MALE DISORDERS – Sperm and Spermatorrhoea
“Hundred drops of sweat equals one drop of blood and hundred drops of blood equals one drop of semen” – this is one of the age-old beliefs about semen.
The commonest sexual problem of men next to impotency is “spermatorrhoea”. Spermatorrhoea is medically meant an involuntary ejaculation/drooling of semen without any sexual event/thoughts. Likewise, seminuria/spermaturia is the discharge of semen in the urine. Normally, semen gets ejaculated in spurts only at the climax/culmination of the sexual act.
Semen loss can exhaust each and every system. So, one must treat semen loss with care to avoid dangerous after-effects. Of course, the incidences of spermatorrhoea are increasing in youths in this fantasy world. The reason behind it may be a polluted mind, due to circumstances and media (books, TV, movies, Internet, etc.). This pollution has made many youths notice mucous discharges, even ejaculation, while watching erotic scenes, sometimes even while talking to glamorous girls. This weakness (incontinence) makes the mind of men miserable, since this prevalence often causes early ejaculation without any satisfied sexual activity, even with the touch of the partner.
One should be aware of semen and sperm – its origin, its constituents and its functions – to understand the effects of spermatorrhoea in a better way.
For males, attaining puberty is claimed by the production of male sex hormone (testosterone) and sperm in the testis. So, testis is the organ responsible for maleness. Seminiferous tubules in the testis produce sperms and throw them into the genital tract for ejaculation. Sperm emerging from the seminiferous tubules of the testis gets collected in the warehouse (epididymis) and later joins with the other secretions of various glands to reach the ejaculatory duct as semen. The ejaculatory duct ejaculates everything through the penile urethra at the time of orgasm (heightened sexual excitement)
Libido (psychological feeling for moods of sex) and ejaculation of semen bring orgasm to men.. The vigorous movements, muscular contractions, rhythmic reflex contraction in glands, changes in heart beat, blood pressure, respiration, feeling heat with excitement and ejaculation creates the feeling of orgasm. Sex gives pleasurable fatigue after ejaculation. But, more sex often causes weakness and complications.
SEMEN is the mixture of male genital secretions ejaculated at the end of sexual activity. Semen production usually starts at the age of 13-14 in men. Normally, 2-3 ml volume of semen is ejaculated at the time of orgasm. Each ejaculation carries 200–300 millions of sperms i.e., nearly 70-100 millions per ml. There will be variation in volume of semen and sperm count depending upon the frequency of the sex and internal and external factors. Nowadays, universally, sperm count has decreased due to unknown reasons. The volume of semen will be more in low temperature conditions and in most excited conditions after less frequent sex. Ejaculated semen soon gets coagulated and gets liquefied in 10–30 minutes to aid movement of sperm to search and fertilise the ovum.
Semen is a rich source of calcium, phosphorus, lecithin, cholesterol, nucleoproteins, iron, vitamin-E, sodium, magnesium, etc. So, excessive loss of semen will deprive our body of calcium, phosphorus, lecithin, etc. Researchers find many similarities between cerebrospinal fluid (which nourishes the brain and nervous system) and semen in constituents/composition. Also, process of ejaculation is merely compared with convulsions (nervous twitching), since during ejaculation, body jerks, neck retracts & muscle contracts violently. This process is followed by great exhaustion and complete relaxation of the muscles as in convulsions. So, wasting of semen from excessive sexual activity or masturbation may reflect in composition of cerebrospinal fluid with nourishment of brain and nerves and can also cause neuralgic complaints.
Semen is a collection of secretions from seminiferous tubules, seminal vesicles, prostate and bulbourethral glands. Semen gets
- Sperm from seminiferous tubules
- Alkaline bulk volume to disperse sperm from seminal vesicles and prostate gland.
- Fructose, ascorbic acids, fibronogen, prostaglandins, etc., from seminal vesicles to nourish the sperms till they reach the ovum
- Calcium, citrate, acid phosphatase, cholesterol, phospholipids, etc., from prostate secretions to favour circumstances for fertilisation
- Characteristic odour from prostate secretions
- Lubricating mucous fluids from bulbourethral glands.
