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Urology/Decrease in Ejaculate

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Question
I'm a 59 y/o male in decent shape.
There has been a dramatic decrease in my ejaculate over the past few yrs.
Prior to this happening,I would ejaculate what seemed to be an enormous volume & it would "shoot" a great distance.
I've gone to a Urologist.
A digital rectal exam was done & everything was normal,but I was given antibiotics (30 days) just in case of a urinary infection.At the end of the 30 days,I was ejaculating like a teenager.
But after a week the same problem reappeared.
Again another dose of meds,again the same results.
Finally I was told there's nothing wrong medically & nothing more can be done,live with it.
If that's the case,then how/why can this happen because of a psychological disorder & what disorders would be revelent to this?
Thank You

Answer
Joe:

It's not likely to be a psychological issue as this might affect erections but not ejaculate volume.  Medication side effects can reduce semen volume, but the fact that you responded to an antibiotic suggests that you have prostatitis.  Get an opinion from another urologist.

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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