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I am trying to urinate but with difficulty. I had a checked up by a Doctor few weeks ago and everything was okay. Also when I am ejaculating the semen does not come out fast but slowly.

The symptoms you are describing are often caused by benign prostatic hypertrophy but can also be secondary to prostatitis. Therefore, a prostate exam is warranted. Patients who experience decreased urine flow with a physical exam suggestive of an enlarged prostate are often put on a trial of flomax (tamsulosin). A painful prostate suggests prostatitis and these patients are often put on antibiotics and anti-inflammatories.

Other causes of decreased urine flow and decreased flow of semen include urethral strictures, urinary tract infections, drugs (nasal decongestants, antidepressants, allergy medications), or neurologic disorders.

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