Common Fertility Concerns: Ejaculation and Performance Enhancers

I have two questions for the doctor?

Question 1: Doctor, I have a question.
My wife and I are trying to conceive, and I want to know if it's a good sign that my semen leaks out when she goes to the bathroom after intercourse.
Does this mean that my semen was successfully deposited inside her during intercourse? I'm concerned about whether the semen actually made it into her body during our attempts to conceive.
Question 2: I tend to get nervous and my penis becomes soft easily when trying to penetrate my wife.
I'm considering taking erectile dysfunction medication to help with successful intercourse.
Is it acceptable to take this medication for seven days within a month (about every 2 to 3 days), one pill per day? Will this dosage have any negative effects on my health? Also, will this have any impact on our efforts to conceive? Thank you.

Wu Sir, 30~39 year old female. Ask Date: 2023/04/12

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, ejaculation into the vagina is sufficient for conception.
If you want to get pregnant, it's advisable to lie down for a while afterward.
As for erectile dysfunction medications, it's best to use them sparingly.
If you have any concerns, please consult a urologist.
Wishing you good health!

Reply Date: 2023/04/12

More Info

When it comes to fertility concerns, particularly regarding ejaculation and the use of performance enhancers, there are several important aspects to consider.
Question 1: Ejaculation and Semen Leakage
It's common for couples trying to conceive to have concerns about whether ejaculation has successfully occurred inside the vagina. If your wife experiences some semen leakage after intercourse, it does not necessarily mean that ejaculation did not occur inside her. During ejaculation, a significant amount of semen is deposited in the vagina, and it is normal for some of it to flow out afterward. The vagina is designed to retain sperm, and many sperm can swim against gravity to reach the cervix and enter the uterus, even if some semen leaks out.
To increase the chances of conception, it can be helpful to remain in a position that allows gravity to assist, such as lying down for a short period after intercourse. Additionally, timing intercourse around ovulation can significantly enhance the likelihood of conception, as this is when the egg is available to be fertilized.

Question 2: Use of Performance Enhancers
Regarding the use of performance enhancers, such as erectile dysfunction medications, it is crucial to approach this with caution. Taking these medications occasionally can be acceptable for some individuals, especially if they help alleviate anxiety related to performance. However, using them frequently, such as taking them seven times in a month, may not be advisable without medical supervision.
These medications can have side effects, including headaches, flushing, nasal congestion, and, in some cases, more serious cardiovascular issues, especially if there are underlying health conditions. It’s also important to note that relying on these medications can sometimes mask underlying issues related to anxiety or other health concerns.
If you find that anxiety about performance is a recurring issue, it may be beneficial to explore other methods of managing this anxiety, such as counseling or therapy. Additionally, lifestyle changes such as regular exercise, a healthy diet, and adequate sleep can improve overall sexual health and performance.

Impact on Fertility
As for the impact of performance enhancers on fertility, most studies suggest that these medications do not have a direct negative effect on sperm quality or fertility. However, if there are underlying issues causing erectile dysfunction, addressing those may be more beneficial for overall reproductive health.
In conclusion, while some semen leakage after intercourse is normal and does not necessarily indicate a failure to deposit sperm, it’s essential to focus on timing and position to enhance the chances of conception. Regarding performance enhancers, moderation and medical guidance are key to ensuring that their use does not negatively impact your health or fertility. If you have ongoing concerns about fertility or sexual performance, consulting with a healthcare provider or a fertility specialist can provide personalized advice and support.

Similar Q&A

Impact of Early Ejaculation Medications on Fertility and Sperm Quality

Hello, Doctor: I have a significant issue with premature ejaculation (less than 30 seconds). My doctor prescribed the SSRI antidepressant sertraline, and I was introduced to a product called "Green Knight" spray by an online friend (both used before intercourse, but I u...

Dr. Xu Weikai reply Urology
Shrimp: Hello, currently, the medication you mentioned (sertraline, Zoloft) is commonly used for patients with depression. Generally speaking, your short-term use is unlikely to affect semen quality. It may prolong erection duration and delay ejaculation. As for topical medicatio...

Understanding Common Sexual Health Issues and Fertility Timing

Why do I feel dizzy, weak, have lower back pain, and have difficulty opening my eyes after ejaculation during intercourse? How many days should I wait before having intercourse again? Does frequent masturbation affect my physical and mental health? How can I determine when my wif...

Dr. Xu Wencang reply Urology
Engaging in sexual activity requires some physical stamina, and maintaining a regular schedule, avoiding smoking, and keeping a relaxed mood can facilitate conception.

Overcoming Fertility Challenges After Long-Term Dialysis

Hello Dr. Chen, I have been on dialysis for eleven years due to a urinary tract infection that has led to my current need for hemodialysis. Two years ago, I met my current wife, who accepted me despite my serious condition and married me. As the only male in my family, I natural...

Dr. Chen Zhirong reply Urology
Hello, regarding semen volume, there is no direct relationship between ejaculation or nocturnal emissions and fertility; the key factor is the quality of sperm. The quality of sperm is closely related to the levels of male hormones, the presence of inflammation in the prostate, t...

Understanding the Impact of Ejaculation on Health: Myths and Facts

1. Are acne, hair loss, dull complexion, and obesity related to ejaculation? Could these symptoms be due to insufficient kidney energy caused by ejaculation (which occurs about once every month or two)? 2. If someone experiences normal nocturnal emissions, will abstaining from ...

Dr. Zhang Weidong reply Traditional Chinese Medicine
Hello, Adi: 1. Hair loss and a dull complexion may be related to kidney qi deficiency. The frequency of ejaculation varies from person to person, and you can decide based on your needs and physical condition. Some individuals may experience weakness in their legs the day after ...