Generally, a normal male’s ejaculation volume is about 2 to 6 milliliters each time. If the volume of each ejaculation is less than 1 ml, it is called low semen volume; if the volume of each ejaculation is more than 6 ml, it is called excessive semen volume. Abnormal semen volume accounts for about 2% of male infertility cases, and is mainly caused by low semen volume. The causes of low semen volume are physiological and pathological.
Physiological semenosis is rare in patients with frequent sexual intercourse. For example, some men have sexual intercourse once or several times a day. Therefore, the amount of ejaculate each time is relatively small.
Pathological oligospermia is mainly caused by seminal vesiculitis or prostatitis. Research shows that 60% of semen is secreted by the seminal vesicles and 25% by the prostate. When there is inflammation in the seminal vesicles or prostate, the production of semen will naturally decrease. The inflammation will also block the openings of these two glands, hindering the discharge of semen. Massaging the seminal vesicles and prostate can assist in diagnosis. There are also some pathological oligospermia, which are caused by insufficient testicular function or endocrine disorders. There are also a small number of patients who cannot completely discharge semen during ejaculation due to urethral diseases such as urethral stricture, urethral diverticulum, etc.
It is not difficult to identify whether the low semen volume is physiological or pathological. The patient can be asked to stop sexual intercourse for 5 to 7 days. If the semen volume increases suddenly after sexual intercourse again, it means that it is physiological. Sexual semen is too little; otherwise, it is pathological. If there is no excessive sexual activity, physiological causes can be ruled out.
The treatment of oligospermia should be targeted at the cause. If it is caused by seminal vesiculitis or prostatitis, anti-inflammatory treatment can be carried out; if it is due to testicular insufficiency or endocrine disorder, chorionic gonadotropin can be tried for treatment; and urethral stricture or urethral diverticulum can be treated with surgery. .
This article is provided by Baidu Reading and is excerpted from \”The Clear \”Conception\” Plan\” Author: Sun Jianqiu and Xie Yingbiao