Male Sexual Health: Frequency, Semen Quality, and Hygiene Concerns - Obstetrics and Gynecology

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Frequent occurrences every day, along with hygiene issues?


Hello doctor,
1.
I've been experiencing a high libido lately, with at least 4 to 7 times a day.
Could this lead to infertility? I heard that everyone has a certain volume of semen, supposedly around 4000cc.
Is there any basis for this, or is it just a myth?
2.
When I say 4 to 7 times, 2 or 3 of those times involve masturbating immediately after ejaculation.
I need to be soft first; otherwise, it remains hard.
My body experiences a kind of convulsion during this process.

3.
On days with multiple ejaculations, the first one is usually thicker, while the others are a mix of clear and white, sometimes with a ratio of 3:2 clear to white, or 3:1.
Is this normal?
4.
In high school, there was a girl with large breasts sitting next to me.
I was sitting at the back right side and used my right hand to masturbate without being seen, and I mostly ejaculated in my underwear.
It dried afterward.
Is this very unhygienic?
5.
If I go many days or even weeks without masturbating, will my semen become thicker? I mean, I don't want it to be watery; I want it to be more viscous.
When I do it daily, it tends to be watery and slightly sticky, not very viscous.

6.
I've only ever masturbated by myself and have never been touched by a girl or had sexual intercourse.
Does this mean I am still a virgin?
I hope the doctor can respond to me.
Thank you!
Email: [email protected]

22-Year-Old Male, 20~29 year old female. Ask Date: 2019/09/27

Dr. Cao Guotao reply Obstetrics and Gynecology


The frequency of your ejaculations is normal; it's similar to eating—when you're hungry, you eat more meals.
Of course, if the frequency is too high, the semen may become thinner.
Semen is continuously produced without any limitations, so there's no need to worry.
If there is no sexual activity, you are still a virgin, so there's no need to overthink it.
Wishing you good health.

Reply Date: 2019/09/27

More Info


Understanding male sexual health involves various factors, including frequency of sexual activity, semen quality, and hygiene concerns. Let's address your questions one by one.

1. Frequency of Ejaculation and Fertility: Engaging in sexual activity or masturbation multiple times a day, such as 4 to 7 times, is generally not harmful for most men. However, excessive frequency can lead to temporary decreases in semen volume and sperm quality. The average volume of semen per ejaculation is about 2 to 5 milliliters, not 4000 cc, which seems to be a misunderstanding. If you are concerned about fertility, it is essential to consider not just the frequency of ejaculation but also the overall health of your sperm, which can be affected by factors like diet, lifestyle, and underlying health conditions.

2. Post-Ejaculation Activity: It is common for men to continue sexual activity after ejaculation, although the penis may become soft. This is a normal physiological response. If you find that you can achieve an erection again quickly, this is also typical for many men, especially in younger age groups. However, if you experience discomfort or pain during this process, it may be worth consulting a healthcare provider.

3. Semen Consistency: Variations in semen consistency and color are normal. It is typical for the first ejaculation of the day to be thicker and more concentrated, while subsequent ejaculations may appear more transparent or watery. This is due to the time it takes for the body to replenish seminal fluid. As long as there are no unusual symptoms (like pain, burning, or a foul odor), these variations are generally not a cause for concern.

4. Hygiene Concerns: If you are engaging in sexual activities, even in private settings, it is essential to maintain good hygiene. Ejaculating in your underwear and allowing it to dry can lead to bacterial growth, which may cause irritation or infections. It is advisable to clean yourself afterward to maintain hygiene.

5. Semen Thickness Over Time: If you abstain from ejaculation for several days or weeks, it is likely that your semen will become thicker and more concentrated. This is because the body continues to produce sperm and seminal fluid, leading to a more substantial volume when you finally ejaculate. However, if you notice significant changes in consistency or experience discomfort, it may be worth discussing with a healthcare provider.

6. Masturbation and Sexual Experience: Masturbation is a normal and healthy sexual activity, and being a virgin does not inherently indicate a problem. Many men engage in masturbation without having sexual intercourse. If you have concerns about your sexual health or experiences, consider speaking with a healthcare professional who can provide personalized advice based on your situation.

In summary, your sexual health concerns are valid, and understanding the normal variations in sexual function and semen quality can help alleviate anxiety. If you have ongoing concerns about fertility, sexual function, or hygiene, it is always best to consult with a healthcare provider for tailored advice and support. They can help you navigate any issues you may be facing and provide guidance on maintaining sexual health.

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