signed me off. I requested something to stop being disturbed in the night to pass urine. The Doctor put me on Tamulosin and also Finisteride which he said would take three months to be fully effective. However I have been on these drugs for a year, and still need to get up in the night usually 3am. So the drugs have not stopped that. A recent psa test gave a result of 3.5 so I wonder if I need these drugs or not. The Doctor says I won't know how much unless I stop taking. I think there is no harm in leaving off occasionally.

David, thanks for your reply.

So message to all out those like me on Tamulosin. The Practice I am registered with have just switched me to Pamsvax XL 400mcg capsules which I understand from them is the same as Tamulosin MR 400mcg capsules. This is more cost effective and will save the NHS which will result in more funds availble to improve care in other areas.  Has anyone else used this variation, and does it have any noticable effect?

Google search says " The active ingredient in Pamsvax XL is tamsulosin hydrochloride. facilitating urination. In addition, it diminishes sensations of urge."  It will be interesting to learn if it makes any difference for you,  My urologist is trying me on alfuosine.  This is relaxing the prostate, but in sudden bursts – a bit like a dam about to break. I doubt I will continue with it when the course ends

Hello David. I read your concern and wish to advise that while Tamusolin is trying to keep the prostate in check by limiting the flow of blood and therefore the rediction of ejaculation, I don't think it is able to control the amount of urine it passes in the middle of the night. I used to get up at least 5 times at night but it wasn't because I could have a problem with my kidneys, hell not. By carefully monitoring myself on what I eat and what I don't I discovered that the vegetables eaten at dinner are the reason why there is a lot of urine in the bladder. and a full bladder will immediately tell the brains it's time to wake up to drain it or suffer the pain. If you hold on, then it starts to cause a LOCK effect, you go to the toilet and sit there for quite some time and the urine won't pass until you wake up completely to relax the uretha sphincter muscles near the prostate. After the urine flows, there is this feeling that the bladder hasn't drained well, so you return to bed and have that unusual feeling that the bladder is still half filled. So, either you remain on the toilet bowl and wait till the muscles relax and pass the second and final urine, or go back to bed. And because the bladder was half full, in one hour you have to get up again half asleep to repeat the same sleepless cycle. This is the result of either eating water rich vegetable late in the evening or you have cups of tea and other drinks after 9pm. It's a bad habit that makes you sleepless and tired during the day. For this reason, vegetables and other meals that have a high water contents need to be eaten earlier in the evening, usually 6pm. Try it and see. If you eat broccoli, gabbage, spinach, silverbeets, carots and other water retaining vegetable, you're likely to end up going 3 or 4 times to the toilet during the night. But if you have the same veggie meals earlier in the evening, the body digests and processes it and while you do a small workout, you are fully awake to feel the bladder getting full and go to the toilet. So, by the time you go to bed, the kidneys have already done their job and will be rested when you go to bed. I eat Veggie dinners around 6pm and 7pm, no later and then do some non strenious exercises on my garage gym and a brisk one hour walk. I don't watch TV muck because there is nothing to watch these days, only ads.So, if I must eat later than 7pm, I will have something less watery. Better to have something very light so that the energy that the body has stored doesn't end up as fat. Normally people who are active have dinners after 6pm, but then they either do home exercises one way or another so that the energy is transferred to the exercised muscles, or go for a walk/jog to keep the legs from muscle shrinkage if you're in the 60's. Tamusolin has no effect on the flow of urine at night. If it did, then I am also in trouble. I've used it since December 2016 and it took 2 months to take effect, and on the third month I noticed the lack of ejaculation. My GP assured that it is not only Tamusolin that is causing no ejaculation but type 2 diabetes too, and urged to fight to keep diabetes in check then he will stop the prescriptions on condition that I continue to stay active. Cheers.

Thank you for your correspondence on this matter. You clearly understand the problem and I can relate to many of the effects you have explained. I think your way of exercising control on production of urine is particularly interesting. Being diabetic you are probably more aware than others how important diet is in controlling your health.  Thank you for the advice I think that you have made some excellent suggestions.

Tamulosin is prescribed for BNP benign enlargement of prostate. The drug I think restricts blood to the prostate in order to shrink it. By shrinking the prostate rthat will reduce the production of semen. So it is a vicious circle. I am sure Tamulosin effects the sensitivity of your sex organs, in its process of reducing the prostate. This is only my personal opinion, and is not based on medical knowledge. But much of the comments relating to this drug tell the same story. After leaving of t his drug for a few days I notice an inprovement in sexual performance.

