Retrograde ejaculation occurs when semen enters the bladder instead of emerging through the penis during orgasm. Watch as ...

yeah-no-sperm-for-you-urologist-reacts-to-harry39s-retrograde-ejaculation

Yeah, No Sperm For You: Urologist Reacts To Harry&#39;s Retrograde Ejaculation

the orgasm was very present and Powerful just invisible so it's Casper the Friendly come oh my God don't you dare call him that welcome back to my channel I'm Dr Reena Malik urologist and pelvic surgeon and today I'm going to react to a episode of and just like that for those of you who don't know and just like that is a sequel to Sex in the City and the characters are now significantly older so they're starting to have more sexual issues so let's check out this show yeah like that oh yeah yeah just like that you so [ __ ] hot oh you are so [ __ ] hot you're close baby Harry Harry do you want to come on my tits it's not even my birthday bir oh God I know but it's like birthday and Hanukkah and Christmas all rolled into one let's do it okay yeah yeah yeah [Music] yeah woo she didn't feel that there was nothing there Shep do we Harry all right guys so what exactly is going on here well he clearly looks like he climaxed but no ejaculate came out now what exactly does that mean so it could be one of three things one is that he really didn't Climax and he was faking it the second thing is he could have what's called retrograde ejaculation now retrograde ejaculation is when the EAC ulate volume instead of going forward goes backwards into the bladder and the reason for this is because during ejaculation one of the first steps is that the bladder neck closes so that when you get that forceful ejaculation it can actually move outside of the urethra rather than backwards into the bladder and why this happens can be a multitude of reasons most commonly it's because you're taking a medication that may help reduce the prostate size or um typically that's the most common medication and that will cause retrograde ejaculation or you've had a surgery like a transoral reection of the prostate for an enlarged prostate that can also cause retrograde ejaculation and then you can also be diabetic also neurologic condition spinal cord injuries those sorts of things can also play a role now the other thing that could be is an ejaculation now this is basically that you're not making any ejaculate volume at all and what this means is that there's either a blockage an ejaculatory duct obstruction or there could again be a neurologic condition or you could have had surgery that then disconnected essentially the prostate and the seminal vesicles basically the vas from the ejaculatory duct like a radical prostectomy for example there was nothing there and according to Harry the orgasm was very present and Powerful just invisible so it's Casper the Friendly come oh my God don't you dare call him that why you looking at me she's the potty mouth excuse me can I ask how you made this Discovery Well normally he would come inside me uh this was just a special treat since the kids are a so who knows how long it's been going on so I've talked about this before in general like how women feel about ejaculation and generally speaking they want their partner to ejaculate and I think that's correlated with climax but the volume and the force are often less important now in this case she's saying that she never really noticed before and so maybe it doesn't really matter like yes this experience when you're trying to ejaculate visibly and you're not seeing it can be distressing but maybe it's really not as bothersome to her as she really thinks but let's continue watching nothing to worry about oh good good excuse me about power bar busy day low blood sugar what you just had a dry orgasm or retrograde ejaculation your seon went into your bladder instead of your penis why would it do that um all right so this is really odd right like this guy is basically acting like it's an afterthought and I realize that as a doctor urologist whatever you see a lot of the same things over and over again and he's completely right this is not dangerous the only problem with this is if you're trying to have a baby in which case you need the ecate to come out the tip of the urethra into the vaginal Canal so he's right that's it's not dangerous but he's being very flippant he's having a snack he can barely he's not even like finishing chewing before he starts talking to the patient and like this can be really devastating for guys right they're one they're already nervous to come see you and in this case his wife came with him but I will tell you that that's not common the large majority of guys come to the office with like by themselves so they're already super nervous and then you've got a Doctor Who's like chewing on food and making just light of the situation not cool your bladder instead of your penis why would it do that um Dr Chang when this starts happening is that is there any way to redirect traffic yes sure right now your muscles are not well coordinated with your pelvic floor I have one of those you sure do yes he does ever heard of kles heard of it it's all I eat during the high holidays honey not koug kles all right so in this case he is talking about a weak pelvic floor now sometimes having a weak pelvic floor which as I've talked about before is very you know is very common as men age and the pelvic floor is essentially a group of muscles that sits in the pelvis where all your organs sit and these muscles just like any other muscle can get strengthened or weakened or dysfunctional and in this case um sometimes when a man gets older those muscles can get weak and they can have a more weaker ejaculate volume so as I've mentioned in my prior video about