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sperm consistency
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sperm consistency

hi Drs,
     i recently have had a change in my sperm consistency i hope you can give me some info on. sometimes when i ejac. half my semen is normal creamy looking semen, while the other half appears to be only water. and then sometimes, some of my semen is very gelatinous and not creamy at all. i would not say its as firm as a gummy bear is, but it def sticks together in a similar way. and this happens if i do not ejaculate for a day or two.
i have been tested for stds, and currently have none.  any help will be very much appreciated.
thank you

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Avatar_dr_f_tn
Hi,

Do you experience any pain in ejaculation?

Any change in the color or odor of the ejaculate?

Are there any problems with sexual response?

Any pain or redness in the area between the scrotum and the anus?

Since this is a condition involving the genitals, allow me to ask if you are sexually active?


Do keep us posted with your answers.
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Avatar_n_tn
no pain in ejaculation.   some pressure. i believe it s caused by the consistency, and the "width of my sperm" coming out. but no pain at all.

the color is a bit yellow, when its the congealed form. when its not congealed, its normal color.


no problems with response. i am a bit "focused on my sperm" so my orgasms have been better.

no pain or redness in the scrotum anus area.

and no i am not currently sexual active. and have had an std test 6 months ago. clean
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Avatar_n_tn
i at once thought my condition was due to my enviornment being drier than i was used too. i am from ga,  and now live in nyc. and the winters are dry! and the radiant heat is also very dry. my sinuses even bleed due to this. (and no cocaine use)

if i drink alot of water, my sperm changes consistency
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Avatar_n_tn
hi Dr Lacuesta,
     i did a bit of research. and i hope this will help you.
no blood in semen. no problem with stream of urine. no discomfort in the lower region.
i have a varicocele on my left testitcle. had it since the dawn of time.
if i ejaculate frequently, the gelatinous portion of my semen is low. if it goes a few days before each ejaculation, the gelationous portions percentage is a bit higher. also, the gel.portion is the only portion to change color. it has a yellow tone. and for your reference, the yellow tone appears very similar to a light urine color yellow.
if there is no gelatinous portion, semen is half creamy semen, and half watery liquid.

when this problem first occured. the gelationous protion of my semen was very firm. almost like rubber cement that has dried and been rolled up in a ball. or just under the density of a gummy bear.  ever since the density has been milder. almost like jelly, but a touch firmer, and its sticky.  

and when it first began, i would make plans to go to a dr, and then it would be so minimal i thought it was gone. i thought it was due to dehydration. over the past month or so the half water half normal has been fairly consistent.  and minimal gel.

hope this helps and would really like your input on what may cause this.

and do i need to go see a urologist or a proctologist.  and does the urologist need to specialize in fertility?
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Avatar_n_tn
sry Dr,
   just wanted to mention that sometimes the gelatinous portion is not yellow. it is white sometimes. especially if the frequency of my ejac.s is daily.
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Avatar_dr_f_tn
Hi,

Thank you for being very thorough.

You have noted that your symptoms are affected or influenced  by hydration and by the frequency of ejaculation.

I am thinking of congestive prostatitis as a differential however, you have not mentioned of any associated pain.

I suggest you have an initial consultation with a urologist. He doesn't have to be a fertility specialist. This may not be an urgent case but it is best to have a baseline assessment.
Continue taking adequate amount of fluids. Prostatic drainage through ejaculation, 2 to 3 times a week may be able to improve the condition. Continue to observe your condition. You may keep a record of any changes in your symptoms, character of ejaculate,ambient  temperature and fluid intake for future reference.
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Avatar_m_tn
Hi Aceshooter,

I'm really interested to hear what you found out regarding this condition.  I have had precisely the same symptoms for several years.  I've seen a couple Dr.s (including 2 urologists) and none of them had any information for me.  I'd be very interested in hearing an update.
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Avatar_m_tn
I have had the exact symptoms as described.  Very weird and varies - sometime no gel symptoms and other times very much so.  Has there been any further discoveries?  I have been to a urologist and he seems stumped.
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