Ejaculation Issues: Clear Semen and Reduced Force

Q: Ejaculation Issues: Clear Semen and Reduced Force

Hello： Your condition is not uncommon; it is a gradual weakening phenomenon. <br>As for the change in semen color, it is also normal, but if you notice bright red or dark black, you should seek medical attention from a urologist. <br>To improve your condition, you can try gentle

Ejaculatory dysfunction with semen appearing transparent and slightly yellowish?

Doctor, I noticed around the ages of 43 to 45 that after masturbating or having intercourse with my wife, the ejaculation is more of a dribble from the penis rather than the forceful projection it used to be, which could reach about 60 to 70 centimeters.
Additionally, in the past 1 to 2 years, the consistency of the semen has changed to a transparent color with a slight yellow tint, unlike the previous grayish-white appearance.
The duration of my erections has also decreased somewhat, although the hardness is still acceptable.
I would like to know what might be causing these issues.
I engage in sexual activity and masturbation about once or twice a week, totaling approximately four times a month.
I started taking mild antihypertensive medication a year ago, and I have a 0.8 cm kidney stone in my left kidney.
My glomerular filtration rate is around the 90s, and all other signs are normal.

rek, 40~49 year old female. Ask Date: 2019/01/03

Dr. Du Shixi reply Urology

Hello: Your condition is not uncommon; it is a gradual weakening phenomenon.
As for the change in semen color, it is also normal, but if you notice bright red or dark black, you should seek medical attention from a urologist.
To improve your condition, you can try gentle exercise, maintain regular sleep, and ensure adequate rest.
If you are experiencing feelings of depression, it is advisable to check your male hormone levels.
Wishing you good health.

Reply Date: 2019/01/03

More Info

Ejaculation issues, particularly changes in the appearance and force of semen, can be concerning for many men, especially as they age. Based on your description, it seems that you have noticed a few significant changes: the semen is now clear with a slight yellow tint, the force of ejaculation has decreased, and you have experienced a slight reduction in erection duration, although hardness remains satisfactory.
Firstly, it is important to understand that semen composition can change due to various factors, including age, hormonal levels, and health conditions. The typical appearance of healthy semen is a thick, grayish-white fluid. Changes to a more transparent or yellowish color can sometimes indicate a variety of conditions, including infections or changes in prostate health.
The decrease in the force of ejaculation can be attributed to several factors. One common reason is a decrease in the muscle tone of the pelvic floor muscles, which can happen with age or due to certain medical conditions. Additionally, medications, particularly those that affect blood pressure, can also influence sexual function and ejaculation. Since you mentioned that you have been taking mild antihypertensive medication, it is possible that this could be contributing to your symptoms. Some blood pressure medications can lead to decreased libido, erectile dysfunction, or changes in ejaculation.

Your mention of a kidney stone and a glomerular filtration rate (GFR) of around 90 suggests that your kidney function is still within a normal range, but kidney stones can sometimes lead to urinary tract infections or other complications that might indirectly affect sexual health.
It is also worth considering that psychological factors, such as stress or anxiety, can impact sexual performance and ejaculation. If you have been experiencing stress related to your health or other life circumstances, this could also play a role in the changes you are noticing.

To address your concerns, it would be advisable to consult with a healthcare professional, preferably a urologist or a specialist in men's health. They can conduct a thorough evaluation, which may include a physical examination, hormone level testing, and possibly a semen analysis to assess the quality and composition of your semen.
In summary, while changes in ejaculation and semen characteristics can be concerning, they are not uncommon, especially as men age. Factors such as medication, health conditions, and psychological stress can all contribute to these changes. A healthcare professional can help determine the underlying cause and recommend appropriate treatment or lifestyle changes to address your concerns. Regular check-ups and open communication with your partner about these changes can also help alleviate anxiety and improve your overall sexual health.

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