You might feel embarrassed or uncomfortable discussing certain problems with your close ones or doctors and especially if it is a sexual problem. Just like mental illness, talking about sexual problems is taboo in India. Most people find it difficult to consult a doctor and talk over their fears relegated to sexual issues. And precum, pre-ejaculation or semen leaking is one of them.
Before moving any further, it is important to understand and clear some misconceptions about semen. Usually, people think that the whitish liquid coming out of the penis after or during sex/masturbation is semen and all of that liquid has sperm. While a part of this is true, the whitish liquid is the semen, however, only a part of it contains the sperm. It is mainly composed of seminal fluid, which is produced by the prostate and seminal vesicles. Seminal vesicles are the small glands located behind the prostate. A small percentage of semen is made up of sperm.
While semen leakage is normal, but there may be some specific reasons for the leakage that might require medical attention. Dr AK Jain, the best sexologist and counsellor in India shares some insights about semen leaking – and should you be worried?
What Are The Common Reason For Semen Leakage
Semen leakage during, before or after sex/masturbation or while urinating is normal and usually not a cause of concern. In some cases, men and even women experience some semen leaking during sexual arousal, which is also pretty normal. However, you should be worried about it, if it is frequent and not just during or after sex. Seeking an expert’s opinion is important because semen leakage can be sometimes a sign of some serious underlying diseases like sexually transmitted diseases.
Dr AK Jain shares some of the common reasons for semen leakage that need attention.
In addition to general sexual arousal, other common causes of semen leakage can be:
- Night Fall Or Nocturnal Emission
- Prostate problems
- Nerve damage
- Side effects of medication
- Sexual arousal
1. Nightfall or Nocturnal Emissions:
The semen that comes out of your penis during sleep is quite common and is not a major cause of concern. This can happen when you are aroused while sleeping, either because of erotic dreams you might have or because of the physical stimulation, your penis receives from your movements while you sleep. This condition does not require the intervention of a sex therapist or specialist.
How to avoid nocturnal emission?
If you feel that you have frequent nightfalls, you can try the following to avoid discharge:
- Have sex with your partner or masturbate before sleeping.
- Practice yoga to relax your muscles before bedtime.
- Try to distract yourself from your thoughts by attending to work or other activities before bed.
2. Prostate Problems:
The prostate produces seminal fluid. In addition, the prostate controls the opening and closing of the urethra to allow semen to exit the penis during ejaculation. There are two major conditions of the prostate in which its normal function can be disturbed: prostatitis and prostate cancer.
Prostatitis is an inflammation and an enlarged prostate. The following are the causes of prostatitis:
Bacterial infection (sometimes caused by sexually transmitted diseases)
Inflammation of the prostate due to toxins or irritants.
Nerve damage disrupts communication between the brain and the prostate.
Prostate Cancer: The exact reason for the development of any cancer remains a less well-known topic in the medical community. In addition to the loss of semen, if you have prostate cancer, you will also see the following symptoms:
- Pain when urinating
- Pain in the pelvic region.
- Bleeding in semen (hematospermia)
- Changes in ejaculation.
How to treat prostate problems
If the cause of prostatitis is a bacterial infection, it will be treated with antibiotics. An experienced neurologist can diagnose and treat nerve damage. If your sex therapist diagnoses a problem like prostate cancer, treatment depends on where the cancer is and how much damage has been done. In the worst case, the prostate may need to be removed.
3. Nerve Damage:
Damage to the nervous system can be caused by infections, spine or groin surgical errors, spine or brain accidents/injuries, etc. Old age can also weaken the nervous system. For ejaculation to occur, good communication between the brain and the prostate and other reproductive organs is necessary. A weakened nervous system can lead to decreased organ control and can lead to erectile dysfunction, ejaculatory dysfunction, or loss of semen.
Treatment for nerve damage depends on the location and extent of the damage. If your sex therapist diagnoses the problem with your nerves, you can consult a neurologist or neurosurgeon to assess the situation and make the appropriate decision.
4. Side Effects Of Medication:
If you are taking medicine for another problem and notice that your semen is leaking after a few days, you will need to talk to your doctor who prescribed the medicine for you. You can change the prescription. Some selective serotonin reuptake inhibitors (SSRIs) used to treat depression or premature ejaculation can cause semen to leak. Other problems that SSRIs can cause include:
- Low libido
- Delayed ejaculation
Do not make the decision to stop SSRIs without your doctor’s advice. You will not be able to treat the real problem for which you consulted your doctor.
5. Sexual Arousal:
It is very common for semen to leak when you are sexually aroused. This can happen when you are alone or when you are going to have intimate moments with your partner. Some sperm may leak even after ejaculation.
There is one more important thing you should know here. “Pre-ejaculation”: this fluid comes out of the penis before the actual ejaculation. It’s not exactly semen, but it can work as a lubricant. This fluid can sometimes contain “semen”. This is why doctors and medical advisers tell you that “withdrawing” before ejaculation does not always prevent pregnancy. The semen present in the precum can lead to pregnancy. It is always advisable to use a condom if pregnancy is not desired. Also, be aware that the “withdrawal” technique does not prevent you from contracting sexually transmitted infections.
Occasional semen leaks are usually not a cause for concern. But if the leak is frequent, or the amount of leakage is cause for concern or distress, see your doctor. This is especially important if you have other symptoms during ejaculation, such as:
- Blood in your semen or urine
- Smelly cum
- Changes in ejaculation
- Pain when urinating or ejaculating
- Discharge that doesn’t look like normal or healthy semen
All of these can be signs of an underlying medical problem. semen leaking can be normal, although it can be messy and uncomfortable at times. If you’re a young man, you might get out of it. Are you over 40, be sure to ask your doctor for recommended prostate health exams.
If you notice any change in the amount or frequency of semen leakage or other changes in your ejaculation, book your appointment at Dr AK Jain Clinic to get the best advice.