Semen Volume Changes: When to Seek Medical Advice - Urology

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Semen volume issues!


Thank you for your response to my previous question! I would like to ask again.
Before the morning of May 13th (Saturday), I had abstained for a week, but after I finished that morning, I noticed that the volume of semen was less than the clear discharge, and it was not as viscous as before.
Overall, there was a large amount of clear discharge mixed with a small amount of white semen, but the color of the semen was still white.
The same situation occurred during the evening as well, and I suddenly felt a significant decrease in semen volume.
Should I consider getting checked for this condition? The pain I experienced subsided after a while, but now I am worried that I might experience pain again during the next sexual encounter.
I would appreciate any advice from the doctor! Thank you!

Ralegh, 20~29 year old female. Ask Date: 2006/05/15

Dr. Lai Ronghao reply Urology


Hello: I suggest that you don't worry too much; pain and pleasure are often just a fine line apart.
If you are still experiencing unbearable pain, I recommend that you visit a urology clinic for further examination and treatment.
Thank you!

Reply Date: 2006/05/15

More Info


When it comes to changes in semen volume and consistency, it is important to understand that various factors can influence these characteristics, including hydration levels, frequency of ejaculation, hormonal balance, and overall health. In your case, you mentioned a noticeable decrease in semen volume after a week of abstinence, with the semen appearing less viscous and more transparent than usual. This can understandably cause concern, especially if you are also experiencing pain during sexual activity.

Firstly, it is essential to recognize that variations in semen volume can occur from time to time. Factors such as stress, anxiety, and changes in diet or hydration can all play a role in the consistency and amount of semen produced. For instance, dehydration can lead to a decrease in semen volume, making it appear more watery. Additionally, if you have recently engaged in sexual activity after a period of abstinence, the body may produce semen differently than when ejaculation occurs more frequently.

The fact that you are experiencing pain during sexual activity is another important aspect to consider. Pain during ejaculation or sexual intercourse can be caused by several conditions, including infections, inflammation, or other underlying medical issues. If the pain persists or worsens, it is advisable to seek medical attention. A healthcare professional can perform a thorough evaluation, which may include a physical examination and possibly laboratory tests to rule out any infections or other conditions.

In your situation, since you have noted a significant change in semen characteristics and are experiencing pain, it would be prudent to consult a healthcare provider. They can assess your symptoms in the context of your overall health and medical history. It is particularly important to seek medical advice if you notice any of the following:
1. Persistent Pain: If the pain during sexual activity continues or intensifies, it could indicate an underlying issue that needs to be addressed.

2. Changes in Color or Smell: While normal semen is typically white or off-white, any unusual color (such as yellow or green) or a foul odor could suggest an infection.

3. Other Symptoms: If you experience additional symptoms such as fever, chills, or swelling in the genital area, these could be signs of a more serious condition that requires immediate attention.

4. Anxiety and Stress: If your concerns about semen volume and pain are causing significant anxiety, discussing these feelings with a healthcare provider can also be beneficial. They can provide reassurance and help you manage any stress or anxiety related to sexual health.

In summary, while occasional changes in semen volume and consistency can be normal, the combination of these changes with pain during sexual activity warrants a consultation with a healthcare professional. They can provide a comprehensive evaluation and determine if any further testing or treatment is necessary. Remember, maintaining open communication with your healthcare provider about your sexual health is crucial for addressing any concerns and ensuring your overall well-being.

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