Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Remedy For Semen Leakage
Question: I am experiencing semen leakage . And because of this my erection is weaker and I get no morning erection . ..what can I do to stop this as soon as possible ? Thanks
Brief Answer:
you can take medicines , let me know more details
Detailed Answer:
Hello,
Thanks for writing to us. I can understand your concern.
Semen leakage can be prevented by medicines like clomipramine or paroxetine. These medicines are used in treatment of premature ejaculation.
or you can increase frequency of sex/masturbation to make seminal vesicle empty regularly.
- Since when are you suffering from this problem?
- For what you have been prescribed testosterone injections?
- What is frequency of sex/masturbation?
- What is latest testosterone report?
I will be happy to help further after your response.
Regards,
Dr.Chintan Solanki.
you can take medicines , let me know more details
Detailed Answer:
Hello,
Thanks for writing to us. I can understand your concern.
Semen leakage can be prevented by medicines like clomipramine or paroxetine. These medicines are used in treatment of premature ejaculation.
or you can increase frequency of sex/masturbation to make seminal vesicle empty regularly.
- Since when are you suffering from this problem?
- For what you have been prescribed testosterone injections?
- What is frequency of sex/masturbation?
- What is latest testosterone report?
I will be happy to help further after your response.
Regards,
Dr.Chintan Solanki.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
1.I have been experiencing this for the last 3 to 4 weeks. Along with weak to no erection . And no morning erection .
2. Haven't been sexually active in months and although I did masturbate a couple times a week I stopped cause I thought that was the cause of weak erection and semen leakage .
3.i was prescribed testosterone injections at least 2 years ago because of my levels being too low and
everything has been going good as far as that is concerned .
4. As far as Paroxitine I use to take that some years back for mild anxiety but I believe that medication negatively affects normal erection and Libido.
4. About two weeks ago my testosterone levels were checked and I'm within normal range.
5. As far as the meds you mentioned . I use to take paroxitine
2. Haven't been sexually active in months and although I did masturbate a couple times a week I stopped cause I thought that was the cause of weak erection and semen leakage .
3.i was prescribed testosterone injections at least 2 years ago because of my levels being too low and
everything has been going good as far as that is concerned .
4. As far as Paroxitine I use to take that some years back for mild anxiety but I believe that medication negatively affects normal erection and Libido.
4. About two weeks ago my testosterone levels were checked and I'm within normal range.
5. As far as the meds you mentioned . I use to take paroxitine
Brief Answer:
low frequency of sex is likely cause of your problem
Detailed Answer:
Hi,
Thanks for information.
Due to external testosterone supplement there should be more semen production. Old semen must come out to give space to newly produced semen.it happens through masturbation or sex. If someone does not involve in masturbation/sex for long excess semen comes out on its own when production rate is increase than expulsion rate. This is likely case with you.
You need to just start the masturbation again regularly to prevent semen leakage. Other option is clomipramine. Yes you are right that paroxetine can affect libido and erection but clomipramine wont.
Your weak erection can be due to performance anxiety.
Sometime due to fatigue, lack of mood, situational problem or environmental changes man can fail in sex. It is normal phenomenon. However when this failure makes person apprehensive about erection, sex life is affected. This is called performance anxiety. After such failure when person actively thinks about erection or success of intercourse during sex/masturbation his mind is likely diverted to such thoughts. For constant erection continuous exciting/romantic/erotic feelings should be there in mind. If mind diverted to concern about erection, erection would not be possible.
As such erectile dysfunction cannot be diagnosed at present in your case as you are not sexually active.According to DSM - 5 definition, ED can be diagnosed when person fails most of the time (say more than 50%) in last 6 months during intercourse.
While doing sex keep yourself relax.
Whenever you go for sex, spare enough time in foreplay. You should not think actively about erection, your mind must be occupied with sexual/romantic feelings. During foreplay your partner should try to arouse you and note that your penis gets erection or not. When she feels that penis is sufficiently erect she herself should try to put erect penis in vagina gradually and you should continue your foreplay feelings without being conscious about ejaculation. You must try to enjoy and only enjoy.
