Information

How is excess semen removed if ejaculation does not occur?


There are some attempts to answer the question that I found via cursory Google search, but none of them were appropriately sourced.

This site claims that they are "recycled like blood cells", but the blood cells are recycled using the spleen, and I don't think spermatozoa normally enter the blood stream at any point in time.

This other site contradicts the first site, and claims that they are removed from the body by "dripping" them, therefore expelling them in the normal urine stream.

What is the actual process through which semen is removed if ejaculation does not occur?


Well as far as my knowledge goes in this aspect…

If sperms are not ejaculated then they are simply reabsorbed by the epididymis and recycled. I would say the first website you have linked up there is what is a more appropriate explanation.


Comparative Reproduction

Semen Characteristics and Cryopreservation

Semen can be collected by electroejaculation , artificial vagina or rectal manual message. Determining ampullae fullness by transrectal ultrasound indicates the probability of successful collection. Ejaculates normally range between 50–200 mL in volume, and are white in color, although yellow, orange and brown color variants occur. Low motility, sometimes accompanied by agglutination, is observed in many semen samples, often in samples contaminated with urine during the collection process ( Schmitt and Hildebrandt, 1998 Kiso et al., 2011 ). In Asian elephants, lactotransferrin, a potential fertility marker in human semen ( Milardi et al., 2012 ), has been shown to be abundant in ejaculates with good motility, and primarily absent in those with poor motility ( Kiso et al., 2013 ). Semen stored at 35°C exhibits a rapid decline in motility after a few hours in both species, whereas spermatozoa held at 22°C and 4°C can maintain at least partial motility for 12–24 h ( Kiso et al., 2011 O’Brien et al., 2013 ). DNA damage and morphological degeneration is a contributor to poor semen quality ( Imrat et al., 2012 O’Brien et al., 2013 ). Asian elephant spermatozoa appear to be particularly susceptible to DNA damage, more so than that of African elephants and other mammalian species ( Imrat et al., 2012 ). Addition of semen extenders increases spermatozoal longevity at chilled temperatures, with some species differences: for example, Asian elephant spermatozoa are best maintained in extenders containing egg yolk or skim milk, whereas spermatozoa from African elephants have no such requirement ( Graham et al., 2004 Saragusty et al., 2005 Hermes et al., 2009 Saragusty et al., 2009 Kiso et al., 2011 ). Cryoprotectants (i.e., dimethyl sulfoxide, glycerol, ethylene glycol and propylene glycol) added before cooling and freezing enhance cryosurvival, with glycerol appearing to be the most effective ( Thongtip et al. 2004 Saragusty et al. 2009 Buranaamnuay et al., 2013 ). For cryopreservation, most extenders for elephant semen cryopreservation contain a minimum of 15–20% egg yolk ( Graham et al., 2004 ).


Disorders of ejaculation

When men think about sexual woes, they usually put erectile dysfunction at the top of the list. That's understandable, since millions of American men suffer from the inability to attain and maintain erections that are rigid enough for intercourse. But there is more to a good sex life than an erection. In fact, success begins with sexual desire or libido and ends with ejaculation and orgasm.

Doctors have made great progress in treating erectile dysfunction. And new developments are improving life for some men plagued by abnormal ejaculations.

Normal ejaculations

Male sexuality begins with interest and desire. Next comes the state of arousal, which results from various combinations of erotic thoughts and sensory stimulation. The impulses of desire are transmitted from nerves in the pelvis to the arteries in the penis, which widen to admit more blood and produce a rigid erection.

The next stage is ejaculation, which is just as complex. It begins with emission, a brief phase that momentarily precedes ejaculation itself. Emission is triggered by the autonomic nervous system, specifically by fibers that originate between the lower thoracic (T10–12) and upper lumbar (L1 and 2) segments of the spinal cord. These nerves cause muscles in the prostate to contract, propelling prostatic secretions into the urethra. Immediately thereafter, muscles in the vas defer="defer"ens and seminal vesicles spring into action, expelling semen into the urethra.

The culmination is ejaculation. The muscles of the neck of the bladder close, preventing semen from entering the bladder. Simultaneously, muscles in the penis and pelvis begin a series of rhythmic contractions that forcefully expel the semen forward through the urethra, then out from the penis.

Ejaculation is usually accomplished by the pleasurable sensation of orgasm. It is followed by detumescence, when the arteries in the penis narrow and the veins widen, draining blood from the penis and returning it to a flaccid state.

The sex act is instinctive and automatic, but it depends on the complex interaction of psychological functions, the nervous system, blood vessels, and the genital tract itself. With so much involved (and so much at stake), a lot can go wrong. And many of these problems involve abnormal ejaculations.

Premature ejaculation

From a biological point of view, the whole purpose of sex is procreation. In most animals, intercourse is brief, and ejaculation occurs shortly after penetration. In humans, though, sex involves a broad array of psychological and interpersonal factors. As a result, premature ejaculation is defined not by the clock but by the desire and satisfaction of both partners.

A premature ejaculation is one that occurs before it is desired. Sometimes it occurs with minimal sexual stimulation early in foreplay. More often, it develops shortly after penetration before mutual gratification is achieved.

Many men experience premature ejaculation from time to time, but for some it's a recurrent problem. In large surveys, premature ejaculation is the most frequent form of male sexual dysfunction, affecting up to 30% of men. It is most common in young and sexually inexperienced males but can strike at any time of life. Most men with premature ejaculation are perfectly healthy others have psychological disturbances, medical conditions like diabetes, or urologic problems such as prostatitis. With or without an associated problem, premature ejaculation can be treated. Therapy can use behavioral techniques, medication, or a combination of the two.

Behavioral therapy. There are three behavioral methods that can be used singly or in combination. The most successful is the "pause and squeeze" technique developed by Masters and Johnson. A man who feels an orgasm developing prematurely temporarily interrupts sexual activity. Then the man (or his partner) squeezes the shaft of the penis between a thumb and two fingers. After applying gentle pressure just below the head of the penis for about 20 seconds, the squeeze is released and sexual activity is resumed. The technique can be repeated as often as needed if all goes well, the man will eventually learn to delay ejaculation without the squeeze.

A second approach is the "start-stop" method. The man brings himself close to orgasm with the aid of his partner or by self-stimulation. Before climax occurs, he stops, relaxes, and then begins again, repeating the cycle until he can no longer prevent ejaculation. The goal is to enable the man to recognize when orgasm is imminent and to learn how to put on the brakes, allowing the successful transition from masturbation to intercourse.

The third technique is to build up the pelvic muscles with Kegel exercises, which were developed originally to treat urinary incontinence in men and women. The man can identify the muscles by stopping the flow of urine in midstream. Once he has learned to control these muscles, he practices tightening them while his bladder is empty. He should hold each contraction for 10 seconds, then relax for 10 seconds, repeating the cycle 10 times three or four times a day.

Behavioral therapy is safe and simple according to sexologists, it helps 60%–90% of men with premature ejaculations. But it takes a lot of time, it works best when supervised by a sex therapist, it requires the cooperation of both partners, and relapses are common. As a result, drug therapy is gaining a prominent role in this situation.

Medication. Drug therapy did not begin with a reasoned scientific attack on the problem of premature ejaculation but as an unintended side effect: Some men taking antidepressant medication complained of delayed ejaculation. From there, it was a logical step to use antidepressants to treat premature ejaculation, and the results have been favorable, especially with the popular selective serotonin reuptake inhibitors (SSRIs).

Antidepressants are prescription medications. They can be used for premature ejaculation as a regular daily dose or as a single dose two to four hours before intercourse. Men who don't respond to an SSRI alone may get good results by adding an erectile dysfunction pill such as sildenafil (Viagra) to the regimen.

