Lack of semen
Jun 30th 2008adminGeneral questions
From Richard:-
I am in desperate need of an answer and advice. I am 44 yrs old. I had an emergency surgery June 3rd, 2005 (diverticulitis), I was told by my Dr that the disease was so bad that it fused into my bladder. 12″ of my colon as well as half of my bladder were removed. I had two surgeries afterwards to reverse a colostomy.
After full recovery, I learned that I was able to climax but did not experience a discharge of sperm/semem. I went to a Urologist and was told that due to the severity of my 1st surgery, I had a vasectomy as well. I sought a 2nd opinion and this Dr. prescribed Benadryl to be taken 4 x’s a day for 3 days. I was able to ejaculate, but it subsided and have not been successful since. On rare occasion after climax there is a slight discharge of what appears to be sperm, other times there is no discharge but minutes later I will notice a small amount of leakage.
I do not know what to make of this. Should I seek out another Dr. in hope that this problem can be resolved or am I wasting my time?
Emission and ejaculation require intact nerves to function normally. These nerves originate in a man’s spinal cord and travel behind the bladder until they reach the bladder, prostate and seminal vesicles. These nerves are very delicate, difficult to see and can be injured during any surgery in the pelvis such as surgery for diverticulitis. Injury to these nerves can cause problems with emission (deposition of fluid in the urethra) or ejaculation. In particular, a condition known as retrograde ejaculation can result where the bladder neck does not close appropriately during sex and the fluid flows backwards into the bladder instead of out the tip of the penis. This condition is inconsequential for the health of a man. It does impair a man from getting a woman pregnant and can be psychologically distressing not to see any fluid at the time ejaculation. This condition should not have any impact on a man’s orgasm as this is a biochemical process in the brain that results in the release of neurotransmitters and is coupled with the process of ejaculation. Medications that contract the bladder neck can help alleviate retrograde ejaculation either partially or completely.
A man should try a few medications either alone or in combination prior to considering this type of treatment as ineffective.
