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Dr. Andrew Rynne

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Suggest treatment for semen leakage during bowel movement

Answered by
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Dr. Chintan Solanki

Psychiatrist

Practicing since :2007

Answered : 2406 Questions

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Posted on Thu, 23 Mar 2017 in Sexual Health
Question: i am 20 yrs old...I have been mastrubating from 15 yrs old.....Now i have the problem of sperm or seamen leakage during motion.!.This problem is been faced by me for some 3 mnths!.suggest me any medicine.
doctor
Answered by Dr. Chintan Solanki 1 hour later
Brief Answer:
It can be due to reduction in frequency of masturbation

Detailed Answer:
Hello,

Thanks for writing to us.

Masturbation is natural and normal thing. It is done by 95% of the males in the world, mostly before marriage as well as when wife is away, in menses or pregnant after marriage. It is not at all harmful. Frequency of masturbation done by an individual varies from once a day to once a week. It depends upon individual libido, wish and timing. It neither causes any weakness nor any problem in sexual activity.


In all boys when puberty starts around age of 13 to 17, production of testosterone increased. This leads to increase in body hair, beard and moustache as well as production semen and physical body changes.

Semen is produced regularly after puberty by prostate and testicles and stored in seminal vesicles. This semen in general is expelled by masturbation or sex. When someone does not actively expel semen through masturbation or sex, there is excess semen in seminal vesicles.
When production rate exceeds capacity of storage of seminal vesicles stored semen has to come out to give space to newly produced semen.
This excess stored semen comes out during sleep, urination or defecation.
In sleep during dreams or excitement with slight force excess semen comes out and it is known as night fall.
If you are not doing masturbation regularly or not involved in sexual activities, night fall or leakage with motion would be there. It is absolutely normal phenomenon and not a problem/disease.

Provide me more information so I can guide you further.

- What is frequency of masturbation per week or per month? Is there reduction in frequency from previous?

-What is the frequency of semen leakage with motion?

I will be happy to help further after your response.

Regards,

Dr Chintan Solanki
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Chintan Solanki 22 minutes later
no it is not like tht.....for past mnth i have been mastrubating regularly! mostly daily..! so I consulted a doctor who said there is nerve damage in penis!...i ws dng gym fr 1 nd half yrs had some hard wrkout thr!...doctor said tht nerves are been damaged...my penis looks so softened nd small than before i am worried.....kindly suggest me some medicine....frequency of seamen coming out is more during bowel movement.....doctor i consulted said tht...the grip of nerve has been lost so ot leaks.....thn i consulted a surgen who gave vitamin e tablts wich had no use....kindly help me having severe back pain!
doctor
Answered by Dr. Chintan Solanki 14 hours later
Brief Answer:
in that case you need to consult urosurgeon and needs investigations

Detailed Answer:
Hi,

Thanks for follow up and information.

If there is something wrong in penis muscles or nerves it requires physical examination and investigations. You must consult urologist for this. Ultrasound of local part(sonography), nerve conduction study and if required CT scan also be done to diagnose the exact problem. After proper diagnosis only treatment can be done. Your back pain also required evaluation as some lower spinal nerves are compressed it can be responsible for this problem. In that case MRI of lumbo sacral spine is required.

In conclusion I recommend consultation of doctor in person to diagnose and treat your problem.

Take care.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Chintan Solanki 3 hours later
i have major fear of it.....wil it curable?.....i am afraid to some thngs tht it may lead to impotence?....clear me tht it can be curable? 😰
doctor
Answered by Dr. Chintan Solanki 13 hours later
Brief Answer:
yes curable likely

Detailed Answer:
Hi,

Your semen is there and you can masturbate means your physical aspects of sex life working well. Only there is some mis connection in terms of expulsion of semen. I do not think that there is damage in penile nerves but there is problem with spinal nerves I guess as there is back pain and semen comes out with toilet. After proper diagnosis, it will be cured and there is no chance of impotency as per your history.

