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?
Most curves are normal – the great majority of men I see walk out reassured, not treated. A quick, honest answer from Dr Shah Dupesh, MBBS — consultant Andrologist & Sexologist, Chennai. Last updated and medically reviewed July 2026, against current AUA and EAU guidance. Is a curved penis normal? For most men, yes — almost always. Many men have some natural bend, and a curve in the commonly cited 5-to-30-degree range, in any direction — up, down, left or right — needs no treatment at all if it is painless, stable, and does not get in the way of sex. In one large population study, roughly 1 in 5 men (about 19%) reported a visible curve, and most were mild (Chung, 2018). A curve only becomes a medical problem — most often a condition called Peyronie’s disease — when it is greater than about 30 degrees, painful, newly changing, or comes with a hard lump you can feel. So if you have gazed down and noticed your penis leans one way, take a breath. In my clinic, this is one of the single most common worries men bring me, and the great majority walk out reassured rather than treated. This guide tells you exactly where the line is — what is normal, how to measure it honestly, when to see a specialist, and every treatment that genuinely works if you do cross that line. If you only read one thing here, read this – the essentials at a glance, before we go deeper. In a nutshell Curved penis at a glance 1 A curve is common. About 1 in 5 men (19%) report a visible curve, and most are mild – a straight penis is still the norm, but a slight bend is completely normal. 2 Roughly 5-30° is the normal zone. If it is painless, stable and sex works, no treatment is needed – a clinical threshold, not a defect. 3 Over ~30°, painful, a lump, or newly changing = get assessed. This is the pattern of Peyronie’s disease. 4 Peyronie’s is not rare – roughly 0.5%-13% of men, most often in the 50s-60s but sometimes earlier. 5 It rarely straightens on its own. An early, untreated Peyronie’s curve improves in only ~12% and worsens in nearly half. 6 Real treatments exist – traction, collagenase injections and surgery all straighten curves. Oral cures and exercises do not. Is a curved penis normal? Let me be direct, because this is the question that keeps men awake at night: yes, in the overwhelming majority of cases, a curved penis is completely normal. The penis is not a straight steel rod; it is a paired erectile organ, and small differences in how the two chambers (the corpora cavernosa) and their surrounding sheath (the tunica albuginea) fill and stretch will tip an erection slightly one way. That is anatomy, not disease. When Chung and colleagues surveyed nearly 1,800 men aged 35–75, about 19% reported some curve, and only around a third of those described it as 30 degrees or more (Chung, 2018). In other words, a mild bend is one of the most ordinary things about the male body. What counts as “normal”? There is an important nuance most websites get wrong, so I want you to hear it from a clinician: no measurement study has ever defined a precise “normal number of degrees.” The commonly quoted “up to about 30 degrees is fine” is a clinical and guideline threshold — the point below which urologists agree a curve almost never needs fixing — not a statistical average. What actually matters is the trio I use in clinic: is it painless, is it stable (not changing month to month), and does sex work comfortably for you and your partner? If the answer to all three is yes, the exact number barely matters — the same reassurance I give men worried about penis size. Which way can it curve — up, down, left, or “C-shaped”? Any direction is possible and can be normal. An upward curve is the most talked-about; downward, sideways (left or right), and even a gentle C-shape are all seen. A slight upward tilt is so common that many partners never register it as unusual at all. Kya ling ka tedha hona normal hai? (Is a bent penis normal?) Haan — thoda tedhapan bilkul normal hai. In my Chennai practice a great many men ask “ling kitna teda hona chahiye?” (how much bend is acceptable) and “ling tedha kyon hota hai?” (why does it bend at all). The honest answers: a curve is usually either present from birth (congenital) or develops later from an injury or Peyronie’s; and a mild, painless, stable curve needs no ilaj (treatment) at all. It is only when the bend is severe, painful, or suddenly increasing that you should see an andrologist. How much curve is too much? The degree framework Here is the single most useful thing in this article — a clear ladder that tells you where your curve sits. This reconciles the numbers you will see quoted everywhere into one honest framework, built from the AUA and EAU guidelines (Nehra, 2015; Hatzimouratidis, 2012). Where your curve sits – and what it means. Curve What it usually means What to do ~5-30° Normal variation, if painless, stable and sex is fine Reassurance – no treatment needed Over ~30° Worth assessing; may be early/mild Peyronie’s; the treatment threshold See an andrologist; medical options open here Over ~60° Significant curve; grafting-type surgery is typical, though a stable 60-90° curve with good erections may try collagenase or traction first Specialist assessment ≥90° (severe) Frequently prevents intercourse Strong surgical candidate One important caveat: these bands describe an acquired curve (Peyronie’s disease). A stable, lifelong curve of the same number of degrees is usually congenital — not a disease — and is judged on whether it interferes with sex, not on degrees alone. Two caveats I always add. First, degrees are not the whole story — a
Sperm Leakage in Urine: Why It Happens & How to Stop It
Here’s the honest answer, straight away: 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. The medical word for it is spermaturia, and on its own it is a finding, not a disease. 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 — it shows up in the post-sex urine of about 73% of proven-fertile men [2]. The commonest cause is simply passing urine soon after sex — the urine washes leftover semen out of the shared urethra. Not a disease. A one-off “sperm seen” on a routine urine test is usually just recent ejaculation — in a 5,005-man hospital review, sperm appeared in only 1.6% of routine urine samples [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 — combining bladder-neck tablets restored forward ejaculation in about 6 in 10 men with complete retrograde ejaculation in one diabetic series [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 73% of proven-fertile men — no different from the men being investigated for infertility [2]. So I tell my patients plainly: sperm in your urine after sex is normal plumbing, not a disease. Leftover semen sits in the shared urethra after sex and simply rinses out with your next urine — the harmless washout. Worried about sperm in your urine? Talk to Dr Shah today. Book a Call Sperm in a urinalysis report: what “spermatozoa seen” means A lot of men reach me not because of cloudy urine, but because a routine urine test for a master health check or a UTI came back saying “spermatozoa present” or “sperm cells seen,” and the word sperm on a lab report frightened them. Let me settle it: a one-off finding after recent sex is almost always harmless. In a hospital review of 5,005 men, sperm showed up in just 1.6% of routine urine samples — and when it did, the strongest links were to recent ejaculation and, in persistent cases, to the very factors behind retrograde ejaculation: diabetes, alpha-blocker tablets, and previous prostate surgery [1]. So here is how I read it: in nearly every man, you ejaculated — through sex, masturbation, or a nightfall — within a day or so of giving the sample, and a few leftover sperm rode out in the urine. The lab simply reports what it sees down the microscope. A single “spermatozoa seen” after recent sex does not mean an infection, cancer, or an infertility problem. If you want to understand the rest of the numbers on a fertility report, I walk through them in plain English in my guide to reading a semen analysis line by line. The one time sperm on a urinalysis genuinely matters is when it keeps recurring or appears alongside a dry orgasm — and I will come to that. 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. If you feel tired, foggy or “weak” alongside it, that exhaustion is almost never the lost fluid — it is the worry. That cycle of anxiety about losing semen has a name in our part of the world, and I explain it fully in my piece on Dhat syndrome and feeling sexually weak. Why semen comes out when I strain on the toilet A very common Indian search is “sperm comes out during potty” or while straining at stool — and it understandably alarms men, who assume they are leaking their fertility into the toilet. Almost always, they are not. When you bear down hard, the pressure can squeeze a few drops of fluid from the prostate and the glands around the urethra. This is usually thin, clear-to-whitish prostatic fluid, not a full ejaculate — the old name for it is prostatorrhea. The same thing can produce a drop or two at the end of passing urine. It is harmless, it does not drain your strength, and it needs
Semen Culture and Sensitivity: When You Need the Test, and When You Don’t
A semen culture and sensitivity test grows the bacteria in your semen and tells you which antibiotics kill them. An andrologist explains when you need it, when you don’t, and how to read the report.
