Does Masturbation Cause Infertility?
A Chennai andrologist on whether masturbation causes infertility — the truth about sperm count, abstinence timing, what really lowers sperm count, and how to conceive.
How Long Should You Lie Down After Sex to Get Pregnant?
How long to lie down after sex to get pregnant — a reassured Indian couple resting together after intimacy The short answer: How long you lie down after sex to get pregnant makes no difference — there is no set time, and no medical need to stay flat at all. Staying supine has no scientific foundation; sperm reach the cervical canal within seconds and the fallopian tubes within minutes, regardless of your position (ASRM, 2022). Let me answer this the way I answer it in my clinic almost every week — how long should I lie down after sex to get pregnant? Couples phrase it a dozen ways — how long should you stay lying down after sex, do you need a pillow, should you wait before getting up. It is one of the most loaded little questions couples bring me, usually whispered, usually with a lot of anxiety behind it. And here is the honest, reassuring truth: you have been worrying about the wrong thing. So let me give you the evidence-based version, gently correct a piece of advice I myself used to give, and then tell you what actually matters. Quick facts Remaining supine (lying flat) after sex to “help” sperm travel has no scientific foundation — this is the explicit position of the ASRM (ASRM, 2022). Sperm can be found in the cervical canal within seconds of ejaculation, regardless of coital position (ASRM, 2022). Sperm reach the fallopian tubes within minutes — labelled particles placed at the vagina were found in the tubes in as little as 2 minutes during the follicular phase (ASRM, 2022). The one study showing a benefit from lying still — 27% vs 18% pregnancy — was after IUI (intrauterine insemination), not natural intercourse, so it does not transfer to sex at home (Custers et al., BMJ 2009). What actually raises your odds is timing sex to the fertile window, not posture (Wilcox et al., 1995; ACOG). Now, here is something I want to clear up straight away. For years the standard advice — including, I will admit, the older version of this very article — was “lie down for 5 to 10 minutes after sex.” Based on the current evidence from the ASRM, that advice is unnecessary. It does no harm, but it does no measurable good either, and worrying about it only adds pressure. Let me explain what we actually know about how sperm travel. After sex, what actually matters: no need to lie down, sperm reach the cervix in seconds, timing beats posture, relax and don’t stress Does lying down after sex help you conceive? No — and I say that as someone who studies sperm transport for a living. The belief feels intuitive: deposit semen, lie flat, let gravity keep it in. But sperm do not wait around for gravity. They swim. The ASRM, in its 2022 committee opinion Optimizing Natural Fertility, could not be clearer. It states that the idea that remaining supine after intercourse facilitates sperm transport “has no scientific foundation.” Sperm deposited at the cervix at midcycle are found in the fallopian tubes within about 15 minutes. In studies where labelled particles were placed at the back of the vagina, those particles travelled up into the fallopian tubes in as little as 2 minutes during the follicular phase — propelled by uterine contractions, not by you lying still. Most tellingly, sperm can be found in the cervical canal within seconds of ejaculation, regardless of coital position (ASRM, 2022). So by the time you have settled a pillow under your hips, the fastest, healthiest sperm are already well past the cervix and on their way. The “lie still” ritual is doing nothing for them. After sex — does it change your chance of getting pregnant? What the evidence says Lying down / staying flat for a set time No effect — sperm reach the cervix within seconds (ASRM, 2022) Pillow under the hips or legs in the air No effect — sperm swim; they do not rely on gravity (ASRM, 2022) Sex position No effect on conception (ASRM, 2022) Semen leaking out afterwards Normal — the sperm that count are already past the cervix Peeing after sex No effect — urine exits through a separate opening Timing sex to the fertile window The one thing that actually raises your odds (Wilcox et al., 1995) Talk to a fertility specialist Where the “lie down after sex to get pregnant” belief comes from (and the one real study) If posture does not matter, why does every aunty, forum and half the internet insist on it? Two reasons, and it is worth understanding both so you can stop second-guessing. First, there is an old idea sometimes called the “poleaxe” theory — the notion that female orgasm makes a woman want to lie down and rest, and that this rest evolved to reduce semen loss. It is a tidy story, but it is a hypothesis, not evidence. Second — and this is the genuinely important one — there is a real, well-conducted study where lying still helped. In 2009, Custers and colleagues published a randomised trial in the BMJ: 391 couples, half asked to lie still for 15 minutes, half allowed to get up immediately. The group that stayed flat had a higher ongoing pregnancy rate — 27% versus 18% (Custers et al., 2009). Here is the crucial catch that almost every blog gets wrong: that study was about IUI — intrauterine insemination — not ordinary sex. In IUI, a thin catheter places washed sperm high inside the uterus, and the small fluid volume can theoretically trickle back. That is a different physical situation from intercourse, where sperm are deposited at the cervix and swim through cervical mucus on their own. Later trials even questioned the 2009 finding for IUI itself. So if you are doing an IUI cycle and your clinic asks you to rest for 10–15 minutes afterwards, that is reasonable. But for couples conceiving the natural way
How long does sex last?
