Low Prostate Fluid and Erectile Issues in Young Men

Q: Low Prostate Fluid and Erectile Issues in Young Men

Hello： Please seek medical examination. <br>The amount of prostatic fluid varies from person to person; some may have more, while others may have less. <br>As long as the semen analysis is normal, that is sufficient. <br>Regarding erectile function, whether it has always been thi

There is very little prostatic fluid, almost none at all?

Hello, doctor! My boyfriend believes that the following issues are normal, but they differ from what I've learned, so I would like to ask on his behalf.
(My boyfriend is 25 years old.) Here's the situation: whenever we engage in sexual activity, after he gets an erection, he almost never secretes pre-ejaculatory fluid, and the tip of his penis remains dry.
He often has difficulty achieving a firm erection, or it becomes soft shortly after getting hard.
He feels that he has the desire but lacks the ability.
If he does manage to achieve an erection, it lasts about 1-3 minutes before he finishes.
We have sexual intercourse approximately once every one to two months.
My boyfriend thinks that his issues are simply due to being too tired and does not want to see a doctor, but I feel that this is not normal and would like to consult a doctor to encourage him to seek medical attention.
Thank you, doctor!

L, 20~29 year old female. Ask Date: 2023/01/06

Dr. Du Shixi reply Urology

Hello: Please seek medical examination.
The amount of prostatic fluid varies from person to person; some may have more, while others may have less.
As long as the semen analysis is normal, that is sufficient.
Regarding erectile function, whether it has always been this way or has recently declined, these factors also require medical evaluation.
Wishing you good health.

Reply Date: 2023/01/06

More Info

It's understandable that you are concerned about your boyfriend's sexual health, especially given the symptoms he is experiencing. Let's break down the issues he is facing and provide some insights into potential causes and solutions.

1. Low Prostate Fluid and Lack of Pre-Ejaculatory Fluid
The absence of pre-ejaculatory fluid (also known as pre-cum) can be concerning, especially if it is a new development. This fluid is produced by the Cowper's glands and serves to lubricate the urethra and neutralize acidity, which can enhance sexual pleasure and facilitate ejaculation. If your boyfriend is not producing this fluid, it could be due to several factors, including dehydration, hormonal imbalances, or psychological factors such as anxiety or stress.

2. Erectile Dysfunction (ED)
Erectile dysfunction in young men, while less common than in older populations, is not unheard of. The symptoms your boyfriend is experiencing—difficulty maintaining an erection, quick loss of erection, and a short duration of intercourse—can be attributed to both physical and psychological factors.
- Physical Factors: Conditions such as hormonal imbalances (e.g., low testosterone), vascular issues, or nerve damage can lead to ED. Given that your boyfriend is only 25, it is less likely to be a chronic physical condition, but it is still possible. Lifestyle factors such as poor diet, lack of exercise, smoking, and excessive alcohol consumption can also contribute to erectile issues.

- Psychological Factors: Anxiety, stress, and performance pressure can significantly impact sexual function. If your boyfriend feels anxious about his performance, this can create a cycle of anxiety that exacerbates the problem.

3. Frequency of Sexual Activity
The frequency of sexual activity (once every month or two) might also play a role in his sexual performance. Infrequent sexual activity can sometimes lead to anxiety about performance, which can further complicate the situation. Regular sexual activity can help maintain erectile function and reduce anxiety associated with sexual performance.

4. Recommendations
- Encourage Medical Consultation: It is essential for your boyfriend to see a healthcare professional, preferably a urologist or a sexual health specialist. They can conduct a thorough evaluation, including blood tests to check hormone levels, and assess for any underlying medical conditions.

- Lifestyle Changes: Encourage him to adopt a healthier lifestyle. This includes regular exercise, a balanced diet, staying hydrated, and reducing alcohol and tobacco use. These changes can improve overall health and potentially enhance sexual function.

- Psychological Support: If anxiety or stress is a contributing factor, consider suggesting counseling or therapy. Cognitive-behavioral therapy (CBT) can be particularly effective in addressing performance anxiety and improving sexual function.

- Open Communication: It's crucial for both of you to maintain open communication about sexual health. Discussing concerns and feelings can help reduce anxiety and improve intimacy.

Conclusion
In summary, your boyfriend's symptoms of low prostate fluid and erectile difficulties are not uncommon, but they warrant further investigation. Encouraging him to seek medical advice is the best course of action. With appropriate evaluation and treatment, many men experience significant improvements in their sexual health. Remember, sexual health is an integral part of overall well-being, and addressing these issues can lead to a more fulfilling relationship for both of you.

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