Other approaches. Antidepressants represent a major advance in the therapy of premature ejaculation. But they can have unpleasant side effects, and they are expensive. As a result, some men prefer to try desensitizing agents. "Climax control" or "extended performance" condoms apply a mild anesthetic, benzocaine, to the penis.

Delayed ejaculation

Whereas premature ejaculation is rarely caused by disease, delayed (or absent) ejaculation can result from either psychological or physical problems. Alcohol, medications (including SSRIs and tricyclic antidepressants, and some antihypertensives), and diabetes are among the most frequent causes of delayed or inhibited ejaculation. When drugs are responsible, the problem will usually respond to a change in medication. Some men who need to continue taking an SSRI to treat depression or an anxiety disorder may benefit from Viagra, vardenafil (Levitra), or tadalafil (Cialis). Psychological problems often respond to behavioral techniques or sex therapy.

Retrograde ejaculation

During normal ejaculation, semen flows out of the penis because the muscles at the neck of the bladder prevent the semen from reaching the bladder. In retrograde, or dry, ejaculation, the bladder muscles fail to do their job, so semen flows into the bladder and no emission occurs. It's a common complication of prostate surgery, occurring in up to 50%–75% of men following transurethral resection of the prostate (TURP). Retrograde ejaculation is also common in diabetics. When diabetes or surgery is responsible, the problem is permanent, but if medication (such as the alpha blockers used for benign prostatic hyperplasia and high blood pressure) is the culprit, the problem will improve if the drug is changed. Although retrograde ejaculation impairs fertility, it does not abolish the pleasurable sensation of orgasm.

Reduced or absent ejaculations

Most bodily functions change with age, and sex is no exception. Men who stay healthy can expect to retain erectile function, and even fertility, throughout life — but they can also expect a gradual reduction in libido, penile rigidity, the volume of the ejaculate, the number and activity of sperm, and the intensity of orgasm. In one study, the volume of ejaculate fell by 0.03 ml per year of age. That's not much, but it does add up.

Diseases of the spinal cord are often responsible for absent ejaculation. Although many men who have had radical prostatectomies for prostate cancer can have orgasms, none can ejaculate because the necessary structures have been removed.

Painful or blood ejaculation

Ejaculation is usually pleasurable, but sometimes it's uncomfortable, even painful. When that occurs, men should be evaluated for inflammation of the prostate (prostatitis), urinary tract infections, and other urologic disorders.

The semen is normally colorless, but if blood enters the ejaculate (hematospermia) it will be brown (old blood) or red (fresh blood). It's an alarming symptom, but it's usually not at all serious. Prostate disorders (prostatitis, BPH, and rarely cancer), stones, cysts, and vascular abnormalities may be responsible. Most often, though, a specific cause can't be identified. Still, it's important for men with hematospermia to have a medical evaluation.


Sperm Retrieval

Sperm retrieval is any way used to get sperm for fertility purposes.

There are many ways to get sperm. The method used depends on why sperm aren't in the semen, what the patient wants, and the surgeon's skill.

The information here should help you and your partner talk with your urologist.

What Happens under Normal Conditions?

At the base of the penis, sperm and testosterone (male hormone) are made in the scrotum's 2 testicles. The sperm leave the testicles through a coiled tube called the epididymis. They stay there until they're ready to be used. Each epididymis is linked to the prostate by a tube called the vas deferens. This tube runs from the scrotum into the groin, then the pelvis and behind the bladder. There, each vas deferens joins with a seminal vesicle and forms the ejaculatory duct. For ejaculation, sperm passes through the ejaculatory ducts to mix with fluid from the seminal vesicles, prostate, and other glands to form semen. The semen travels through the urethra and comes out the end of your penis.

Diagram of the Male Reproductive System

Enlarge

When Is Sperm Retrieval Recommended?

Sperm retrieval is done when pregnancy is the goal but not possible without help. It is for men who have little or no sperm in the semen, or men who aren't able to ejaculate. In these cases, sperm can be collected from other parts of the reproductive tract. For good pregnancy rates, sperm retrieval is used with in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI).

In vitro fertilization (IVF) is the process of combining an egg and sperm in a laboratory dish for fertilization. This combined sperm and egg are called an embryo. The embryo is transferred to the uterus for development.

Intracytoplasmic sperm injection (ICSI) is an IVF process where a single sperm is injected directly into an egg.

The way to check for sperm in the semen is to do a semen analysis. Your urologist will look at your semen under a microscope. No sperm in the semen (&ldquoazoospermia&rdquo) may mean sperm retrieval is needed.

The 2 main types of azoospermia are obstructive azoospermia and non-obstructive azoospermia.

Obstructive Azoospermia

With this condition, the testicles make sperm but a block in the male&rsquos reproductive tract stops them from getting into semen. (This is how a vasectomy works. It is surgery to block the sperm from getting into semen.)

Sometimes there may be no vas deferens because of a birth defect. This can happen if you have the gene that causes cystic fibrosis. There might also be blocks in the epididymis and ejaculatory duct. Or, the vas deferens may have damage from a hernia repair or other surgery. Obstructive azoospermia may be surgically correctable.

Non-obstructive Azoospermia

With this condition, your body might not make sperm at all. Or the sperm might be made in such low levels that there aren&rsquot enough of them to appear in the ejaculate. Blood hormone tests and genetic tests can help find the cause.

Some men have orgasms but no semen comes out of the penis. An orgasm is the physical experience that happens because of sexual stimulation. Ejaculation (release of semen) may occur when you reach orgasm. You may also have muscle contractions, an increased heart rate, breathing rate, blood pressure and sweating. Lack of visible semen with sexual stimulation may be due to anejaculation (lack of ejaculation) or retrograde ejaculation:

Anejaculation is when no seminal fluid reaches the urethra.

Retrograde ejaculation is when semen gets into the urethra but flows the wrong way. Instead of going out through the penis, the semen is pushed back into the bladder. This doesn&rsquot hurt the body, but it can cause infertility.

Anejaculation or retrograde ejaculation can be caused by injuries, medical or surgical conditions. Some of these are:

  • Spinal cord injury
  • Advanced diabetes
  • Multiple sclerosis
  • Psychological issues
  • Pelvic surgery

Your urologist can diagnose these conditions by checking your urine for sperm after an orgasm. If healthy sperm can&rsquot be released naturally, sperm retrieval may be needed.


What to know about sperm production

A male’s body is constantly creating sperm, but sperm regeneration is not immediate. On average, it takes a male around 74 days to produce new sperm from start to finish.

Although the average time is 74 days , the actual time frame for an individual to make sperm can vary.

The body produces an average of around 20–300 million sperm cells per milliliter of semen.

In this article, we examine the sperm production process, the life cycle of a sperm cell, and the factors that can affect sperm levels.

We also take a look at the steps people can take to boost sperm health and improve the chances of conception.

Share on Pinterest From start to finish, it takes roughly 74 days for a male’s body to produce sperm.

On average, it takes 50–60 days for sperm to develop in the testicles.

After this, the sperm move to the epididymis, which are the ducts behind the testicles that store and carry sperm.

It takes about 14 more days for the sperm to fully mature in the epididymis.

Spermatogenesis is the process by which the body makes sperm. The process begins when the hypothalamus in the brain releases gonadotropin-releasing hormone. This hormone stimulates the anterior pituitary gland to secrete luteinizing hormone (LH) and follicle stimulating hormone (FSH). These two hormones travel through the blood to the testes.

LH encourages the Leydig cells to make testosterone. FSH acts on seminiferous tubules, an area of the testes where the body makes sperm.

An issue with any of these hormones may affect a person’s ability to make sperm and may slow the process.

On average, sperm production takes 74 days from start to finish, but the process may be shorter or longer in individual males.

The average male produces millions of sperm each day.

Sperm quality and count tend to decline with age , however. This is because older males may have more mutations in their sperm, and because they may produce fewer sperm.

