 [ Symptoms ] i am a 55 yr old male and i am unable to ejaculate when wife and i have relations i also have to take a type of viagra ii this a serious problem because my wife thinks it is something about her we have been together 30 yrs i suffer from hypertension and various other physical ailments i take a varity of medicene daiy  blood pressure anti depresant neurological med muscle relaxer etc  i am embaressed discussing this with my primary dr any information would be a great help to me and my wife [ Disease ] that is something that cannot be determined 100 via the internet since there is no way to blindly ascertain the extent of the injury remember that the penis does not make sperm the testicles make sperm if you are concerned he would need to be examined by a medical professional or urologist it would not be prudent to make a guess over the internet i am sorry