How To Increase Sperm Motility Fast ?
Men’s Health Blogs How To Increase Sperm Motility Fast ? So, if you are on this page, you are probably looking quick tips on ‘how to increase sperm motility fast’. I mean, really fast. This is Dr. Shahconsultant andrologist and sexologist. In this post, I am going to share with you some foods for healthy sperm motility, that you can take today!. The truth is, the medical industry is flooded with medicines to increase sperm count and motility. However, the truth is most of these medicines for sperm motility do not actually work. Moreover, some medicines for sperm motility actually lowers the overall motile sperm percentage. Thus, if you are trying to improve sperm count or sperm motility, following the right treatment strategies is a must. But before we discuss the tips, let’s try to understand a bit about normal sperm motility What is normal sperm motility? The normal sperm motility as estimated by the WHO from a large cohort of fertile fathers falls in the range of 31% to 36%. Now, remember this is a range, and moreover, this does not mean that fathers with values lesser than 31% cant have babies. What this essentially means is that the time to pregnancy may take slightly longer. That’s about it!. Thus, for all practical purposes, if the measured sperm motility is equal to or greater than 32%, then the sperm motility is considered to be normal. Now, what actually causes low sperm motility?. We will answer that below What causes low sperm motility? Low sperm count and motility are vexing issues. Moreover, they technically impair or reduce the chances of pregnancies occurring naturally. Common causes of low sperm motility include. While, some are correctable causes of male infertility, some others are much harder to treat. Oxidative stress from reactive oxygen species Lack of sleep Smoking and Alcohol abuse Medications like antibiotics and host of other prescription drugs Lifestyle factors and morbid obesity Testicular infection and testicular trauma Hormonal deficits and imbalances Genetic causes Therefore, treatment strategies of course ultimately depend on the cause. Now, let’s answer the crucial question on how to increase sperm motility fast? 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 Tip 1 – Get 8 hours of sound sleep In a Danish study of 953 men, a significant association between sleep disturbances and semen quality was found. Men with less than 7 to 8 hours of peaceful sleep reported reduced sperm count and also reduced the production of morphologically normal sperm. Hit the bed on time and definitely sleep for about 8 hours minimum to improve sperm motility fast. Avoid working late into the night. Tip 2 – Reduce Alcohol or better STOP it altogether In an interesting study done on over 67 men, ethanol was added to the semen. What these researchers found was that, on adding alcohol to semen, sperm tail defects started appearing and moreover, sperm shape abnormalities also occurred. Furthermore, sperm velocity significantly decreased. Want to know how to increase sperm motility fast? Quit alcohol. Simple. Moreover, alcohol intake is also strongly associated with erectile dysfunction and a host of other sexual health problems. Tip 3 – Stop Smoking. Its not worth it I have been a practicing andrologist and sexologist for a very long time. I get patients who frequently tell me that they smoke just 1 cigarette a day. Moreover, they tell me that it’s very very less. Not just that, they all seem to have a bunch of smoker friends who had absolutely no problems with fathering a child. The truth, is different. Smoking impairs sperm motility and sperm DNA integrity. It’s also bad for your heart and lungs. Didn’t you see it in the movies? A reminder below A recent study has found that sub-fertile smoking men frequently have lower sperm count, sperm motility, morphology, and lastly poorer sperm DNA integrity. Quit smoking if you are trying for a child. Tip 4: – Optimize your body weight The thing is… if you are trying for a child, you definitely need to lose those extra kilos. However, losing weight is not guaranteed to improve sperm motility, it is something you should definitely try. Since your overall health is a marker of the health of your sperm. At our clinic, from our own experience, we have seen numerous patients who have had a significant improvement in sperm motility after losing just 10% of their body weight. Try to target a BMI within 25kg/meter squared. It’s worth it!. A recent