Other factors, such as health and lifestyle, may also affect both sperm production and health.

For example, a 2013 study of mice found that exposure to small particles of titanium dioxide lowered sperm counts in the first generation of mice born to mothers that the researchers exposed to the particles.

Also, mice whose fathers the scientists exposed to small particles of carbon black showed lower sperm production for two generations.

About 1% of all males and 10–15% of those with infertility do not have any sperm in their ejaculate. Doctors call this condition azoospermia.

In some cases, a male produces normal, healthy sperm that do not travel to the ejaculate due to a blockage or other physical problem.

In other cases, a male produces few or no sperm. This will often be due to a problem with the testicles or endocrine system.

Once sperm have completed their development, they remain in the epididymis. When a male ejaculates, fluid from the seminal vesicles joins the sperm to make semen.

If a male does not ejaculate sperm, the body eventually breaks down and reabsorbs them.

Sperm can die within a few minutes outside a male’s body. However, sperm can live for 3–5 days inside a female’s body if they are producing cervical mucus. This mucus helps nurture and protect the sperm and makes it easier for the sperm to swim to the egg.

A male does not ejaculate all of their sperm, and the body constantly produces more sperm. As a result, there will still be sperm in a male’s semen even if they ejaculate several times per day.

When a male goes several days without ejaculating, their sperm count rises slightly.

More frequent ejaculation lowers sperm count but is unlikely to affect fertility in healthy males.

A 2016 study examined the sperm counts of three males who abstained from ejaculating for several days before ejaculating four times at 2-hour intervals.

The researchers found that their sperm counts dropped with frequent ejaculation but remained within World Health Organization (WHO) guidelines for healthy sperm counts.

A 2015 study assessed the effects of frequent ejaculation on sperm quality and count.

Males who ejaculated daily saw declines in sperm count. Other measures of sperm quality — such as shape, ability to swim, and concentration — remained about the same, even with frequent ejaculation.

Together, these studies suggest that in males with reduced fertility, frequent ejaculation might lower the chances of conception by lowering sperm count slightly.

For most males, however, even very frequent ejaculation is unlikely to affect fertility.

Sperm work best at cool temperatures. The testicles help keep sperm cool by descending from the body. Prolonged exposure to heat — such as from hot tubs, intense exercise, or workplace equipment — may damage sperm.

Males who want to improve fertility should wear loose fitting underwear. Snug underwear may trap heat and force the testicles against the body, increasing temperature further.

Anything that affects overall health may also affect sperm production, since sperm health depends on a complex interaction of several hormones and bodily systems. For example, excessive drinking, drugs, and smoking may affect fertility.

Exercise can improve blood flow and overall health, potentially improving sperm quality. Some studies suggest that getting regular exercise may improve sperm quality or count, though more research is needed to explain why.

It is also important to eat a healthful, balanced diet. Research has linked some foods with lower sperm health. These foods include processed meats, trans fats, soy products, and high fat dairy products.

However, most research has found only a correlation — not a causal relationship — between these foods and lower sperm counts.

To improve the chances of conception, people can time when they have sexual intercourse to line up with when they are at their most fertile.

Egg cells live for only 12–24 hours after ovulation, which means that timing sex for immediately before or after ovulation improves the chances of conception.

A 2015 study found that the first fraction of ejaculate contains the highest concentration sperm, and that these sperm move more effectively and are of a higher quality than those later in ejaculate.

So, it is important for a male to ejaculate directly into their partner to ensure that these early sperm have a chance to travel to the egg.

Using ovulation predictor tests, monitoring female signs of fertility such as cervical mucus, and having regular sexual intercourse may also increase the odds of conceiving.

Ovulation predictor kits are available for purchase in stores and online.

From start to finish, it takes the male body an average of 74 days to produce new sperm cells.

As the body is constantly producing sperm cells, a healthy male will usually always have some sperm cells in their semen.

Most couples should be able to conceive within 12 months of trying. Couples who have not conceived after a year or who have had several miscarriages should consult a doctor who specializes in infertility.

A wide range of lifestyle and medical interventions can improve fertility, but fertility declines with age and time. This means that the earlier a couple seeks help for infertility, the greater their chances are of having a child.


Erection

Besides providing a way for sperm to leave the body, the main role of the penis in reproduction is intromission or depositing sperm in the vagina of the female reproductive tract. Intromission depends on the ability of the penis to become stiff and erect, a state referred to as an erection. The human penis, unlike that of most other mammals, contains no erectile bone. Instead, in order to reach its erect state, it relies entirely on engorgement with the blood of its columns of spongy tissue. During sexual arousal, the arteries that supply blood to the penis dilate, allowing more blood to fill the spongy tissue. The now-engorged spongy tissue presses against and constricts the veins that carry blood away from the penis. As a result, more blood enters than leaves the penis, until a constant erectile size is achieved.

In addition to sperm, the penis also transports urine out of the body. These two functions cannot occur simultaneously. During an erection, the sphincters that prevent urine from leaving the bladder are controlled by centers in the brain so they cannot relax and allow urine to enter the urethra.


Epidemiology

There is a wide range of ELT in men. Population data in non-clinical populations from Western countries suggest that the median ELT (measured by stop-watch timing) for men is between 5 and 6 minutes (standard deviation of about 7 minutes) after initiation of vaginal penetration. Latency time ranged between 6 seconds to 52 minutes there was a slight but statistically significant decline in mean ELT with increasing age. 36, 37 ELT of less than 2 minutes and less than 1 minute occurred in 2.5-6% and 0.5-3% of men, respectively. Time-based criteria have been incorporated as a component of most modern definitions of PE, derived in most cases from these population studies and driven by concerns that an absence of such could lead to a diagnosis of PE even in a man whose ELT is in the highest percentile group.

A number of international studies have demonstrated that up to 30% of men endorse early ejaculation. 38-41 These findings have been used in numerous publications to support a claim that nearly one man in three has clinical PE. However, the majority of these studies included just a single item about early ejaculation without any quantification of chronicity or frequency nor assessment of personal or partner distress. Moreover, if men are asked whether they would like to last longer during sexual activity before they ejaculate, many will answer yes despite an absence of significant bother with their present time to ejaculation.

Although the prevalence of bothersome clinical PE is very unlikely to be 30%. PE is not rare and can be a source of considerable embarrassment and dissatisfaction. A synopsis of the most contemporary literature on early ejaculation occurring in the context of distress and absence of sense of control estimates that less than 5% of men have bothersome clinical PE. 2

Similar data on the prevalence of DE are more limited a substantial proportion of men in epidemiological studies report difficulty achieving orgasm, but the degree of associated distress is not reported. Amongst older men, DE is often co-morbid with issues of hypoactive sexual desire or ED and is therefore clinically silent some patients may report &ldquonew onset&rdquo inability to achieve climax after institution of successful therapy for ED. Up to 25% of DE patients are reported to have lifelong issues with achieving orgasm during partnered sex. 42 Interestingly, many men who report DE with a partner are able to achieve climax via masturbation. 42 This situation may indicate a psychological or relational component.

Data on disorders of ejaculation outside of the context of coital intercourse are sparse. There is evidence to suggest that, in men with PE, the latency of ejaculation during masturbation tends to be longer than latency time for partnered sex. The difference in latency time between masturbation and coitus is less-pronounced in men not diagnosed with PE. 43, 44 In a single survey study of Finnish men, the latency time between penetration and ejaculation was longer in men who climaxed via oral and anal sex compared to coital intercourse. 45 There are no published stop-watch studies on ELT in MSM despite the absence of stopwatch data on ELT, single item survey studies in MSM indicate that more than 30% endorse early ejaculation. 46 Using more stringent criteria (e.g., validated scales, DSM-V criteria for the diagnosis) yields prevalence estimates for PE in MSM that are similar to those of strictly heterosexual men. 47, 48


The Pain of Abstaining - Semen retention can have its own consequences

P eople aren’t commonly aware that the intentional retention of semen can cause symptoms that are just as bad as those from overmasturbation. A possible consequence of quitting masturbation and sex may be noticeable inflammatory pains in the penis and testicles upon arousal. After only a few weeks of abstaining, a man will notice it is very difficult to be around his girlfriend - without getting aroused! Men trying to overcome sexual exhaustion will still get erections, but will avoid a sexual release because they don't want to prevent a full recovery from sexual exhaustion. They may wonder if they should stay away from their girlfriends/wives and retain ejaculate if they get aroused. Technically, they should be thankful that they still get erections they just need to learn to prevent and treat the inflammatory pain associated with them.

