Ejaculation Issues: No Sperm and Frequent Masturbation - Urology

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Hello, Doctor.
I would like to inquire about ejaculation and sperm issues.

1.
Recently, I have been experiencing ejaculation with pleasure but without sperm, although there is prostatic fluid during the process.
Could this be due to frequent masturbation (once a day)?
2.
I have also undergone urinalysis and a prostate ultrasound, both of which showed no abnormalities, so there is no issue of retrograde ejaculation.
Would you recommend abstaining for a while? (I feel the urge to ejaculate within 1-2 minutes, but still no sperm.)
3.
I would like to ask, since my body is generally dehydrated, could it be that my body is absorbing sperm to replenish fluids?
4.
Thank you, Doctor, for addressing my concerns.
I apologize for bothering you, but does a lack of exercise due to work commitments affect sperm production? Thank you again, Doctor.

Hao, 20~29 year old female. Ask Date: 2019/03/16

Dr. Du Shixi reply Urology


Hello: 1) It may be necessary to take a break for a while.
2) Rest for one week, and if there are still no improvements, seek medical attention (also, are you taking any medications?).
3) No, it will not.
4) It will not have an impact, but over time it can still be detrimental to health.
Wishing you good health.

Reply Date: 2019/03/16

More Info


Understanding ejaculation issues, particularly the absence of sperm during ejaculation, can be complex and multifaceted. Based on your concerns, let’s break down the potential causes and implications of your situation.

1. Frequent Masturbation and Sperm Production: It’s common for individuals to wonder if frequent masturbation can lead to a decrease in sperm volume or quality. While masturbation is a normal sexual activity, excessive frequency may lead to temporary reductions in sperm count and volume. However, the body continuously produces sperm, and occasional abstinence can help replenish sperm levels. If you are experiencing ejaculation with prostate fluid but no sperm, this could indicate a condition known as anejaculation or retrograde ejaculation. In retrograde ejaculation, sperm is redirected into the bladder instead of being expelled through the penis during ejaculation, often due to certain medications or medical conditions.

2. Medical Evaluation: Since you mentioned that you have undergone tests such as urinalysis and prostate ultrasound, and they showed no abnormalities, it’s essential to consider other factors. If you suspect that your frequent masturbation is affecting your sperm production, taking a break for a few weeks may help. This abstinence can allow your body to replenish sperm reserves. However, if the issue persists, consulting a urologist for further evaluation is advisable. They may recommend additional tests to rule out any underlying conditions that could be contributing to your symptoms.

3. Hydration and Sperm Production: Regarding your question about hydration, while adequate hydration is essential for overall health, the body does not absorb sperm to compensate for dehydration. Sperm production is a complex process regulated by hormonal signals and requires sufficient nutrients and hydration. Dehydration can affect various bodily functions, including semen production, but it does not lead to the absorption of sperm.

4. Lifestyle Factors: You also mentioned a lack of physical activity due to work commitments. Regular exercise is beneficial for overall health and can positively influence hormone levels, including testosterone, which plays a crucial role in sperm production. Sedentary lifestyles may contribute to various health issues, including hormonal imbalances that can affect fertility. Incorporating physical activity into your routine, even in small amounts, can help improve your overall well-being and potentially enhance your reproductive health.

5. Psychological Factors: Psychological aspects can also play a significant role in sexual function. Stress, anxiety, and depression can impact libido and sexual performance. If you find that psychological factors are affecting your sexual health, it may be beneficial to speak with a mental health professional or a sex therapist who can provide support and strategies to address these concerns.

In conclusion, while frequent masturbation can temporarily affect sperm volume, the absence of sperm during ejaculation may indicate a more complex issue that warrants further investigation. It’s crucial to maintain open communication with your healthcare provider, who can guide you through the necessary evaluations and potential treatments. Remember, sexual health is an integral part of overall health, and addressing these concerns can lead to improved well-being and quality of life.

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