Why do I have dry ejaculation with no semen at age 52?

Hello,

Welcome to icliniq.com.

I have read your query and can understand your concern.

At your age, the absence of semen during ejaculation, known as anejaculation or dry ejaculation, can have several possible causes. Since you have diabetes mellitus and are on medication for it, the most likely explanation is retrograde ejaculation, where semen flows backwards into the bladder instead of being expelled through the penis.

This condition often occurs because diabetes can damage the nerves that control the bladder neck, preventing it from closing properly during ejaculation.

Some medications can also contribute to this problem, such as antidiabetic drugs like Metformin (Biguanide), blood pressure medicines like Atenolol (beta-blocker) and Amlodipine (calcium channel blocker), or prostate medications like Tamsulosin (alpha-blocker).

Other possible causes include prostate surgery or procedures, nerve damage, or hormonal imbalances, though you mentioned no prior relevant medical history.

While this condition itself is not usually harmful, it can affect fertility and may sometimes signal underlying nerve or prostate issues.

It would be best to discuss this with a urologist, who can order urine tests after ejaculation or imaging studies to confirm retrograde ejaculation and suggest appropriate treatment.

I hope this helps.

Thank you.