Medical Q&As

Aortic aneurysm

I had major surgery for an aneurysm of the aorta located in my lower abdomen two months ago. I have no problem in achieving an erection, and an orgasm, but I do not ejaculate or produce any lubricant. Should I be concerned?

I donít think you need to be concerned because failure of ejaculation does not have any long-term health implications. I note that you can achieve an erection and do experience orgasm, which suggests that the process of ejaculation is the only component of your sexual response that is not functioning. Given the major nature of the surgery you have recently been through it is possible that a tiny nerve branch was bruised during the process of surgery. There are many structures in close proximity to the abdominal aorta and it is inevitable that some structures, particularly if they are tiny and practically invisible, may be pressed on. In the case of a tiny nerve this could result in loss of function in the area supplied by that nerve. The effects you describe may be only temporary.