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Feels like an obstruction in my urethra?
An_226282 posted:
Ok for the life of me I have not been able to find any information on these symptoms I've been having, mostly because it's hard to search for something that is tough to explain. I am a 22 year old male in average health.

The best way I can explain it... You know when you ejaculate, right before and during the climax, your muscles will get a very tense yet pleasurable feeling especially in the pelvic area?... And when you get that feeling from climax, you can try to "hold back" the ejaculation for a very very short time to extend the pleasure?

Well it is the same feeling really. Like it's being held back. I will climax, and it feels like the ejaculate gets blocked or clogged about half way through my urethra. THen I get that "sensation" I explained in the paragraph above, but not because I am holding the semen in on purpose. The "blockage" seems to cause pressure build up until I finally do ejaculate (and there seems to be a normal amount of semen, too). But it feels like it takes about 10x more force to get it out than a normal ejaculation. A painful amount.

This feeling comes and goes. It might happen every time I get off for a week, or couple of weeks, then the problem will lie dormant for a while. The first time it happened was probably a year ago.

Also for basically the same time period, I've had burning in the urethra when I pee also. That is only about 25% of time time, though, and I'm pretty sure it happens when I'm dehydrated but I'm not sure.

-My psychiatrist has had me on Adderall for a little more than 3 years too. When I started having urethra problems I was at about 90mg a day but currently I have all but quit taking it. The last time I did was over a month ago, yet I've definately still had the problem since then. So I don't think they'r related. Plus the fact that I was on it for 2 years before it ever started happening.

-ALso I don't think it can be an STD because I had not been sexually active for more than a year before this started.

Any insight into what might be causing this strange symptom.
counterso responded:
You absolutely need to see a urologist. There is nothing normal about any pain in your penis under any circumstances. You may have a small tear in your urethra, a stricture, or some other physical issue, and it's only going to be determined with an examination by a urologist.

It should have nothing to do with your medication, and hopefully you were guided in going off your medication by your doctor and didn't just stop on your own. That's risky.
An_245551 responded:
It is the Adderall. I've started taking it about two months ago. The doctor prescribed it as needed. On the days I take about 3 or (60mg), I feel the blockage upon ejaculation. When not taking but 1 (20mg) a day I have no problem with it. Perhaps it is just an unlisted side effect as of now. I do believe there needs to be some study done about this.
counterso replied to An_245551's response:
Regardless, you need to discuss your symptoms with the doctor who prescribed the drug. All symptoms should be reported, just pick up the phone. You don't need an appointment. Your doctor may be aware of things that are not considered "common side effects" and will guide you in the proper changes to make in your medication.
awyeahh1 responded:
damn, I hape the same symtoms, a blockage feeling the moment of ejaculation. I'm not taking meds of any kind. have had chlamydia a few months earlier but had it treated. webmd is pretty popular, why so few replies here ?
counterso replied to awyeahh1's response:
So few replies because people only come to a urology message board to solve their own problems. They don't hang out looking for things to comment on as part of a community. It's Q&A and done, never to return (with few exceptions).

The sensation you feel may have nothing to do with medication, but you're not going to be able to self-diagnose it. There are too many possible contributing factors, so you need an interactive discussion with a urologist to walk through a rational progression of thoughts backed up by expertise, a physical exam, and then you may be able to determine why you have this sensation.
Buggeroff69 replied to counterso's response:
Hey Count, if you aren't a doc or working in a practice, you sure smooth over the wrinkles in visiting UR dr's office for an exam. Why dont you tell them the details of having a 4 ft. orthoscopic tube put up the urethra..and how far for what possible ailment? Why don't you help people find UR Dr's that will let Oxycontin or relaxants be used before any of this emotional and physical toil is quitupled by proceedures that are in some ways just a little bit north of the dark ages...i.e the rubber glove, the catheter, etc. You seem surprised that people go to such lengths to avoid seeing a dr. by their own cures, but isn't it that most UR Drs have little time or patience to tell the patient exactly what's in store, and curb their anxieties in the first place?
counterso replied to Buggeroff69's response:
The behavior of specific urologists is not up for debate. There are doctors with abrupt manners and there are those that will take the time to talk, explain options and consequences, and hand-hold. Urologists are surgeons and behave like most surgeons. That does not mean the patient needs to tolerate such treatment, but because most men in a urologist's office are already wanting to be anywhere else and not to repeat any visit, they resist the urge to stop the doctor and insist that they have a full understanding of the options and learn what they can expect next. This is not unique to urologists, which is why I do not include it in the conversation. Patients need to stand up for themselves and to say NO if they don't want something or WAIT if they need an explanation. The obligation is not the doctor's. I can't guess what a particular doctor is going to do, so as a patient, you should always ask up front before anyone sticks anything unwanted somewhere sensitive.
counterso replied to Buggeroff69's response:
Urologists are surgeons and behave like most surgeons. It is the patient's responsibility to ask enough questions, demand answers or to say no to any situation. Since most men in a uro office are trying to avoid coming back, they often sit quietly and unhappily and don't question the doctor, assuming it won't make a difference. This is not unique to urologists. And it is not uncommon behavior for patients to surrender control of the situation when in fact they have ultimate control, seeing as they chose to be there. Always get your questions answered, make the doctor wait if you're unsure, and refuse a procedure you do not want or don't understand. There is a key element of self-responsibility lacking in many doctor visits. And it is not the doctor's job to hand-hold, unless you make it his job.
alexh1995 responded:
Anyone figure out this? I have pretty much the same problem , ejaculation feels blocked/obstructed pressure builds up until some comes out. I use to ejacualtion more semen but ever since I had a cystoscopy this has been happening and im very upset about this. I'm only 19 and I had prostatis so they did the cysto please some one help

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