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Ask a doctor on the topic of Gynecology

Getting pregnant or having an orgasm in men

My husband and I want to have a baby. I used a fertility calendar and my fertile days were from April 2nd to 8th. My cycle is 28 days, with my last menstruation on March 24th (the first day of my period). I should have gotten my period on March 25th. Therefore, I also calculated my fertility based on this date. In addition, I bought an ovulation test at the pharmacy.

Now, to my actual question, which is a bit embarrassing. We had intercourse on April 4th (Wednesday), April 6th (Friday), April 7th (Saturday), April 8th (Sunday), and April 9th (Monday). According to external signs from my husband, he had an orgasm with ejaculation each time and told me that he did. After intercourse, he used a tissue as usual. But only on Saturday, I had semen coming out of my vagina after intercourse (a lot). He is 43 years old. Could it be that he had an orgasm without ejaculating at the other times, or that he only ejaculated a little semen and therefore nothing came out? We had not had intercourse for a long time before planning for a baby. Thank you for answering my question.

Dr. med. Hendrik Bernau

Dear inquirer,

It is entirely possible that your partner experienced an orgasm without ejaculation during intercourse. From a medical perspective, there are 3 explanations for this so-called "anejaculation":

- The amount of ejaculate varies. Therefore, your consideration is indeed a possibility, especially if your partner masturbated shortly before intercourse.

- Another explanation is the rarer "retrograde ejaculation"; in this case, the semen is essentially "misdirected" and emptied back into the bladder. A prerequisite for semen discharge is that the bladder sphincter muscle (musculus sphincter urethrae) is tightly closed and the movements of the pelvic floor muscles, which expel the sperm, occur correctly. If this process is disrupted, the misdirection mentioned above can occur.

- Finally, a "total anejaculation" is indicated in rare cases when there is never an ejaculation, even though an orgasm has occurred. The cause is usually a "blockage" of the sperm ducts or a lack of seminal fluid.

Discuss your observation with your partner and encourage him to see a urologist to discuss further steps. Even if there are indeed significant problems, there are several options for you and your partner to fulfill your desire to have children. Your gynecologist, for example, can provide valuable tips in this regard.

I hope I have been able to help you. If you have any further questions, I am always available to assist you.

Wishing you good health.

Best regards,

Dr. med. - anonymized -

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Dr. med. Hendrik Bernau