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Does Tamsulosin affect ejaculation after masturbation?

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Patient's Query

Hello doctor,

I have kidney stones and my doctor prescribed Tamsulosin tablets. However, after taking them, I am unable to ejaculate after masturbation.

Kindly help.

Answered by Dr. Georges Hany Kozah

Education:

MD

Professional Bio:

Dr. Georges Hany Kozah is an experienced Lebanese Gynecologist with an MD from The Lebanese University Faculty of Medical Sciences (2016) and a Fellowship completed in 2022. Specializing in high-risk obstetrics, advanced ultrasound, oncology, colposcopy, and hysteroscopy, he combines expertise with a patient-centered approach. Passionate about women’s health, Dr. Kozah strives for excellence and optimal outcomes in collaborative, innovative care.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Tamsulosin is commonly prescribed for kidney stones and enlarged prostate, but one of its known side effects is retrograde ejaculation (where the semen goes into the bladder instead of exiting through the penis). This can make it seem like you are not ejaculating, but it is usually harmless.

Why does this happen?

Tamsulosin relaxes the muscles in the urinary tract, including the bladder neck. This can cause semen to flow backward into the bladder rather than out through the penis.

What you can do:

  1. Talk to your doctor: If this side effect bothers you, ask if you can switch to another medication for kidney stones.

  2. Stay hydrated: Continue drinking plenty of water to help pass the kidney stone.

  3. Monitor symptoms: Retrograde ejaculation is not dangerous, but if you experience other side effects (like dizziness, low blood pressure, or severe fatigue), inform your doctor.

If the kidney stone passes and you stop taking Tamsulosin, ejaculation should return to normal. Let me know if you need more details!

I hope this helps.

Thank you and take care.

Regards.

Medically reviewed by iCliniq medical review team
Published At May 10, 2025
Reviewed At May 10, 2025

Education:

MD

Professional Bio:

Dr. Georges Hany Kozah is an experienced Lebanese Gynecologist with an MD from The Lebanese University Faculty of Medical Sciences (2016) and a Fellowship completed in 2022. Specializing in high-risk obstetrics, advanced ultrasound, oncology, colposcopy, and hysteroscopy, he combines expertise with a patient-centered approach. Passionate about women’s health, Dr. Kozah strives for excellence and optimal outcomes in collaborative, innovative care.

This doctor is not available for online consultations on the platform anymore.

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Education:

MD

Professional Bio:

Dr. Georges Hany Kozah is an experienced Lebanese Gynecologist with an MD from The Lebanese University Faculty of Medical Sciences (2016) and a Fellowship completed in 2022. Specializing in high-risk obstetrics, advanced ultrasound, oncology, colposcopy, and hysteroscopy, he combines expertise with a patient-centered approach. Passionate about women’s health, Dr. Kozah strives for excellence and optimal outcomes in collaborative, innovative care.

This doctor is not available for online consultations on the platform anymore.

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