If semen retention gives you pelvic and testicular congestion pain it is an indication that your semen and sperm production are still very active. The inflammatory discomfort is a result of an accumulation of semen and sperm inside the seminal vesicles and testicles. The retained semen can increase the central dopamine nervous function, but the expansion of the seminal vesicles and the testicular ducts induces an additional release of prostaglandin E2 that will stimulate inflammation of the local sympathetic nerves for anxious and stressful responses in an attempt to expel semen and sperm from the body.

If you can reduce the adrenal conversion and suppress the inflammatory responses, your central dopamine nervous function will become stronger, allowing you to retain your semen and sperm for a longer time. Generally, the most difficult time of successful and intentional seminal retention practice is during day five or seven after the last ejaculation. This is because your testosterone level greatly increases after the 5th day. Testosterone usually stimulates the norepinephrine action on the orgasmic sympathetic nervous circuits and accelerates semen production simultaneously with sperm production. Once you pass the 7th day, the testosterone levels and your testicular functions return to normal, as does semen and sperm production.

To suppress the sympathetic nervous responses during those crucial days, you should take the Botanical Testicular Revitalization Formula with Vitamins A, B-complex, C and D. Jog a few miles before breakfast, exercise about three hours daily and take a brisk walk after dinner. Implementing these tips will boost your dopamine nervous function, letting it run down in time for a good night’s sleep while the pain is remedied.


Consequences Of Over-masturbation

Masturbation is a touchy subject — private, often solitary, and still very much taboo in many spheres. We're not here to condemn it, but if you're worried that your habits have taken over your life and may be causing you physical damage or serious mental health issues, we're here to help you recognize the signs of trouble.

What can happen if you masturbate too much, and what are some signs that you're overdoing it?

Public Service Announcement: Masturbation is normal, healthy, and (usually safe)

Masturbation — sexual self-stimulation — is a completely normal and healthy part of human sexuality. The National Survey of Sexual Health and Behavior (conducted by the Kinsey Institute of Indiana University) shows that adolescents and adults of all ages and genders do it.

Though still considered taboo in many spheres, masturbation has some obvious health benefits.

Not only do many people find that it's a stress reliever for them, compared to sex with someone else, masturbation is much safer. If you want to enjoy the pleasure of sex without the risk of unwanted pregnancy, sexually-transmitted diseases, or even awkward interpersonal issues, masturbation is the way to go.

Amid the global COVID-19 pandemic, some government sources have even taken to pointing out that "you are your safest sex partner". As long as you wash your hands properly before and after, as well as any sex toys you may employ, you're not at risk of catching COVID-19 from masturbation. The same can't be said for sex with a partner.

People masturbate in a variety of different ways. As long as you use safe masturbation techniques — ones that don't involve sharp, unsanitary, irritant, or otherwise unsafe tools — it is an extremely low-risk activity. It has the further benefit of teaching you what gives you pleasure and what does not, which can enhance your intimate life with a partner.

How much masturbation is over-masturbation?

Believe it or not, there is no scientific consensus on this subject. What is known, however, is that daily ejaculation in men does not have a negative impact on semen quality.

Some definite hints that you are engaging in excessive masturbation, however, would include:

  • Your habits are have become compulsive. Signs of compulsive sexual behavior would include engaging in the behavior more often or for longer than you want to, continuing even though you don't want to, continuing even though it has negative functional, physical, or psychological consequences (like neglecting work to go masturbate instead), and constantly being preoccupied with the behavior. If you're just not able to stop even though you want to, that's a sign of an addiction to masturbation. That is not a clinical diagnosis, by the way, but this kind of compulsion could definitely meet the criteria for a behavioral addiction in general.
  • You are hurting your body — your skin is red, swollen, raw, and painful.
  • Your compulsive masturbation is part of a wider addiction to adult materials.

In addition, if masturbation makes you feel bad or guilty, that's a problem. You could reexamine your cultural and social beliefs about the practice, even with a therapist or religious leader where applicable, or you could quit masturbating. If masturbation is getting in the way of a healthy relationship with your partner, that also signifies a problem, even if you don't do it very often. (Whether the problem is with your partner or your habits would depend on the situation, yes?)

So, what about the effects of over-masturbation?

Physically, excessive masturbation may cause damage to your skin, through skin irritation, skin abrasions, or even superficial bruising, as well as sometimes urticaria.

In some — exceedingly rare — cases, this damage can even become life-threatening. There is a case in the medical literature where a previously healthy young man in his twenties developed Fournier's gangrene, a kind of necrotizing fasciitis (flesh-eating disease) of the genital region after excessive masturbation.

It turned out that this man had been using soap as a lubricant, which is definitely a bad idea, and his genital region — photographed for research — looked like a massacre. The moral of the story is to see a doctor if you have any physical complaints, and to take a break from sex of any kind if you notice any genital symptoms.

Mentally, once you enter compulsive territory and you lose control over your behavior, you are in trouble. As with any behavioral addiction, one in which you are addicted to masturbation could harm your mental health, your relationship with other people, your financial status, and totally take over your life. When it gets to this point, you need help.

In some cases, neurological conditions such as Parkinson's disease can also lead to compulsive sexual behavior that can include masturbation, and people with intellectual disabilities may display sexual behavior that is deeply uncomfortable to the people who surround them, too. This means the mental consequences may affect more than the person themselves others could suffer, as well.


Readers Also Love

Prior to vasectomy I used to shoot a foot or more during ejaculation, but after I just dribble a few blobs out and no intense pulsing. This started from the very first post vasectomy ejaculate. I still feel the orgasm, but it's not nearly as intense.

I also have discomfort in the epididymis on both sides. The doctor told me that happens often for her patients due to the method she uses to ensure permanent sterility. She told me that she has done thousands of procedures without even one failure and intends to keep it that way. She told me that she removed a significant vas segment (5-6cm in my case) and cauterized at least 1.5cm up both loose ends and also clips both ends and because the cut vas is so close to the testicle, it causes excessive back pressure on the epididymis. She said this caused blowouts on both of my epididymis (verified by touch and ultrasound). She told me that these blowouts will cause significant scarring within my epididymis and will ensure the procedure success and ultimately my permanent sterility (her words). She also told me that she performs vasectomies in a way that is meant to be permanent, not with reversal expectations.

She offered to remove my epididymis as a remedy, but told me that reversal was out of the question because of the extensive tube damage (approximately 8 or 9 cm in my case per the pathology report + cauterize damage). Per second opinion, I confirmed reversal is impossible.

This is very sad because I don't want the sperm back, but want the orgasm and ejaculations back to the way they were! Reversal seems to be the only hope based on research, but not an option for me.

Don't get one unless you are prepared to give up something near and dear to you and your bride's life! anon1003289 June 11, 2020

I had a vasectomy about 20 years ago because the drugs that my wife took for epilepsy could have diminished the effectiveness of the pill. We already had two sons. Discussions around this topic, including this thread, often conflate two separate processes: ejaculation and orgasm. We often equate them with each other because they tend to happen at the same time but they are, in fact, separate from each other and it's possible to have one without the other.