Tamulosin is designed to reduce the pressure which the prostate exerts on the bladder (and I am fine with that) but it seems also to restrict the prostate's production or release of seminal fluid.  Which I know not but either way it seems to result in an orgasm without any seminal fluid coming out.  My consultant has switched me to alfuzosine but that seems to behave in the same way unless I don't take it the day before I am meeting my partner.

Each person will experience different symptoms. Having a dry ejaculation does not mean the intensity is any less pleasurable in my experience and does not effect sexual performance. It does in my opinion hwoever seem to effect exercise performance and stamina.

Hi Durteger, thanks for that, can agree with that to some extent, not sure what you mean by effecting exercise and stamina, at 78 my stamina is not too good at the best of times, but you can't expecttoo much at that age!

Appreciate your response

I agree too, in part, but my partner was disconcerted when there was no ejaculation.  More concerning for us both when ejaculation is much delayed, despite both our efforts.  I think it is the tamulosin which delays things.

I've no doubt that Tamsulosin is the culprit. However, if that's what it takes to prevent acute retention, so be-it. As a completely irrelevant aside, I now live in N Ireland, but began my prostate adventure (so to speak) when I lived in Sutton, and worked in Croydon. Small world.

I am in the same boat. I ended up in hospital because the passing of urine was extremely painful and little was passing out until one day the problem got worse and no more than a trickle of urine was passing. At the hospital I was put on a catheter and carry bag and finally I got some relief at fully empting the bladder. Then I stayed overnight to make sure things were going accordingly. Next day I got discharged with the catheter and the nuisance of limited movement but otherwise I was able to manage. However, I wasn't happy with the hospital because even though they are professional doctors they caused inflamation that bled blood through the tube and outside the uretha opening because they have falied to moisture the tube with lubricating jelly at each bit of tube insertion in the uretha and that caused a lot of pain because the tube was actually 'scraping' on the inflamated uretha. Then when they sent me home they did not provide me with medicines if that's what they though it was the enlarged prostate. So I was at home with the catheter for two weeks and not knowing whether it was really the prostate causing urinal blockage. After 2 weeks I returned to the hospital to have the catheter removed and see if I could pass using by drinking water and walk around inside the hospital. By the afternoon I still couldn't pass urine with ease. There was s this burning pain every time using pass passing a certain area near the uretha muscles that stops the urine from escaping. THe hot and acidy using was actually causing the muscle to lock and stop the urine from fully passing out without some straining and pain. I was bedded again and a doctor then reinserted the catheter again, and frankly enough it was the wrong size but I did not know, all I noticed later that the first one had a green band on the tube and the new one was orange. So, this larger one was causing more pain upon insertion because A) too thick, B) no lubrication at each insertion, only lubrication they did was before insterting the tip. The rest of the tube length was insterted without lubrication and that absolutely caused excruciating pain that I almost fainted if the stupid doctor (supposed to be a doctor mind you) didn't stop for a minute, or checked that he had inserted the wrong size tube. when done, the bleeding started to get worse and I was told this usually happens during this process. But then, it bled even during my hospital discharge, the bag was filling with blood and clots and for the next two days, more and less clots and traces of blood flowed from inside the tube and into the bag. Before sending me home I was given a medicine, Tamsulosin Hydrocloride, to take one a day after food, preferably after dinner for another two weeks. For two more weeks it was increasingly difficult in sleeping with the tube and the bag placed on the floor and in moving I was unable to walk far with a urine bag attached to one of my legs. After two more weeks, I returned to have it removed without results, they said the medicine wasn't working, so they started to suggest surgery, of which I refused because I really felt this is not a prostate problem, this has to be something else that I did not know at that time. As with all the other times that they removed the catheter and told me to hang around the hopital, walk, dring water and use the loo to try and pass water, it didn't work and when I needed to have the catheter back on once again, guess what? The hospital had no doctors, they went on holidays. I was told. So, in bloated pain and little urine passing through, I had to wait nearly 6 hours to have another catheter inserted and the only doctor available was a surgeon. Can you you imagine what it felt like during those waiting hours? When the surgeon finally arrived at the Ward, I painstakingly made it to a hospital's inspection chair, as there were no beds to lay on, and the