What factors might lead to the production of watery semen?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am a 31-year-old unmarried male. Over the last few months, my semen has appeared watery whenever I ejaculate. Could this be a problem? Additionally, my erections are not as firm as they used to be.

Please advise.

Answered by Dr. Purushottam Sah

Hi,

Welcome to icliniq.com.

I have read and understood your problem.

The fluid that is secreted from the male organ during ejaculation is called semen. Semen is a visible liquid that contains millions of microscopic male reproductive cells known as sperm. While the consistency of semen can vary, it is important that the sperm count remains normal, which can be assessed through a semen analysis conducted at a pathology laboratory. If you are experiencing issues with erections, they may be related to stress or anxiety; engaging in relaxation exercises could be beneficial.

However, to rule out other causes, consider having blood tests to check for conditions such as diabetes or hormonal imbalances. If you smoke, consider quitting, and monitor your blood pressure. Additionally, if you are taking any medications or nutritional supplements regularly, they could potentially be contributing to the issue as a side effect.

Regards.

Patient's Query

Hi doctor,

Thank you for your reply.

I stopped smoking three years ago. My blood pressure is usually around 110/70 mmHg, and I am not on any regular medications. Does masturbation affect erectile function? Is this condition treatable? What blood tests should I consider?

Please advise.

Answered by Dr. Purushottam Sah

Hi,

Welcome back to icliniq.com.

Masturbation does not negatively affect erections. If you are able to masturbate, it generally indicates that your erectile function is normal. You might consider having blood tests such as postprandial blood sugar, TSH (thyroid-stimulating hormone), prolactin, and testosterone to further evaluate your condition.

Patient's Query

Hi doctor,

Thank you for your reply.

As per your advice, I have completed the blood tests. Please find the attached results for your review.

Answered by Dr. Purushottam Sah

Hi,

Welcome back to icliniq.com.

According to the reports (attachments removed to protect the patient’s identity), your postprandial blood sugar, TSH (thyroid-stimulating hormone), and testosterone levels are normal. However, your prolactin level is elevated at 58.67 ng/mL, whereas it should be less than 15.2 ng/mL. This high level of prolactin is likely contributing to your issue. Prolactin is a hormone secreted by the pituitary gland in the brain. You may need treatment with Cabergoline, for which you will need a prescription from a doctor.

If you experience headaches or visual disturbances, you may need to undergo a CT (computed tomography) scan of the pituitary fossa (brain). Elevated prolactin levels can sometimes be caused by stress. Additionally, if you are taking any medications or nutritional supplements regularly, they could potentially be contributing to the elevated prolactin levels as a side effect.

I hope this helps you.

Patient's Query

Hi doctor,

Thank you for your reply.

I use glasses for my vision, but not regularly. Sometimes my vision becomes blurred when I use my mobile phone, but otherwise, my vision is normal. I rarely experience headaches. Which specialist should I consult for a prescription?

Please advise.

Answered by Dr. Purushottam Sah

Hi,

Welcome back to icliniq.com.

The use of glasses is not an issue. If possible, you should consult an endocrinologist. Alternatively, an MD physician or even a gynecologist can prescribe Cabergoline to help reduce your prolactin levels.

Regards.

Patient's Query

Hi doctor,

Thank you for your reply.

I have taken another blood test after discontinuing some medications. This report shows that my prolactin levels are now normal. Please find the attached report for your reference.

Answered by Dr. Purushottam Sah

Hi,

Welcome back to icliniq.com.

Yes, your prolactin levels are normal in this report (attachments removed to protect the patient’s identity). You mentioned "after stopping some medications," but earlier you stated that you were not taking any medications. It seems that the medications you stopped may have been causing the issue. Please allow about three months for recovery.

I hope this helps you.

Thank you.

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Answered by Dr. Purushottam Sah

Medically reviewed by Dr. K. Shobana

March 30, 2016

August 28, 2024

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Purushottam Sah

Obstetrics and Gynecology

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What factors might lead to the production of watery semen?

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