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Delayed Ejaculation

User
Posted 10 Nov 2018 at 13:29

Hello My first post, but I have been following the site for almost 2 years and have found answers to many of my questions in your posts. Well here is my story and at the end my question.

2015 bad bladder infection, fixed after 3 sets of antibiotics 2 of 1 week 3rd of 4 weeks, later GP checkup found PSA very high referred to urologist had usual bladder flow tests, decided to treat with Finasteride and Tamsulosin in 6 months got PSA down to 4.4, I did not have a biopsy and was put down for a TURPS as it was decided I had BPH.

I researched and found better more upto date treatment such as Urolift etc and had my GP refer me to another consultant where i was immediatly taken of the drugs which I had been taking for 9 months by then and eventually able to manage my BPH symptoms so the proposed surgery was put on hold and now just watching my PSA which 6 months ago was 5.5.

However by then my E.Disfunction which had been managable for 20 years had been devastated by the above drugs and last November ejaulation problems began to appear which I did not recognise as such putting it down to poor quality erections. Also the Viagra and or Tadalfil became it seemed less effective, due to posts and answers seen on here I purchased an Imedicare vac pump and used it for just exercise which has helped in maintaining a erection using Viaga and unfortunatly was again masking the fact I was also suffering from advancing delayed ejaculation. I saw my GP and  I was sent back to the consultant in Febuary of this year who in turn refered me to his collegue in the Andrology clinic who I saw in August by which time ejaculation was occuring only occasionally and taking longer to reach. The outcome of this consultation was just wait and see what happens and he would see me again in 4 months so I expect an appointment for hopefully December. At this point in time despite having intercourse for between 30 and 40 minutes spread over 3 or so erections there has been no orgasm or ejaculation for over 2 months. This problem is very poorly researched and only 3 drugs have been noted as maybe helpfull all of which are not licenced for this use in the UK.

So here is the question, has anyone else had any problem of this nature, if so did they find something to improve the condition and in anticipation of my next appointment with the Andrology clinic I will get blood tests via my GP, apart from the usual blood tests for PSA, Testosterone, Diabeties, does anyone know of anyothers I should ask to be included.

I know my problems are minor compared to others on the site but any advice with a distressing problem will be much appreciated

Thanks david

 

User
Posted 10 Nov 2018 at 13:51
That's quite a confusing story so can you just clarify -

- have you actually had a biopsy?

- are you still on finasteride?

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 12 Nov 2018 at 10:39

Hi lyn 

The Finestride was stopped by the second consultant I managed to get myself refered to in another hospital nearly .2 years ago.

On my very first appointment at the first clinic I was seen by the junior doctor who was for a biopsy and started the Finestride and Tamsolusin, seeing the consultant a month later he decided no biopsy, I think because the PSA had more than halved and I had queried the dangers of the biopsy done there compared to the Enhanced MIR being done 40 miles away.

So I got my GP to request an appointment at the hospital with the more upto date treatments by the time I saw this consultant. PSA down again rectal exam found no hard spots so medication stopped I had also made know the cronic side effects and put on wait and watch.

David

User
Posted 12 Nov 2018 at 12:11
My own experience was "no orgasm" . Turned out to be all in my head and stress related (PC, divorce, dating!!). Now happy and settled and low and behold it all started working OK - the advice I got in here at the time was " get pissed and try it" strangely it worked as I think it loosened me up enough to relax and enjoy it!!
User
Posted 12 Nov 2018 at 18:33
Okay, I don't want to panic you but i think it is really important that you ask for a referral back to urology and request a biopsy & MRI scan. The Finasteride halves your PSA to create a false low - you should have had that TURP or a biopsy in 2015/16.

At this point in time, your delayed or retrograde ejaculation is not the main problem; it is an indicator of what could be a much more serious issue. The only way to find out is by having the diagnostic tests. It may indeed just be BPH but treatment for delayed ejaculation is only going to mask the symptom.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 14 Nov 2018 at 16:35
Hi francij1 thanks the getting drunk is not really an option for me.

Hi Lyn like I said I need to get GP to send me for bloods ready for expected Andrology appointment I will I think raise it with the G P then to get back to the urology consultant.

I was aware of the false PSA with Finasteride, history of levels are

Off scale during bladder infections, January 2015,

Took till June to get Urology appointment that hospital did not postpone

June 2015 PSA 4.4 started on Finestride

September 2015 PSA 2.2 (equal to 4.4 with Finestride)

April 2016 new consultant stopped Finestride PSA I don't know

June 2017 PSA I have two figures, 3.7 ug/L and <5ug/L

June 2018 PSA I have two figures 4.9 ug/L and < 5ug/L

Maybe these figures mean something to you but the rise looks small

David

 
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