What’s the reason for less and less semen?

Reduced semen volume may be caused by frequent sexual intercourse, prostatitis, seminal vesiculitis, endocrine disorders, vas deferens obstruction, etc.

1. Frequent sex life:

Multiple ejaculations in a short period of time will cause a temporary decrease in semen, which is a physiological adjustment phenomenon. The seminal vesicles need time to re-synthesize seminal plasma components. It is recommended to maintain a moderate frequency of sexual intercourse. Normal semen volume can be restored to normal by abstinence for 2-7 days.

2. Prostatitis:

Chronic prostatitis may affect prostatic fluid secretion, leading to a decrease in total semen volume. Patients are often accompanied by symptoms such as frequent urination and perineal distension and pain, and need to be diagnosed through prostatic fluid examination. Treatment can include levofloxacin, tamsulosin and other drugs combined with warm water sitz bath.

3. Seminal vesiculitis:

Seminal vesicle inflammation will directly reduce the amount of seminal plasma secretion, which may be accompanied by symptoms such as ejaculation pain and hematospermia. A seminal vesicle ultrasound examination is required to confirm the diagnosis. Antibiotics such as ceftriaxone and doxycycline are commonly used for treatment. In severe cases, seminal vesicle infusion treatment is required.

4. Endocrine disorders:

Low testosterone levels will affect semen production and are common in people who stay up late for a long time and are stressed out. Symptoms include loss of sexual desire, fatigue, etc., and six items of sex hormones need to be tested. It can be improved by adjusting work and rest, supplementing zinc, and using testosterone undecanoate for treatment if necessary.

5. Vas deferens obstruction:

Congenital developmental abnormalities or post-inflammatory adhesions may result in partial obstruction of the vas deferens and obstruction of semen discharge. Seminal tract angiography is required to confirm. Mild cases can be relieved by anti-inflammatory treatment, while severe cases require vas deferens anastomosis under a microscope.

It is recommended to avoid wearing tight pants, reduce exposure to high temperature environments such as saunas, and eat zinc-rich foods such as oysters and nuts in moderation. When the semen volume is reduced for a long time and is accompanied by other symptoms, routine semen examination, reproductive system ultrasound and other examinations should be carried out in time. Maintaining regular exercise habits can help improve blood circulation, but you need to avoid long-term riding that puts pressure on the perineum. Smoking cigarettes and limiting alcohol consumption will have a positive effect on maintaining normal spermatogenesis. Nutritional supplements can be provided under the guidance of a doctor if necessary.