I have erection problem and dry orgasm with a history of diabetes. Please help.

Hello,

Welcome to icliniq.com.

I understand your concern. I saw your examination report (attachment removed to protect patient identity), and there are some factors that affect your fertility and some abnormalities. First, varicocele may affect your fertility, a dilated vein can be the cause of your oligozoospermia (dry orgasm). Second, semenogram at least 40% of spermatozoids must be motile (in your only 1%) and there are abnormalities in your morphology too, 30% must be normal, in your case, there are 0% with normal morphology. Diabetes may cause abnormalities in your morphology and motility of the semen. As the characteristic of semen may vary over time and undergone normal biological variability, it is best to repeat the test at least once. If abnormalities persist you should have a urologic exam.

I would recommend a urologic exam and consult a fertility specialist.

Hello,

Welcome back to icliniq.com.

Tadalafil increases the blood flow to the penis, it does not enhance your sex drive or libido. It helps to maintain an erection after you are already sexually aroused. You can use it to meliorate your erectile dysfunction but Clonidine that you take can diminish the effect. You have to be careful because Tadalafil can cause hypotension. As you take antihypertensive medication too. Pain during ejaculation may be caused due to varicocele.