Hello dear See as per clinical history it seems minor elevation only However for exact clarification please get in person consultation with gynaecologist or sexologist for confirmation Please share below tests for confirmation of exact diagnosis Serum tsh Rft Esr Scrotum USG Serum ferritin Hsa if recommended by gynaecologist Regards
Hello Thanks for sharing your details. If you’re experiencing no ejaculation after having a urine infection and your PSA is 5 (which is slightly above normal for most men), but your urine reports and culture are normal and urine flow is fine, here’s what could be happening:
Possible Causes: - Prostate issues: An enlarged prostate or inflammation (prostatitis) can affect ejaculation, even if urine flow is normal. - Medication effects: Some medicines for prostate or urinary issues can reduce or block ejaculation. - Post-infection changes: Sometimes, after a urinary infection, the nerves or ducts involved in ejaculation can be temporarily affected. - Other factors: Stress, anxiety, or hormonal changes can also play a role.
What to do next: - Since your PSA is a bit high, it’s important to follow up with a urologist. They may recommend further tests (like an ultrasound or repeat PSA) to check for prostate enlargement or other issues. - If you’re on any medication, check with your doctor if it could be causing this side effect. - Keep monitoring for any new symptoms like pain, blood in urine, or difficulty urinating.
Summary:
No ejaculation after a urine infection and slightly high PSA is most likely related to prostate changes or post-infection effects. Since urine tests are normal, it’s not urgent, but a urologist follow-up is important to rule out anything serious and discuss treatment options.
Thank you
Hello
Lack of ejaculation for 1–4 weeks after a urinary infection and prostate issue is often temporary, especially if you recently started new medications.
Common causes:
Prostate inflammation (prostatitis)
Medicines (some prostate drugs like tamsulosin can cause dry/retrograde ejaculation)
Recent infection recovery
PSA 5 is mildly elevated and can rise due to infection or inflammation. Since urine tests and flow are normal, this is less likely an emergency.
What to do:
Review your new medications with your doctor (very important). See a urologist for prostate exam and repeat PSA after a few weeks. Stay hydrated and avoid sexual anxiety/stress.
If you develop pain, blood in semen, fever, or urinary difficulty, seek care urgently.
Most cases improve once inflammation settles or medications are adjusted.
I trust this helps Thank you Take care
No ejaculation, in your case, could be linked to several factors, especially after a urinary tract infection and with a noted concern about your prostate. Even though your urine flow and culture results are fine, the PSA level of 5 suggests that there could still be prostate enlargement or inflammation. It’s important to consider “retrograde ejaculation,” where semen enters the bladder instead of exiting through the penis. This can sometimes occur due to prostate-related conditions, medications that affect nerve function, or even surgery affecting the prostate or surrounding areas. Evaluating the medications you’re currently taking might shed light on this—a class of drugs called alpha-blockers, often used for symptomatic treatment of prostate enlargement, are known to cause such side effects. Furthermore, hormonal imbalances or neuropathic changes could also be potential contributors, especially if you have comorbidities like diabetes or are on certain medications. Your recent urinary infection also might have temporarily impacted nerve or muscle function leading to this condition. It’s necessary to have a discussion with your healthcare provider; they might suggest further tests like an ultrasound of the prostate or other hormonal assessments. They could also review or adjust your current medication regimen. Addressing the prostate size or inflammation with appropriate management—be it lifestyle adjustments, medication changes, or other interventions—might help resolve the issue. If the situation doesn’t improve or if there are any new or severe symptoms, such as pain or significant urinary difficulties, seek medical attention.
Lack of ejaculation can occur due to prostate enlargement, recent urinary or prostate inflammation, or as a side effect of new medications (some drugs cause delayed or retrograde ejaculation). A PSA of 5 is higher than normal for many men and should be properly evaluated along with your prostate size and symptoms. Please consult a urologist for prostate assessment, medication review, and further tests to identify the cause and guide treatment.
Hi there, thank you for reaching out.
Based on the details you have provided, here is a concise analysis of your situation:
· Medication Side Effect: Since you mentioned starting new medications, this is the most likely cause. Many drugs used for prostate issues (like alpha-blockers or 5-alpha-reductase inhibitors) can cause “dry orgasm” (no ejaculation) but still allow you to feel the sensation of orgasm. · PSA Level: Your PSA of 5 is slightly elevated, which correlates with your history of prostate issues/infection. This is often monitored over time. · Good Signs: It is a positive sign that your urine routine, culture, and flow are all normal. This suggests the infection has cleared.
Recommendations:
1. Identify the Drug: Check the name of the new medication you started. This is almost certainly the culprit. 2. Do Not Stop Abruptly: If the medication is for the prostate, stopping it suddenly is not advised. 3. Follow-Up: Schedule a follow-up to review your PSA and discuss this side effect with your doctor.
This is a common and often manageable issue.
Dr. Nikhil Chauhan Urologist