Seminal Analysis – Semen should be analysed after sexual abstinence of 3-5 days. Also, it is better to have seminal analysis without strenuous exercises, smoking and drinking alcohol.
- Normal colour of the semen is whitish opaque. Infection may change its colour with pus cells and blood cells.
- The semen is always alkaline in nature i.e., pH – 7.3 – 7.8. This alkalinity, which is mainly due to prostatic secretions, helps in neutralising the acid vagina for the survival of the sperm with its motility and fertility.
- Also, analysing the presence of fructose in the semen gives an idea about obstruction in the pathway and directs treatment options in cases of infertility.
- Analysing the sperm count and its morphology aids in treatment of infertility
Less viscous semen (watery) will be usually of poor quality in constituents
SPERMS are the spermatozoa of men. They is dispersed through semen. In the semen, sperm constitutes only 5-7 per cent of the volume. They are so much micro-cellular and they are the smallest cells of the humans which hold responsibility in producing babies. Unlike other cells of our body, they contain only 23 chromosomes. The male produces sperms in millions per day which often go waste, whereas the female produces only one egg, that too in the middle of the menstrual cycle (once in 30 days). Also, only one sperm is going to succeed in the fertilisation of the egg. This Nature’s mystery of wasting can be clearly manipulated only while realising the task of the sperm in fertilising the ovum.
Sperm production is medically called spermatogenesis. Sperm is produced in seminiferous tubules in the testis. Sperm has head, neck, body and tail like a tadpole. The head is loaded with precious genetic material. Normally, the sperm takes 70–90 days to mature. But its production, quality and maturation time may differ from internal and external factors. Low temperature favours s faster rate of production and maturation. Diseases/depression/stress and strain may cause a slowdown. Weight loss, tight clothing, hot environment, drugs, etc., can lower sperm production and motility. Unlike in females, who attain menopause with the stoppage in the production of the egg, the process of sperm production in male is continuous from teenage, giving man his manliness lifelong.
Sperm produced in the testis is usually stored in the epididymisbefore getting ejaculated where it is trained to swim. The sperms are propelled then through vas differens and ejaculated in spurts with other genital secretions, at the time of orgasm. The sperm is usually more concentrated in the first spurt of ejaculation followed by seminal and prostatic secretions. Sperm has its own life period, i.e., even if it is not used, it will die on its own and is absorbed by the body.
Normally, sperm count exceeds 65-70 millions per ml. While doing semen analysis, sperm is analysed further with motility and morphology. Semen is a mixture of mature and immature cells. Mature cells are highly motile and normal in shape. Less than 30 million sperm count or having less motile sperms or less normal sperms accounts for infertility. The semen with more of giant head sperms, tail-less sperms, abnormal sperms also result in infertility.
Clear cuts about sperm count
- Frequent sex/masturbation usually have low sperm count. This is normal and temporary. Here normal count can be revived by 4 -5 days of sexual abstinence.
- Building masculinity will not increase sperm count. Sometimes strenuous exercise can cause a slow down
- Sleeplessness and depression can also cause low sperm count
- Childhood intensive small pox/mumps can cause testicular failure and cause Azoospermia – (Nil sperm count)
- No one can store sperms for a long time. Its life ends naturally, as time passes. Also, it is important to note that semen ejaculated after a prolonged time will have many dead sperms.
- Nuts, dry fruits (dates, etc.), fruits, vegetables and oats can improve sperm count.
- Good habits, good nutrition and good sleep can provide good count.
Sperm is the seed of human genesis. The secrecy of human genesis is many more than beyond this.
Normally, men are very cautious about their virility and potency in sex. Their quest for sex and pleasure ends in marriage (mostly). One main thing one should be aware of is that the sperm cannot be stored and one cannot drain it away to azoospermia (nil sperm count). It is rightly said that lustful desires usually give vent as spermatorrhoea. Spermatorrhoea is one of the foremost threats faced by men next to impotence. There are many misconceptions about spermatorrhoea and masturbation.
Spermatorrhoea medically means an involuntary escape or ejaculation or drooling of semen without any sexual event/erection/orgasm. Hiding it often leads to complications. Sufferers may be aware or unaware of spermatorrhoea, according to its presentation. Usually, sufferers are unaware of wet dreams (night emissions) which occur during sleep and loss of semen in urine (seminuria/spermaturia), whereas the discharge of semen, while straining (while passing stool or at any other time) may be noted immediately.