study also suggest that weight loss improves sperm’s overall DNA integrity. Tip 5:- Lower Stress with Exercise Studies have clearly suggested that, with stress, the body’s cortisol secretion goes up. Consequently, testosterone production falls. Since testosterone is a key hormone important for healthy sperm production, keeping your stress levels low is highly critical for improving sperm motility Tip 6:- Reduce Carbohydrate Intake One of the best ways to quickly improve sperm count and motility is to reduce the overall carbohydrate intake from your diet. Take lots of proteins and fats. Since, increased intake of carbohydrates is associated with the generation of advanced glycemic end products (AGE). Consequently, AGE are potent oxidative entities and can destroy the sperms plasma membrane. Thus, one of the most potent ways to increase sperm motility rapidly is to reduce overall carbohydrate intake. Aviod added sugar, milk and white rice were possible. Tip 7:- Avoid all sugar-sweetened beverages (SSB’s) A study done at the University of Rochester suggests on men found that in individuals were the overall intake of sweet beverages was more than >1.3 per day, sperm parameters were impaired. Reducing the intake of SSB can drastically improve sperm count and motility. There is one more bonus tip and this is really important. Read on below Subscribe to our Newsletter BONUS TIP 8 ON HOW TO INCREASE SPERM MOTILITY FAST Take folic acid!. at least 3 times a day. Folate is a proven
How To Know Sperm Count Without Test ?
Men’s Health Blogs How To Know Sperm Count Without Test ? Hi! This is Dr. Shah, Consultant andrologist in chennai and in today’s short post we are going to discuss on the question – “How To Know Sperm Count Without Test?” Now, I am sure you are aware of the fact that male infertility is rampantly rising all around the globe. But, most men, who come to a fertility clinic to meet and infertility specialist frequently shy away from any type of testing related to sperm or semen in general. However, you can’t blame them!! Furthermore, the feeling of discomfort further rises when these guys meet an infertility specialist who is not a female!. This is more so true in a conservative city like Chennai. Most men who come to me for an infertility evaluation are pretty open about their problems, yet, a small fraction of them ask me this question time and again… “How To Know Sperm Count Without Test?” Here is the honest answer… There is no accurate way to determine the exact sperm count without a proper and full-fledged semen analysis! Sorry to disappoint, but that is the absolute truth!. I swear! There are numerous sperm check at home kits being sold online that claim to tell if your sperm count test is normal Sadly That is very, very, I mean very far from the truth Just remember, that none of these kits can ever guarantee your ability to father a child!. Sadly, none of these at home kits that claim to assess sperm count are sensitive or specific enough to detect zero sperm count specifically. 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 However, there are few kits that are sensitive enough for sperm counts up to 2 million/ml, I will reserve my judgment on them. The semen analysis test even for a single male can change from place to place and time to time. I only recommend doing a proper semen analysis as per the WHO 2010 Laboratory andrology guidelines from a well-certified lab I good report usually will give you the following metrics on your semen Sperm count The Sperm motility along with three subtypes as follows a) sperm progressive motility b) sperm non-progressive motility c) immotile sperm The Sperm morphology and other types of sperm defects Vitality of sperm Semen Volume, ph and a host of other data And, that is not the end of the story! Every man who ever has a semen analysis should get a clinical workup that includes an in-depth male history taking and also a thorough physical examination of his testis size and other reproductive organs At this juncture, I should also tell you that your semen is a very complex fluid. Every parameter of semen, and especially the sperm count, motility and morphology can change from one report to another. Anything about Sperm biology usually is darn confusing!. Lastly, What is the normal sperm count? That is about 15 million sperms per ml of semen!. Just remember that, the next time you look at your test results. Oh… And do not get upset if you get a bad result, just get it rechecked in a