Men’s Health Blogs How long does sex last? Well, this is one question I am itching to answer. Sex normally lasts anywhere from 45 seconds to 45 minutes. This shows gross extremes in time duration. However, the mean average times for most couples ranges from anywhere between 4 to 6 minutes. So, how long does sexual intercourse normally last? It depends on a multitude of factors and not just your partner’s individual capacity. Here is short video below Some of us, of course end up getting disappointed or even disgusted when a finish to early (a condition called premature ejaculation). In men who come early sex lasts less than a minute. However, in some men, ejaculation can be so delayed, sex can become tiring resulting in delayed ejaculation or even no ejaculation at all. As you correctly noticed, a women cannot find a meaningful sexual gratification with extremes of sexual time-frames. Coming too early and not coming at all are both detrimental to a healthy sexual relationship. You ideally want about 7 to 10 minutes of sexual foreplay (kissing, hugging, stimulating the breast, oro-genital stimulation) followed by about 5 minutes of penetrative sex. This of course results in a total duration of 12 to 15 minutes (which can be fun-filled and full-filling to both partners). Of course, the duration of sex can depend on how frequently you have it with your partner. Let me give you an interesting example. Say for example, you have sex frequently on an average 4 to5 per week, the duration of sex will be longer. You will notice you have more control over your ejaculation. However, in some instances you may notice that you are having intercourse only 1/month, then in these cases, because of the long abstinence, sex may not last long. Dr. Shah Dupesh Consultant Andrologist & Sexologist Ready to improve your Reproductive Health? Discuss your concerns in a private setting and get personalized guidance tailored to your needs. Book a Call Book a Call So, how long does sex normally last? The answer also depends on how frequently you have sex?. Consequently, the sex in some individuals will last really long since some couples engage in really loooooong foreplay. They keep at it. Suit yourself, whatever turns you on man Jokes apart healthy sexual intercourse between couples should last anywhere from 12 to 15 minutes. The median average time reported as per scientific studies is 4 to 6 minutes. Furthermore, we really do not know… Subscribe to our Newsletter Why does sex last so long? if the only objective of sexual intercourse is to have a child, sexual intercourse should be fairly simple. You take your organ, it becomes erect, then you thrust it, then immediately ejaculation happens. Pregnancy achieved. Voila!. However, you and I both know, that is not the case. So, why does sex last long or last for a specific period of time? We are yet to discover the answer from nature. All that we know for sure, is that, sex is largely pleasurable as an activity. Its good for your health and your partner’s health and as a BONUS to nature, it passes on your genes to the next generation really very well. I hope you enjoyed reading this short article. Watch this space for more interesting articles. This is Dr Shah, consultant andrologist and sexologist in chennai, and I will catch up with you soon References Corty EW, Guardiani JM. Canadian and American sex therapists’ perceptions of normal and abnormal ejaculatory latencies: How long should intercourse last?. The journal of sexual medicine. 2008 May 1;5(5):1251-6. Related Blogs Recent Blogs Having more doubts? Consult with our doctor Consult with Dr. Shah Leave Your Comment Cancel Reply Logged in as Dr Shah Dupesh. Log out? Δ
How many times masturbation can be done in day? Male Masturbation limit explained
