How to increase Sperm quality: 5 tips to increase sperm quality super fast

how to improve sperm quality

How to increase sperm quality? without resorting to expensive fertility treatments This post is bloody damn important. Most men ponder over ‘how to improve sperm quality’. The one big hurdle men face with such treatments is time. Most treatments aimed at increasing sperm quality require lots & lots of time. However, with fertility treatments, time … Read more

Does Masturbation Reduce Testosterone?

So, does masturbation actually reduce testosterone?

Now in this blog post, we’re going to answer this question, does masturbation reduce your testosterone? You can also watch the video below

This is a very important topic. So stay sharp and focused on the what i am going to reveal.

I know most of you have this doubt. You want to know the actual answer to this question with scientific validation.

Now remember, when you look at visual erotica,that is you look at appealing women on a screen, you look at models on the screen, you look
at anything that’s even remotely sexual on the screen, what’s going to happen first is in your bloodstream is that testosterone is going to go up.

It’s going to spike.

does masturbation reduce testosterone
does masturbation reduce testosterone

So studies have found that if you take a group of men and show them visual erotica, that is you show them sex videos or you show them single women who are engaging in self-stimulatory sexual behavior, single women masturbating basically or you look at couples having sex
on the screen and before even you actually start masturbating, testosterone and your sex steroids basically go up by about 36%.

What happens to you during masturbation?

So what basically happens here is when we look at sexual material on the screen, you’re going to feel a sense of desire, you’re going to feel aroused, physiologically aroused and you will want to engage in sexual out put behavior. To elaborate, either you will masturbate or you will go and try having sex with your partner.

Some of you may engage in casual sex due to your native motivation from your desire or have sex with your stable partner. You are going to vent out or purge your system of your desire

You’re going to do it, as simple as that, right? Or you’re going to be the kind of guy who believes in a no fap technique, you’re not going to do it.

does masturbation reduce testosterone
does masturbation reduce testosterone

So whatever your sexual outlet behavior may be, depending on you as an individual, that’s going to happen.

Now how does masturbation reduce testosterone?

Now the answer is quite simple because what studies have found is that just before masturbation, testosterone rises (especially while looking at porn on the screen) and during the actual masturbatory behavior, again testosterone rises moreover post masturbation also testosterone rises.

Does masturbation reduce testosterone?

No, it doesn’t directly reduce testosterone.

The most important point to understand here is that after masturbation once semen is thrown out, not only testosterone rises, insulin, cortisol, adrenaline, which are basically stress hormones rises,

Specifically adrenaline rises and so does cortisol, which are both stress hormones.

Furthermore, serotonin and prolactin, which are sedating by nature, which will help you feel a sense of satisfaction also rises in the brain.

And that’s why after masturbation, many men notice that they feel a bit tired, they feel a bit low, they are satisfied and they do not want to engage into another bout of sexual intercourse, be it solo or with a partner.

does masturbation reduce testosterone
does masturbation reduce testosterone

So men go into what’s called as a refractory period.

So what happens here is that when you do excessive masturbation?

Weh you masturbate daily and if masturbation is uncontrolled, you’re always going to be in the refractory period.

Why? Because in your brain, serotonin and prolactin is going to be high and even though testosterone increases even after masturbation, after ejaculation, your insulin, cortisol and other stress hormones go up, so you’re going to feel stressed, you’re going to feel tired, you’re not going to feel fresh and energetic or you’re not going to technically feel that good.

And what’s very interesting here is that many men have what’s called as semen loss anxiety syndrome, also called as DHAT syndrome.

Especially, this is a culture bound condition where excessive masturbation, especially seen in Indian men, feel that once
the semen is lost from their body, they feel very tired, they feel weak, they feel depressed, they feel a shrinkage in the organ size, they have erectile dysfunction with their stable partners.

So all this is there. So should masturbation be technically encouraged? No.

Even though it increases your testosterone and doesn’t reduce your testosterone, don’t do it. Why? Logically again, let me reinforce what I’m telling. It increases cortisol, it increases adrenaline, it increases the stress hormone levels in your blood and there arestudies for this.

And I hope you enjoyed this video. So I hope you got something of valueto take back. So just avoid masturbation. Stop looking at pornographic content.

