I'm 47 year old male. Have been diabetic for 40 years. Never had any sexual problems until about 4 years ago. For at least 8 years that I can remember, my Hba1c has been in the none diabetic range. I'm fit, normal weight and active.
ED became a problem some 4 years ago and ejaculation seemed to fall off until I now do not ejacuate at all. As much as I've asked GP and diabetic specialists on my yearly clinic check-up, no one realy seems interested. I was eventualy sent to see a urologist who quite obviously was in the middle of other work and gave me 4 minutes of his time (I didn't even sit down), and declared that if I was diabetic, it was retrograde ejaculation and nothing could be done. When I said I was disapointed he gave me two containers and said to pas a sample after the next time I had sex. I returned with these and the analysis was that there was 'many spermatozoa' in the sample/s.
I know that the samples looked completely clear and given that I have read up on this and observed that usually urine would be cloudy if retrograde was the problem, then I'm just not convinced under the circumstances that diagnosis is correct.
My wife and I have a 5 year old child and want another - I'm at a loss to get to the bottom of this. I was told that my bladder does not close properly which partly causes this problem, but then why doesn't the GP send me to have an ultrasound scan done to confirm this? I have no urination problems so tend to think a lot of assumptions are easy for the GP and urologist to make.
During the 4 minutes I had with the urologist, he also diagnosed that I am 'suffering from a diabetic neuropathy to the nerves that produce his erections and allow the internal sphincter to contract at the moment of orgasm and ejaculation'. This assumption without any tests to confirm, also seems a little premature for a correct diagnosis do you not think?
Any advice and help would be appriciated. I'd be very pleased if you could refer me to any organisation that might be able to investigate and confirm what my exact situation is with regard to this.