Men’s Health Blogs How many times masturbation can be done in day? Male Masturbation limit explained Hey guys, in this quick blog post we are going to quickly go over ‘how many times masturbation can be done in day?’. We shall quickly explore the male masturbation limit. My name is Dr Shah, and I specialize in male infertility treatments and sexual health. You can also watch the video below. It summarizes everything in 4 minutes!. How many times masturbation can be done in day?? – The video has the answer First and foremost, masturbation is an age old behavior. If you look at it’s origins, well, masturbation as a behavior dates back to the Egyptian era. The God Atum, also known as the supreme god in Egyptian religious ideology is depicted to have masturbated while feeling aroused or ‘horny’ (Do gods actually feel horny?). Anyways jokes apart, the legend goes like this, Atum felt horny and masturbated. Upon the spillage of his semen 2 gods were born. Moreover, it was even a customary practice in Egypt for the pharaoh and his tribe-men to masturbate into the river to pay his respect and homage to God Atum. But, historically speaking, religions like Zoroastrianism, Christianity and Islam (relatively speaking) has largely condemned the practice of masturbation and/or masturbatory behavior. The habit of masturbation has been frequently looked down upon as something very very disgusting. Dr. Shah Dupesh Consultant Andrologist & Sexologist Ready to improve your Reproductive Health? Discuss your concerns in a private setting and get personalized guidance tailored to your needs. Book a Call Book a Call Furthermore, lets be honest, we are not celebrating ‘masturbatory behavior’ as some some sort of historical achievement. This is in-spite of the fact that many eminent researchers, scientists, developmental psychologists have largely stated that masturbation is a part of normal adolescent sexual development. The truth however is not as simple as it always may seem. While masturbation is and can be a part of adult normal sexual development, you have to LET GO of the habit beyond a particular time frame. Persistent teen sex fantasies combined with porn watching and masturbation is SURE SHOT DISASTER RECIPE. Furthermore, now their are recent studies with supportive evidence pointing out that masturbation as a habit can lead to masturbation addiction, porn addiction and other aberrant practices. Furthermore, the overall sexual satisfaction scores derived from masturbation is very very less compared to penetrative sexual intercourse with a partner. So, how many times masturbation can be done in day? Well, Sorry to disappoint you folks. I personally cannot recommend masturbation at all. The only exception to the rule is that, suppose you are all alone (by choice) masturbation very occasionally to release sexual tension may be done. Once again, I believe this is a better sexual outlet versus having casual sex with unknown individuals. Since their is a very real risk of sexually transmitted disease. Masturbation done very occasionally may help reduce the risk of STD infection and other high risk sexual behavior. Furthermore, with practice you can slowly change and quit the masturbatory habit by keeping your mind busy with other activities. It definitely helps in the long run. Subscribe to our Newsletter It’s a very stupid thing to state that ‘its okay to masturbate 5 times per week or even 1 or 2 times per day’. I have very heard many eminent doctors speak this (very sad indeed). Try to avoid masturbation, in my experience as a andrologist and sexologist, I have met close to 9000 patients who have clearly stated they feel quite disgusted with masturbation. Over 85 to 90 percent of patients do not feel good in anyway masturbating. Moreover, in some instances some of these patients go so far wreck their stable relationships because of this behavior. To further elaborate when you masturbate, from a neurological perspective you are conditioning your brain to sexually explicit content and porn. You will never get the arousal you get from porn from penetrative intercourse with your partner. So frequently or how many times masturbation can be done in day? At best 1 or 2 times per month, if you cant keep a check on your desires. I do not personally recommend masturbation as a primary sexual outlet behavior. I hope you enjoyed reading this short blog post on masturbation. Watch this space for more interesting content References Engelhardt HT. The disease of masturbation: values and the concept of disease. Bulletin of the History of Medicine. 1974 Jul 1;48(2):234-48. Freud S. Contributions to a discussion on masturbation. InThe Standard Edition of the Complete Psychological Works of Sigmund Freud, Volume XII (1911-1913): The Case of Schreber, Papers on Technique and Other Works 1958 (pp. 239-254). Related Blogs Recent Blogs Having more doubts? Consult with our doctor Consult with Dr. Shah Leave Your Comment Cancel Reply Logged in as Dr Shah Dupesh. Log out? Δ
How Often Should You Have Sex to Get Pregnant?