Avoid the habit of masturbation. It’s just not going to work. Hope you liked the video. Put in your comments below. Ask all your questions down below in the comments. I’ll try my best to answer each and every comment.

I’ll see you soon with another video. This is Dr. Shah, andrologist & sexologist in chennai signing off for now.

References

https://www.frontiersin.org/articles/10.3389/fendo.2013.00159/full

Low Testosterone Symptoms : 4 symptoms of low testosterone you must know

Understanding the Signs: Common Symptoms of Low Testosterone

In this quick blog post we are going to discuss on 4 to 5 common symptoms of low testosterone. Now remember testosterone is the male sex hormone and it has a variety of functions. Watch the video below

Now when your testosterone goes low, men frequently notice a couple of symptoms. Watch the video below

Demystifying Low Testosterone Symptoms

As a full time practicing andrologist, I’m here to provide you with an in-depth understanding of these signs and their implications.

Testosterone, the primary male sex hormone, plays a pivotal role in several physiological functions.

When its levels dip, men often experience specific symptoms that signal this hormonal imbalance.

Let’s now delve into these symptoms to gain a comprehensive understanding.

Symptom 1: Decreased Libido – Unveiling the Impact

The first and foremost symptom of low testosterone is a notable decrease in libido (which is nothing but your sex drive or the damn urges you feel to mate with your better half).

It’s crucial to understand how this affects individuals.

Men with low testosterone may find themselves less inclined to initiate sex/sexual intercourse.

Their overall desire for intimacy diminishes, leading to a decline in sexual thoughts and fewer intimate encounters.

That is in general you may not approach your intimate partner for sexual intercourse.

You probably will avoid intercourse and you will also not have a recurrent frequency of sexual thoughts running in your head and you will also notice that your overall desire

low testosterone symptoms
low testosterone symptoms

This reduced libido can have a significant impact on both personal relationships and overall quality of your sexual life.

So that’s one of the cardinal symptoms of low testosterone, sexual dis-interest.

Symptom 2: Decreased Facial Hair Growth – Hair as a Hormonal Indicator

Another potential symptom of low testosterone is an overall decrease in facial hair growth.

low testosterone symptoms
low testosterone symptoms

It’s not merely about aesthetics; the thickness and growth of facial hair are indirect indicators of your overall male sex hormone levels.

Slow beard growth and a less substantial mustache are often seen clinically in men complaining of low libido & erectile dysfunction.

Understanding this symptom can help individuals recognize potential hormonal imbalances and seek appropriate medical guidance, where relevant.

The thickness of your hair is more important.

Thick hair, thick facial hair, underarm hair, the hair in the chest region, hair in the pubic region are all markers of a man’s fertility because it indicates that the testosterone in the system is probably optimally functioning.

So, that’s the second symptom of low testosterone

Symptom 3: Decrease in Organ Size – A Sensitive Issue

Testosterone significantly influences penile tissue, making it a vital factor in organ size. More importantly, the penile tissue is sensitive to your testosterone levels.

So if you notice that your penis size is very small, you may have low testosterone.

Secondly another concerning symptom of low testosterone is a very small organ in relation to an individual’s age (you can have the organ size of a 10 year old when you are 20 years of age?! right?).

low testosterone symptoms
low testosterone symptoms

This can lead to serious concerns about sexual function and your overall self-esteem.

Another point to consider is the size of the testicle. A reduction in testicular size may indicate not only low testosterone but also the possibility of hypogonadotropic hypogonadism, a condition that merits further investigation.

In these men, the testis is also very small and shrunk, it may indicate that your testosterone is not functioning.

Put in other words, it just means that all your reproductive systems are probably shut down and they are not producing FSH and/or LH as well as testosterone, genetic causes have to be ruled out.

A combination of = Small Penis size + Small Testis Size + Decreased hair growth = Definite diagnosis of Low testosterone

Symptom 4: Erectile Function – A Key Indicator

Erectile function is another vital aspect of men’s sexual health influenced by testosterone.

Men with low testosterone may experience difficulties in achieving and sustaining erections (so these men frequently have erectile dysfunction)

This can have profound implications for sexual satisfaction and overall perceived well being.

low testosterone symptoms

Recognizing changes in erectile function is crucial for addressing potential hormonal issues and seeking timely intervention as and when required.

