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About 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 20 years experience. Assistant Clinical Professor of Urology at the Medical College of Ohio. Editor in Chief of eMedicine Urology internet textbook. Author of only 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.

 
   

You are here:  Experts > Health/Fitness > Urology > Urology > Ejaculation

Urology - Ejaculation


Expert: Stephen W. Leslie, MD - 5/29/2006

Question
Hi Doctor Leslie,  I am a 22 year old College Student.  About 1 year ago I had noticed that sometimes when I masturbated quickly my semen would ooze out instead of shoot out with force like it normally does.  This happened after I started dating a girl I was dating at the time.  Shortly after I broke up with her, EVERY time i masturbated my semen would ooze out and not shoot out.  I stopped masturbating for about 3 months, had some wet dreams (which did not seem like they had the same substance and amount as before) and tried to masturbate again.  I felt the muscles in my groin contracting just as they used to and expected my semen to ejaculate quite far, but once again it merely just oozed out of my penis.  Is something wrong with me?  Could there be some sorta partial blockage in my tracts or could this be an STD.  This seems to be a problem because I now dont enjoy the act of ejaculating as much as I used to.  I guess seeing it fly out was a mental thirst quencher?

Answer
Most likely what you have is called retrograde ejaculation.  This is where the semen goes backwards into the bladder instead of out the penis.  Except for issues of fertility and the psychological aspects, it's not a critical disease.  Once infection are ruled out, there is treatment for the retrograde ejaculation but this is usually reserved for couples trying for a pregnancy rather than for recreational use.

While possible, it is unlikely to be due to an STD or "partial blockage" in the "tracts".  

You should consult your physician or a urologist for an examination to confirm this and for advice on treatment.

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