proper well-certified andrology laboratory! Subscribe to our Newsletter I hope you enjoyed this short read on… “How To Know Sperm Count Without Test?” This is Dr. Shah, Consultant in Male Infertility & Sexual Health, Do drop in your questions in the form below! References Sperm Fertility check at home article Semen analysis and spermiogram as per the WHO 2010 Get in touch with us below Dr Shahs Clinic for Male Infertility & Sexual Health Address: No 21, Sree Kalki Aparrtment, Bazullah road, T-Nagar, Chennai – 600017 Ph: 9790783856 TAGS: HOW TO KNOW SPERM COUNT WITHOUT TEST, MALE FERTILITY, MALE INFERTILITY, SEMEN ANALYSIS, SPERM COUNT Related Blogs Recent Blogs Having more doubts? Consult with our doctor Consult with Dr. Shah Comment (13) 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 which counsellor should i meet to tackle this. I am unable to stop prone masturbation, i am depressed. Please help me Reply Dr Shah Dupesh says: October 13, 2023 at 3:59 pm Edit Please drop me a call on 9790783856 Reply Chethan says: September 24, 2023 at 9:12 am Edit Hello sir my semen analysis shows 8-10 hpf pus cells present in semen and liquification time is >90 min and viscosity has increased. Overall results says NORMOZOOSPERMIA WITH GENITAL TRACT INFECTION WITH INCREASED VISCOSITY. Do i require treatment? Reply Dr Shah Dupesh says: January 24, 2024 at 3:52 pm Edit Please call me on 9790783856 Reply Will says: September 12, 2023 at 7:34 am Edit Hi, for the past few weeks there has been semen or prostate fluid in my urine almost every night. This is not from retrograde, neither from medication. This is really draining my energy. How can I stop this please help. Reply Dr Shah Dupesh says: September 14, 2023 at 6:01 pm Edit Hi will, I can help. Please drop me a call on +919790783856 Reply Chloe says: September 10, 2023 at 2:43 am Edit I had a depo injection on January or I think it’s February as I remembered and I’ve not took it since I only took once in my life. Can I still get pregnant
What Happens If You Release Sperm Daily? Doctor Explains
What happens if you release sperm daily? Releasing sperm itself does no physical harm: it will not weaken your body, lower your testosterone, or reduce your sperm count. But that does not make compulsive daily masturbation harmless — the real damage is behavioural, not a loss of any vital fluid. As a practising andrologist in Chennai, I have this conversation almost every single day. A young man sits across from me, eyes down, convinced that “taking out sperm everyday” has quietly ruined his body — made him weak, drained his energy, finished his sperm for good. He has read it in a WhatsApp forward, heard it from an uncle, seen it on a Hindi YouTube short. Let me be honest with you on both counts: the fear that semen loss is physically draining you is the wrong fear — but that does not mean releasing sperm every day is a habit I would ever recommend. Let me explain exactly why. Book a Consultation Quick Facts Releasing sperm daily does not lower your testosterone. In healthy men, serum testosterone barely shifts in the days after ejaculating, with only a small transient rise around day 7 of abstinence (Jiang, 2002). Frequent release does not “finish” your sperm. A 2025 meta-analysis found shorter abstinence does not reduce — and can even improve — semen quality (Raditya, 2025). The “weakness” you feel is real — and it has a name. That cluster of fatigue, back ache, soft erections, poor focus and low mood is Dhat syndrome — a genuine, recognised and treatable condition, driven by the anxiety-and-compulsion cycle, not by any literal loss of “vital fluid” (Prakash, 2014; Kar, 2021). But daily masturbation is NOT harmless. The real harm is behavioural: a dopamine-and-novelty conditioning loop (the Coolidge effect) that dulls real-world arousal and can drive porn-induced sexual dysfunction (Ventura-Aquino, 2018; Park, 2016). The healthy path is real intimacy, not a daily habit. I do not encourage daily masturbation; I steer men toward a real relationship and using it sparingly, if at all. What happens if you release sperm daily? The honest answer Here is the honest answer in two halves, because anything shorter is a lie. First: the loss of semen itself does nothing harmful to your body. When you ejaculate, you release roughly a teaspoon of fluid that is over 90% water, salts, fructose and prostatic secretions, with sperm a tiny fraction of the volume. Your testes and prostate replace it continuously, around the