I am a 41 year old healthy male. About a year ago I noticed during masturbation that my semen was leaking before I ejaculate. At 41 a guy knows how the process of Masturbating and having an orgasm then resulting in an avg amount of semen discharge. The leakage it quite significant now and it almost feels as if I have pressure in my perenium as I start to masturbate similar to holding urine in when having a full bladder. When I do finally orgasm I usually don't have much semen discharge left or it is a dry orgasm which then hurts in my groin for a few minutes. I also sometimes feel this pressure during the day without an erection and sometimes I know I am releasing semen into my underwear - a guy knows the difference between this and urine leakage. As a side note I do get a dull pain occasionally on my right testicle area like the description if what epididymitis is but the doctor ruled this out. The pain sometimes goes from my right upper leg up to my lower right abdomen but clearly focused near the testicle area. It sure if this is connected or not.
Most websites refer to over masturbation but I only masturbate on avg 1-2x week. I also notice that semen is sometimes present when I have a bowel movement - I can sometimes see a very large amount of semen in the toilet. This just happened yesterday and I was shocked by the amount of semen that discharged. This was probably the most semen I ever saw in one discharge (compared to normal Orgasm). I know the same thing happens during sexual intercourse because I can feel the pressure early on during intercourse and when I have an orgasm during sex it hurts in my perineum similar to the pain during a dry orgasm with Masturbation,
I did have Prostatitis 3 years ago but my prostate is normal sized now - had an exam recently and I check on my own occasionally. I do occasionally perform a prostate massage with a special device that my doctor recommended after my Prostatitis. Oddly enough I never release semen while doing this which is when I would think this would occur.
What conditions can cause this issue? It is almost an incontinence of seminal fluid. I am frustrated because I have seen two different urologists in NYC area and they pass this off as precum - I know what precum is and this is not precum. This is semen leakage.
I am very comfortable seeing a doctor about this issue but do not know the right type of doctor that will understand this issue better. I feel as if the timing of my system is out if whack.
I do take Testosterone Replacement due to <290 on three Testosterone blood tests about 3 years ago. The doctor cannot explain the early onset of my hypogonadism other then some opioid use for a post surgery pain about 6 years ago with a complication from ball bladder removal. I also take a cialis 5mg day to help with erection firmness and to help prevent Prostatitis from returning - told it is an off label use.
I also take Adderall for ADHD. I have seen a few posts from other men my age who seem to blame the adderall but I never see a reference on the side effects nor do any doctors suggest this on other posts.
I am eager to hear from a male sexual health/ male urologist specialist that has seen this issue before. This by no means is crippling but as a viral male in his early 40's I want to make sure everything is working properly. I also get frustrated when I cannot enjoy masturbation anymore because once I start leaking I know I am done.
I just posted a very similar issue and do not believe it is over masturbation, I masturbator a lot when I was younger but at 41 I avg 1-2 x week which seems pretty average. Some weeks I don't get time at all. So there has to be another explanation. Guys know how their penises and organs work and when something is just not right. Read my post and see the correlations.
Good luck. Send me a response if you hear of any solution or want to discuss further.View Thread