In terms of ejaculation, I experienced no noticeable change in the ejaculatory fluid. The only physical change of which I'm aware is that, sometimes, my scrotum can have a fuller appearance with fluid from the testicles unable to exit the body and sitting in the epididymis.

What I most certainly did notice straightaway, as others on this forum have done, is a dramatic reduction in orgasm. All the 'pent up' feeling has gone and ejaculation is no longer accompanied by a feeling of release. It is, in fact, a damp squid. I recently discussed a reversal with my doctor, stating that I wanted the feeling of pressure back. He had no idea what I meant and towed the usual medical line that vasectomy makes no difference.

When the medical profession hammered Masters and Johnson for their ground-breaking research on sex it should, instead, have set a path for objective research. Just why would men lie that a procedure they have put themselves through has had some negative outcomes?

I'm heartened to read here of at least one example where a reversal improved orgasm it's not the sperm that I want for babies it's the feeling when loving my wife.

I would still have had the vasectomy because we both agreed on not having more children. But now that my wife is through the menopause and contraception is not a concern, I'd like my feelings back and am exploring surgery. anon1003237 May 26, 2020

OK, one simple truth is that yes, it's easier for a guy to have a vasectomy, but there's less risk to a tubal ligation. A tubal ligation is more invasive is the only real issue, but overall, risks are less and there is a better chance to reverse it if somebody changes their mind. And yes, in reference to the 28 year old who had a vasectomy, I believe that's too young and his wife has no consideration for his feelings. I would tell him to run fast and far. That is not a lady worthy of being a wife anon1001982 August 8, 2019

I notice some posts from clearly the same type you'd find in traditional, conservative forums. People just spreading fear and doubt about contraceptive methods of all kinds.

I believe negative post-vasectomy experiences are true. But. what is the realistic amount of those cases and why not just do the reversal operation when it is hard to get along with post-operation. Why give up on the joy of sex? anon1001232 March 30, 2019

I had mine done 8 months ago just two weeks before my 28th birthday. I have no kids of my own. My right side still hurts. There is small, hard, painful lamp where the vas was cut. I hope it gets better.

My 36 year old wife has three kids with her first husband, so it was vasectomy or no sex. She made the appointment for me and got the referral from our GP, and I was never given a choice. I feel so sad because I will never be father, but she doesn't care. Please ladies if you love your husband don’t force him to do it let him decide.

Oh, I tested negative five months ago and we still use condoms because “it feels more hygienic and less messy” according to her. anon999477 January 14, 2018

I had a vasectomy 14 years ago. For some reason the anesthetic didn't work on the left side and the doctor said "uh oh". In his experience that's associated with recovery not going as smoothly as in the textbook, because there's something about the structure there that's a little different from normal. I sort of wish we'd stopped there, but pressed on with enough lidocaine to stop a horse.

My convalescence was normal, although it took three or four weeks to stop being tender. Then the left epididymis was sore and swollen for several months-- this still flares up from time to time, and I have granulomas (small tender lumps) on both sides.

At first, I was so happy about the freedom from worry about unplanned pregnancy that I didn't really notice the other changes: 1. None of my pants fit anymore. I had to buy baggy ones with more room in the crotch, and that's still the case. I'm a rock climber and I still can't hang around in a harness as I could, without wiggling frequently to make more space. 2. Powerful spurts changed to a dribble (which I know doesn't make sense, but there it is. ), and things feel sore and swollen down there for hours, sort of like "blue balls" used to feel, if I ejaculate more than once in a session. 3. Orgasm immediately is not as pleasurable, and shorter, and missing the pleasurable pulsation from the testicles.

4. Sometimes the orgasm is missing entirely-- lots of buildup, then dribbling ejaculation with no sense of release.

5. With the reduction in pleasure, there was an ongoing drop in enthusiasm (libido)-- and my partner and I went quickly from frequent to very occasional activity, and so it remains.

6. I have frequent weeklong episodes of hives (urticaria), always in the pelvic area or between knees and navel. Apparently most men develop antibodies to their own sperm after a vasectomy. The standard line about where the sperm goes that's blocked from exiting the body is that it "bounces around and is harmlessly absorbed", but sperm cells are good at tunnelling, and I guess inevitably they get somewhere your immune system can detect them, and as they have different genetics from your normal body cells, they can provoke an immune reaction. I've stuck all this out assuming it was "in your head", or that it would improve with time, but now considering a reversal, assuming that actually could make a difference. anon999041 October 16, 2017

I had it done in 1995 and I and had no problems. All the negative people either had a bad surgeon or it's in their heads. It's better than a woman having to go through the procedure of having her tubes tied. It's much easier for men. anon998288 May 8, 2017

I had a vasectomy in 2012 and I noticed immediately that my orgasms were less intense, watery and lacked that empty feeling (blue balls). I also began having recurring bouts of pain in my testicles that started at about 6 months post-vas and which increasingly got worse after 2.5 years After four years of pain from ordinary orgasms, I decided to have a reversal. Well let me tell you, my orgasm sensation pre-vas is back! Also the pain is gone! Posts such as these helped me pull the courage to have a VR and I'm glad I went through with it. anon998016 March 31, 2017

For all you posters talking about pain, it is not in your head. That pressure you feel in the epidemis is due to the fact that you are creating sperm with nowhere for them to go. If your urologist says its in your head, or prescribes antibiotics, run to a new doctor.

This is a real condition called PVPS or post vasectomy pain syndrome. It is real, debilitating and can ruin lives. There is a great online support forum for this condition. There are treatment options, but most urologists are ignorant of this. I suffered with this for two years, just got a reversal three weeks ago and eliminated ninety percent of my pain so far. I had congestive pain and little nerve pain. If this can help just one person get help, I'll be happy. Vasectomies should be outlawed. anon997161 22 hours ago

My husband had a vasectomy and he immediately goes limp after his orgasm and never gets as hard as before. I cannot even tell he has had an orgasm and it is bad enough that I wonder if he is pretending.

I never wanted the vasectomy, and I'm hoping it is in my head because of my opposition or that it will get better with time as more healing occurs.

Honestly, I'm not sure how to proceed past this point. We are in marital counseling. He is making an effort in the marriage, but honestly, sex just sucks now for me. He has admitted that the climax feels weak to him as well. It would be easier to deal with the consequences as a couple if we had made the decision together. Time will tell what happens from here. anon996477 September 5, 2016

This is a great list of testimonials. I had a vasectomy about 4 weeks ago (Aug. '15). I am not sure whether it was a good idea. The first week I had severe pain which eventually turned into inflammation in the epididymis. The urologist took a look (this is 9 days post-op) and said "that's normal, it will go away, stop taking the antibiotics". It eventually diminished a bit but 2.5 weeks later, I developed an acute epididymitis on my left testicle whilst traveling abroad. I'm on antibiotics and ibuprofen for a week. It's been four days since diagnosis and the epididymis is still swollen.

The vas deferens (I think) is now about the size and consistency of a small marble but that only happened after I started treatment and resumed sexual activity. The pain is manageable but I am worried. What is this marble sized lump? Is this sperm backed up in the vas defrens?

After diagnosis of the epididymitis, why didn't the doctors tell me hat I should avoid ejaculation? How long will this go on? Will it keep happening?

Anyhow, in addition to all that I've also had some shooting pain from the testicles upwards and then dull pain in the weeks between the operation and now. Ejaculate seems the same in terms of quantity etc but I think the sensation is somewhat diminished from pre-operation.