Conclusion: Empowering Knowledge

In conclusion, recognizing these symptoms of low testosterone is the first step toward addressing potential hormonal imbalances.

If you or someone you know experiences any of these signs, seeking medical guidance for a comprehensive evaluation is advisable. Understanding these bodily signals and/or empowers individuals to take charge of their health and well-being.

Closing Remarks: Join the Dialogue

We trust that this extended exploration of the symptoms of low testosterone has provided you with valuable insights.

Feel free to engage with us by liking, commenting, and subscribing to our blog. If you have questions or require further information, please don’t hesitate to leave your comments below.

For personalized guidance, you can also reach out to us directly through our clinic’s contact number. Your health and well-being remain our top priority.

Thank you for your attention, and we look forward to addressing your valuable comments and questions in future discussions. This is Dr. Shah, signing off for now. Welcome.

References

Penis Size to get Pregnant? Does the size of the penis matter?

In this video and post we are going to discuss on the penis size to get pregnant. So what’s very important to understand here is that many men associate the size of their organ with their masculinity as well as a sense of power.

Penis size to get pregnant. How important is your penis size?

So, men with larger penis size are more comfortable overall with their self perceived body image. Moreover, they are more confident and in general their sexual satisfaction for these men as perceived by men themselves is usually higher.

penis size to get pregnant
penis size to get pregnant

Over 55% of men find their penis size and overall size of their organ to be very very small and satisfaction from a sexual health view point is also low.

penis size for pregnancy
penis size for pregnancy

Furthermore some of these men become so paranoid and traumatized that they completely even avoid sexual intercourse with their intimate partners (wives or girlfriends).

In still worser scenaros, these men get so depressed that eventually clinical depression along with  erectile  dysfunction develops!

This has resulted in a large number of men actually seeking penis size enhancing surgeries which in recent times has come under criticism from the American Urological Association stating that the penis size increase in surgeries are largely risky by nature itself.

So what is the mean average penis size?

Now,

Initial studies from the Kinsey Institute of Sexual Health estimated penis size. These studies, conducted around 1984, involved 2,000 to 3,000 men who self-reported their measurements.

On average, they reported an erect penis length of approximately 16.77 cm

But in more recent times with more data that’s more widely available we now know that the mean average penis size is anywhere from about 5 inches to 5.5 inches.

penis size for pregnancy
penis size for pregnancy

Now if you have a penis size that is anywhere more than 4 inches or anywhere more than 3.5 inches in terms of erect length then that is more than adequate for pregnancy.

There are two particular clinical conditions where the penis size may be insufficient with
respect to pregnancy. The first is

Buried Penis

In some cases, the penis is buried, resulting in a size of less than 3 cm or 4 cm. This occurs in men who are morbidly obese, those with Klinefelter’s syndrome, and patients with hypogonadotropic hypogonadism

So here getting pregnant is going to be hard for these men. I mean helping their partner achieve pregnancy is going to be hard. We also encounter an issue with penis size in a condition known as micropenis, which involves an exceptionally small penis

To elaborate in these men they are born with a small organ, often less than 3 cm or 2.5 cm in length, due to a developmental issue. To understand this better, we perform a detailed physical examination to rule out genetic conditions

Furthermore in both small penis and buried penis and/or micropenis are all issues where achieving a pregnancy can be a challenge.

For a large number of men however, 55-60% of men whose penis size is usually normal, they themselves perceive that their size is problematic.

This is called as small penis syndrome. Here the penis is NOT truly small.

penis size for pregnancy
penis size for pregnancy

So in these instances, visiting an andrologist near you or a sexologist near you, getting a proper estimate of your penis size may be very very helpful in alleviating those doubts.

And That’s about it!.

I hope you enjoyed this video on penis size, what is the penis size required to get pregnant.

I’ll be coming up with many more videos.

Please like, comment and subscribe and do share this video with all your friends and loved ones. This is Dr. Shah. Welcome and namaste.
Thank you.

References

Why is there blood in my sperm ? Hematospermia explained

Why is there blood in my sperm?

In this informative video and post, we aim to address a commonly asked question: Why do some individuals notice blood in their semen? Why is there blood in my sperm?

