Penis Pain and Clear Fluid During Ejaculation - Urology

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Penile issues: Pain on the right side of the foreskin, and the ejaculate is a clear, watery fluid?


Penile Issues: I am experiencing pain on the right side of my penis, and the fluid that comes out during masturbation is a clear, watery substance.
Doctor, I started wearing boxers and a pair of shorts two years ago, wrapping my penis in clothing to encourage erection and length during ejaculation.
However, the fluid that is expelled is different; it is mostly clear and watery, with only a small amount being semen.
Can you tell me what this clear, watery fluid is? It always comes out like this, and I am concerned if my body is signaling something wrong.
Should I be paying attention to any specific health issues?
Additionally, in early March 2020, I also masturbated, removing my pants and boxers, and used tissue to pull back and forth to achieve an erection.
I am unsure if I pulled too hard or what happened, but I experienced bleeding from the right side of the foreskin.
After that incident, a few days later, I felt pain on the right side of my penis when not erect.
The pain lasted for over two weeks but eventually subsided.
However, when I achieve an erection during masturbation, I still feel pain on the right side.
Doctor, could this pain be due to excessive force during masturbation? What kind of injury might I have caused to my penis?

Binggan, 20~29 year old female. Ask Date: 2020/04/06

Dr. Du Shixi reply Urology


Hello: 1) The consistency of semen varies from person to person.
If ejaculation during sexual intercourse is watery, it may simply be the individual's normal ejaculate.
However, if the semen from self-stimulation (DIY) differs from that during sexual intercourse, it is possible that the watery fluid is prostatic fluid rather than complete semen.
If there is a significant amount of non-ejaculated fluid, the semen may also appear thicker and more concentrated.
2) If there is broken skin with bleeding, it indicates that there is an injury, but it is unlikely to involve nerve damage.
If pain persists, it is important to seek medical evaluation.
Additionally, pay attention to whether the pain occurs during erection or during ejaculation.
Wishing you good health.

Reply Date: 2020/04/06

More Info


When it comes to understanding penis pain and the presence of clear fluid during ejaculation, there are several factors to consider. Based on your description, it seems that you are experiencing pain on the right side of the penis, particularly around the foreskin, and you are noticing that the fluid you ejaculate is mostly clear and watery, with only occasional instances of typical semen.

Firstly, let’s address the clear fluid you are experiencing during ejaculation. The clear, watery fluid you are describing could be pre-ejaculatory fluid, also known as pre-cum. This fluid is produced by the Cowper's glands (bulbourethral glands) and serves to lubricate the urethra and neutralize any acidity that may be present before ejaculation. It is normal for this fluid to be clear and watery, especially if you are not experiencing a full ejaculation of semen. However, if you consistently notice that your ejaculate is primarily clear and watery, it may indicate a lower sperm count or issues with semen production. Factors such as hydration, frequency of ejaculation, and overall health can influence the consistency and volume of ejaculate.

Now, regarding the pain you are experiencing on the right side of your penis, especially after the incident where you mentioned pulling too hard, it is possible that you may have caused some trauma or injury to the penile tissue. The penis is made up of sensitive tissues, and excessive force or friction can lead to micro-tears or bruising, which may result in pain. If the pain persists, it could also indicate an underlying condition such as a penile fracture (though this is rare), inflammation, or infection.

It is crucial to monitor your symptoms closely. If the pain continues or worsens, or if you notice any other concerning symptoms such as swelling, discoloration, or unusual discharge, it is essential to seek medical attention. A healthcare professional can perform a thorough examination and may recommend tests to rule out any infections or other underlying conditions.

In terms of self-care, consider the following recommendations:
1. Avoid Excessive Force: Be gentle during masturbation or any sexual activity to prevent further injury to the penis.

2. Rest and Recovery: Give your body time to heal. Avoid any activities that may exacerbate the pain.

3. Hydration: Ensure you are well-hydrated, as this can affect the quality and quantity of your ejaculate.

4. Consult a Specialist: If the pain persists or if you have concerns about the nature of your ejaculate, it would be wise to consult a urologist. They specialize in male reproductive health and can provide a more comprehensive evaluation.

5. Monitor Symptoms: Keep track of any changes in your symptoms, including the nature of the pain, the consistency of the fluid, and any other related issues.

In conclusion, while clear fluid during ejaculation can be normal, persistent pain in the penis, especially following an injury, warrants further investigation. Do not hesitate to reach out to a healthcare provider for a proper diagnosis and treatment plan. Your health and well-being are paramount, and addressing these concerns early can lead to better outcomes.

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