Semen Volume and Orgasm Intensity: A Urology Perspective - Urology

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Regarding the issues of semen volume and orgasm?


Hello, Doctor: Due to a family history of male pattern baldness, I have been taking Finasteride (Propecia) for over a year.
I am aware of the potential side effects; fortunately, my erectile function remains normal, and there are no significant issues.
However, I feel that the duration of ejaculation has shortened, the volume of semen has decreased, and the intensity of pleasure during ejaculation has diminished with each release.
I would like to ask the doctor: 1.
Is there a relationship between semen volume and the pleasure experienced during orgasm? If so, is there a way to increase my semen volume to improve this? 2.
Does Finasteride affect the quality of semen and the motility of sperm? Thank you for your response, Doctor!

Alex, 20~29 year old female. Ask Date: 2005/11/26

Dr. Xu Weikai reply Urology


Sueonosmios: The volume of ejaculation is related to orgasm.
Some individuals have observed that during extreme arousal, the erection of the penis can be longer than usual, and the volume of ejaculation may also be greater.
Additionally, some believe that the likelihood of conception may increase.
Finasteride is an enzyme inhibitor in the process of male hormone production; it is used in high doses to treat benign prostatic hyperplasia and in low doses to treat male pattern baldness.
Clinically, approximately 1-3% of patients may experience effects on sexual function.
Taitung Hospital, Department of Urology, Director Hsu Wei-Kai responds.

Reply Date: 2005/11/26

More Info


Understanding the relationship between semen volume, orgasm intensity, and the effects of medications like Propecia (finasteride) is an important topic in urology. Let's address your questions one by one.

1. Is there a relationship between semen volume and orgasm intensity?
Yes, there is a relationship between semen volume and the intensity of orgasm. The sensation of orgasm is influenced by several factors, including the volume of semen expelled during ejaculation. A larger volume of semen can enhance the physical sensation of orgasm, as the body experiences a more significant release during ejaculation. Conversely, a decrease in semen volume may lead to a less intense orgasmic experience. This is partly due to the physiological response during ejaculation, where the contraction of pelvic muscles and the release of seminal fluid contribute to the overall sensation.

To potentially increase semen volume, several lifestyle changes and interventions can be considered:
- Hydration: Staying well-hydrated can help maintain optimal semen production.

- Diet: A balanced diet rich in antioxidants, vitamins (like Vitamin C and E), and minerals (like zinc) can support reproductive health.

- Regular Ejaculation: Regular sexual activity or ejaculation can help maintain healthy semen production.

- Supplements: Some supplements, such as L-arginine, zinc, and maca root, are believed to support semen volume, although scientific evidence varies.

- Avoiding Excessive Alcohol and Smoking: Both can negatively impact semen quality and volume.

2. Does Propecia affect semen quality and sperm motility?
Propecia (finasteride) is a medication primarily used to treat male pattern baldness and benign prostatic hyperplasia. One of the known side effects of finasteride is its potential impact on sexual function, including changes in semen volume and quality. Research has shown that some men may experience a decrease in semen volume while taking finasteride, which can also affect sperm motility and overall fertility. While the majority of men do not experience significant side effects, a subset may notice changes in sexual function, including reduced orgasm intensity.

If you are concerned about the effects of Propecia on your semen quality and sexual function, it is essential to discuss this with your healthcare provider. They may suggest:
- Monitoring: Keeping track of any changes in sexual function or semen volume over time.

- Alternative Treatments: If the side effects are bothersome, your doctor may consider alternative treatments for hair loss that do not have the same sexual side effects.

- Fertility Evaluation: If you are planning to conceive, a semen analysis can provide valuable information about sperm count and motility.

In conclusion, while there is a relationship between semen volume and orgasm intensity, individual experiences can vary widely. Lifestyle changes may help improve semen volume, and it is crucial to discuss any concerns regarding medications like Propecia with your healthcare provider to ensure that you are making informed decisions about your health and well-being.

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