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Taking Anabolic Steroids After A Sport Injury
**Men’s Reproductive Biology – A Quick‑Guide**
| # | Key Components | What They Do |
|---|----------------|--------------|
| **1. Sperm Production** | Seminiferous tubules (in the testes) | • Spermatogenesis: ~150 000–200 000 sperm produced each second
• Maturation begins with primary spermatocytes → secondary spermatocytes → spermatids → mature spermatozoa |
| **2. Sperm Storage & Maturation** | Epididymis (tail of the testes) | • Sperm gain motility and fertilizing capacity as they travel through caput → corpus → cauda
• Stored in cauda until ejaculation |
| **3. Hormonal Regulation** | Luteinizing hormone (LH), follicle-stimulating hormone (FSH), testosterone | • LH stimulates Leydig cells to produce testosterone
• FSH supports Sertoli cell function, essential for spermatogenesis
• Testosterone maintains libido and supports sperm production |
| **4. Ejaculation Mechanics** | Seminal vesicles, prostate gland, bulbourethral glands | • Semen volume is largely contributed by seminal vesicles (approx. 70%)
• Prostate adds fluid (~20%), also aids in coagulation & liquefaction
• Bulbourethral glands provide mucus for lubrication |
| **5. Normal Volume Range** | 1–5 mL per ejaculate (average ~3 mL) | Variations due to hydration, frequency of intercourse, age; clinically low volume (<1 mL) may indicate issues such as obstruction or hormonal imbalance |
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## 2. What a Low Semen Volume Might Indicate
| Possible Cause | How It Affects Volume | Typical Additional Signs |
|----------------|-----------------------|--------------------------|
| **Congenital Absence / Obstruction of the Ejaculatory Ducts** | The ducts that carry seminal fluid from the prostate and seminal vesicles to the urethra are missing or blocked. | No ejaculate (dry orgasm), low‑volume or absent semen, normal hormone levels |
| **Prostatic/Seminal Vesicle Dysfunction** | Inadequate production of fluid by these glands. | Low volume with possible abnormal viscosity; hormones usually normal |
| **Hormonal Imbalances**
• Hypogonadism (low testosterone)
• Thyroid disorders | Hormones regulate glandular secretion. | Low volume, often accompanied by other symptoms like low libido or fatigue; hormone tests will reveal the imbalance |
| **Medication Side‑Effects** (e.g., antihypertensives, antidepressants) | Certain drugs suppress secretion. | Reduced volume; stopping or changing medication may improve |
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## 4. How to Identify Which Problem You Have
| Step | What to Do | Why It Helps |
|------|------------|--------------|
| **1️⃣ Record Your Symptoms** | Note the amount of ejaculate (in mL), how it feels, any pain, and other symptoms (e.g., low libido, fatigue). | Gives a baseline for comparison. |
| **2️⃣ Check Medication History** | List all current medications or supplements. | Identifies potential drug‑induced causes. |
| **3️⃣ Review Sexual History** | When did the decrease start? Any recent illnesses or injuries? | Helps determine if it's acute (e.g., infection) or chronic (e.g., hormonal). |
| **4️⃣ Consider Lifestyle Factors** | Alcohol, smoking, diet, exercise, stress levels. | These can affect semen volume and quality. |
| **5️⃣ Get a Physical Exam** | A doctor may examine the genitals, testicles, and prostate. | Detects physical abnormalities. |
| **6️⃣ Order Semen Analysis** | Laboratory tests for volume, sperm count, motility, morphology. | Confirms if the problem is low volume or other semen issues. |
| **7️⃣ Check Hormone Levels** | Blood tests for testosterone, LH, FSH, prolactin. | Helps identify endocrine causes. |
---
## 3. What Might Be Causing Low Semen Volume?
1. **Congenital Absence of the Vas Deferens (CBAVD)**
- The vas deferens is a tube that transports sperm from the testicles to the urethra.
- If absent or narrowed, semen volume drops because the seminal vesicle fluid cannot mix with sperm.
2. **Obstruction in the Ejaculatory Ducts**
- Blockages can occur due to infections, inflammation, or congenital anomalies.
