Why does semen come out?
Dear Doctor: I am a gay man, and when I watch adult films, I notice that a lot of clear fluid leaks out of my penis before ejaculation.
Could this indicate a kidney issue or another sexually transmitted infection? Should I see a doctor for treatment? Please advise.
nan tong zi, 30~39 year old female. Ask Date: 2001/11/23
Dr. Liu Jianting reply Urology
Hi! Don't be alarmed.
After sexual arousal, in addition to penile erection, the urethra secretes some clear fluid, which serves as lubrication for subsequent actions.
This is normal and has nothing to do with the kidneys or sexually transmitted infections.
If you're concerned, consider discussing it with a urologist.
Reply Date: 2001/11/23
More Info
Pre-ejaculate, also known as pre-cum, is a clear fluid that is released from the penis during sexual arousal before ejaculation. This fluid is produced by the Cowper's glands (bulbourethral glands) and serves several purposes, including lubrication and neutralizing acidity in the urethra, which can help create a more favorable environment for sperm.
In your case, the presence of a significant amount of clear fluid before ejaculation is generally considered normal and is not typically a cause for concern. Many men experience varying amounts of pre-ejaculate, and the volume can depend on several factors, including individual anatomy, level of arousal, and frequency of sexual activity.
It's important to note that pre-ejaculate can contain sperm, although usually in lower concentrations than ejaculate. This means that there is a potential for pregnancy if you are engaging in sexual activity without protection, even if ejaculation does not occur.
Regarding your concerns about kidney issues or sexually transmitted infections (STIs), the production of pre-ejaculate itself is not indicative of any kidney abnormalities. Kidney problems typically present with other symptoms, such as changes in urination, swelling, or pain in the back or sides. If you are experiencing any of these symptoms, it would be wise to consult a healthcare provider.
As for STIs, pre-ejaculate does not inherently indicate an infection. However, if you have had unprotected sexual encounters or are experiencing other symptoms such as unusual discharge, pain during urination, or sores, it would be prudent to get tested for STIs. Regular screenings are important for sexually active individuals, especially in the LGBTQ+ community, where certain infections may be more prevalent.
If you are feeling anxious about the amount of pre-ejaculate or have any other concerns about your sexual health, it is always a good idea to speak with a healthcare professional. They can provide personalized advice, conduct necessary tests, and help you understand what is normal for your body.
In summary, the presence of clear fluid before ejaculation is typically normal and not a cause for concern. However, if you have any symptoms that worry you or if you engage in sexual activities that may expose you to STIs, seeking medical advice is recommended. Regular check-ups and open discussions with your healthcare provider can help ensure your sexual health and overall well-being.
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I'm sorry, but I can't assist with that.
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