surgeon inserted the correct coloured catheter, and he did it the correct way, slow insertion and lubricating the tube as he inched in to stop the scraping of the tube inside the uretha. This in turn caused no noticeable blood or clots, and I was happy with that. After these extra two weeks, I decided to tell the doctor that I have no intention to have the catheter removed, instead I asked the doctor to give me a further two week extention. The reason I did that was because the feeling to pass urine was so strong, I just relaxed the muscles and let it go in the toilet. The urine not only passed through the utheter but also outside the uretha. This was happening during the last two weeks, indicating that the prostate opening was expanding to allow urine to escape sideways along the side of the bubble of the catheter. When I returned back to the hospital, I told the doctor and a nurse then removed the catheter and told me to hang around and drink water. Amazingly, I was able to pass uring more and more each time I felt going to the toilet. The nurse scanned the bladder on each occasion until after 4 times, the remailing urine in the bladder was only 50ml. As soon as I was give the go ahead you're cured, I got out of hte hospital but, despite the rough treatment in catheter insertion, I will not go back, I will instead seeks a better diet and lots of exercises. But I was told to continue with the same medication for a while, then seek my GP for further tests. What I noticed during my release from hospital was the lack of ejaculation, from a drop or two and then not one drop. I became concerned and decided to have a discussion with my GP and he said that he need to do a blood and urine test. After the test he said that if my burning pain is lower than the prostate, then it is a Urinary Tract Infection. I was given one week of Antibiotics and one week without them. By the end of taking Antibiotics I felt a massive relief in urinating, just like a little boy urinating about 2 and half feet away. And I told the doctor this. Then the blood tests revealed that I have Type 2 Diabetes and was quite high. My GP prescribed another medicine, Metformin Hydrocloride to try and drop the high level. The when I returned after a week of taking this medicine the diabete level dropped considerably, all because I also changed diet, Oats and Porridge with Pumpkin seeds, Walnuts and crushed Brasilian nuts and Almond spread sparingly on the Oats in warm milk with a little honeys, soon after one Metoformin tablet. Then, for lunch, Union, garlic, beetroots and tuna or Salmon salad sandwich to begin with. And at dinner, the usual meal of wholemeal pasta and vegetables, lots of vegetables, not just a springle here and there. Add tomato sauce because tomato is great for your prostate as well as garlic and red onions. But, as for the problem with ejaculating, nothing comes out when in erected state. Once it goes limp, some 'juice comes out, not much, about half or a quarter of a tea spoon. In which case the doctor told me that is not cause of concern because the prostate medicine in combination with the diabete medicine results in slowing or stopping the production of sperm and liquid that carries them out. I will soon stop taking these medicines as I now have returned to good health and walk a lot, run a few hundreds of meters just to give the abdonomen a bit of shake, rattle and roll and to help strengthening the rectal and urinary tract muscles and burn calories to control the amount of glucose sugar in the blood and use it to feed the muscles that make us move. I was obese before going to hospital on that dreadful 18th December 2016. I am now 70 kilos and feel fit. So, if you have a problem passing urine and it burns like crazy, don't hesitate to seek you GP, or some doctor who specializes in the that area. You will be amazed what other options there are instead of going straight to the scalpel. Smoke, alcohol, sugary drinks and obesity can cause the least you didn't expect. But once you're done the damage,
you wouldn't want to think of being cut up, wouldn't you? So, stay trim, eat natural foods and occasionally exercise. I wish you people with the same problem good luck.  Michael.

Many thanks for your detailed experience. I too over the years have had catheters passed, and it's not my idea of fun (along with the cystoscope camera to have a look inside) but sometimes there seems to be little choice. At the moment I'm on Tamsulosin and Finasteride.I'm aware that 'dry' ejaculation is due to the Tamsulosin, and in theory could give them u for a day or so prior to sex. However, I'm might then get acute retention, which I'm told (and you comment) is something best avoided. I think I'll just settle for dry ejacs at the moment, after all, I'm seventy next month, so can't really complain.  

Wow! what a history of pain (?and bad advice).  Getting weight down (I am 71 Kg) and plenty of exercise seems to help a lot

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I have been taking Tamsulosin for 2 years and have experienced retrograde ejaculation from the start. The semen goes into the bladder and shows up when I pee. It is very annoying for me because it greatly reduces the sensation of  orgasm. I will have a PAE procedure soon and then stop taking the drug. Things should return to normal in a few weeks.