Join me as we explore the details of this phenomenon, its causes, and when to seek medical attention.

Unveiling Hematospermia: Definition and Diagnosis

Hematospermia, also known as blood in semen, is a clinical condition that prompts concern among patients. It refers to the presence of blood in semen or blood mingling with sperm upon ejaculation. Various underlying conditions warrant testing and evaluation to accurately diagnose hematospermia. To understand why there is blood in my sperm, an accurate knowledge of the conditions is necessary.

Underlying Conditions and Differential Diagnosis

When diagnosing hematospermia, we must rule out several conditions, including sexually transmitted infections such as chlamydia and gonorrhea. Additionally, we must assess you for prostatic abscess, prostatic cysts, renal and liver abnormalities, as well as bleeding disorders.

These evaluations are essential, as these conditions often correlate with hematospermia (blood in semen).

Why is there blood in my sperm? (Hematospermia: the Impact of Age)

Is the presence of blood in semen a cause for alarm? For any normal human being, it is! It’s traumatizing to see blood mixed with sperm.

Why is there blood in my sperm
Why is there blood in my sperm

However, the scientific answer is different.

The answer varies with age. For individuals under 40 years old, observing blood in semen on one or two occasions is usually considered benign. While comprehensive testing and ultrasounds are advisable, there’s typically no need for major investigations. This transient occurrence is likely to resolve on its own. Blood in semen frequently goes away on its own over a median period of 6 months to 8 months in young men under 40.

I am over 40, should I be worried when I see blood in my semen?

However, for those over 40 years old, with a family history of prostate cancer, the presence of blood in semen demands more attention. In such cases, prostate malignancy must be definitively ruled out.

Why is there blood in my sperm
Why is there blood in my sperm

Endorectal MRI emerges as the gold standard for identifying the source of bleeding within the male reproductive tract. It’s a crucial step in assessing potential prostate cancer. To conclude if you are over 40, never ever ignore blood in semen and definitely get a check-up done with your andrologist.

Key Takeaways: Understanding Hematospermia

In summary, the significance of blood in semen varies with age and frequency. Individuals under 40 experiencing isolated incidents need not overly worry, as it commonly resolves. Yet, those above 40, especially with prostate cancer risk factors, should pursue thorough investigations to exclude malignancy.

Conclusion: Empowering Informed Choices

I hope this video has provided insights into hematospermia, assuaging any alarm you might feel upon observing blood in your semen. Remember, you’re welcome to seek clarification or share your doubts in the comments below. Feel free to like, subscribe, and share this video with those seeking clarity on this topic ‘why is there blood in my sperm’.

This is Dr. Shah, signing off with best wishes and healthful regards.

References
Stefanovic KB, Gregg PC, Soung M. Evaluation and treatment of hematospermia. American family physician. 2009 Dec 15;80(12):1421-7.
Leocádio DE, Stein BS. Hematospermia: etiological and management considerations. International urology and nephrology. 2009 Mar;41:77-83.

When you ejaculate how much sperm comes out?

In this video and post, the question we are going to answer is, when you ejaculate, how many sperms are actually released? More specifically when you ejaculate how much sperm come out?

Now many people have a common doubt that when ejaculation happens, are the sperms being properly deposited in the vagina? Understanding the intricacies of this process is crucial, especially for those curious about sperm deposit and conception probabilities.

So, let’s delve into the science behind ejaculation and its implications for fertility.

How many sperms are going to be deposited in the vagina?

To understand this, you must understand the physiology of ejaculation. So when ejaculation happens, the important point to know here is that the first few drops of semen contains the sperm rich fraction.

That means the first one or two drops of the semen contain most of the spermatozoa, representing a significant proportion.

So that means ejaculation should happen in the vagina strictly and you cannot partially ejaculate outside and then have a partial ejaculation inside.

Furthermore, following penetration of your partner or loved one, it’s essential to ensure that you withdraw the organ only after complete ejaculation has occurred

Why??

Because during the process of ejaculation, when you have an orgasm, the first one or two drops of the semen contains the sperm rich fraction, SRF.  Termed SRF, the sperm-rich fraction essentially indicates that those drops contain the highest number of spermatozoa.

