Change in Ejaculatory Force and Volume Post-PAE

Men's health
1

I am about 6 weeks post-PAE and am noticing changes in ejaculatory force and volume.  Specifically, these have diminished greatly from pre-PAE.  It almost feels like the smooth muscle part of the ejaculation has forgotten how to do it, or is not quite coordinated.  I am not experiencing retrograde ejaculation, but more of a weak force that ends up more like oozing than ejaculating.  Wonderful improvements in urine stream, emptying, etc, but surprised about this new change and hoping it is temporary.  Would love to hear from anyone else experiencing this and whether it will improve or not.

2

Hey Buddy.  Remember you just had your prostate worked on and it has to heal.  I think it's just temporary Have to read up on it.  I think in a few more weeks you will get it back where you were before.  Look on the brite side at less you don't have retro.  I will let you know if I find out anything.  I did no have a PAE But I did have a Uro-lift.  It took about 4 weeks or so for me to get make to normal.  It was like what you said oozing out.  But after my prostate healed more it was all good.  Take care  Ken

3

Hi Burninglove ,

I recently had a PAE on the 16 May 2016 I'm glad you have started this discussion because I have noticed the same thing , ejaculation has lost its force and yes I'm experiencing the same oozing ejaculation I'm distressed by this and also hope this is just temporary as its only been a few weeks since my PAE . My urine flow has improved greatly but nobody said anything at all regarding the changes in ejaculation I'm also keen to here from other guys who have had a PAE and if their whether their ejaculations improved from this strange oozing stage with time ? Cmon guys let us know what's happening for you please

4

Hi Kenneth ,

I'm experiencing the same thing I really hope it's temporary as it's causing me some distress

Regards Chris

5

Hello Burning, and thanks for startingthis conversation. I had mine done on Jan 26 of this year, and I also am having the same problem. I had an allergic reaction to the beads they used for the embolization, so I just assumed that was causing this problem as well.

I will tell you this without being too graphic, but I have been on several rounds of prescription anti inflamatories, and while taking them I can shoot like I am 16 again lol. But as soon as I stop taking them its right back to the oozing orgasm.

It would be nice to hear from some guys who are farther along to see if the problem goes away.

6

What you are describing is the result of a smaller prostate.  It happened to me before I had a PAE, when the meds started doing their job of reducing the size of the prostate.  The unfortunate part is that the meds also reduce the ability to feel an orgasim because the meds also affect the nerves. So the good news is PAE reduces the size of the prostate and allows the nerves to work, but with reduced size you have reduced ejaculatory force. But a dribble is better than nothing at all in my humble opinion.. 

7

That sounds like reaction to foreign body. Your body Is trying to reject it and with the time it will get worse. You might develop severe reaction that might prompt removal of beads.

8

Hey Joe!  I appreciate you sharing your experience.  I'm starting to get the feeling this might be a common side effect, but need more people to weigh in.  In the meantime, would you mind sharing what your allergic reaction consisted of?  Maybe that's what's going on with me as well.

9

Could you share a little more about your experience?  When did you have your PAE? 

10

Thanks for sharing your experience.  I was starting to think I was the only one.  I hope we get more members to weigh in on this.  I think if this is a routine side effect of the procedure, that ought to have been mentioned ahead of time while weighing pros and cons.  I was expecting a cure, not a tradeoff.

11

Mid June is my six month point.  I'd been on the various meds about 10 years and had become very unhappy with the side effects.  At this point I'm taking Dutasteride and Alfuzosin every other day (Dut. today and Alf. tomorrow, etc.) I'm doing ok but realizing that nothing is going to take me back to 18 years old.

12

Yes Sir I would be glad to.Upon waking from the anesthesia, I broke out in a red rash, from my neck to my crotch area, very red, and itchy. They called another Doc in for a consult and he gave me several IV drugs, which helped a lot. But did not anywhere near clear up the rash, but probably kept me from going into shock.  I had about 12 lesions appear, all about the size of a quarter, where the skin bubbled up, and peeled off within a  couple days, almost like a really bad burn. The lesions are still there almost 6 months later and appear permanent. They are very embarassing and look almost like what you used to see aids patients have. i went to donate blood last week, the same as I have since I was 16 and they almost refused me because of them.

