Dear Dr. Motola,
Over a period of a year my amount of fluid ejaculated has dropped to almost zero. Do you have any thoughts on what might be contributing to this? Is this a common problem? The normal aging process is associated with a gradual decrease in ejaculatory volume. Patients who have had previous surgery on their prostate or on the bladder neck may experience decreased ejaculatory volumes. Medications such as alpha-blockers ( Flomax , Hytrin , Uroxatrol ) can be associated with decreased or absent ejaculatory volumes. Medical conditions such as diabetes and low levels of androgens can also be associated with this. An evaluation with a urologist will help lead to a better understanding of what the cause of the low ejaculate is.
NBP; Prostatodynia; Pelvic pain syndrome; CPPS; Chronic nonbacterial prostatitis; Chronic genitourinary pain
Treatment for nonbacterial prostatitis is difficult. The goal is to control symptoms, because a cure is difficult to achieve.
Many patients are treated with long-term antibiotics to make sure that bacteria are not causing their prostatitis. However, patients who have had symptoms for a long period of time and do not seem to benefit from antibiotics should stop taking them.
See: Chronic bacterial prostatitis
Medications called alpha-adrenergic blockers help relax the muscles of the prostate gland. They include:
It usually takes about 6 weeks before these medicines start working.
Aspirin, ibuprofen, and other nonsteroidal anti-inflammatory drugs (NSAIDs) may relieve symptoms in some patients.
Some people have had limited suc...
Symptoms Prostatitis may occur with an infection in or around the testicles (epididymitis or orchitis ), especially if it was caused by an STD. In this case, there will also be symptoms of the other condition. Symptoms of acute prostatitis are more likely to start quickly and cause greater discomfort. They may include the following: Abdominal pain (usually right above the pubic bone) Burning with urination (dysuria) Fever, chills, flush Inability to completely empty the bladder (urinary retention) Low back pain Pain with urination (dysuria) Pain with bowel movement Pain with ejaculation Pain in the area between the genitals and anus (perineal pain) Other symptoms that may occur with this condition: Blood in the semen Blood in the urine Decreased force of urinary stream Difficulty urinating Foul-smelling urine Increased urinary frequency or urgency Testicle pain Signs and tests During a physical examination, your health care provider may find the following signs: Discharge from your urethra Enlarged or tender...
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