And it’s very interesting because when patients collect a sample in a sperm testing laboratory, normally when we see a report, if we notice low semen volume, if we notice a low count,we ask the patient, did the patient spill the first 2-3 drops of the semen on the floor at the time of collecting the sample?

when you ejaculate how much sperm comes out
when you ejaculate how much sperm comes out

As a result, if the answer to the question is yes, we conclude that the report indicates a low semen volume. Given that a significant portion of motile sperm is lost in the spilled drops of semen, the low sperm count report could be inaccurate..

Thus, what’s important to understand here is that the first couple of drops of the semen contains the highest fraction of motile spermatozoa.

Some patients also have the question that after I withdraw the organ, I see the
semen back flowing. So, when you ejaculate how much sperm comes out?

That’s completely fine.  Remember when you ejaculate intra-vaginally, as early as 2-3 minutes after ejaculation, the spermatozoa are going to rapidly swim up and reach the Fallopian tube.

What happens after about 10 minutes of ejaculation is that basically the semen is going to liquefy. The liquefaction time is where the coagulated thick semen becomes watery and it becomes thin and watery.

So because it becomes liquefied, that is because it loses its viscosity or it becomes liquefied by nature, what’s going to happen?

It will flow back down the vaginal canal, and this back flow of semen is termed “effluem-seminis.” That is a physiological process, 99-100% of couples will note that after ejaculation, in 5-7 minutes, semen back flows.

The Crucial Initial Phase (Where semen = Gold). When you ejaculate how much sperm comes out?

However, the pivotal factor remains the initial phase of ejaculation—specifically, during orgasm. Proper deposition of the first portion of ejaculate into the vagina significantly heightens the chances of pregnancy.

when you ejaculate how much sperm comes out
when you ejaculate how much sperm comes out

The rapid expulsion of the initial 2-3 drops during a man’s orgasm holds particular importance.  The depositing these drops in the vagina significantly increases the likelihood of pregnancy.

This is more so if the woman is close to her ovulation period or the ovulation window.

So I hope you found this video useful and informative and please like, comment and subscribe.

Here is  one more bonus point here for you is that when you ejaculate, how many sperms actually comes out?

That’s not the right question because in fundamental you need to know what is your sperm concentration per ml. The normal sperm concentration per ml can range anywhere from 13 million per ml to 16 million per ml.

I hope this answers the question with some clarity.

Please like, comment and subscribe and share this video with all your friends. This is Dr. Shah, consultant andrologist and I’ll see you back with another video.
Bye for now. I hope you enjoyed reading this article on ‘when you ejaculate how much sperm comes out’

References

Feeling Sexually Weak? Dhat Syndrome & its Treatment explained

Worried about Dhat Syndrome? Watch the video below

Dhat Syndrome is a rare clinical syndrome or condition that causes Sexual Weakness in men

Vanakkam, Namaste & welcome. My name is Dr Shah, and I am a practicing andrologist in chennai. In this short post, lets quickly discuss the very infamous Dhat Syndrome, loosely referred to as sexual weakness or sexual tiredness.

Now, lets move on to the good stuff…

Men diagnosed with Dhat Syndrome complaint of

  1. Feeling very tired along with a constant sense of fatigue
  2. Secondly lower back pain is seen
  3. They also feel their organ is shrinking in size. Small penis syndrome is not uncommon among men with Dhat Syndrome
  4. Thirdly, they also report having erectile dysfunction

Quickly watch the video below, It wont take more than 5 minutes of your time

The first question is

What is Dhat Syndrome?

The word Dhat is derived from the word ‘dhatus’ a term seen in both the ayurvedic/vedic texts. Dhatus means ‘the bodily fluids’

Consequently, Dhat syndrome refers to a clinical condition were men complaint of ‘feeling low. feeling weak. feeling tired along a sense of nervousness, rest tremor in hands and generally feeling depressed’.

dhat syndrome | sexual weakness in men | sexual tiredness in men

Moreover, men with Dhat syndrome feel impotent along with a general loss of fertility too.

However, the most important reason for these symptoms as stated by patients is due to ‘semen loss’.

This loss of semen can happen either during sleep (called nightfalls) which is not under the control of patients. Moreover, the loss of semen can be voluntary which is via masturbation.

