What are the causes of low semen volume in men?

Aug 31, 2024 Source: Cainiu Health
Dr. Cao Zhiqiang
Introduction
Low semen volume in men may be caused by various factors, including age, lifestyle habits, seminal vesiculitis, varicocele, prostatitis, and others. If abnormalities are noticed, it is recommended to seek timely medical evaluation at a hospital to identify the underlying cause and receive targeted treatment. As men age, testosterone levels gradually decline, which may affect semen production.

Low semen volume in men may be caused by various factors, including lifestyle habits, age, seminal vesiculitis, varicocele, prostatitis, and others. If abnormalities are noticed, it is recommended to seek timely medical evaluation at a hospital to identify the underlying cause and receive targeted treatment. The specific analysis is as follows:

1. Lifestyle habits

Poor lifestyle habits such as smoking and excessive alcohol consumption can disrupt endocrine balance, reduce testosterone levels, and impair both sperm quality and quantity. These habits may also be associated with symptoms like anxiety, depression, and sleep disorders. It is advised to improve lifestyle by quitting smoking, limiting alcohol intake, reducing stress, and maintaining good psychological health.

2. Age

As men age, their testosterone levels gradually decline, which may affect semen production. Adjusting lifestyle factors—such as maintaining a healthy diet, engaging in moderate exercise, and managing body weight—can help sustain testosterone levels.

3. Seminal Vesiculitis

Seminal vesiculitis is an inflammation caused by pathogenic bacteria entering through the seminal duct. It may impair seminal vesicle function, affecting semen secretion and storage, leading to reduced semen volume. Symptoms may also include pain during ejaculation and hematospermia (blood in semen). Treatment under medical guidance may include medications such as cefuroxime tablets, levofloxacin capsules, and isoniazid tablets.

4. Varicocele

Varicocele may be related to congenital abnormalities in the development of the spermatic veins, acquired diseases, or genetic factors. It is one of the common causes of male infertility. It can elevate local testicular temperature, disrupting sperm maturation and normal semen production, often accompanied by symptoms such as scrotal heaviness and pain. Mild cases may be relieved by wearing tight underwear or using a scrotal support. Moderate to severe cases may require surgical intervention, such as varicocelectomy or minimally invasive procedures, to restore normal semen volume and improve fertility.

5. Prostatitis

Prostatitis can be caused by bacterial infection or non-infectious factors, affecting the patency of the ejaculatory ducts and resulting in poor semen expulsion. It is often accompanied by symptoms such as frequent urination, urgency, and incomplete bladder emptying. Symptom relief may involve medications prescribed by a doctor, such as ciprofloxacin tablets, ofloxacin tablets, or tobramycin tablets.

In daily life, it is recommended to maintain a regular and healthy routine, improve dietary patterns, practice good personal hygiene, regulate overall physical condition, and thereby enhance both sperm quality and quantity.

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