Male Lubrication: When to Consult a Urologist

Consult a physician?

Dear Doctor,
Hello! I would like to ask a question on behalf of my friend, as it has been bothering him for a long time.
His girlfriend previously told him that during sexual intercourse, in addition to ejaculation, men also secrete a small amount of fluid, similar to lubrication, just like women do.
However, he seems to have an excessive amount, as he gets so wet that his underwear becomes soaked.
Is this abnormal? He came to ask me, and I also observed my boyfriend, but he doesn’t seem to experience this.
Does he need to see a urologist? Could you please help me with this question so I can forward the information to him? Thank you!

xiang bu tou, 20~29 year old female. Ask Date: 2005/05/26

Dr. Xu Weikai reply Urology

Hello, actually, this is related to many factors.
Generally speaking, an individual's constitution plays a significant role.
Secondly, the level of arousal during an erection is important.
When arousal is higher, the secretion tends to increase, which is normal for both males and females as long as there is no unusual odor.
Unless there are changes in color or odor, there is no need to see a doctor.
Response from Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan, concerned about your well-being.

Reply Date: 2005/05/26

More Info

When it comes to male lubrication during sexual activity, it is important to understand the physiological processes involved. Typically, males do produce a pre-ejaculatory fluid, often referred to as "pre-cum," which is secreted by the Cowper's glands (bulbourethral glands) located near the base of the penis. This fluid serves several purposes: it helps to neutralize acidity in the urethra, provides lubrication, and may also contain sperm, although in much smaller quantities than ejaculate.

In your friend's case, where he experiences an excessive amount of this fluid to the point where it saturates his underwear, it could be indicative of a few different conditions. While some variation in the amount of pre-ejaculatory fluid is normal, excessive secretion could be a sign of an underlying issue. Here are a few possibilities:
1. Hypersecretion: Some individuals may naturally produce more pre-ejaculatory fluid than others. This can be due to genetic factors or hormonal influences.

2. Infection or Inflammation: Conditions such as prostatitis (inflammation of the prostate) or urethritis (inflammation of the urethra) can lead to increased secretions. These conditions may also present with other symptoms such as pain during urination, discomfort in the pelvic area, or changes in urinary habits.

3. Sexual Arousal: Increased sexual arousal can lead to heightened production of pre-ejaculatory fluid. If your friend is experiencing heightened arousal or anxiety related to sexual performance, this could also contribute to the issue.

4. Hormonal Imbalances: Hormonal fluctuations, particularly involving testosterone, can influence the production of various bodily fluids, including pre-ejaculatory fluid.

Given that this situation has been a source of concern for your friend, it would be advisable for him to consult a urologist. A urologist specializes in male reproductive health and can provide a thorough evaluation. During the consultation, the doctor may perform a physical examination, take a detailed medical history, and possibly order tests such as urine analysis or imaging studies to rule out any infections or anatomical abnormalities.

In addition to addressing the immediate concern of excessive lubrication, a urologist can also provide guidance on overall sexual health, including any potential impacts on fertility or sexual function. It’s important for your friend to understand that variations in bodily functions are common, but when something feels off or causes distress, seeking professional advice is the best course of action.

In summary, while some variation in pre-ejaculatory fluid is normal, excessive amounts warrant further investigation. A visit to a urologist can help determine if there is an underlying condition that needs to be addressed, and it can provide peace of mind for your friend. Encouraging him to seek medical advice is a proactive step towards understanding and managing his health.

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