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Expert Q&A

 

By David L. Fay, M.D.
Family Physician
Associate Director, Waukesha Family Practice Residency Program

Are there any indications that my husband has a low sperm count before we test it? For example, it can take quite some time for him to have an orgasm (about 15 to 20 minutes). He also has orgasms without ejaculation. Are these indications that there is something wrong?

There is no way to know a sperm count without an analysis in the laboratory; the time to orgasm has nothing to do with sperm count. Orgasms without ejaculation can mean retrograde ejaculation, a situation where men ejaculate back into the bladder instead of out through the urethra. This can be caused by different problems, most of which are reversible, but should be evaluated by a physician."

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