What should I do if my semen suddenly decreases?

The sudden decrease in semen volume may be related to factors such as excessive sexual frequency, prostatitis, seminal vesiculitis, endocrine disorders, partial obstruction of the vas deferens, etc. It can be improved by adjusting living habits, anti-infective treatment, hormone regulation, etc.

1. Frequent sex life:

Multiple ejaculations in a short period of time can lead to insufficient semen reserves, often manifesting as a reduced semen volume but a thin texture. It is recommended to maintain an interval of 2-3 days between ejaculation and avoid continuous ejaculation. If there is no improvement after 1-2 weeks of observation, other causes need to be investigated.

2. Prostate inflammation:

Chronic prostatitis may affect semen secretion function and is often accompanied by frequent urination and perineal swelling and pain. Prostatic fluid examination is required. After diagnosis, drugs such as levofloxacin and tamsulosin can be used, along with warm water sitz baths to relieve symptoms.

3. Seminal vesicle dysfunction:

Seminal vesiculitis or seminal vesicle atrophy can lead to decreased seminal plasma secretion, which may be accompanied by hematospermia. Transrectal ultrasonography can confirm the diagnosis. In the acute stage, antibiotics such as ceftriaxone are needed. In chronic cases, seminal vesicle massage can be tried.

4. Abnormal hormone levels:

Insufficient testosterone will affect semen production and is more common in people who stay up late for a long time or are obese. After passing the six sex hormone tests and confirming it, you can use testosterone undecanoate capsules and other drugs for replacement treatment under the guidance of a doctor.

5. Vas deferens problem:

Partial blockage of the vas deferens may be caused by previous infection or surgical injury, and a seminal tract imaging examination is required. Mild stenosis can be treated with blood-activating and blood-stasis-removing drugs, while severe obstruction requires microscopic anastomosis.

In daily life, you should pay attention to avoid sitting for a long time, wearing tight pants and other behaviors that affect the heat dissipation of the scrotum, and supplement trace elements such as zinc and selenium in an appropriate amount. It is recommended to do aerobic exercise 3-4 times a week, such as jogging, swimming, etc. to promote pelvic blood circulation. You can choose foods rich in antioxidants such as oysters, pumpkin seeds, tomatoes, etc. in your diet. If there is still no improvement after adjusting your lifestyle for 2 months, or if it is accompanied by pain, fever and other symptoms, you need to go to the men's department in time to check for organic diseases.