Brief Answer:
You need to investigate in detail.
Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that you have noticed since last 7 years there is significant reduction in quantity of semen when you ejaculate
You had acute pain in testicles and pelvic pain and was treated for
Prostatitis.
The composition of semen is as follow
1) 70% component is fluid secreted by
seminal vesicle containing fructose
2) 10 % component is sperms produced by Testicles
3) 20% component is fluid secreted by Prostate.
The main reason for less quantity of semen is either due to
1)
Retrograde ejaculation
2) Less production of seminal fluid by seminal vesicle or
3)
Ejaculatory duct Obstruction
Since you are young and have not undergone any
endoscopic surgery on bladder or prostate , it is unlikely to be due to retrograde ejaculation.This can be confirmed by doing urine analysis immediately after ejaculation which will reveal absence of sperms in urine
To confirm the less production of seminal fluid and obstruction of ejaculatory duct is very difficult task but Trans Rectal Ultrasound scanning or MRI will reveal enlarged or abnormal seminal vesicle ..
Since you had Prostatitis and pain in pelvic region it is likely that the cause of your less semen is due to obstruction of Ejaculatory duct. Get your
semen analysis done to find out level of Fructose in semen ,finding of less fructose in semen will confirm the diagnosis of obstruction to Ejaculatory Duct which carries semen and sperms from seminal vesicle to urethra.
Please consult qualified
Urologist and get following tests done under his guidance.
1) Semen analysis with specific mention of Fructose levels and sperm count..
2) Trans Rectal ultrasound scanning of the pelvic region or MRI.
3) Semen culture to rule out infection .
Further treatment will depend upon the results of these tests and final diagnosis,
Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you
Thanks and Regards.
Dr.Patil.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports.
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