Regular ejaculations

Hi, im suffering from prostate enlargement, and im sometimes finding it slightly difficult to pee, my sex life is also affected due to me not getting full errections,and not having a sex partner, although i have pills to solve the droop so i can have sex.

I did notice the other day that i was able to pee much better, the evening before id had a wank which resulted in lots of semen coming out, a lot more than is usual.

My question is, does the prostate need a regular draining ? and does not doing it result in pressure on the water pipes causing pee flow problems ?

With an enlarged prostate, you will have increased semen (NOT SPERM) production. With treatment and the return of the prostate to normal size, you will have a decrease in semen production.

Regular ejaculations are good for the prostate, and are better than "milking" although you might want to do that too if you enjoy it.

I too suffered from a grossly enlarged prostate, but it has shrunk dramatically during the past year. Regular "drainings" have certainly helped 😉, and I've also been taking saw palmetto capsules every day.

An enlarged prostate needs to be evaluated to be sure there is not a cancer present. Most likely it is benign prostatic hyperplasia. This can be treated with drugs, which is a band aid approach, IMHO, when the symptoms are bad enough to cause bother and worry. Many surgical alternatives are available. I chose to have a laser prostate reduction and reduced my bother score from 26 to less than 1. No pill can do that.

Speed

I completely agree with speedvogel and am sorry if I gave the impression that my "treatments" were the only possible response to an enlarged prostate. Of course anyone suffering from this condition needs to have a thorough urological evaluation, including a prostate biopsy if that seems to be indicated in order to eliminate the possibility of cancer.

I agree too that the recommended drug combinations for BPH are only a bandaid solution. Fortunately my urologist was not put out when I declined this treatment, and was supportive when I said that I would like to give saw palmetto a try. And he is the one who was surprised and impressed by the subsequent shrinkage in my prostate.

Not sure what you mean by your "bother score", but people should be aware that less reliance is now placed on elevated PSA readings. They may simply reflect BPH and are not necessarily an indicator of the presence of malignant cells.

The bother score is used by most US urologists to determine how the patient feels about his BPH issues. The higher the score the worse the problem. 26 is very high. It includes such fun things and not being able to pee having to get up to pee multiple times at night, pain, incomplete emptying, etc. I do not have the url for a copy of the questions involved with this, but it can be googled by asking for something like prostate bother score.

My PSA went from undetectable to 11.6 in three months. I was sure I had cancer, so was my urologist. A 14 needle biopsy showed I have a type of prostatitis. The laser surgery helped me very much.

Doc

Speed

Regular ejaculations are good for the system, however once you have issues like that you need to get it checked out ASAP. Even the simple things like an infection in the prostate if not treated correctly and promptly could lead to life long problems. Chronic prosatitis is not fun, and can make your bother score jump up dramatically during a flair up.

As with anything out of the ordinary get it checked out by a real Dr ASAP no matter how embarrassing. Who knows might get some new medfet ideas from the visit as well.

Eight years ago, my PSA went from 2.3 to 4.1 in one year. Biopsies were taken and no cancer was found. I have had repeated PSA's every 6 months and several sets of biopsies. My PSA has gone as high as 11.6 with no cancer found. However, I did develop BPH with all the accompanying annoyances. I was put on Flomax and finasteride. Other than enlarged breasts from the finasteride, not much else happened. A year and a half ago, I opted for a TURP at a leading hospital in Manhattan. This surgical procedure has worked very well for me. Even though I was told I would probably have retroverted ejaculations, this has not happened. I shoot like an 18 year-old! There's no need to suffer with BPH. Several procedures are available to reduce the size of the prostate. By all means, though, have yourself checked out for cancer on a yearly basis!

A past lover of mine had a TURP done and he suffered from retrograde ejaculations. He really regretted it, always wished that he had never done it, and had checked out herbal, laser and other treatments first. His O's were never the same again, he said.

Lady Teddy

Regardless of which surgical method is used to reduce the size of the prostate for BPH, the chances of having retrograde ejaculation are around 90%. Most urologists will tell the patient that upfront. Does this really affect the male orgasm? Not one bit unless the man is convinced it does create a difference. The general aging process and lack of testosterone cause more issues with orgasm, IMHO.

I opted for the Evolve Laser procedure as it is an in-office procedure and takes less than 2 hours from walking in to walking out. It has worked very well for me and I would suggest it as a very good alternative to the traditional TURP.

All the oral meds, the other non-laser in-office procedures, and similar non-surgical approaches to treating BPH are just band-aids and are not the way to approach this aggravating condition. If your bother score is high, (16 or over) you need to have either the laser or traditional TURP sooner, rather than later.

Doc

I have been told the main difference in the sensation during the orgasm with a retrograde ejaculation is that you don't feel the semen being ejected--because it isn't. The orgasmic contractions are the same either way.

I think we need some documantation and statistics on this very important issue

I am 55. I too notice that after ejaculating, I have a much faster and stronger urine stream for about 2 days. Less getting up at night. About every 10 days, my wife also gives me about a 15 min prostate massage with a vibrating prostate massager. A lot of fluid drips out during this time and she then strokes my penis to orgasm while I am still on my knees. The amount of seman ejaculated is incredible. That will relax my prostate for about 4 days with similar benefits as mentioned.

The good news is that this study has been backed up in multiple additional studies.

The bad news? They're tracking 20 and 30 year olds. Who knows if older guys can make up for lost time. Guess it can't hurt though.

One problem i find is if I masturbate and ejaculate regularly, when i finally get with a partner, i can't cum at all. It seems to be because I'm so used to controlling the manual stimulation that anyone else working on me, no matter what, just won't get the job done. So i try abstaining for a few days.

I had a prostate problem a few years ago. Of course you fear the worst but it turned out to be an infection . I did have a cystoscopy ( I think that’s the procedure, camera up the penis anyway!) and he did massage my prostate under general anaesthetic so I wasn’t aware of it! Anyway my Consulant did say to me it was a good idea to masturbate regularly as it helped the prostate.

I've had prostate problems for over 30 years now. Started with acute prostatitis when I was age 50. Swollen prostate would not allow me to urinate. That, along with a 104 degree temperature put me in the hospital for 5 days. Since then I've had 2 TURP operations at age 57 & 67 and “Green Light Laser” surgery at age 75 to ream out the urethra as it goes through the prostate so I can continue to urinate. All these “procedures” due to BPH. I've also had several prostate biopsies done; 1st an 8 needle biopsy at age 58, 3 more 12 needle biopsies at ages 62, 71 & 74. Along the way I've been on Flomax several times as a precursor to the various “rotor rooter” surgeries to open up my urethra. Fortunately, other than the prostate issues, I've been very healthy so I'm not complaining, just relating my history of prostate problems.

Some medical studies (you can search the web) say men should ejaculate 22 times per month for prostate health. Not sure how vetted this is but it’s a good goal! 😁

I had a prostate problem a few years ago. Of course you fear the worst but it turned out to be an infection . I did have a cystoscopy ( I think that’s the procedure, camera up the penis anyway!) and he did massage my prostate under general anaesthetic so I wasn’t aware of it! Anyway my Consulant did say to me it was a good idea to masturbate regularly as it helped the prostate.

I agree 100% 😜

Some medical studies (you can search the web) say men should ejaculate 22 times per month for prostate health. Not sure how vetted this is but it’s a good goal! 😁

Definitely worth shooting for! 😜