clock. Semen is not a finite store of vitality you are “spending” — that idea is folklore, not physiology. Second, and this is the part the reassuring Western articles skip: the act being physically harmless is not the same as the habit being good for you. A behaviour can be medically harmless to your fluids and still quietly cost you your drive, your real arousal and your relationships. That is the honest, complete answer — and the rest of this article is me keeping both halves of it. Is there a medically safe limit? There is no toxic physical threshold — no number of ejaculations that poisons your body or empties a tank. But “no physical limit” is not the same as “do it daily and all is well.” As a doctor, I will not hide behind the comfortable half-truth. I do not recommend daily masturbation as a habit; I have explained why in my piece on how many times masturbation can be done in a day. If you are alone by choice, treat it as an occasional walking stick — nothing more — not a daily routine your brain comes to depend on. Does releasing semen daily cause weakness? (virya nikalne ke nuksan, kamjori) This is the fear behind almost every search that lands on this page — virya nikalne ke nuksan (the harms of releasing semen), kya virya nikalne se kamjori aati hai (does releasing semen cause weakness), jyada sperm nikalne se kya hota hai (what happens if you release a lot). So let me answer it head-on. Releasing semen daily does not cause physical weakness. It does not thin your bones, drain your blood, dull your brain or shorten your life. The semen you release is replaced; your body does not run a deficit. I treat this fear with complete respect, because the distress is absolutely real even when the physical “damage” is not — but I will not feed the myth that your strength is leaking out with the fluid. It is not. Why does my body feel tired or weak after releasing? Many men genuinely do feel tired, foggy or low after ejaculating, and I never dismiss that. But the tiredness is not the lost fluid leaving your body — it is the worry wrapped around it. When a man believes he has just damaged himself, his mind floods with anxiety, guilt and self-monitoring, and that is exhausting. There is also a brief, normal hormonal wind-down after orgasm that makes you feel relaxed and sleepy for a few minutes — your body resting, not weakening. Dhat syndrome: the real condition behind the “weakness” Here is where I correct both sides of the story, carefully. The crude folk mechanics — that semen is a finite “vital fluid” and that losing it directly drains your testosterone or destroys your fertility — is medically wrong. But the weakness, fatigue, back ache, soft erections, premature ejaculation, poor focus and low mood you feel are not imaginary, and I will never call them a myth. That symptom cluster has a name: Dhat syndrome — a recognised, diagnosable and treatable condition documented for over sixty years in Indian, Chinese and South- and South-East-Asian men. It is classified under ICD-10 as a culture-bound disorder (in the neurotic/somatoform group) and is carried into ICD-11 and DSM’s cultural concepts of distress (Prakash, 2014; Kar, 2021). What Dhat syndrome looks like in my clinic What I actually see across the desk is a consistent picture: deep preoccupation and anxiety about semen loss —
Sperm Motility
Men’s Health Blogs Sperm Motility Hi, This is Dr. Shah, Consultant in Male Infertility & Sexual Health. In this post, I am going to tell you everything about sperm motility But, first, let us understand a little about normal sperm motility. What is normal sperm motility? Did you know, that the normal sperm motility as stated by the WHO 2010 Andrology Laboratory Guideline values is 40%. Most men fear they will never father a child when their semen analysis or sperm test report shows a sperm motility range less than 40%. This cannot be farther from the truth! Here is a saying I absolutely love, take a look below… In my long years of clinical experience as an Andrologist, I have seen over 286 men who had extremely low sperm motility, in the range of 10 to 20%. All these men were told to go in IVF (In Vitro Fertilization) because the professionals who treated them believed that getting pregnant with low sperm motility is not possible. I advised each and every one of them the exact opposite of what they were told. Yes, I agree they all suffered from poor sperm motility, but, that does not ever mean that it is not possible to improve it. With