34-year-old man was complaining of erectile dysfunction caused by diabetes diidapnya. However, when blood sugar levels under control and erection occurs, the sperm were never appeared during ejaculation. Where to escape the sperm? Is there a connection loss of sperm with diabetes?

"My 34-year-old man. Five years ago I suffered from type 2 diabetes to suffer from impotence. Fortunately this time I was able to control your blood sugar to normal without medication. The problem, until now I still experienced impotence. There was little progress in the erection, but can not be very hard as ever before diabetes. When associated with the wife, as the climax, there is no ejaculation of sperm. I just feel good with no sperm comes out. Doctor, what happened? Where are my sperm? What is up due to diabetes? Where I have surgery and whether to have an operation?"

Sperm into the bladder
Diabetes is one disease that often lead to sexual dysfunction, erectile dysfunction and of retrograde ejaculation. Erectile dysfunction is the inability to have or maintain an erection for sexual intercourse satisfactorily. Erectile dysfunction occurs due to disruption of blood vessels called angiopati. Retrograde ejaculation means reverse ejaculation, sperm are not expelled through the penis, but into the bladder. Usually men who have retrograde ejaculation do not see any sperm that come out when orgasm.

You have two things that are not optimal penile erection and no sperm comes out when orgasm. Sperm did not come out because entry into the bladder, not because of running out. Sperm and fluid spermatozoanya still produced, but when you ejaculate, sperm entry into the bladder because the muscles around the bottom hole bladder does not close tightly. This situation is caused by diabetic nerve disorders. Retrograde ejaculation, from the point of sexual satisfaction, is not a problem although there is no sperm comes out. Unless you and your wife still wants to have kids. To overcome this problem, diabetes must be overcome. In addition, you must get erektogenik treatment, which helps the erection.

There are also medications to help the muscle contraction around the hole bottom bladder. Thus, the sperm no longer enter into the bladder. I suggest you get treatment and proper examination, including laboratory tests.