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Absence of semen, sextually excited, erection normal - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Men's Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 628 Questions
User :   Hello Dr.
I am suffering from the absence of semen altogether. Other words, I totally miss it. I can totally feel Sexually excited and erection happens normally , but I do not see the semen. only few drops of transparent liquid comes out. it seems like some drops of water or lubricator .
I had ignore this problem since maturity.

age: 23
Weight :78
length : 167 cm
Single & never had sex
MALE
Smoke
Does not take any medications and there is no History of serious illness at all, or any previous surgery
Notes: no problems and no suffer from erection and sex ecxited.
i had the following lab investigations and Hello Dr AAAAAAA
I am suffering from the absence of semen altogether. Other words, I totally miss it. I can totally feel Sexually excited and erection happens normally , but I do not see the semen. only few drops of transparent liquid comes out. it seems like some drops of water or lubrication .
I had ignore this problem since maturity.

age: 23
Weight :78
length : 167 cm
Single & never had sex
MALE
Smoke
Does not take any medications and there is no history of pathological at all, or any surgery
Notes: no problems and no suffer from erection and i am normally sex excitation.
I had the following lab medical investigations and Medical radiations :
1- Fertility Hormones (taken at night)
- Estradiol E2 = 7.44 pg/ml
- Prolactin = 5.5 ng/ml
- free testosterone = 36.1 pg/ml

2- Scotral Duplex Ultrasonography : -Both testes and epididymides show normal size and echo-pattern with no focal lesions.
-Right testicular mesures 42 X 24 mm
-Left testicular measures 43X 25 mm
-Normal calibar of pampiniform plexuses of viens at both side with o reflux of flow on straining.
- No evidence of vaginal hydrocele
- Normal intratesticular , capsular , and spermatic vessels flow with no evidence of testicular torsion
- Conclusion: normal scrotal sonographic and duplex
User :   examination.

3- Transectal Ultrasonography:
- The prostate is average of size measures 4.3 X 3.4 X 2.9 cm in diameters corresponding to a calculated weight 21gm.
- Both transitional and peripheral prostatic zones are homogenous, uniform, in texture with no focal lesion.
- Normal sonographic appearance of seminal vesicles.
- Ejaculatory ducts are not dilated.
- No pelvic masses.
Conclusion: normal Study

I hope that you can help me to make the right step , and i am ready to supply with any other information , thank you very much for your time and help.
Doctor :   Hi
User :   hi
Doctor :   I
User :   hi dr
User :   i had explained the problem
Doctor :   Give me a couple of min
Doctor :   to read the query
User :   ok
Doctor :   It seems you moved out of the chat
User :   i am here
Doctor :   Ok
Doctor :   I have read the query
Doctor :   All the test seems to be normal
Doctor :   But the important test that was missing is Sperm analysis
User :   i dont have any semen
User :   how can i make analysis?
User :   i have never ejaculated
Doctor :   You say that you still see few drops right
User :   yes just transparent drops
User :   but not as ejaculation , and thy are rarely come out , and difficult to be collected
Doctor :   Yes azoospermatic sperm can appear as normal one
User :   transparent
Doctor :   Do you masturbate
Doctor :   and do you produce the liquid after the orgasm?
User :   yes , but without any semen come out , and i dont get the pleasure of ejaculation
User :   i did not feel orgasm
User :   the liquid comes few minuits before the pinus stop ericting
Doctor :   Ok
Doctor :   The possibility is a retrograde ejaculation
User :   for all the past years?
User :   and where does the liquid goes?
Doctor :   Into the bladder
User :   and what is the cure for this?
Doctor :   and flushes out with urine
Doctor :   There are two reasons I could think of as a General Physician
User :   but the urine is yellow not white
Doctor :   1) Retrograde ejaculation
Doctor :   2) Nerve or spinal cause
User :   and the other
Doctor :   For the first the urine should be taken for microscopy
Doctor :   and looked for sperms
Doctor :   Second, a vibrator should be used for ejaculation
User :   what is a vibrator?
Doctor :   We should find out if you have Anejaculation or Aspermia
Doctor :   Anejaculation the above two reasons apply
User :   how?
Doctor :   Aspermia, the two reasons are Obstructive and Non obstructive (testicular reasons)
Doctor :   The Obstructive seems are less possible because the Ultrasound scan is norma;
Doctor :   but a biopsy is more sensitive than Ultrasound scan
Doctor :   Do you have normal male pattern hair distribution?
User :   so you think , i may be curd and become normal in the worse case?
Doctor :   Do you have beard, pubic hair?
User :   yes every thing is good
Doctor :   Ok
Doctor :   Some questions are beyond my expertise
User :   my testesterone is hight
Doctor :   I recommend to ask a Andrologist / Urologist
Doctor :   WWW.WWWW.WW [push]

User :   i did ask some one in real life . and he was puzzeled
User :   the problem is that your site need paypal for to consult a specialist
User :   and i have only criedet card
Doctor :   I think you can use the Credit card too
Doctor :   That is not a problem
Doctor :   You can select HDFC payment gateway
User :   i am not satisfied from this answer
User :   you did not help me for the money
Doctor :   I shall refund the money
Question is related to
Lab Tests
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