Either-way, men with Dhat syndrome, feel very tired weak and also report erectile dysfunction.

dhat syndrome | sexual weakness in men | sexual tiredness in men
dhat syndrome | sexual weakness in men | sexual tiredness in men

Interestingly,

Among all the bodily fluids, semen seems to have been considered to be the most important of body fluids as per the vedic/ayurvedic scriptures.

Furthermore, how common is Dhat Syndrome or this sexual weakness?

We really do not have the exact data. One thing we know for sure is that, Dhat syndrome seems to be more predominant among, indian, pakistani, bangladesh and chinese men.

So, for sure this condition is actually specific to certain cultures, making it a cultural condition. Their seems to be only about 45 to 50 published studies in this condition called Dhat Syndrome

Which age is Dhat Syndrome common?

Typically, the common age of Dhat syndrome is somewhere between 18 to 25 years. However,  we have seen men in their late 30’s experience it.

An estimated 40% of men would experience Dhat syndrome at-least once in their lifetimes. To highlight, the symptoms commonly seen are

  • A generalized sense of tiredness and a lack of motivation
  • Rest tremors combined with anxiety
  • Furthermore, these men also go into full fledged clinical depression & they feel life is not worth living
  • Lastly severe erectile dysfunction is also seen

Much of these symptoms are blamed because of semen loss (the loss the bodies most vital fluid)

dhat syndrome | sexual weakness in men | sexual tiredness in men

Why does Dhat Syndrome develop in the first place?

Truth be told, we really do not know. We also do not know as to why it specifically develops among specific cultures. What we do know however is that, a lack of sex education and culturally propagated orthodox belief systems can lead to the development of this condition.

Another point to know is that, this sexual weakness due to Dhat syndrome has been listed as an ICD10 disease condition and also in the DSM4 manual which is prominently used by Psychiatrists.

However, most medical professionals are unaware that such a condition even exists as such. Patients are at the receiving end, eventually and never get treated or evaluated rightly.

Now, lets move on to the last part of the post

How how to treat sexual weakness? or Dhat?

Once the patient has been diagnosed with this type of sexual weakness, treatment strategies include the use of

  • Anti-anxiety medications
  • Anti-depressant use
  • Next psycho-sexual counseling and/or cognitive behavioral therapy
  • Lastly medications have to prescribed to improve overall erection and sexual performance

A combination of treatments usually work wonders to improve the patients symptoms quite quickly. In the absence of treatments, patients eventually suffer unduly post marriage.

Sadly, many patients do not receive the right degree of care for the condition since the general awareness of the condition in patients and among healthcare practitioners is very less

So, I hope you enjoyed reading this post. Do drop in your comments below. Dr Shah this side. Keep watching this space for more interesting articles

References

How much pus cells in sperm is normal? Should you treat pus cells in semen?

Hey guys! In this short 2 min blog post, we will quickly understand what to do if you notice pus cells in semen. Watch the video below

Okay, so you are trying for a child desperately for the last 2 or 3 years. Sadly a pregnancy is just not happening. Moreover, your andrologist or fertility specialist punished you with a battery of expensive tests.

Among these tests is the famed ‘semen analysis test‘ or sperm test. The D-Day comes, you get your report and you are SHOCKED.

pus cells in semen
pus cells in semen

You notice the ONE THING you do NOT want to see in your goddamn report….

PUS CELLS and numerous pus cells, so many damn PUS CELLS competing with your sperm for honor and space (I know the joke sounds cheesy).

And you are going like MAD. Your fertility specialist says that, your pus cells in the semen are the reason your sperms motility is so low

pus cells in semen
pus cells in semen

Moreover, its the pus cells in your goddamn sperm that causing infertility. What should you do? The answer is below.

How much pus cells in sperm is normal?

Well on average that is, if you look at the average semen analysis report, you should see anywhere between 1-2 cells per high power field.

The most important thing to understand here is that, these pus cells, also called as ’round cells’ can be of 2 types.

The first type of round cells is the typical ‘White blood cell’ or so called ‘pus cells’ that is seen…..if their is an infection. Secondly, the next type of round cell can be simply an immature spermatogonial cell.

Either way, in a typical sperm test, both cells are considered as ’round cells’.