the right treatment and medications, we were able to increase sperm motility naturally for each and every one of them. Now here comes the bigger truth, Remember, I told you the WHO 2010 manual recommends a sperm motility index of 40 %? This value came from a study performed on over 3000 fertile fathers who were able to get their partners pregnant in the 1st year of marriage. The WHO study assessed data only from European men who gave a semen test. It chose to ignore India and China The big joke is how can you extend an apply sperm motility data from one geography or study population to another population of Indian men?? It’s like telling the apples and oranges are the same!…Read on…. the interesting stuff has not even begun… The sperm analysis or semen test data that we use to assess Male infertility is not even based on study findings from our Indian population!. The WHO did not include Indian men when doing their study. They simply said that the 40% normal sperm motile range as prescribed is for reference purpose only! and that every clinic or lab should come to a conclusion based on their own data and metrics! Thus, that is exactly why I strongly believe that with the right treatment it is possible to improve sperm progressive motility Okay now bearing this in mind.. let’s discuss on our second topic 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 What is the normal sperm motility for pregnancy? So how much motility is required for pregnancy?.. Well to be honest, all you need is one sperm to fertilize that egg at the right time. But truth be told, not all men are lucky enough for such a scenario. If that was the truth why would there be male infertility issues in the first place? In my clinical experience, what the lowest sperm motile range below which pregnancy chances seriously fall, is about 2% to 5%. Again the statement I make here is highly relative. In all my years, I was able to treat only one patient who had severely low sperm motility in the range of 1 to 5%. However, this patient also conceived naturally without any aggressive fertility based therapies. All said and done, for Indian men, motile sperm percentage of 35% or above is good for pregnancy. This is especially true, when his sperm count, shape, and semen volume is normal!. Because we have no other options, we try to use the WHO 2010 reference values. We do not swear by it, In all our treatments for male infertility, it is a combination of our data and clinical experience that help us make the right decision for each couple. There is and always be will chance of pregnancy with low sperm motility least for a few couples. But we cannot directly predict for whom pregnancies will happen. Thus to conclude this section, you must understand that there is strictly no normal sperm motility for pregnancy. For all practical purposes, we recommend a range of 30 to 40% sperm motility as normal Now let us further our understanding, about spermatozoa and its motility Sperm motility can be broadly classified as follows Sperm that are progressively motile. Sperms that are non progressively motile. Sperms that are immotile. We will discuss the significance of each type – Sperm progressive motility : A sperm is said to be a progressively motile sperm if it moves linearly from one field to the next. This kind of movement is called progressive in nature. What this in principle means is that, the sperm is able to move from one place to another place. Both the number of sperms (sperm count) and the total number of progressively moving sperm in the semen play a key role in pregnancy. The concept should be fairly easy to understand, remember only sperm that are able to move can reach and fertilize the egg!. While a lot of fuss was initially made about the speed of sperm movement, we now know for a fact that speed of sperm movement is not or no longer a clinically useful tool to predict pregnancy. As long as you have at least over 32% of progressively motile sperm in the ejaculate, things should turn out normal. However, do remember that even if you have sperm progressive motility lesser than 32%, pregnancy is still possible. It is only at very low values of 2 to 5% were the chances of pregnancy become less. Have a quick look at the image below to understand progressive sperm motility Sperm non-progressive motility : Okay, now let’s discuss sperm non-progressive motility. A sperm is said to have non-progressive sperm motility if it moves in circles, or if it simply vibrates around a