How often should you have sex to get pregnant? An andrologist’s guide: have sex every 1-2 days through your fertile window, why every-other-day wins, and why ‘saving up’ sperm doesn’t help.
Prone Masturbation: What It Is, Why It Harms & How to Stop
Prone masturbation can quietly cause delayed ejaculation and trouble with intercourse. An andrologist explains what it is, why it harms, and how to stop.
The Withdrawal Method of Contraception
Men’s Health Blogs The Withdrawal Method of Contraception The Withdrawal Method of Contraception – quick facts Vanakkam and welcome to Dr. Shah’s clinic. Have you ever heard of the withdrawal method of contraception? alias pull out technique?. Wish you a very happy new year and it’s been quite some time since I post my last video. In this short blog post, we are going to discuss the withdrawal method of contraception also called the withdrawal method of birth control. Watch the video below if you do not have the patience to read through the full article. I promise you, it will be worth it. Now the withdrawal method of contraception is also called as a pull-out method. So in the withdrawal method what usually men do is that just before the point of ejaculation or just before they hit their orgasm they pull out the organ from the vagina so that intra-vaginal ejaculation does not happen and thereby an unwanted pregnancy can be avoided. Now what’s very interesting here is that withdrawal or the pull-out method of contraception is probably the oldest contraception method that has been used since time memorial. It’s a biblical method it’s been around for so very long. Now, it’s important to understand here that the withdrawal method of contraception gives a contraception protection rate of almost 95% and there is a 5% failure rate even in this method. Now what this means is that the withdrawal method of contraception is as good as a condom, so basically if you are averse to using a condom that is if you wear a condom and you feel you lose your erection you are not able to connect with your partner, bond with your partner because you are wearing a bloody condom try the withdrawal method of contraception, it usually works. It’s amazing as a method, because you have a good connection with your partner from a psychological perspective but the only problem here is that you are not going to get an intravaginal ejaculation. It’s more of a male method of contraception what happens here is that your partner’s satisfaction is not going to be impacted. So basically you have to last long enough so that you can give your partner the orgasm and then pull out and then you have to ejaculate outside the vagina. Dr. Shah Dupesh Consultant Andrologist & Sexologist Ready to improve your Reproductive Health? Discuss your concerns in a private setting and get personalized guidance tailored to your needs. Book a Call Book a Call Furthermore, you don’t want to give your partner an unwanted pregnancy and that’s why the withdrawal method or the pull-out method is so good. Many men pride themselves in using the withdrawal method or pull-out method of contraception since to some extent it shows that the man has tremendous control over his ejaculation. The next important point is the partner will also respect you because you care for her you don’t want her to have an unwanted or an unintended pregnancy. So the withdrawal method or the pull-out method has a 95% protection rate which is almost as good as a condom but a 4% to 5% failure rate because sometimes the pre-lubricating fluid can have a small number of sperms and there are about 6 to 7 studies on the topic. Some studies say that the pre-lubricating fluid has no sperm at all. Subscribe to our Newsletter All said and done the best way to optimize the success of the method to pass urine after sexual intercourse. This will help wash off any residual sperm present in the male reproductive tract. If you masturbate in the previous day or you had sexual intercourse the previous day what you should do is you should urinate flush your urinary system off any residues and then have sexual intercourse and then adopt the withdrawal method during the particular session. So this will lower diminish or completely remove the chances of unwanted pregnancy so even if a small amount of pre-lubricating fluid deposits in the vagina the chance of pregnancy is going to be very less. I hope you found this video quite informative and useful on this withdrawal method of contraception also the pull-out method of contraception. This is Dr Shah consultant sexologist in chennai, keep watching this space for more interesting articles References https://www.sciencedirect.com/ science/article/abs/pii/ S001078241400208X Related Blogs Recent Blogs Having more doubts? Consult with our doctor Consult with Dr. Shah Leave Your Comment Cancel Reply Logged in as Dr Shah Dupesh. Log out? Δ
