No libido, clumpy semen and other

[adamnp]

Hi,

First a little bit about myself. I’m a 26-year-old Caucasian male with no prior history of medical problems. I have no chronic illnesses, diseases, and have never been on any medication other than Lexapro to treat my anxiety. I take herbal supplements and an OMEGA-3 fish oil capsule daily. I lead a sedentary lifestyle and don’t get outside much due to my job. I weigh 175lbs. and stand approximately 6 feet high. I am a virgin.

Ok, here is my problem. About a month ago I lost my libido – entirely.  I really have little if any interest in sex at all for the first time in my life. It seemed to have just shutoff, and I think it might’ve happened after masturbating. Up until then I would masturbate probably five nights a week on average, so you could say I had a pretty high libido. That’s not the whole story, though. For the past year or so I have noticed the consistency of my semen change to that of tapioca, sometimes the little globules would have a tinge of yellow and other times they would be white. I researched this problem on the Internet and came to the conclusion that it wasn’t anything to be concerned about. But at around the same time I also started having pains during ejaculation, it was almost like something was blocking the semen from releasing. There would be a sharp pain at the base of my penis that would cause me to hold back the ejaculation fluid.  On one occasion about six months ago I had blood in my semen, but I have only seen that one time.  I have also had the occasionally dull ache feeling in my testicles, it was always either the right or the left and never both at the same time, and it was never severe enough to cause me any great discomfort -- I have never sustained any trauma to the testicles.

So here I am, I can still get an erection no problem and I can still ejaculate if I try, but I don’t have the same pleasures I once did, the pain is still there, and only small amounts of semen come out.  I had stopped taking my supplements for two weeks thinking that might be causing some of my symptoms, but I didn’t feel any different. Right now I’m just hoping things will go back to normal on there own.

-Adam

[Roger27]

A related discussion, Similar problem with sperm? was started.

[Kevin Pho, MD]

I agree with the workup thus far.  

Obtaining a urine test and semen analysis can be considered to rule out infection as well as problems with the semen characteristics.

If there is pain or discomfort, a cystoscopy can comprehensively evaluate the lower GU tract.  

Regarding penile sensation, checking for metabolic diseases like the thyroid and for diabetes can be considered.

These options can be discussed with both a urologist or neurologist.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
kevinmd_

[adamnp]

I wanted to add this but I had reached my 2,000 character limit:

I recently went to the doctor and explained to him all of my symptoms.  He gave me a prostate exam and checked my testicles for any lumps or varicosceles.  He said my testicles and spermatic cords felt fine and were of normal size.  He then order some blood work to check my thyroid levels, testosterone levels as well as a few other tests I can’t recall. Everything came back good. I was most concerned about my testosterone levels, which were at 400. When I questioned him if that was good for my age he said anything between 150 and 800 was normal. His final diagnosis was psychological (due to my history of anxiety disorders) and he didn’t offer any reason as to why I felt blockage during ejaculation. He told me to come back and see him in three months if my problems persist.