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Question:
I am a 50 plus male with hypertension on the following medication: Diovan, Paxil, Neurontin and Cylert.
I have no sensation at ejaculation and seminal fluid appears thick and the consistency of mucous. Rather than spurting the fluid seeps out over a period of approximately 60 seconds.
This retards my desire for sexual intimacy and of course, has emotional effects on my wife also.
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Answer:
by Rajendra Sathe: ()
As one grows older, it's commonly seen that the pelvic muscles become weak and lose tone. In addition you are on medication for various conditions and it's obvious that you would have to continue taking them as per your doctor's advice. On line, we can only suggest simple techniques that may help you to resolve the problem. In your case, I think doing Kiegel's exercises may help you.
For men these muscles are important because their isometric contraction is necessary to erect the penis and allow it to remain in that condition for the duration of the intercourse. They also help in ejaculation. Just as the roots are responsible to keep a tree erect, the crura (roots) of the penis that are firmly anchored to the bone need a firm tug to keep up the erection and these muscles do just that.
In order to do these exercises, follow this procedure:
1. Stop and start the flow of urine midstream on many occasions. This will help to identify your pelvic muscles.
2. Once you have realized their presence, try contracting the pelvic muscles whilst sitting on a chair. Initially hold the contraction hard for
one second and then release.
3. Vary the exercise by holding the contraction for up to five seconds and then releasing it. You can mix the exercises up, some short and
some long.
Gradually increase the number of contractions so that by the end of one month, you are doing ten to fifteen contractions, about twenty times a day. Do the exercises regularly for six weeks to detect some noticeable difference. If this does not help, then you can discuss the matter with your regular physician.
Editors note: Another suggestion would be for you to read up on the medications you are taking and their potential side effects on sexual response. As Dr. Sathe stated, you would need to continue on your medications as prescribed until you consult with your regular physician. Meanwhile, you can prepare a list of questions to discuss with your doctor to determine if your changes in ejaculation are related to the medications. Dr FawverReviewed by: Patricia Fawver Ph.D. in Sexology
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