Unfortunately, I think I am going to have to abstain for some time until all this goes away. I have my fingers crossed that no further surgery will be needed. Having needles poked into your scrotum is something best avoided. By the way, I am a data scientist of sorts and none of these observations add up to a controlled experiment. Maybe only the small fraction of us with problems is posting whilst our brothers with no pain are out, enjoying themselves properly. Still, worth confronting your doctor with some of these stories. anon995581 May 11, 2016

I had a vasectomy 30 plus years ago. I immediately had problems with my getting into a car, or bending over to pickup some thing. My nuts felt like I was kicked in the sac. I talked to the Doctor and he said the swelling was caused by the tubes on the outside of my testicles and he could scrape them off to relieve the pressure. I wanted to bust him one, as no one mentioned this as a possible problem. Also my sperm is just a dribble. anon995539 May 8, 2016

I got a vasectomy 12 years ago because my wife insisted on it. Like every other man, I was told that it would have no effect on the sensations of sex or on the amount of ejaculate. Absolute bullcrap! I went from healthy, explosive climaxes to a delayed dribble. It can take up to a minute to even see any discharge from the penis. Even more distressing is the absence of the throbbing, pulsing that normally accompanies ejaculation. That is completely absent, and going soft immediately after--or even during--sex is routine. I wish I had known more about it before I took the leap, because I am never going to be the same. What a mistake! anon995495 May 4, 2016

I had a vasectomy and years later a reversal. Qualitatively, immediately after the vasectomy my orgasms lacked completeness. It seemed more like I was relieving myself versus having an orgasm. After seven years, I had the reversal and my first post reversal orgasm was like the good old days, filled with intensity and most especially, satisfaction. I would never want to have another vasectomy and I wish I had not had the first one. anon995459 April 30, 2016

I had mine done about a month ago. I was sore for about two weeks. Now I feel no issues. My ejaculations are identical as before. The sensations are the same. Actually it feels better but that may be in my head. I'm thinking that all the issues posted may be possibly caused by inexperienced or poorly skilled doctors. anon993747 December 10, 2015

I am now 65 and had a vasectomy 15 years ago. I lost the real feeling of sex and now is much less sensitive since the operation. The fluid is much less and different. At times there is not much fluid at all now. Sorry that I had the procedure now after reading of possible complications long term.

One thing I have learned at this age is don't believe what all doctors tell you. Most have a direct financial interest or have been taught the wrong information. Doctors are proven wrong all the time. The good thing is that I have not fathered any more children and there is some feeling left. I'm looking to have a reverse vasectomy. Those who post that people like me don't know what we are talking about are morons. anon992707 September 25, 2015

I'm just a few days out of a vasectomy and I am in medical school and treated the whole procedure as a learning experience. Here are a few reasons why and maybe a few things that may explain problems: The vas deferens is in a bundle of fascia with your differential arteries, veins, and nerves. In other words, it's like a mess of wires and the urologist can easily see the vas deferens in the jumble.

However, what happens if an artery gets damaged? You have less blood flowing or "hardness" or pulsation during an orgasm. If it's a nerve, it may take longer or may prevent stimulation of the penis altogether. I'm not saying that this why someone has those symptoms, but there are risks and you can't fully predict what a vasectomy will do to you- just the majority of the public. Many fall between the cracks and have a bad outcome- so far I have way less libido. Dunno why, but I can ejaculate. I just don't get as much pleasure as I did before. pds166 16 hours ago

I live in Canberra, Australia. I had my vasectomy done 26 years ago. It was my choice as I certainly did not want any more children. I never considered fertility and manhood to be associated so I do support the rationale that post vasectomy problems are due to this kind of thinking.

My post vasectomy experience is very negative. Pre-vasectomy I experienced intense orgasms, post I experienced none. Pre I would ejaculate nearly a meter, now, nothing more than a dribble. Pre I would pulsate when nearing and during orgasm, now post, no pulsating during ejaculation.

At the time I pursued the issues there was no internet and I was unable to locate any studies or anecdotal experiences that I could use to try to convince medical practitioners that my issues were psychical. Their mantra was that a vasectomy did not cause the effects I was experiencing. In desperation and without the availability of other options I attended a sexual psychologist who was unable to help (had to drive 300kms to see him). I even underwent months of general psychological treatment in the hope that it was some subconscious issue causing the problem.

Nothing I have tried has addressed the issue. No psychological work has helped, no techniques like withholding ejaculation have helped.

I am convinced that the issue is physical one. Just as many others have posted about their own experiences. The question that I am still yet not answered is what can be done to reverse the damage and return to our pre-vasectomy pleasure. anon989396 March 4, 2015

My husband had a vasectomy about two months ago. He used to pulse when he would orgasm. Now after he doesn't. And he would stay rock hard for minutes after he came, but now, even before he finishes, he becomes soft. He also has found that it is more difficult for him to reach orgasm. The doctor said it was all in his head but believe me, I'm the one who notices that he no longer pulses and immediately becomes soft when he ejaculates while inside me so it's not in his head. Don't let doctors tell you nothing changes. It's a lie. It has had a big impact on our relationship. anon975636 October 28, 2014

I had a vasectomy two years ago and wish I never had. Orgasms were gone, I lacked libido and the semen just dribbled out while I was ejaculating. I had pain in my testes and swelling. I had the vasectomy reversed a year ago and it cost £2000. Do not have a vasectomy. It ruins a man's life and relationships. After nine great pre-vasectomy years, and one disastrous post-vasectomy year, we split up. anon973542 October 12, 2014

Mine feels just the same as before the vasectomy -- actually, better. anon973172 October 8, 2014

I had a vasectomy back in 1972. Ever since then I had wondered and questioned my diminished ejaculate, its color and the sensation of climaxing.

I inquired at various times about these concerns and have been told in was in my head as probably caused by not being fully aroused. Well, guess what? After having prostate radiation for cancer, my urologist and oncologist both agree this was a result of the V and has since been made worse by the radiation.

Well, it took forty-two years to find out it was not all in my head but, I knew that. The party is still not over, just not as much fun. Thanks for letting me put my two cents in. anon967030 August 24, 2014

I had it done, and had mild soreness for a couple days. I held off on the sex for one week. Then, if you want to start having unprotected sex, you need to have at least 25 ejaculations before having your semen tested for the presence of sperm. Once the test comes back negative, you're good to go. The only thing that I notice differently is the semen is a lot thicker but the feeling is still the same. I'm glad I had it done. anon954430 June 1, 2014

I was in the group that lost all sensation of orgasm immediately after a vasectomy. The situation sloowly improved over time. I was pain free at four months and back to a normal orgasm at six months. anon948857 May 2, 2014

I had it done in 2011. I can honestly say it's been disappointing. Almost three years with a low dull ache every now and again, weird pain/sensation in one or both groins especially after physical activity. I've been just told I have non bacterial congestive epididymitis. Right. That dumbed down means your sperm have nowhere to go and back pressure builds and your epididymis swells and becomes tender. The weird perineum sensation while sitting is enough to drive you nuts.

I get little help from doctors. Oh, go on some pills, they say. That should do it. No, pills don't fix it. Being on the Cipro for months puts your mind in a fog and wreaks havoc on your digestive system and doctors won't admit that a vasectomy lead to all this. I don't know why, but allergies seemed to have gotten worse -- probably all the stress and pills. I'm fed up and little support. It's not worth it. anon946324 April 18, 2014

I had it done six or seven months ago. I was in pain for about four days, but had sex two days afterward. That probably hindered my recovery. The bruising was the most surprising part and the vas tied off and curled up inside my testicles on both ends was a weird feeling. But all of that is long gone and nothing has changed really.

My orgasms are still just as intense and there is no numbing feeling. I guess every guy is different and some me can lose feeling. I don't know, but it didn't happen to me. I don't have to worry about unprotected sex and my partner is safe too, so it was a great decision and no regrets here. anon945504 April 13, 2014

All of these posters are crazy. I had a vasectomy and there is no difference in orgasm, sex drive, or visual appearance of ejaculate. Science supports this. Your sex drive comes from hormones released by your testes. Yes, the ejaculate no longer contains live sperm, but the sperm represents only 5 percent of your ejaculate by volume anyway. My wife and I are having sex all the time now because we don't need to worry about an unplanned pregnancy. I am so glad I had a vasectomy. anon944924 April 9, 2014

I had a vasectomy a little over a week ago and I sadly agree the feeling is different. I don't feel like I can "control" when I ejaculate as effectively as before and like others it is nowhere near as intense.