But other than that, while not taking the anti inflammatory meds, I have difficulty urinating, and a very weak stream, much worse than before the procedure.And when not on the meds, I can barely ejaculate.

My prostate was only 45 gms, and has not shrank any since the procedure. I had an MRI done 2 weeks ago, So it appears that not only did I have problems from the procedure, it did not work either lol.

Here is the real kicker, one of the things they dont tell you prior to the procedure, is once the beads are implanted, there is NO way to remove them, other than a complete prostate removal. I was under the impression, the only place the beads went were to the arteries leading to the prostate, but my Doc says they go into the gland itself.

My Doc has been really supportive, but he is frustrated, and so am  I.

For your sake I really hope what you are having is not a reaction to the beads,

13

Yes MK that is exaclty what is happening, and it definitely is not improving any. When I do not take anti inflammatoy meds I have lots of problems.. Unfortunatly one of the things they do not tell you prior to having the PAE procedure, but definitely should tell you, is that once the beads are implanted there is NO way to remove them, other than a complete removal of the prostate. I am not ready to go there yet, but I am VERY frustrated, and confused.

Thanks

14

Hi Burninglove ,

I'm starting to feel quite distressed reading the responses to this discussion things don't sound positive at all ..... I have just emailed both my specialists that performed the PAE on me asking about this ejaculation issue ...I will keep you informed.

Now a new worry has entered the arena the body's rejection of the beads and possible prostate removal .... This is frightening 😖

I will keep you all updated

Regards

Chris

15

I have looked up the PAE procedure.  And no where in the infomation does it say that the beads go into the prostate.  It suppose to go only in the arteries to stop the blood flow to the prostate.  Thank you for sharing that information with us.  See how doctors leave certain things out.  Keep us informed     Ken   

16

Hi Everyone ,

I recieved an a phone call from my specialist regarding the email

I sent regarding the ejaculation issues he explained to me that so far he's not had anyone with these issues and that everyone's recovery time is different with regard to PAE and the prostate is still in trauma this is different for everyone even after six weeks... he said it can take some months to see the final results of the full impact of a PAE and what results each individual can have ..... So the wait continues ..... Please still share your experiences on this Ejaculation issue of like to read more of your experiences .

Thanks everyone

Chris

17

Hello Kenneth, It was most definitely not mentioned to me either. My Doc says that they also go into the prostate itself, too block some of the small vessels imside.

18

Hi Chris

i had my PAe done On FeB 9th this year at Oxford University Churchill Hospital. I asked the radiologist Dr Tapping what he though 

t about the earliest I could get back to sex. he suggested giving it a rest for a couple of weeks. So I promptly ignored him and had a session with the wife 4 days afterwards! I had a burning sensation and yes the oozing, but a fair amount nevertheless. It has gradually improved over time and now I'd say it's better than before the PAE. More force, better sensation and overall more enjoyable. The urinary situation did not seem to improve noticeably but the last  2 nights running I slept through until after 8 am without needing to get up for a pee. Had my MRI follow up 2 weeks ago and prostate has shrunk by 20% from 82 cc pre pae.

hope this helps guys. Keep posting its essential to get this information out there as its the first I've heard of a negative sexual response.

19

Hi Jezzaman,

Thank you so much for your encouraging reply I hope we get more of these I was feeling a bit down 😀 Until I read your experience thanks

Chris

20

In a way that is true.  What the prostate is going through is a change and it is not getting the blood it use to.  In time it may get better.  But we also have to realize that when we get older we don't produce the amount we did when we were younger.  I wish the doctors  would stop saying that the orgasm will not change that it will be the same.  But it does.  I hope you guys well heal fast and you get back to as normal as you can  Ken