Why Is My Semen Green? An Andrologist Explains
A worried man in a reassuring private consultation with a calm male andrologist in a warm clinic Why is my semen green? Most often, green or greenish semen is a sign of infection in the male reproductive or urinary tract — commonly prostatitis or a sexually transmitted infection such as gonorrhea — rather than something harmless. It is usually treatable, but if you also have pain, burning, foul smell or fever, please see a doctor promptly (Cleveland Clinic, 2024). Let me answer this the way I do almost every week in my clinic, when a worried man sits across from me and quietly says, “Doctor, my semen looked green — is something seriously wrong with me?” (Some men describe it as “green sperm,” though it is really the seminal fluid, not the sperm cells, that has changed colour.) First, take a breath. Noticing a colour change like this is alarming, and it is sensible that it brought you here. But I am not going to do what some articles do and simply tell you to “relax and ignore it.” That would be poor medicine. Green semen is one of the few colour changes that genuinely deserves attention, because the most likely explanation is an infection — and infections are easy to treat once we find them, but not safe to ignore. So let me walk you through exactly what greenish ejaculate means, what is probably causing it, and the clear signs that mean you should come in. Quick facts Normal semen is a whitish-grey, jelly-like fluid; its colour can shift slightly with diet, age and how long it has been since you last ejaculated (Cleveland Clinic, 2024). A yellow-green or bright green tint most often points to infection — prostatitis or a sexually transmitted infection — frequently alongside burning when you pass urine (Medical News Today, 2024; Healthline, 2026). STIs most associated with a green or yellow-green tint are gonorrhea and chlamydia (Medical News Today, 2024; Healthline, 2026). Excess white blood cells in semen — pyospermia (leukocytospermia) — can accompany infection and can harm sperm; the WHO threshold is more than 1 million peroxidase-positive leukocytes per millilitre (WHO, 2021). Green or foul-smelling semen with fever, pelvic pain, or pain/burning on urinating or ejaculating warrants prompt evaluation — not reassurance to ignore it (Cleveland Clinic, 2024). Here is something I want to correct straight away, because the older version of this very article said it. It is sometimes claimed that a “liver problem” or bilirubin turns semen green. In practice, jaundice and liver-related pigments are associated with a yellow tint, not a true green. When semen looks genuinely green, the explanation that matters clinically is infection. Let me explain the real causes. Green semen at a glance: usually an infection, get tested don’t guess, watch for pain or fever, often treatable What causes green or greenish semen? 1. Infection of the prostate or seminal tract (the most common reason) The prostate and seminal vesicles produce most of the fluid in your ejaculate. When they become infected or inflamed — prostatitis or seminal vesiculitis — pus and white blood cells mix into the semen and can give it a yellow-green, sometimes foul-smelling appearance (Medical News Today, 2024; Healthline, 2026). In my clinic this is the single commonest reason a man notices a green tinge, and it usually comes with a clue: a burning sensation while passing urine, a heavy ache in the pelvis or perineum, or discomfort on ejaculation (Cleveland Clinic, 2024). 2. Sexually transmitted infections (STIs) Green or yellow-green semen, especially after unprotected sex, can be a sign of an STI. Gonorrhea is the classic culprit and can produce a thick, greenish urethral discharge that colours the ejaculate; chlamydia is also linked to a yellow-green tint (Medical News Today, 2024; Healthline, 2026). Many STIs are silent in men, so colour change may be your only warning. If there is any chance of exposure, testing for gonorrhea and chlamydia is the responsible next step — a single NAAT swab or urine test screens for both (CDC, 2021). Other genital-tract infections — including genital herpes (HSV-2) — can drive inflammation and raise the white-cell count in semen (pyospermia) without specifically turning it green; the green tint itself points more to gonorrhea, chlamydia or prostatitis (Cleveland Clinic, 2023). 