I wish the hell I had done research on this and known about this before I had the surgery. I can't help but think maybe this affects those more in tune with how their penises work and are not 20 minute men.

I don't mean that last bit as an insult to anyone but not all men are equal or are into long sex marathons. anon935871 February 27, 2014

I had a vasectomy done at age 37 and now am 52. I regret having it done, since I no longer have any sensation of an orgasm about 18 months after the operation. I lost all feeling, and when my penis goes soft while having sex, that is the only thing that tells me that I have ejaculated. I just wish I had read more articles on this subject. --Ian anon933380 February 15, 2014

I had mine done about a year ago. The procedure went fine, only about 20-30 minutes, then I drove home. Once past the initial tenderness (two or three days) I popped out some knuckle children to make sure everything still worked and it did. I've not noticed any change in my drive, ease of arousal, ability to function, any change in my ejaculate. I still ejaculate loads and it's still the milky white that it always has been.

The only thing I've noticed is a very occasional sharp twinge of pain in my sac. I talked to my doc about it and she said that twinges are very common and could happen intermittently throughout my life. Oh well, totally worth it! anon932928 February 13, 2014

I had a vasectomy a week ago. It was only actually painful on the day it was done. By the second day I was back to having sex. It can be tender in the upper scrotum, I assume because of the surgery. I was advised not to be too vigorous! I expected to lose the whiteness of the fluid after the first couple of times, however that has not proven to be the case so far. anon926536 January 19, 2014

Worst thing ever! I know this is a case by case argument, but is it worth it to take a chance on destroying your sex life? After surgery, my sex drive is gone. I have no problem with erections but the orgasm is gone -- I mean, gone. A sneeze feels better. My testicles have a constant pressure, not pain really, but uncomfortable. I've done some dumb things in my life, but this was by far the worst. I have sex with my wife every other month and that's only to shut her up. anon359988 18 hours ago

All I know is, I had mine done 18 years ago, and there has been no change at all regarding sex drive, ejaculate consistency and color, and it still exits as if it were a shaken soda. In fact, I had major back surgery, and I am still very sexually active at age 55. Maybe it's because I have the right partner, but sometimes I feel like I'm in my late teens again. anon358808 December 13, 2013

I had my vasectomy in July 2013 after hearing an ad on the radio that everything will still be the same. The main difference is the ejaculate now appears to be clear looking rather than thick and white in appearance. Much like looking at pre-ejaculate. I regret it now. anon353165 October 28, 2013

I had my vasectomy about 10 days ago and was in pain for about a week. I wore a jock strap and now the pain is gone. I played basketball yesterday and my sex drive is the same. I masturbated a few times to clear out any old sperm and will probably pull out for for a few months until I have my sperm count follow up. Prior to the procedure my wife was looking like a deer in headlights when we had sex because she was scared (four kids). I'm hoping this gets her drive back. anon350782 October 8, 2013

I don't know if the procedure was a waste of time or not. It was painful. In any case my wife was unfaithful so we still have a third kid and I love him the same as the others, he bears no fault in mom's infidelity. anon349628 September 27, 2013

Horror stories of vasectomy done and still getting pregnant is probably a horror story for the husband, as the wife may be doing a little on the side. Not to play devil's advocate, but there is a surprisingly high percentage of pregnancies who do not belong to the husband (I think it's like 5 or 10 percent) but that's 5 or 10 percent higher than any husband would ever want to hear.

Does a reversal help with semen volume to increase and more intense orgasm? I know they say sperm is only 5 percent of semen volume. But for those who immediately noticed a decrease, have you had a reversal? Only two months ago today did I have a vasectomy, and I have noticed a drastic difference. anon347170 September 4, 2013

My experience is almost identical to anon269456, Post 5. I had my procedure nearly 30 years ago and immediately faced the issue of poor orgasm and loss of sensation. Over time, the situation has worsened with orgasms almost completely dry with no sensation of climax. I too, consulted the medical profession on a number of occasions, only to be told it was all in my head. I would not wish a vasectomy on my worst enemy. To those contemplating having the procedure, beware. anon344868 August 13, 2013

I had my vasectomy done back in May 2013 and just got the all clear from my doctor, five months later.

In my experience, post vasectomy, I have found that I am much more sensitive in my scrotum. I used to wear boxers all the time, but now it can get a bit uncomfortable when I just 'hang free', and so I wear briefs and boxer-briefs more often for better protection and control.

For a brief period, post vasectomy, I didn't feel like I was getting complete relief when I would orgasm, almost felt like I was experiencing "blue balls" for lack of a better term. That has passed now, though. I do find it's more difficult to build to an orgasm (which is actually good for my partner! I feel like I last longer now), but when I do orgasm, it is back to feeling as good as it did before the procedure.

Honestly, the psychological weight of not having to worry about pregnancy anymore and just enjoying sex without a condom and feeling everything is worth its weight in gold to me.

As for the ejaculate, I find it's the same color, but definitely a bit more watery. anon327440 March 27, 2013

I had it done a month ago and really regret it. Nobody tells you that the feeling of orgasm is only about 80 percent what it used to be after a vasectomy. Also, the quantity of the ejaculate is noticeable -- and much less dense. Don't let anybody convince you otherwise.

I really regret having the procedure done, and would make plans to reverse it, but found out that most insurance companies do not cover reversal, and it is several thousand dollars-plus because it is a much more complex procedure to reverse it.

I would encourage guys who are considering this to look up terms like loss of libido after vasectomy, and less intense orgasms after vasectomy, etc., and you will find thousands of guys with similar stories. I wish I had done that research prior to having it done. anon323009 March 2, 2013

I had a vasectomy in 2011. If anything, my sex drive and libido seem to have increased. I can have intercourse much longer than I used to (hours instead of minutes). Ejaculation and orgasm are the same as ever. My testicles seems to hang loose a little more, but it hasn't caused any real problems. I can still wear boxers or briefs comfortably, depending on how I'm feeling any given day.

I got a vasectomy less than a year ago (August 2012) and I'm already back to normal. I've had no change in ejaculate or orgasms. The only difference is no fear of getting pregnant.

If you are considering a vasectomy, don't let these few complaints scare you. You want to be scared. The total cost to raise a child to age 17 is $235,000. That's without college! anon321339 yesterday

I has a vasectomy almost seven years ago. I was in pain for about year after and every now and again, I have a bad day, usually after wearing loose tracksuit bottoms, etc. My sex drive has been unstoppable since having it done and I have no erectile problems. The semen was a bit watery. As for the smell, it always did smell, but it has gotten worse in the last few months. It has also become thicker and more yellowish.

I have had a retest and it came back negative, but since the change in color, smell and texture, my pains have gone altogether. I was 28 at the time and had four children, but as time goes on I am now in more a stable position and my eldest two are off to college, I'm thinking of having another one. There are lots of procedures other than a reversal, although I don't regret having it done. I wish I had waited another 10 years. anon305188 November 25, 2012

There's a clear difference in the posts between those discussing the nature of ejaculate and those commenting on their orgasms.

For me, I noticed no difference with the ejaculate. But I did notice how much my testicles had played a role in the feelings of orgasm. Now being 'cut loose', I lost all that 'extra' feeling and, indeed, my testicles are uncomfortably sensitive if touched.

Overall, the orgasm feeling has reduced dramatically. I can still achieve intense pleasure, but only through masturbation where I know how to build things up, not through intercourse. Whether it's worth it depends on your view of the risk of pregnancy. But I think that most professionals who casually say it should make no difference have no idea that orgasm evidently involves parts of the genitals that they it should not. In my case, anyway, that means the testicles when linked to the rest of the body.

