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Urology/no ejaulation

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Expert: Stephen W. Leslie, MD - 2/22/2007


Question
I want to have a baby. I have tryed for 3 years off and on.My husband can not ejaculate when we have sex. I have only had sex during my fertile time. I know he doesn't really want a baby do you think this has to do with the fact he is not ejaculating. He has been able to do so inthe past.and i did get pregnant once 3years ago but miscarriaged.I do remember that time we had sex he did ejaculate.but since weve tried he,s not ejaculating. iam getting older 40 and feel ive lost hope hes 44 does that have a reason he cant. I see the answer was physilogical for the last question about this situation

Answer
There is insufficient information to make a firm conclusion.  Intermittent failure of ejaculation is usually psychological or possibly a side effect from some medications.  Permanent lack of ejaculation may be due to a neurological problem.

The bottom line is that he should consult a urologist or family physician for this problem.

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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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