Q. I have erectile dysfunction and ejaculation problems. Please advise.

Answered by
Dr. Karthik Rajan
and medically reviewed by iCliniq medical review team.

Hello doctor,

My cum is not coming out by force or thrust. The cum is just flowing out of my penis. Three years earlier the cum was coming out by force or thrust. I am having erectile dysfunction may be since last two years or two and half years, and I was not having erectile disfunction earlier. I am taking Megalis 20 and Tentex Forte prescribed by a doctor and through these medicines, I am having a proper erection. I am having only one testicle, my another testicle was removed when I was of 13 years due to its under development. I want to have my cum come out by thrust or force from my penis to have a baby as I am married. I am 37 years of age, and my height is 5 feet 8 inches.

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Dr. Karthik Rajan

MCH UROLOGY., MS GEN SURGERY., MBBS
Andrology Urology

Hi,

Welcome to icliniq.com.

I have gone through your query. I would like to know whether the amount of semen ejaculated had been the same over the last three years or has it decreased? Firstly, the speed with which the ejaculate came out does not unduly affect your fertility. I would suggest you have a semen examination if not done before to check for the sperm count which is more important. Secondly coming to your complaint, I would ideally like to do a full physical examination given your previous history. It could either be some blockage in the path of semen or the semen could be going back into the bladder.

I would suggest you to visit your local urologist for a detailed clinical examination, an ultrasound to check if there is any blockage and a semen test to check for the volume and sperm count. Another possibility is incoordination of the muscles that normally gives the speed to the ejaculate, which cannot be tested to identify. As I said before, if your primary concern is to have a child, then I would suggest you to get a semen analysis first. If it is normal then you do not have anything to worry about.

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