3. Pyospermia / leukocytospermia (too many white blood cells) When your body fights infection in the reproductive tract, it floods the area with white blood cells. An abnormally high count of these in semen is called pyospermia, or leukocytospermia. The WHO defines it as more than 1 million peroxidase-positive leukocytes per millilitre of semen (WHO, 2021). These cells release reactive oxygen species — useful against germs, but they can also damage your sperm and their DNA, which is why pyospermia matters if you are trying to conceive (Cleveland Clinic, 2023). A semen analysis will pick this up. 4. Medications, supplements and certain foods Not every colour change is sinister. Certain foods, spices, vitamins and supplements — and the metabolites of some medications — can be reflected in seminal fluid and lend a yellowish tinge (Cleveland Clinic, 2024). In my experience these dietary causes tint toward yellow rather than a true green, and any such change is usually mild, comes without any pain or smell, and settles once you stop the supplement or food. 5. Rarely, dyes or contamination Very occasionally a harmless dye, lubricant residue or external contamination explains an odd colour — a diagnosis of exclusion I reach only after infection has been ruled out (see the table below). Green semen: cause vs. what you might notice Likely cause Typical colour Accompanying signs What it usually means Prostatitis / seminal tract infection Yellow-green, may smell foul Burning urine, pelvic/perineal ache, painful ejaculation Needs urine + semen culture; antibiotics STI (gonorrhea, chlamydia) Yellow-green, sometimes with discharge Discharge, burning, recent unprotected sex Needs STI testing (gonorrhea + chlamydia NAAT) Pyospermia / leukocytospermia Yellowish to green Often none; may affect fertility Found on semen analysis; treat underlying
Is a curved penis normal ? How much curve is too much?
Men’s Health Blogs Is a curved penis normal? How much curve is too much? Watch the video below https://youtu.be/bWHPr6jsxeg Welcome! Namaste and welcome to doctor Shah clinic. My name is doctor Shah and I am a consultant Andrologist in Chennai and in this video we are going to discuss a very common clinical problem that I see in my routine day-to-day clinical practice. So is a curved penis normal? So a large number of patients have serious concerns about the curvature of their organ. This is not surprising. That’s because in these patients, the primary doubt is that whether they will be able to achieve satisfactory sexual intercourse with their long-term partners. An important point to bear in mind is that and accurate self assessment of penile curvature is usually quite difficult to do for most patients. So in this case visiting your friendly neighborhood Andrologist or sexologist in chennai maybe the best or wisest option. Normal penile curvature for most patients ranges from 5 degree up to 30 degrees. In Almost 15 to 20% of patients who visit my clinical practice seeing some degree of penile curvature in the range of 5 to 30 degree is quite normal. However if the penile curvature is greater than 50 degree 60 degree clinical condition called peyronie’s disease has to ruled out. So how is peyronies disease diagnosed? The diagnosis of peyronie’s disease is done by a clinical palpation method where the presence of hard fibrous plaques can be felt by the palpation while examining the organ as well as confirming the presence of the penile plaques by doing an ultrasound scan of the penis Dr. Shah Dupesh Consultant Andrologist & Sexologist Ready to improve your Reproductive Health? Discuss your concerns in a private setting and get personalized guidance tailored to your needs. Book a Call Book a Call So what are the symptoms of peyronie’s disease? Patience with true peyronies disease the angle of penile deviation is in the range of 70 degree to 90 degrees. The top 3 clinical symptoms of peyronie’s disease are number one pain during erection number 2 an organ that is tilting upward or completely upward number 3 erectile dysfunction. So how common is peyronie’s disease? Peyronie’s disease is seen about 0.5% to 20% of all men as per the scientific literature. However, in the age group of 35 to 45 years of age peyronies is more common and most patients commonly present to the clinic with complaints of pain on erection, complaints of organ tilting upwards completely as well as erectile dysfunction. What causes peyronie’s disease? So this is basically a connective tissue disorder and no one actually knows what is the exact pathogenesis of the particular condition. Subscribe to our Newsletter How can peyronies disease be treated? Today a large number of professional societies and bodies are recommending