ejaculation the force of ejaculation can be very strong it can go as far as 30 to 60 cm away from the source and as as you age that can reduce down to 10 to 30 cm or even a dribble and that's because partially of a weakened pelvic floor that is not an explanation for retrograde ejaculation and doing keal which are exercises to strengthen the pelvic floor will not improve retrograde ejaculation it will improve ejaculatory dribble or weak ejaculation their exercise is to strengthen the muscles down there I'm an expert I can teach you it'll be fun I bet not as fun as cougal okay we're going to lift and squeeze the sphincter but remember it's not your butthole you're not trying to hold in a fart cuz I already know how to do that yes so remember what he said think of your penis like an elephant's trunk slurping from the river okay slurp it up oh baby come on now slurp let's see it yes ma'am slurp slurp you call that a slurp H give me your hand feel mine Miss we hardly know each other Harry get serious never want to come again or not I do I want to I want to shoot all over you okay then let's do this are you freaking kidding me it's like a steel trap down there you are welcome I do three sets of 10 three times a day so you can suck it up if you are considered to have a weak pelvic floor or you think you may have one the best thing to do is to get evaluated first so this urologist didn't do any sort of physical examination but you can assess a male's pelvic floor by palpating the muscles of the pelvic floor through a rectal exam now it's not the most comfortable experience but it is a valuable one to determine if those muscles are generally weaker or tighter or dysfunctional it is valuable to get training from a certified pelvic floor physical therapist and this is because we don't know how to do kull even women are not great at doing Keel so and Men definitely never thought about it in their entire life so one I wouldn't recommend doing it with your wife and she's not describing it horribly like you do want to sort of um lift the penis up those are the muscles you want to Target you don't want to squeeze your abdomen or your gluteal muscles you want to squeeze those pelvic floor muscles and you want to and you're doing them lying down to start and squeeze and relax just like you're at the gym now if you are starting to do them and you have any pain or discomfort or you feel like you're having problem urinating pain with sex pain with ejaculation problems with bowel movements please stop because you can very quickly get a dysfunctional pelvic floor or get a tight pelvic floor which can then cause more problems now she says she does three sets of 10 three times a day now what is that is that normal is that okay should everyone be doing them now I would say that if you have normal function you're having good sexual function you're having normal urination normal ball movements you don't have to do keal exercises and if you are doing them certainly start by doing them just very minimally like do them lying down do maybe 10 in the morning 10 at night and then slowly you can work your way up to doing them sitting or doing them standing um just like you going to the gym you have to continue those exercises to keep the area strong now come on two 3 4 slurp that sperm from the pelvic floor the rhyming helps oh good good good come on all right so you might be wondering what can you even do for retrograde ejaculation well in fact there are some small studies that have looked at taking medications like pseudophed or pedrin which activates certain receptors like the alpha and beta receptors and stimulates a release of a neurochemical called nor adrenaline and this then causes closure of the bladder neck now this is something that usually takes about 3 to 4 days so you need to take it consistently for 3 to 4 days and the efficacy is pretty low about 30% the other alternative which is even lower efficacy which is is about 20% effective is taking antimuscarinics these are medications that we often use for overactive bladder so you can try taking those as well and usually when you combine the two you may get a little bit better benefit so generally speaking if you're suffering from like a uh spinal cord injury you can buy certain medical grade vibrators that have a sort of higher vibratory threshold that's used and has been studied that causes some forward release of ejaculate in some cases and then lastly if you are trying trying to get pregnant you can try to alkalinize the urine so taking a lot of fluids and sodium bar carb and then collecting that urine to then get the seen from the urine because if you urinate without alkalinizing it the acidity in the urine will actually kill the sperm so you can also go to the office where they'll instill a specific solution before masturbation to protect the sperm and then you urinate it out and then they can get the sperm that way or you can directed techniques like going to the testicle or the epidemis itself to then get get some sperm that way so it can be as I mentioned before a pretty distressing condition and pretty frustrating for a lot of people and it's not uncommon but fortunately it's not dangerous in any way I hope you guys enjoyed this video if you like these reaction videos let me know I'd love to do some more for you comment down below let me know what kind of reaction you want or what video you want me to react to and I'd be happy to and if you like this one I made a like I think it was like three or 4 years ago a video uh reacting to the original Sex in the City about premature ejaculation so check that one out and as always you want to take care of yourself because you're worth it

Dr.

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