Unexpected Semen Leakage: Male Urological Concerns - Urology

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Experiencing spontaneous vaginal discharge without any apparent reason?


I'm a male in the ninth grade and I have a habit of masturbating, about once a week.
However, I often experience pre-ejaculate fluid even when I'm not masturbating or having sexual fantasies, which I find quite strange.
Sometimes, even during exercise, I notice that my pants feel damp, and I can confirm it's not urinary incontinence.
The amount isn't much and it doesn't happen frequently, but I find it odd.
Is there something wrong with me? Thank you, doctor.

Niming, 10~19 year old female. Ask Date: 2009/04/17

Dr. Xu Weikai reply Urology


Hello, it seems that you have not ejaculated for a long time, and the volume of semen has exceeded the capacity of the seminal vesicles, causing it to leak out during physical activity, bowel movements, or even coughing.
This situation is quite common among adolescent boys and is generally not a cause for concern.
It is those who do not experience any semen leakage that should pay closer attention.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Sincerely, Dr.
Hsu Wei-Kai, Director, Urology Department, Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2009/04/17

More Info


It's completely understandable to have concerns about unexpected semen leakage, especially at your age when your body is going through various changes. Let's break down your situation and address your concerns.

Firstly, what you're experiencing is not uncommon among males, particularly during puberty and adolescence. The phenomenon of "pre-ejaculate" or "pre-cum" is a natural bodily function. This fluid is produced by the Cowper's glands (bulbourethral glands) and serves to lubricate the urethra and neutralize any acidity in the urethra before ejaculation. It can be released during sexual arousal, even if you are not consciously thinking about sexual activity or fantasizing. This means that even physical activities like exercise or sitting can sometimes trigger this response, leading to the leakage you describe.

The amount of fluid can vary from person to person, and it is generally not a cause for concern unless it is accompanied by other symptoms such as pain, discomfort, or changes in color or odor. If you are experiencing these additional symptoms, it would be advisable to consult a healthcare professional for a thorough evaluation.

It's also worth noting that during puberty, hormonal changes can lead to increased sensitivity and responsiveness of the genital area. This can sometimes result in unexpected leakage, especially if you are in a situation that might be stimulating, even if it's not overtly sexual.
If the leakage is infrequent and not causing you distress, it may simply be a normal part of your body's development. However, if you find it bothersome or if it starts to happen more frequently, it would be wise to discuss it with a healthcare provider. They can help determine if there is an underlying issue that needs to be addressed or if what you're experiencing is indeed a normal physiological response.

In terms of lifestyle, maintaining good hygiene is important. Ensure that you are wearing breathable underwear and clothing, especially during physical activities, to minimize discomfort. Staying hydrated and maintaining a balanced diet can also contribute to overall health, including urological health.

Lastly, if you have any concerns about sexual health or related topics, don't hesitate to reach out to a trusted adult or healthcare provider. They can provide guidance and support as you navigate these changes. Remember, it's perfectly normal to have questions about your body, and seeking answers is a positive step towards understanding your health better.
In summary, while unexpected semen leakage can be surprising, it is often a normal part of male physiology, especially during adolescence. If it becomes a frequent issue or is accompanied by other symptoms, consulting a healthcare professional would be the best course of action.

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