Why Am I Experiencing Variable Semen Production During Ejaculation?

Q: Why Am I Experiencing Variable Semen Production During Ejaculation?

Hello： I have one child and three months ago, during intercourse, there were still secretions (sperm) whether ejaculation was internal or external. <br>However, when practicing withdrawal, there is pain in the penis. <br>Recently, I have noticed that when using withdrawal, in add

Recently, why is there sometimes semen (sperm) during ejaculation and sometimes not?

You have one child and three months ago, during intercourse, there were still secretions (sperm) during both internal and external ejaculation.
However, when practicing withdrawal during external ejaculation, there is pain in the penis.
In the past month, you have noticed that with external ejaculation, in addition to the ongoing pain, there are no secretions at all and no odor.
When internal ejaculation occurs, the amount of secretions is also less than what you used to experience.
You do not take any medications and have no history of hypertension, diabetes, or chronic diseases, although occasionally your postprandial blood sugar levels are elevated (180).
You are trying to conceive a second child and would like to know if there is an underlying issue.

Niming, 40~49 year old female. Ask Date: 2020/10/12

Dr. Du Shixi reply Urology

Hello: I have one child and three months ago, during intercourse, there were still secretions (sperm) whether ejaculation was internal or external.
However, when practicing withdrawal, there is pain in the penis.
Recently, I have noticed that when using withdrawal, in addition to the ongoing pain, there are no secretions at all, and there is no odor.
If ejaculation occurs internally, the amount of secretions is also not much (compared to my previous volume).
I do not take any medications regularly and have no history of hypertension or chronic diseases, although my blood sugar levels can occasionally be elevated after meals (180).
I would like to conceive a second child; could there be an underlying issue? --> It is possible that there is a decline in function, and the volume of semen may be decreasing.
It is important to pay attention to your health, ensure adequate sleep, avoid smoking and alcohol, and wear loose-fitting clothing.
If you want to conceive a second child, it may be advisable to have a semen analysis to check sperm count and motility.
Wishing you good health.

Reply Date: 2020/10/12

More Info

Experiencing variable semen production during ejaculation can be concerning, especially when you notice changes from your previous experiences. It’s important to understand that several factors can influence semen production and ejaculation, including physiological, psychological, and lifestyle factors.

Firstly, the anatomy and physiology of the male reproductive system play a crucial role in semen production. Semen is produced in the seminal vesicles and prostate gland, and it is composed of sperm and seminal fluid. A decrease in the volume of semen can be attributed to various reasons, including hormonal changes, dehydration, or even the frequency of ejaculation. If you have been engaging in sexual activity more frequently, your body may not have had enough time to replenish the seminal fluid, leading to a reduced volume during ejaculation.

Pain during ejaculation, especially if it is persistent, can indicate an underlying issue. Conditions such as prostatitis (inflammation of the prostate), epididymitis (inflammation of the epididymis), or other infections can lead to discomfort and changes in semen production. It is essential to consult a healthcare professional to rule out any infections or inflammatory conditions that may be causing these symptoms.

Additionally, psychological factors such as stress or anxiety can also impact sexual function and semen production. Stress can lead to hormonal imbalances that may affect libido and ejaculation. If you are feeling anxious about trying to conceive again, this could also contribute to the changes you are experiencing.

Regarding your occasional elevated blood sugar levels, it is crucial to monitor your overall health. While a single elevated reading may not indicate diabetes, consistently high blood sugar levels can lead to complications, including erectile dysfunction and other reproductive health issues. It would be advisable to consult with a healthcare provider to assess your blood sugar levels and overall metabolic health, especially since you are planning to conceive again.

In summary, the changes you are experiencing in semen production and the pain during ejaculation could be due to a combination of physiological, psychological, and possibly health-related factors. It is essential to seek medical advice to address these symptoms, rule out any underlying conditions, and receive appropriate guidance for your reproductive health. A healthcare professional can provide a thorough evaluation and recommend any necessary tests or treatments to help you achieve your goal of having another child.

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