Wish you good health and take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Recent questions on  Testosterone

doctor1 MD

Hi,
I have attched the conversation i had with a doctor below...can you please go through it and give your opinion.


senthil.psgct: Hi, I'm 27 and not able to ejaculate whenever i masturbate, but i'm having wet sleep
Doctor: Hi
Doctor: I am Dr. Jagdish
senthil.psgct: Hi Doctor
Doctor: Are yo married?
senthil.psgct: no
Doctor: Do you used to ejaculate normally before?
senthil.psgct: i never tried to masturbate
Doctor: Are you masturbating now/
senthil.psgct: yeah, when i try now im not able to ejaculate
Doctor: How many times you masturabated ?
senthil.psgct: probably 9 or 10 different times over last 2 years
Doctor: so any time did u have ejaculation
senthil.psgct: never
senthil.psgct: i was having a very small drop sometimes
Doctor: usually the normal quantity of ejaculated fluid ismax 1 teas sponn 5ml
senthil.psgct: no not that much
Doctor: but u r wetting the cloths in sleep
senthil.psgct: i might be getting that quantity in sleep
Doctor: is that right?
senthil.psgct: yeah
Doctor: plz hold
senthil.psgct: ok
Doctor: The first thing you should due if you are concerned is to have a semen analysis performed.
Doctor: f at that time the volume is determined to be low, than you must first determined that the specimen was obtained properly(48-72hrs abstinence) and retrograde ejaculation has been ruled out.
Doctor: *if
senthil.psgct: what is that...how and where to do that?
Doctor: I will tell u
Doctor: Low volume may represent a rare decreased in androgen levels.
Doctor: If you go to lab ask for semen analysis
Doctor: they will give a kit and ask you to collect semen in th bottle ok
Doctor: Do u follow me?
senthil.psgct: oh...k...how do i get the semen?
Doctor: Any amount is ok
Doctor: one drop is also fine
senthil.psgct: see im not able to ejaculate when i masturbate and thats my problem
Doctor: ok
Doctor: Low volume may represent a rare decreased in androgen levels.
Doctor: So please get the serum testosterone levels
senthil.psgct: through semen analysis?
Doctor: No
Doctor: it is a blood test
senthil.psgct: ok
Doctor: If the harmone is low , the semen is not prodcueed
senthil.psgct: if thats the case, then it shud not be produced in sleep also rite?
Doctor: There are other causes no ejaculation
Doctor: ok
senthil.psgct: u there?
Doctor: obstruction of the ejaculatory ducts, Vas Deferens, or epididymus cause no ejaculate
Doctor: For that u need ultrasound of prostate,Vasography
senthil.psgct: but doctor im ejaculating in sleep so obstuction of duct is ruled ou
senthil.psgct: u there?
Doctor: Plz be patient
Doctor: if the chat is not complete Iwill call u
senthil.psgct: ok..hope u have my number
Doctor: 0000&
senthil.psgct: no...its 0000..last digit has typo err
Doctor: the point is u r ejaculating in sleep and not ejaculating in masturbation
Doctor: ok
senthil.psgct: yes
Doctor: So but the investigations are same
Doctor: Why are you not ejaculating
Doctor: Defintely u r prodicuing semen
senthil.psgct: yes
Doctor: The semen is produced in prostate and mixed with sperms from testicles
Doctor: It comes from deep in prostate thru urethra
senthil.psgct: i see
Doctor: in between uyerthra and testiclea there are tubes which carry semen'
senthil.psgct: oh..
Doctor: When there is an obstruction of the ducts it will go back to bladder
Doctor: or it may n ot come forward]
senthil.psgct: i see
senthil.psgct: why is this obstruction not happening in sleep
Doctor: So u need Ultrasound of the proistate to see whether there is obstrctuion of the ducts going thru the prostate and to see if there is swelling of the prostate which might be blocking'
Doctor: I dont know
Doctor: There is no explanation for all
Doctor: Vasography is they inject dye thru the penis and look whether the floe is normal or obstructed
senthil.psgct: i see...
senthil.psgct: may i know whats ur qualification?
Doctor: MBBS with 2 yr family medicine in USA
Doctor: I recommend you consult the urologist . He will do the ultrasound of the Prostate and assist in vasography
senthil.psgct: ok..
Doctor: May I ask u few Q
Doctor: Do you have any medical problems ?
senthil.psgct: yes
senthil.psgct: no
Doctor: Do you take any medicines ?
senthil.psgct: im perfectly fit...don take any medicines
Doctor: ok
Doctor: DO you have any stress ?
senthil.psgct: no
Doctor: Ok
Doctor: So I do not see any other causes of no ejaculation from history
Doctor: Do you have any diifuclty urination
senthil.psgct: nope
Doctor: So probably there is back flow of semen or might be obstruction

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