I suppose we may be naive to imagine that we can tinker with nature and still expect everything to be as before. It jolly well isn't. anon302570 November 10, 2012

I had a vasectomy about a year ago and my ejaculate seems smaller and now is more of a trickle than a pop and the general feeling is not as intense as it was before the op. Because of this, my sex drive has diminished also.

I wish I had researched it more before agreeing to it with my partner. So if you are here for more information before the op, well done. Now research more!

I had one done 30 years ago. Best thing I ever did. No risk of pregnancy and the orgasms are worry free and just as intense. Skinlab September 17, 2012

Thank you all for sharing your experiences. It is really appreciated. I was going for a vasectomy, but now, I think I'll pass.

I wouldn't want to go through what some have gone through in these posts. It's not worth it. Even if it's 1 in a million, it's not worth it.

Diveman10. ask your doctor about "Spermual granuloma" I had the same pain and about a year later, it felt like a ghost with a number 10 steel toed boot kicked me in the nads. I doubled over and almost passed out. they did surgery on me a couple days later and found the vas blew out.

I had a vasectomy in May 2012. Until now, the ejaculatory feeling at orgasm has greatly diminished to what I can only describe as a feeling of great disappointment. I'm gutted I had the operation. anon281480 July 24, 2012

I got a vasectomy in '88 and never saw a difference in quantity or color. I think it's little bit more "watery" and some say the smell and the taste are much better. My sex drive increased and 20 years later I had some ED problems but it's not certain they have a link with the "v". anon269456 May 18, 2012

If you are contemplating a vasectomy, please read this!

I would not advise any man to have to go through what I have been forced to deal with.

Having had a bilateral vasectomy in the UK in 2009, I have spent the subsequent time fighting with doctors who at first told me that what I was describing was impossible. They now appear to be saying there may be a connection with my complaint and the procedure and yet they also say there is nothing they can do.

So what's my complaint? Ever since undergoing the procedure, my orgasms have been drastically dulled to the point where I can barely feel them. That deep pulsating within me which accompanied orgasm has gone, and with it, the vast majority of the subsequent pleasure.

The fluid which used to rush out of me is now a trickle and is far smaller in volume. Imagine opening a bottle of Coke which has been shaken up. That's what orgasms were like pre-op. Post-op, they are like squeezing toothpaste out of a tube.

Having been forced into seeing a psychosexual counselor by the doctors responsible, I am now told this problem is not psychological -- as if I didn't know that already -- and there's nothing a counselor can do.

The doctors also say there is nothing they can do because they don't understand what's happened. There have been no studies surrounding this rare complaint. That, however, is better than what they originally said which were words to the effect of, “It's all in your head. Go away.”

It would seem no one can do anything about this and I am left mourning what I have lost. I am full of frustration, anger and despair and needless to say, this has destroyed what was once a healthy and active sex life with my beautiful wife.

Do not be fooled by everything you see online. This is not a risk-free procedure. Changes do happen and if you're unlucky enough to experience them you are just out of luck. This myth that vasectomy is safe and does not affect your sex life needs busting. Trawl around on the web (granted, it will take a long time) and you will find similar testimonies from men across the world.

Everything works just fine when it comes to sex but the ejaculatory pleasure is gone. So what's that like to deal with? Imagine if someone has died and you feel grief. Well that's what it's like. And to add insult to injury, it's a feeling of grief which does not pass. Couple that with the accompanying anger that often goes with grief and you end up with a man like me: devastated and utterly destroyed.

I may be one in a million, but I wouldn't wish this experience on anyone, especially as I underwent a vasectomy in the hope it would make or sex life even better. Instead it has destroyed it and done untold damage to me, my wife and our relationship. anon238152 January 2, 2012

I had a vasectomy about three years ago. I noticed almost immediately that my ejaculations were a lot smaller in volume and intensity. All the information out there suggested that it is in the mind, but this is very misleading as I know my body better than any doctor and the effect is all physical.

Yes, I still want to enjoy sex with my wife, but sadly having to wait sometimes up to two weeks for enough build up of fluids is, quite frankly, ridiculous, as the lack of seminal fluid lowers the desire as well.

I am speaking from my experience and going from being able to ejaculate two or three times in one love making session and up to five or six times in a night to this is pathetic.

Whenever I hear of any guy contemplating a vasectomy, I cannot stand back and ignore the conversation and simply let them know that they should not believe all they hear from their doctors and that things can change dramatically. I want to get a reversal, but unlike the vasectomy it is not covered by health insurances and is a damn sight more expensive. The vasectomy was around $600 AU with 85 percent of this covered by the health coverage I had. Now the cost of the reversal is in the vicinity of $6000 - 8000 AU and not a cent is covered by any benefits that I am aware of.

In simple terms, I now say if it works just fine now don't tempt fate. You may be very disappointed. Just go look for an alternative form of contraception. diveman10 yesterday

I had a vasectomy 12 months ago and I am still in pain. I have been to several doctors (five) and so far, all the nonsurgical options have failed to relieve my pain. I have had two rounds of cortisone injected into my left vas deferens with only temporary relief. My suspicion is that I have pain because the left vas deferens is backed up with pressure due to the sperm not getting through.

To be honest with everyone, I cannot tell if my ejaculation is the same or not because of the pain. The doctor instructed me not to ejaculate more than once a day (most married couples with small children probably will not find this an issue) but the idea that I was not told this in the beginning is very, very, frustrating/misleading. I do not remember seeing that in the brochure or the consultation that the doctor gave my wife and me.

It makes me question whether there are other things that the Urology field is not telling us about this so-called simple procedure. Good luck with whatever decision you end up making. Cruze May 27, 2011

How can someone tell if the sperm have stopped showing up in the ejaculate after a vasectomy? Is there some way to tell, other than going back to the doctor for a test? Is there a home test to check for sperm?

I've heard horror stories about couples who have the procedure done and still get pregnant. Eli222 May 26, 2011

I can attest to the fact that there is no difference between pre and post vasectomy ejaculate. I've had a vasectomy procedure and neither myself nor my wife noticed any difference in the fluid, the stream, or even the color.

The biggest difference we noticed after my vasectomy was that we weren't living in fear of getting pregnant all the time. We already had four kids (in 6 years) and more were out of the question.


How to use a vibrator:

The vibrator works by providing a high-intensity stimulus to the penis. This stimulus is strong enough to overcome any psychological or situational inhibition and trigger the orgasmic reflex. This is what a vibrator looks like. You can buy one from our Online Store!

The procedure should be carried out in a room with complete privacy. It is very important to remember that ejaculation will occur automatically as a result of the vibratory stimulation - so be relaxed do not try and force ejaculation.

Pass urine, take off your clothes, and sit on a bed with your legs apart. The vibrator is placed beneath the penis. The penis is placed upon the vibrating head such that the undersurface of the penis (glans and distal shaft) is stimulated. Once you are comfortable with the vibratory sensation, press the tip of the penis (glans) upon the vibrator such that you feel the maximum amount of stimulation. Keeping the vibrator in place, close your eyes, and fantasize sexually. Stimulation is continued till ejaculation occurs. This usually occurs in 10 to 30 minutes but some men with anorgasmic anejaculation, who have never experienced an orgasm, may take up to 2 hours of stimulation before they reach orgasm the first time! This period shortens during subsequent sessions. Some men require a second or third session before they succeed.

Failure to ejaculate is a common problem. If you suffer from this condition do not be disheartened. A variety of therapies are available to solve the problem. Some men with being helped by the simple measures described above for situational anejaculation. Others will be helped by the use of a vibrator or an electro-ejaculator. Finally, if nothing else works, sperm can be retrieved directly from the epididymis or testis and used for ICSI.


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