Bachelorhood – A bachelor’s life needs more strength and more brain power to be without losing/wasting any semen. But, a bachelor’s real strength is that he doesn’t have any weaknesses or distractions, since their lifestyle might not be a forced existence.
Masturbation – refers to self abuse of genital organs (voluntary act) with erotic thoughts, to give vent to sexual tension and satisfy one’s sexual appetite. It equals sexual activity with orgasm in the absence of a partner. Many youths are becoming addicted to this momentary bursting excitement due to arousal by the media and circumstances.
This fantasy of sex is also often misunderstood as sin and one is forced to feel guilty by money-minting quacks who advertise that . sufferers are losing every precious thing in the semen. Actually, infrequent masturbation/night emissions will not have any after-effects, whereas excessive involvement or over indulgence may cause spermatorrhoea, nervous debility, exhaustion, tremors, etc. The results of masturbation, excessive seminal losses and indulging more in sexual activity will nearly be the same, since the same vital fluid – semen – is lost in all the processes.
Nocturnal emissions (Night emissions / wet dreams) – Normally sex is very pleasurable while there is ejaculation from an erected penis. In wet dreams, ejaculation occurs during sleep without any orgasm or erection. Their incidences are often found to be related to frequency of sex/masturbation/abstinence. They may or may not accompany erotic dreams.
Semen in the urine – Semen and urine will never get mixed up while letting out, even though the outlet is same for both. The architecture of the neck of the bladder is designed in such a manner that contracture of the neck of the bladder restricts the entry of sperm and leakage of urine. But in the case of infection/diseases of urethra and prostate and in diabetic complications, semen can get mixed with urine with incontinence or may get propelled into the bladder. When the semen gets ejaculated into the bladder, the urine is found to be cloudy while being passed. But in the case of semen getting mixed with urine just at the time of urination, due to strain and incontinence, then drooling of semen will be seen while ending up the urine. Prostatorrhea is often confused with spermatorrhoea. But it can be easily differentiated with microscopic examination of the discharge, i.e. prostatorrhoea has no sperms at all, compared to spermatorrhoea. Any way, losing more seminal fluid/prostatic fluid will devitalise our body.
Incidences of spermatorrhoea –Higher incidence of spermatorrhoea is frequently noted in the age group of 18-30 years. It is most commonly seen in unmarried, sexually perverted persons (dreamers), and in sexually transmitted diseases (STD). Also higher incidence of spermatorrhoea and impotency are often noted in men who stay away from their wife with suppressed sexual desires. Anyhow, most men would have experienced wet dream/night emissions at one time or the other, irrespective of good physique or power of mind.
Causes – are mainly
- Polluted mind
- Perverted sexual behaviours and dreams
- Excessive masturbation/overindulgence in sex
- Urinary tract infection spreading to prostate/seminal vesicles
- Chronic constipation
Symptoms – The core symptoms of night emissions/involuntary loss of semen in urine are exhaustion and weakness. The common presenting features are:
- Drooling of urine at the end of urination
- Cloudy urine
- Incontinence or drooling of semen even at slightest stimulation (watching erotic scenes, reading novels, talking to girls, etc.)
- Burning sensation during/after urination
- Ejaculation seems to have less volume and very thin (low viscose) semen
- Impotency and early ejaculation
- Dull and depressed with irritable mood/psychosis
- Loss of memory and inability to concentrate
- Headache and drowsiness
- Sleeplessness with lascivious/vivid dreams
- Sunken, dull and burning eyes
- Hollow cheeks with disfiguring pale face
- Cramps/ pain in back and legs
- Tremors with nervousness
- Pain in spermatic cord (in groin) – Spermoneuralgia
Diabetic complications Diagnosis & investigations – The need of scientific tests are:
- Semen analysis and culture to check the presence of sperms as well as infection
- Ultra sound scan to rule out prostate problems
- Routine blood tests including electrolytes to rule out any metabolic disorders
- Hormone tests for
- Testosterone and follicle stimulating hormone – to analyse testicular functions
- PSA – to rule out benign prostate hypertrophy (enlargement) BPH.
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