surgical correction of the condition. However some medical management options also do definitely exist. The most popular techniques used for erection of penis disease include 1. Nesbits Technique &2. The TAP procedure. So what happens typically in a patient with peyronie’s disease is that the fibrous plaque pulls in the direction of the plaque during an erection. Consequently, during a surgical correction, counter incisions are made in the connective tissue of the penis opposite to the plaque to correct the angle of pull. However an important point to bear in mind is that, after the surgical correction about 15 to 20% of patients’ surgical complications like worsening of the penile curvature as well as penis shortening. The surgical correction has a success rate of about 80 to 85%, but most professional societies like the American urological Association recommend surgery only after a specific period of time that is 6 months to 1 year post the diagnosis of peyronie’s disease. The best success rates from surgical correction is usually seen in patients where plaque stabilization has occurred after waiting for a period of 6 months to 1 year post development of peyronie’s. Moreover, medical management of peyronie’s disease also can definitely be tried before resorting to surgical correction methodologies. Some medical management strategies that have been tried for peyronie’s disease include usage of medications like verapamil, potassium aminobenzoate also called potaba (although it’s not clinically proven enough) and lastly clostridium histolyticum collagenase (which is probably the only US FDA approved treatment for peyronie’s disease). The clostridium histolyticum collagenase is directly injected into the fibrous plaque under ultrasound guidance, and this results in reduction in plaque size, decreased pain during erection and improved erectile function for at least 75 to 78% of patients. To conclude important to understand that true curved penis from peyronie’s disease is rather very rare. Most patients worry about their curved penis primarily because they fear they may have peyronies. So is curved penis normal, it most probably is!. Visit your andrologist or sexologist for an angle estimation lose your fear of curved penis for good. I hope you enjoyed reading this blog post on ‘is a curved penis normal’ do share with all your friends and loved ones. Watch the space for more interesting articles. So, is a curved penis normal? You bet it is, most of the time! References https://www.auajournals.org/doi/abs/ 10.1016/S0022-5347(17)39746X https://www.sciencedirect.com/ science/article/abs/pii/ S1743609515301144 Related Blogs Recent Blogs Having more doubts? Consult with our doctor Consult with Dr. Shah Comment (2) Godwin says: February 11, 2024 at 10:03 pm Edit Doctor I want to ask please What are the remedies, treatments and medications for Premature ejaculation and Erectile dysfunction? Reply Dr Shah Dupesh says: February 16, 2024 at 9:59 am Edit Please do call me on 9790783856 Reply Raheel says: October 12, 2023 at 12:37 am Edit Hii dr. Shah, i hope you are fine and this comment will reach out to you. I am facing this prone masturbation issue since 3 to 4 years now. When i fall asleep during midnight prone masturbation is happening and as a result ejaculation is taking place. Please i request you to tell me how to abstain or avoid prone masturabtion & to
Sperm Leakage in Urine: Why It Happens & How to Stop It
Here’s the honest answer: in most men, sperm in the urine after sex or masturbation is completely harmless — leftover semen sitting in the urethra simply washes out with your next urine. True, persistent leakage points to retrograde ejaculation, diabetes, or a medication you are taking — and every one of those is treatable. As a practising andrologist in Chennai, I see this every week: the man who texts me a photo of his cloudy first urine at 6 a.m., certain that “sperm coming out with urine” means his fertility has drained away overnight. Let me explain what’s actually happening, because in roughly 8 out of 10 of the men I examine there is no disease at all. So for the few who do need treatment, my fix is usually tablets, not surgery. Book a Consultation Quick Facts Sperm in the urine after ejaculating is common and usually normal — in fertile men, a measurable share of each ejaculate’s sperm ends up in the next urine [2]. The commonest cause is simply passing urine soon after sex — the urine washes leftover semen out of the shared urethra. Not a disease. In 5,005 Tokyo men, sperm in the urinary sediment was a benign, incidental finding [1]. Persistent, true leakage is most often retrograde