Dr. Karthik Rajan
Urology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I am a 58-year-old man. It has been six months I did not notice any semen after I had sex. If I have sex after 10 or 15 days, then I get two to three drops of semen. On the other hand, if I have sex every day, then there is no semen ejaculation at all. I am taking medications for hepatitis B and diabetes. Please advise on this issue. What should I do? What is the reason for this, and what tests and treatment do I need to take?
Thank you.
Hello,
Welcome to iclinq.com.
I have gone through your query and understand your concern. I would like to know a few more details to answer your query better. Do you have any difficulty in erections or any difficulty in attaining orgasm? Have you noticed any cloudiness in the urine after you have ejaculated? Did this problem occur suddenly, or was it gradual? Are you on any medication for prostate enlargement? At your age and considering your diabetes history, the most likely problem that you could have is retrograde ejaculation, where your semen enters the urinary bladder instead of coming out. Another problem could be a blockage in the path of semen. You need to undergo tests like ultrasound and urine examination for sperms to identify the problem, and it has to be treated accordingly.
Hope this helps. Feel free to revert back with any other questions or concerns.
Thank you.
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Urology
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