3. **Seminal Vesicle Dysfunction**
- The seminal vesicles produce ~60–70% of semen volume. Damage or dysfunction reduces output.
4. **Decreased Testosterone Levels**
- Low testosterone impairs sperm production and fluid secretion by the prostate and seminal vesicles.
5. **Retrograde Ejaculation**
- During ejaculation, the flow goes into the bladder instead of out through the urethra, reducing external semen volume.
6. **Medication Side Effects**
- Drugs that affect autonomic or endocrine systems can reduce fluid secretion (e.g., antihypertensives, anticholinergics).
7. **Lifestyle Factors**
- Smoking, excessive alcohol consumption, poor diet, and lack of exercise may impair prostate/seminal vesicle function.
8. **Aging**
- Age-related hormonal changes reduce testosterone levels, leading to decreased fluid production.
9. **Chronic Illnesses**
- Conditions such as diabetes or chronic kidney disease can influence hormone levels and organ perfusion.
10. **Genetic Factors**
- Variations in genes controlling androgen receptors or other hormonal pathways may affect secretion.
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## 3. How the Body Produces the "Fluid" Component of Semen
1. **Origin of Fluid**
* The fluid component is primarily produced by the seminal vesicles and prostate gland, with contributions from accessory glands such as the bulbourethral (Cowper’s) glands.
2. **Seminal Vesicles**
* Suck: A pair of long, thin ducts that receive blood vessels rich in nutrients (sugar, proteins).
* Production: They synthesize a viscous fluid containing fructose, prostaglandins, and other substances that nourish sperm and aid motility.
* Mechanism: The glandular cells secrete this fluid into the ejaculatory ducts via ductal channels.
3. **Prostate Gland**
* Location: Encircles the urethra below the bladder.
* Function: Adds a milder, alkaline secretion that helps neutralize acidity from urine and provides additional nutrients to sperm.
* Production: Secretes enzymes such as prostate-specific antigen (PSA) which liquefies semen.
4. **Ejaculatory Ducts**
* Structure: Formed by the union of the ducts from the seminal vesicles and vas deferens.
* Function: Carry mixed contents (seminal fluid, sperm, and secretions) into the urethra.
5. **Urethra**
* Pathway: Conducts semen through the penis during ejaculation.
* Function: Allows for expulsion of semen from the body.
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### 4. **How Does This System Work?**
1. **Sperm Production**
- Begins in the testes, where spermatogenesis generates sperm cells.
- Sperm mature and are stored in the epididymis until ejaculation.
2. **Transportation & Mixing**
- During sexual arousal, sperm travel from the epididymis into the vas deferens.
- The vas deferens joins with seminal vesicles (secretion of fructose) and prostate glands (contributing enzymes like PSA).
- The mixture also includes fluids from the seminal vesicles, prostate, and bulbourethral glands.
3. **Contraction & Expulsion**
- Muscle contractions in the reproductive tract propel the semen into the urethra.
- This is followed by ejaculation out of the penis during orgasm.
4. **Role of Hormones**
- Testosterone (and other sex hormones) regulate many aspects, from sperm production to libido and muscle tone of the reproductive tract.
- The endocrine system interacts with the nervous system for sexual arousal and response.
5. **Health Considerations**
- Adequate nutrition, exercise, and avoidance of harmful substances support healthy testosterone levels.
- Hormonal imbalances or medical conditions can affect both testosterone production and ejaculatory function.
- For individuals experiencing issues, consulting a healthcare professional (endocrinologist, urologist) is recommended.
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**Key Takeaways**
- **Testosterone**: The primary male sex hormone that influences sexual desire, muscle growth, bone density, red blood cell production, mood, and overall well-being.
- **Ejaculation**: A two-phase process (voluntary orgasm and involuntary emission), essential for reproduction and regulated by a complex neuroendocrine system.
- **Interconnection**: Adequate testosterone levels support healthy ejaculatory function, while ejaculation can influence hormone dynamics post-event.
Feel free to ask any follow-up questions or request deeper dives into specific aspects!
