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Question:
I am a 21-year old male and I am very concerned about how my semen looks. Rather than a thick, creamy white fluid, my semen is more of a semi-translucent -sometimes almost clear - liquid that is very watery (runny). What does this imply? Does it have any affect on my sexual health/fertility/etc at all?

Answer:
by Annette Owens:
(05/15/2004)
Let me ask you a number of questions: Has the way your semen looks changed recently, or has it always looked this way? Could it be that you have a sexually transmitted disease? Do you have any other symptoms as pain when urinating, or fewer? Have you had any problems with your testicles during childhood or later, for example undescended testes or an infection like mumps that may have involved your testicles? In either case the production of your sperm may have been affected, ultimately affecting your fertility. However, it is very likely that you simply secrete an excessive amount of fluid. The fluid contained in the ejaculate comes from different sources: Sperm is produced in the testes and transported through the vas deferens to a storage chamber located behind the bladder. Neighboring glands (the seminal vesicles) produce and secrete a significant volume of fluid. Even more fluid is produced in the prostate, and finally, several glands along the urethra also secrete fluids. The latter fluids are clear and viscous and vary considerably in amount between men. All these different fluids together make up the ejaculate. It may well be that your production of sperm is normal (your fertility is normal) but that you simply produce excessive amounts of fluids from some of the other sources I have mentioned. This is not unusual, and some men have discharge of fluid at an early stage of arousal and before ejaculation. In some cases the secretion can be so excessive that it drips from the penis. To answer your final question, there is a good chance that your sexual health and fertility is perfectly normal. However, if you are still concerned, I would recommend seeing your doctor about this issue. Sincerely, Annette Owens, MD PhD

Reviewed by Sexual Health Editorial Team

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