Cause of Symptom

• The absence of sperm during orgasm is likely due to retrograde ejaculation, a known side effect of Silodosin (Sildoo) and Tamsulosin (Contiflo Icon).

Role of Medications

• These medications are alpha-blockers that relax muscles in the bladder neck, causing sperm to flow backward into the bladder instead of exiting through the penis.

Diagnosis

• This condition may present as a dry orgasm. A urine test post-orgasm can confirm sperm presence in the bladder.

Management

• Consult your doctor to discuss symptoms and potential medication adjustments. Do not stop medications without medical advice.

Further Medical Advice

• See a urologist if symptoms persist or if there are concerns about fertility or sexual function.

Reassurance

• This side effect is known and manageable, typically reversible upon stopping or changing the medication.