So DO NOT hit the PANIC button, once you notice pus cells along with your sperm.

To make things easy, I am going to systematically give you a treatment strategy for those damn pus cells. The strategy will be based on what should be done, depending on the number of pus cells seen per high power field

2-4 pus cells in sperm

For both 1-2 and 2-4 pus cells seen in your semen analysis report, no active treatment is required. However, the one exception is, if their are clinical symptoms like burning sensation while passing urine and/or pain while ejaculation, treatment will be required

To summarize here is what you should do

Step 1 – Repeat your semen analysis and see if you get the same 2-4 cells per high power field

Step 2 – If Yes, and you also have symptoms, take antibiotics after doing a semen culture and sensitivity

Lastly, Step 3- if No, and you have no symptoms, then no further treatment is required

Ok, now to the next part

4-6 pus cells in semen

Alright then, you notice you have 4-6 pus cells. What should you do?

Step 1: Once again, repeat the sperm test

Step 2: You need to do a leuco-screen test. This will differentiate whether the pus cells are immature sperm cells or plain pus cells

Step 3: If the round cells are immature sperm cells, no further treatment is required

Step 4: Fourthly, if the round cells are pus cells and you have no symptoms, no further treatment is the recommendation

Lastly, Step 5: Pus cells with symptoms, then please do a semen culture and sensitivity and follow up with antibiotics

8-10 pus cells in semen

Here again, follow the steps below

Step 1: Repeat semen analysis

Secondly, Step 2: Next leuco-screen test

Thirdly, Step 3: If report shows immature cells, no further treatment

Lastly, Step 4: However, if they are pus cells and you have symptoms, semen culture followed up with a course of antibiotics is definitely required

Now to the last part of the discussion. What should you do if you notice the below finding in your report?

20-25 pus cell seen in semen

Step 1: Repeat your sperm test once again

Secondly Step 2: Do a leuco-screen test

Thirdly, Step 3: Do a trans-rectal ultrasound of your prostate and seminal vesicles to rule out infections

Fourthly Step 4: Antibiotic course if semen culture shows growth of pathogenic organisms

So, thats about it guys

I hope you found this article of some value. Do of course visit an andrologist or sexologist near you

A very important point to bear in mind is that, if you notice pus cells in semen, a treatment is only required if and when you have certain symptoms.

Some of these symptoms are namely

1. Burning pain while passing urine

2. Also, the presence of burning pain while ejaculation

3. Pus discharge from the organ

4. Foul smelling semen and the presence of blood in semen (hematospermia)

Unless otherwise, you dont have any of the aforementioned symptoms along with pus cells, a general rule of the thumb is that, you do NOT need any major treatment.

So, thats about it!

I hope you found this article useful and informative. Please share this article with all your friends and loved ones

Kindly drop in your comments, I will do my best to respond to all of them. Keep watching this space for more interesting articles.

References

Sigman M, Lopes L. The correlation between round cells and white blood cells in the semen. The Journal of urology. 1993 May 1;149(5):1338-40.

Solis EA, Gatti VN, Bouvet BR, Brufman AS, Provenzal C, Feldman R. Round cells in semen and genital infections. Archivos espanoles de urologia. 200

How to get rid of blue balls? Blue Balls Treatment explained

how to get rid of blue balls | blue ball syndrome | blue balls treatment

Have you ever suffered from an ‘irritating pain in the balls’? A pain that comes and goes, a dull aching pain in your balls? A pain that you just cant seem to get rid off?. How to get rid of blue balls? Yup, that pain is due to something called the ‘blue ball syndrome’. Men … Read more

What to do if you cant ejaculate? Delayed ejaculation & its treatment explained

In this post, we are going to go through quickly about ‘what to do if you cant ejaculate’. More specifically, we will briefly look at delayed ejaculation and delayed ejaculation treatment. You can also watch the video below

In this post, we are going to go through quickly about ‘what to do if you cant ejaculate’. More specifically, we will briefly look at delayed ejaculation and delayed ejaculation treatment. You can also watch the video below

The last thing any man or (his better half) wants to experience in their sex lives, is ‘the inability to cum’. Its frustating, unfulfilling and bloody irritating.

what to do if you cant ejaculate
what to do if you cant ejaculate

So, what to do if you cant ejaculate?

