00:00We have been discussing various forms of premature ejaculations.
00:03On this particular episode, we're going to deviate a little bit,
00:08not talking about premature ejaculation,
00:10but going to talk about retrograde ejaculation or dry ejaculation.
00:21In order for ejaculation to occur,
00:23we talked about premature ejaculation is predominantly in the brain,
00:27such as neurotransmitter deficiency.
00:31But for ejaculation to actually propel the semen out of the body,
00:35it depends on two mechanisms.
00:38Number one, for the closure of blood and neck.
00:41Number two, proportions or contractions of the actual smooth muscles in the prostate
00:46so that the semen can propel out of the body.
00:50And how does that happen?
00:52It requires neurological coordination.
00:54So, there are three reasons why people retrograde ejaculation.
01:00Number one, it's actually an ageing process.
01:03When a man gets older, the prostate gets bigger,
01:05naturally, the actual closure of the blood and neck is deficient
01:09and therefore, you will encounter problems with premature ejaculation.
01:13Number two, actually it's related to medication.
01:16The most common medication that can cause premature ejaculation
01:20actually is alpha blockers.
01:23You may recognize alpha blockers is a drug that we use
01:27for high blood pressure and also prostatic enlargement.
01:32So, the purpose of that is to extend or to open up the bladder neck
01:36and that opening up the bladder neck
01:38will inevitably cause the sperms or the semen to go backwards into the bladder.
01:43And therefore, after somebody has climaxed, when they urinate,
01:48they will flush out all the semen and then including the sperms.
01:53And one last reason why people actually get the problems with retrograde ejaculation
01:58is actually related to neuropathy.
02:03Neuropathy is a condition where the nerve itself is damaged.
02:06For example, the commonest reason why in Malaysia is diabetes
02:09that resulted in diabetic neuropathy.
02:13Other well-known medical conditions such as multiple sclerosis
02:16or even strokes and also Parkinson's disease
02:20and all these sufferers actually cannot ejaculate.
02:23However, the sperms actually is going backwards into the bladder.
02:29The reticulate ejaculation itself actually doesn't cause any harm to your body.
02:33However, if somebody is trying to have a baby,
02:36for example, somebody who suffers from type 1 diabetes
02:39and actually facing the problem of ejaculate disorder
02:42and then they will also face a problem of infertility.
02:47So, how to overcome this?
02:48Actually, that is with help of science.
02:51Whenever we can actually retrieve the sperms
02:53after somebody actually ejaculated
02:56and then the sperms in the urine itself
03:00will still be healthy if it's retrieved early
03:02and with the help of that,
03:04one can actually do artificial reproductive technology
03:07or test tube baby to create a baby for the next generation.
03:12For the first month of February
03:15and when we're venturing into Chinese New Year
03:17and also Valentine's Day,
03:19we're going to talk about the medicine of love.
03:22Stay tuned for next week's Putting Dr. G on the Spot.
03:32I'm going to talk about the medicine of love.
03:33You
