Post-Sexual Ejaculation: Causes and Concerns - Urology

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After the first sexual intercourse


I had sexual intercourse with a girl for the first time, and a few days later, I noticed that my glans would spontaneously discharge semen, even though I hadn't engaged in any activities (I also didn't have a habit of masturbation before).
What could be the issue?

An An, 10~19 year old female. Ask Date: 2023/03/04

Dr. Cai Zhuorong reply Urology


You can visit the outpatient clinic for a medical evaluation.

Reply Date: 2023/03/04

More Info


Understanding post-sexual ejaculation and related concerns can be quite complex, especially when it comes to the physiological and psychological aspects involved. Based on your description, it seems that you are experiencing a phenomenon known as "pre-ejaculatory fluid" or "precum," which is a clear fluid that can be released from the penis during sexual arousal, even before ejaculation occurs. This fluid is produced by the Cowper's glands and can sometimes contain sperm, which is why it is important to consider the implications for sexually transmitted infections (STIs) and unintended pregnancies.

In your case, if you are noticing fluid coming from the glans (the head of the penis) days after sexual activity, it could be due to several factors. One possibility is that the fluid you are observing is indeed pre-ejaculatory fluid, which can be released during periods of sexual arousal or even without direct stimulation. This is a normal physiological response and does not necessarily indicate a problem.

However, if you are experiencing this fluid discharge along with other symptoms such as itching, burning, or unusual odor, it could be indicative of an infection, such as a sexually transmitted infection (STI) or a urinary tract infection (UTI). Common STIs like chlamydia, gonorrhea, or even herpes can cause similar symptoms, and it is crucial to get tested if you suspect you may have been exposed to any infections.

Another consideration is the psychological aspect of sexual experiences. Anxiety and stress related to sexual performance or the fear of STIs can sometimes manifest physically, leading to heightened sensitivity or unusual sensations in the genital area. This can create a cycle of worry that may exacerbate the symptoms you are experiencing.

It is also important to note that while using condoms significantly reduces the risk of transmitting STIs, it is not 100% effective. If the condom was compromised or if there was any contact with bodily fluids, there is still a risk of infection. Therefore, if you have concerns about potential exposure to STIs, it is advisable to seek medical advice and get tested.

In summary, while the release of fluid from the penis after sexual activity can be a normal physiological response, it is essential to monitor for any accompanying symptoms that may indicate an infection. If you are experiencing discomfort or have concerns about STIs, it is best to consult a healthcare professional who can provide appropriate testing and guidance. Regular sexual health check-ups are a good practice, especially after new sexual encounters, to ensure your health and peace of mind.

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