Lets first science the shit out of the topic. Now, delayed ejaculation (DE) is also called inhibited ejaculation. In this condition, men are unable to ejaculate after penetration of the vagina, in partnered sex.

The important point to note here is the ‘average ejaculatory latency time’ which is about 4 to 10 mins. Interestingly this 4 to 10 minute time is also the ‘average duration of sex’ in most couples.

So, technically, how long should sex last? about 4 to 10 mins post penetration.

However, in delayed ejaculation, the sex lasts really long. Men who fail to ejaculate, keep thrusting their partners from anywhere between 30 to 60 minutes, but do not ejaculate.

Thus these men in principle do not achieve their orgasm.

This causes tremendous sexual frustration, depression and distress to the male. But, when it comes to the female partner, the distress and stress results from the consequent infertility issues.

what to do if you cant ejaculate

Since men with delayed ejaculation suffer due to the inability to deposit sperm in the vagina, infertility results, thereby affecting the relationships.

Not just that, female partners of men who cant ejaculate also suffer from poor self esteem issues, disturbed body image problems and a range of other psychological problems.

They think that, they are probably not ‘attractive’ and thereby their unable to make their partner come.

So what should you do if you cannot ejaculate? Keep Reading!

The problem of delayed ejaculation is seen in about 4 to 8% of men presenting to male fertility clinic with sexual health issues.

Now, here comes the icing on the cake. A large proportion of men with DE, seem to suffer from DE due masturbatory behavior.

Men who engage in masturbation are frequently ‘auto-sexual’ or more specifically auto-sexually oriented.

Can masturbation cause delayed ejaculation? Hell yeah it can. For these men, unfortunately, are compelled to take their hand and stimulate their organ. The thrusting force generated from their hand actually offers much greater gratification than the ‘vagina’s’ (of their partners)

what to do if you cant ejaculate
what to do if you cant ejaculate

Moreover, men with delayed ejaculation also suffer from an idiosyncratic masturbation style called as ‘prone masturbation‘.

Individual’s who engage in prone masturbatory practice frequently orgasm or achieve ejaculation by rubbing their organ on the bed or on the floor. The rubbing of course helps the individual get a tremendous high triggering an ejaculatory response.

Other yet equally important causes of DE include

1. Major pelvic and abdominal surgeries

2. High Prolactin

3. Low Testosterone

4. Genito-urinary tract infections (from stds like chlamydia and gonorrhea et cetera)*

5. Mullerian cysts and prostatic utricles

*Whats interesting to note here is that, specifically with STD’s the patient will have burning sensation while ejaculation. Thus, the pain will eventually inhibit the ejaculation completely

what to do if you cant ejaculate
what to do if you cant ejaculate

What can you do immediately if you cant ejaculate?

The best thing you can do for yourself is to visit a sexologist near you

A thorough psychological and psycho-sexual evaluation is a definite must. Most importantly, a point of interest would be to get the individual evaluated on their sexual orientation.

Many men suffer from conflicts regarding their sexual orientations. In men with DE, the said patient may be in a heterosexual relationship but would rather prefer to be homosexual. This conflict in the psyche can in itself cause and inhibition of the ejaculation (or ejaculatory response).

Next, a thorough evaluation of the male sex hormones is also definitely required.

Ultimately, treatment depends on the cause.

If the issues are psychological. Treatment options include

1. Cognitive behavioral therapy or

2. REBT therapy combined with psychosexual therapy

If the issues are organic (a bodily physiological problem)

Hormonal therapy can be done.

For example for men with elevated prolactin, medications to reduce prolactin can be given. Similarly for men with hypogonadotrophic hypogonadism (where no sperm in the semen is seen) hormonal injections with testosterone replacement therapy is recommended.

Fundamentally the END-GOAL is to help the patient achieve a normal antegrade ejaculation.

Some medications which we have used in our practice include medications like

1. Tab Cabergoline 0.5 mg twice a week for 8 weeks

2. Midrodine Hydrochloride and Ephredine.

So, that about summates the post on ‘what to do if you cant ejaculate’. I hope you found this post interesting and useful. Do drop in your comments below.

I will see you in this space with more interesting content to read

Cheers!

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