If your partner is not aware about this situation you can do on your own. You just should try to do sex without being conscious about erection. Enjoy without thinking of your ability of maintaining erection and you will succeed or not.
In any case in future you will fail after multiple attempts; medicines are there to get confidence.
5-PDE inhibitor group of drug like sildenafil or tadalfil is useful. Person can take it before 2 hours of sex for good erection. After 3-4 successful attempts he will have confidence and person can do without help of medicines later on. These are prescription medicines and you need to consult doctor for the same.
Apart from this if you want to take supplement, my recommendations are as below.
You can use medicine cum vitamin supplement containing pyridoxal-5-phosphate, mecobalamin and l-methylfolate (trade name tetrafol plus)is very helpful in my patients. It has shown improvement in 50-60% patients of mine with ED. You may get this medicine over the counter as it is vitamin product.
All the best.
low frequency of sex is likely cause of your problem
Detailed Answer:
Hi,
Thanks for information.
Due to external testosterone supplement there should be more semen production. Old semen must come out to give space to newly produced semen.it happens through masturbation or sex. If someone does not involve in masturbation/sex for long excess semen comes out on its own when production rate is increase than expulsion rate. This is likely case with you.
You need to just start the masturbation again regularly to prevent semen leakage. Other option is clomipramine. Yes you are right that paroxetine can affect libido and erection but clomipramine wont.
Your weak erection can be due to performance anxiety.
Sometime due to fatigue, lack of mood, situational problem or environmental changes man can fail in sex. It is normal phenomenon. However when this failure makes person apprehensive about erection, sex life is affected. This is called performance anxiety. After such failure when person actively thinks about erection or success of intercourse during sex/masturbation his mind is likely diverted to such thoughts. For constant erection continuous exciting/romantic/erotic feelings should be there in mind. If mind diverted to concern about erection, erection would not be possible.
As such erectile dysfunction cannot be diagnosed at present in your case as you are not sexually active.According to DSM - 5 definition, ED can be diagnosed when person fails most of the time (say more than 50%) in last 6 months during intercourse.
While doing sex keep yourself relax.
Whenever you go for sex, spare enough time in foreplay. You should not think actively about erection, your mind must be occupied with sexual/romantic feelings. During foreplay your partner should try to arouse you and note that your penis gets erection or not. When she feels that penis is sufficiently erect she herself should try to put erect penis in vagina gradually and you should continue your foreplay feelings without being conscious about ejaculation. You must try to enjoy and only enjoy.
If your partner is not aware about this situation you can do on your own. You just should try to do sex without being conscious about erection. Enjoy without thinking of your ability of maintaining erection and you will succeed or not.
In any case in future you will fail after multiple attempts; medicines are there to get confidence.
5-PDE inhibitor group of drug like sildenafil or tadalfil is useful. Person can take it before 2 hours of sex for good erection. After 3-4 successful attempts he will have confidence and person can do without help of medicines later on. These are prescription medicines and you need to consult doctor for the same.
Apart from this if you want to take supplement, my recommendations are as below.
You can use medicine cum vitamin supplement containing pyridoxal-5-phosphate, mecobalamin and l-methylfolate (trade name tetrafol plus)is very helpful in my patients. It has shown improvement in 50-60% patients of mine with ED. You may get this medicine over the counter as it is vitamin product.
All the best.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you very much for your detailed information . I will give it a try.
As far as tetrafol plus...where can I order that from ? In the US? or does it go by any other names?
As far as tetrafol plus...where can I order that from ? In the US? or does it go by any other names?
Brief Answer:
you can search for similar content
Detailed Answer:
Hi,
In XXXXXXX it is available online but I am not aware that it is available in US or not. You can ask chemist or pharmacist for vitamin supplements with mecobalamin 2.8 mg, pyridoxal-5-phosphate 25 mg and l-methylfolate 2 mg.
Wish you good health and take care.
you can search for similar content
Detailed Answer:
Hi,
In XXXXXXX it is available online but I am not aware that it is available in US or not. You can ask chemist or pharmacist for vitamin supplements with mecobalamin 2.8 mg, pyridoxal-5-phosphate 25 mg and l-methylfolate 2 mg.
Wish you good health and take care.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