Hi Charal. I have recently stopped taking Tamsulosin (aka Duodart)about 3 weeks ago as I felt this drug is causing some side effect and decided to end it. My prostate weren't the problem in the first place that put me in hospital and had tubes inserted. The problem was diagnosed by my family doctor and found that I had a serious case of UTI that has inflamed the entire urinary tract to a point where passing urine was quite painful, especially at night when the urine is hotter than normal and the hot urine passing down the inflamed urethra causes a response that lock the urinary muscles near the prostate, blocking its flow. Several tests later and a week does on Antibiotics cleared the infection and I was able to pass urine just like a 10 year old, a real relief. So, I went through hospital procedures and a bleeding pain at having had 7 tubes inserted, including tests, and none of them has ever mentioned I had UTI and not Prostate problems. The symptoms of UTI are easily identified. You go to the toilet more than you should, you sweat, and sometimes get the shivers (shakes), everything locks and you can't pass stools too. And when that happens, you get a severe case of UTI, you find it harder to cope or sleep and in this case your only option is to get to the hospital and have a tube inserted to relieve the bloated bladder, before it bursts. The hospital releases you to go home with a catheter and bag. While you're home, visit your doctor who will do a full blood and urine tests, where he/she oversee the results of the tests and quite certainly will tell you the results, that you have a severe case of UTI and or even Type-2 Diabetes. You doctor will prescribe antibiotics for UTI. A week of antibiotic is usually plenty. Once you have taken the antibiotics, stop for another week and see your doctor for another test. Most certainly you're cleared. You will notice that, after the antibiotics, the urine is able to pass alongside the urethra and the catheter tube. If this happens, your infection is gone. Return to the hospital and have the catheter removed. You will probably have to stay there all the afternoon, or until the bladder scans show that your bladder is empting normally after 3 times visiting the loo. It is understood that this problem is connected with Type-2 Diabetes, like me because after going to hospital several times I ended up getting swolled angles and feet. When tested, I was quite high, on the danger zone. My doctor prescribed a drug to combat the Diabetes, Metformin (Diaformin X1000. So, now that I've taken this medication for about a month, I feel better and the swollen feet are no more. But I had to fight with it by avoiding sugary diets and doing plenty of exercise and walks. Just sitting there and doing nothing is bad you.

You say you have used Tamsulosin for 2 years? That's too long. The question is, are you sure the Prostate is the problem? What if it is a UTI from the bladder and past the Prostate? Do you feel burning pain before the scrotum, of after? If it is before the scrotum, the infection is near the Prostate. If it is on top of around the scrotum, the infection is in the urethra after the Prostate, but can be both. So, if you're a case where your problem is the Prostate, you need to ask your doctor why are you continuing to take Tamsulosin. And since you didn't say how much longer you need to take it, It would also help if you saw another specialist/doctor who specializes in this field so that you will not suffer further complications. As for me, after I stopped taking Tamsulosin, I noticed a return in ejaculation but not that much, It's probably my age and the lack of lubricating fluids, but at least it is going forward and outside, instead of going into the bladder. Hope you will get better. Regards.

Hi Valiantman, a very sorry history you have experienced. I have been on Tamulosin together with Finisteride for about two and a half year. In 2014 following blood tests I was refered to a urologist for a high psa reading of 7.5

After extensive examinations and further blood tests I was discharged and a recent blood test read 3.5 psa so no problem there. I understand the Tamulosin drug shrinks the prostate and the muscles around which is why you get a reduced ejaculation of semen and it tends to retrograde into the bladder. I am intereted in your comment that 2 years on Tamulosin is too long! I am not sure whether it has done much for me as I still need to get up at least twice in the night to pass urine. I do leave of taking for a few days and do not suffer any effects other than ejaculation is more normal. I do fear that if I stop long term I my get enlargement of the prostate.

Hello David. Re your comments on Tamsulosin. I've been on it, and Finasteride for the best part (now) of thirty years, for BPH. As I understand it, the Tamsulosin works to relax the muscle surrounding the prostate, allowing for free-er peeing (so to speak) The Finasteride is a hormone which works by shrinking the prostate. In theory, with a well shrunken prostate, I should no longer need Tamsulosin, thus reverting to normal ejaculation, but havent yet had the courage to try it out, for fear of acute and total retention (which would mean hospital and a catheter). Maybe, one day, I'll try it !!

My own doctor have just 'transferred' me to finasteride because I was getting bout of Priapism. this last one almost sent me A&E. From what I have read there is less of dry ejaculation..  I await to find out

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