Hi, I am getting a low volume of semen in sex, these many days I am performing good and in recent past I am been feeling tired and low volume. Kindly suggest medication and methods to improve my sex life.

Dr. Rahul GuptaSexologist15yrs exp

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Hello- several conditions affecting the reproductive system can impact semen volume. These include: an obstruction or blockage. If both ejaculatory ducts are blocked, the result is a low volume of semen without sperm. Having one duct blocked or both ducts partially obstructed can also reduce semen volume. This may be caused by a condition at birth, seminal vesicle stones, cysts in the ducts, or scarring resulting from inflammation or surgery. A blockage can be found with an ultrasound. Prostate issue. Since the prostate is responsible for making 20?30% of semen, low semen volume may be a symptom of prostate cancer or another prostate issue. Dehydration. Water makes up a significant percentage of semen. Being dehydrated may lead to lower semen volume. Hypogonadism (low testosterone levels). Insufficient testosterone affects the function of the reproductive organs that produce the fluids for semen. Reduced secretions can cause low semen volume. Congenital absence of seminal vesicles. Since seminal vesicles contribute the majority of the fluid in semen, being born without them results in low semen volume. In these cases, the semen is usually acidic (which can harm sperm) and less than 0.5 ml in volume. Retrograde ejaculation. With retrograde ejaculation, either some or all of the semen is directed into the bladder instead of out of the urethra during orgasm. This reduces semen volume or eliminates it entirely (called ?dry orgasm?). Retrograde ejaculation may be caused by an injury, pelvic or spinal cord surgery, or drugs like alpha blockers that keep muscles in the bladder from contracting. It can be diagnosed by performing a urinalysis after ejaculating to look for sperm. Genetic abnormalities. Genetic infertility conditions like klinefelter syndrome, where there?s an extra x chromosome present at birth, can lead to lower semen volume. A semen analysis may help identify the cause of low semen volume. For example, a low sperm count can suggest a duct obstruction, while a lack of fructose in the semen may indicate an issue with the seminal vesicles. If the analysis appears normal besides the reduced semen volume, the issue may be partial retrograde ejaculation or improper collection of the semen.  

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