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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Aspermia Or Ejaculation Issues During Intercourse

Hello Doctor, I am newly married. Sperm is not releasing during sexual intercourse but I am not facing any problem with erection. I could have sex for long time but sperm not released. But if I masturbate it is very easy for me to ejaculating the sperm. Previously I used to masturbate many a times. Is it cause of that? or something related to that? Age : 28 Height : 180 Weight : 63 Note : I take medicine for my prolonged illness (epilepsy) but it is controlled now. I did not had fits for long time since my college days. Can anyone please advise me on this.
Mon, 23 Dec 2019
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General & Family Physician 's  Response
Hi,

Based on the history you have shared, you need a urologist review to advise workup for any obstructive cause which isn't letting the sperms or seminao fluid if a problem exists during masturbation as well as during intercourse.

If the problem is just during intercourse and not during masturbation you may need to get the seminal fluid tests for semen analysis and sperm count.

Some epileptic medicine may also interfere, with ejaculation so must be reviewed and if you are fit free for years you may need to tapper them down to stop them.

Also, sexual councillor may be consulted as sometimes during sexual intercourse due to performance anxiety or extra consciousness due to another person's presence the psychological factors add into the problem like the one you are facing.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Saddiq Ulabidin, General & Family Physician
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Suggest Treatment For Aspermia Or Ejaculation Issues During Intercourse

Hi, Based on the history you have shared, you need a urologist review to advise workup for any obstructive cause which isn t letting the sperms or seminao fluid if a problem exists during masturbation as well as during intercourse. If the problem is just during intercourse and not during masturbation you may need to get the seminal fluid tests for semen analysis and sperm count. Some epileptic medicine may also interfere, with ejaculation so must be reviewed and if you are fit free for years you may need to tapper them down to stop them. Also, sexual councillor may be consulted as sometimes during sexual intercourse due to performance anxiety or extra consciousness due to another person s presence the psychological factors add into the problem like the one you are facing. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Saddiq Ulabidin, General & Family Physician