benign prostatic hyperplasia
"Fifty-nine year old. Have taken Rapaflo for several years. Diagnosed with BPH. I was warned about the lack of ejaculate. I was still able to orgasm. Then I developed problems with orgasm.  My urologist said it was either low testosterone levels or psychlogical issues.  He said the Rapaflo was not causing the problem. My prescription plan sent out a letter stating that the cost of Rapaflo would increase dramatically. I talked to my urologist and he prescribed the generic Tamsulosin( brand namd Flomax). I get three months supply at a time. I finished out my Rapaflo. Then I started taking the Tamsulosin. The return to orgasm and ejaculation was not immediate, but I and the woman in my life are very estatic with our sex life now."