ejaculation — semen pushed backward into the bladder by diabetes, alpha-blockers like tamsulosin, or prostate surgery [3][5][6]. Most respond to oral medication — in one diabetic series, tablets restored forward ejaculation in about 6 in 10 [4]. Is sperm leaking with urine normal? For most men I see, yes. After you ejaculate, a little semen stays behind, coating the urethra — the single tube that carries both semen and urine. So the next time you pass urine, it flushes that leftover semen out, and your first urine after sex can look cloudy. I call that washout, not a leak. In fact, when researchers measured it, sperm turned up in the post-ejaculatory urine of both fertile and subfertile men, with no significant difference between the groups [2]. So I tell my patients plainly: sperm in your urine after sex is normal plumbing, not a disease. Why does sperm come out automatically with urine? This is the question I get asked most: “sperm comes out automatically with urine” — without sex, without masturbation. Let me explain what’s actually happening, because it frightens men more than it should. Your testes and epididymis are always making and storing sperm. That store is not unlimited — when it fills and is not emptied for several days, your body releases the excess on its own. In the sexually inactive men I see, this overflow most often shows up as nightfall, and the residue appears in the morning’s first urine. So the men who abstain longest are the very ones who notice “automatic” sperm in their urine. So I reassure them this is the body doing exactly what it is built to do — not weakness, not a leak, not fertility draining away. The sperm is constantly replaced, and this overnight release is a healthy self-regulating system. Worried about sperm in your urine? Talk to Dr Shah today. Book a Call What actually causes sperm leakage in urine? Set aside the washout, and the genuine leakage I actually treat comes down to a short list of medical causes. Diabetes. Long-standing, poorly controlled diabetes damages the small nerves that run the bladder neck — the valve meant to snap shut at climax. When it weakens, semen takes the path of least resistance backward into the bladder. This is a well-recognised complication of diabetes [5]. Medications. Alpha-blockers like tamsulosin relax the bladder neck so semen slips backward; even a short course can sharply and reversibly reduce the forward ejaculate [6]. Several antidepressants also blunt or redirect ejaculation. If your leakage started after a new tablet, I treat that tablet as the prime suspect. Metabolic problems. Disordered blood fats and the metabolic syndrome travel with diabetes and worsen the nerve damage. Sperm leakage in urine: harmless washout vs the kind that needs treatment So how do I sort the worried-well from the men who need a work-up? I run through four patterns. Sperm leakage in urine — how to tell the harmless kind from the kind that needs treatment Type of leakage What you notice Usual cause Does it need treatment? Post-sex / post-masturbation Cloudy first urine after ejaculating Urethra washing out — normal No — reassurance only “Automatic” / overnight Sperm in morning urine after nightfall Overflow / nightfall release No — counselling if anxious Dry orgasm + cloudy urine Climax but little or no semen out front Retrograde ejaculation (diabetes, tamsulosin, surgery) Yes — post-orgasm urine test + meds Constant dribble + discharge Ongoing leak, odour, burning on passing urine Possible infection / prostatitis Yes — STD screen + urine culture Dr Shah’s clinical observation In my clinic, in roughly 8 out of 10 men terrified about “sperm in my urine,” there is no disease at all — just urine washing out the urethra after sex. Of the worried minority who do have true retrograde ejaculation, well over half are men I then diagnose with previously unsuspected diabetes — the leaking sperm was the first clue. Even for them, most get their forward ejaculation back on tablets alone, without surgery. Retrograde ejaculation: when the semen goes backward I explain it like this. Picture the bladder neck as a one-way valve. At orgasm, it clamps shut so semen can only go forward, out through the penis. In retrograde ejaculation, the valve fails to close — so the semen is pushed backward into the bladder, and you ejaculate little or nothing out front. It leaves later, harmlessly, in the urine — so men notice cloudy urine after a strangely dry orgasm — the situation where no semen comes out when you ejaculate. That dry orgasm is the tell-tale clue I look for. The drivers are the same three: diabetes, tamsulosin, and previous prostate or bladder-neck surgery