What is the reason for my husband’s sudden decrease in semen?

Sudden reduction in semen may be related to physiological factors or pathological factors. The main reasons include excessive sexual frequency, long-term mental stress, varicocele, prostatitis, testicular hypofunction, etc. It is recommended to seek medical examination in time to identify the specific cause and then provide targeted treatment.

1. Sexual frequency is too high

Multiple ejaculations in a short period of time can lead to insufficient semen reserves and a temporary reduction in semen volume. This situation does not require special treatment. The semen volume can gradually recover after appropriately controlling the frequency of sexual life and maintaining moderate abstinence. It is necessary to avoid excessive masturbation or frequent sexual intercourse on a daily basis to ensure that the reproductive system is fully rested.

2. Long-term mental stress

Continuous anxiety and tension may inhibit the function of the hypothalamic-pituitary-testicular axis and affect the secretory functions of the seminal vesicles and prostate. It is accompanied by symptoms such as sleep disturbance and decreased sexual desire. Stress can be relieved through psychological counseling, regular exercise, etc. If necessary, oryzanol tablets and other drugs that regulate autonomic nerve function can be used as directed by the doctor.

3. Varicocele

Obstruction of scrotal venous return will cause the local temperature of the testicles to increase and affect the spermatogenic function. There may be a feeling of swelling in the scrotum, which worsens after standing for a long time. After diagnosis, mild cases can be improved by wearing a scrotal band, while severe cases require high spermatic vein ligation. Combined with drugs such as sperm production capsules, it can help improve sperm quality.

4. Prostatitis

Chronic inflammation will lead to reduced secretion of prostatic fluid and loss of main components of semen. Symptoms such as frequent urination, urgency, and perineal pain are common. You can use Qianlieshutong Capsules combined with Tamsulosin Hydrochloride Sustained-Release Capsules as directed by your doctor, and avoid triggering factors such as prolonged sitting and spicy diet.

5. Testicular dysfunction

Insufficient testosterone secretion directly affects semen production and is more common in middle-aged and elderly patients or patients with post-mumps orchitis. It is accompanied by symptoms such as loss of sexual desire and sparse body hair. It is necessary to confirm the diagnosis through sex hormone examination, supplement testosterone undecanoate soft capsules if necessary, and monitor liver function regularly.

You should pay attention to keeping your vagina clean and dry every day, and avoid wearing tight pants or soaking in hot springs and other high-temperature environments. Eat more foods rich in zinc such as oysters and nuts, and quit smoking and limit alcohol consumption. If the semen continues to decrease for more than two months, or is accompanied by pain, hematospermia and other symptoms, you must go to the andrology or reproductive medicine department as soon as possible for routine semen examination, scrotal ultrasound and other examinations. During the treatment, it is recommended that the spouses participate in life adjustment together to avoid excessive attention and psychological pressure.