Why does weak ejaculation occur?

Patients rarely talk about sexual problems, even with their doctor

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Photo: Shutterstock
Photo: Shutterstock
Disclaimer: The translations are mostly done through AI translator and might not be 100% accurate.

The ejaculation process takes place in two phases: during the first phase, called emission, the semen (fluid containing sperm) collects in the urethral dilation at the base of the penis, and during the second phase, called expulsion, the muscles around the urethra contract to push the sperm out. through the penis. A problem in the first stage of this process can reduce the amount of sperm you ejaculate. A problem with the second phase can reduce the force of sperm ejection.

Weak ejaculation is mostly a subjective feeling. A bigger problem is if you ejaculate less fluid or sperm and this can be a problem if you are planning to have offspring. Other common problems that occur in men are problems with achieving an erection (erectile dysfunction) or orgasm (anorgasmia). Patients rarely talk about sexual problems, even with their doctor. However, being open about what's going on can help you find a solution and prevent weak ejaculation from affecting your sex life.

What causes weak ejaculation?

Any condition that affects the muscles and nerves that control ejaculation can lead to a weaker than normal orgasm.

Weakened pelvic muscles

Old age takes its toll on the muscles that expel sperm from the body. When these muscles weaken, the force of ejaculation can decrease.

Low hormone levels

Hormones called androgens are necessary for the functioning of the male sexual system. As you age, hormone levels decline. A significant drop in hormone levels can lead to ejaculation disorders.

Retrograde ejaculation

Every time you ejaculate, the sperm travels through the urethra and exits the penis. In addition, there is a "valve" that acts as a gate between the bladder and the urethra - preventing sperm from entering the bladder. If this "valve" remains open, sperm can flow back into the bladder instead of exiting the penis. This condition is called retrograde ejaculation. Therefore, a complete absence of sperm during orgasm can occur.

The causes of retrograde ejaculation are:

- surgery as part of the treatment of prostate or testicular cancer, enlarged prostate, etc.

- medicines for the treatment of prostate enlargement, high blood pressure and depression

- nerve damage caused by diseases such as multiple sclerosis or diabetes

- damage to the spinal cord

Decreased amount of ejaculate

Low ejaculate volume is associated with the following conditions and diseases:

- prostate irradiation due to malignancy

- medicines used to treat enlarged prostate, high blood pressure and depression

- diabetes

- a problem with the testicles that leads to reduced production or complete cessation of male hormone production

Treatment

Several medications can help treat retrograde ejaculation: brompheniramine, chlorpheniramine, ephedrine, imipramine, midodrine, etc. If an alpha blocker or another drug you are taking to treat prostate disease causes weak ejaculation, ask your doctor if you can switch to another drug. If you have diabetes, you need to keep this disease of carbohydrate metabolism under control in order to maintain the health of your reproductive tract.

To strengthen the muscles that help you ejaculate, you can try Kegel exercises. During these exercises, you contract and release the muscles you use to control urination. One small study found a reduction in the frequency of premature ejaculation after 12 weeks of pelvic floor muscle strengthening training, including Kegel exercises.

Do not consume supplements offered in pharmacies before consulting a doctor, especially if you have other chronic diseases.

How to produce more sperm during ejaculation?

A normal sperm count is between 15 and 200 million sperm in each milliliter (mL) of semen. A low sperm count in the ejaculate can reduce the chances of conceiving a child. Here are some tips to help you increase the number of sperm in your ejaculate.

Get 7 to 9 hours of sleep every night. Men who sleep too little or too much, or who go to bed late, have lower sperm counts and lower sperm quality than those who sleep regularly.

Exercise - but not too intensely. Excess body weight can reduce both the quantity and quality of sperm. Exercise can improve sperm quality by changing hormone levels - androgens. Keep in mind that you need to limit the duration and effort of physical training, which could actually reduce the number of sperm in the ejaculate and the quality of the sperm.

Stop smoking. In addition to causing cancer and heart disease, smoking affects sperm count and sperm quality.

Include more antioxidants like vitamins C and E, selenium and lycopene in your diet. These natural plant substances can protect cells - including sperm - from oxidant damage.

Eat less trans fat. High levels of these unhealthy fats, which are often found in fried foods and unhealthy pastries, have been linked to lower sperm count in the ejaculate.

If these methods don't work, your doctor may prescribe medication to help you increase your sperm count. Various hormonal treatments such as clomiphene citrate can be used to treat this problem.

When to see a doctor?

It can be uncomfortable to talk to your doctor about problems related to your sex life. But, only by starting this conversation can you get help. See your doctor if:

- you have weak ejaculations or they contain less fluid than usual

- you cannot get an erection

- you have pain during or after intercourse

- there is blood in the semen

- the urine is cloudy after intercourse

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