Fertility Treatments

Hypersermia

A medical condition in which the male’s semen ejaculation is abnormally large in volume is called Hyperspermia.

Introduction

A medical condition in which the male’s semen ejaculation is abnormally large in volume is called hyperspermia. The doctors define this condition when an individual’s ejaculate is over 6.5 ml. The opposite of hyperspermia is hypospermia. 

Hyperspermia can either be due to your accessory sex glands overproducing the seminal fluids or excessive sperm production in your testicles. It may be after you have abstained from having sexual intercourse for a long time, which may have led to excessive build-up of fluids. In that case, a more significant percentage of semen in your ejaculate may contain dysfunctional, defective or even dead sperm that may not ever be able to fertilise an egg to develop an embryo. In the case of hyperspermia, the volume of seminal fluid in your ejaculate may be considerably higher than expected, which may lead to sperm dilution. That will bring down the chances of fertilisation quite significantly. But if the volume of sperm is well-proportioned to the volume of semen, it may help improve your fertility. 

Although hyperspermia is usually described as harmless by the individuals who experience it and is not pathological either, you may want to have it checked by the doctor to ensure there is no risk of complications in the future. It will also help you prevent any medical condition associated with it that may affect your fertility in the future.

Symptoms To Look Out For

If you suffer from hyperspermia, your hunger for sex drive will be stronger than other men. 

But, the symptom of hyperspermia that will be the most noticeable to you is the large volume of sperm during ejaculation. As a result, individuals with hyperspermia will find it harder to father a child through natural pregnancy. Fortunately, if their partner gets pregnant, there will be a higher than usual risk of miscarriage.

Here are a few symptoms of hyperspermia you may experience:

  • Risk of miscarriage or infertility: If you suffer from hyperspermia, you may find it challenging to get your partner pregnant successfully. If your partner, fortunately, gets pregnant, there will be a higher than average risk of miscarriage during the period of pregnancy. 
  • Unusual sperm colour: If you suffer from hyperspermia, rather than being white coloured, your sperm will be either off-white or yellowish. 
  • Production of a larger volume of ejaculation fluid: According to the experts, if you produce more than 0.21 Ozs or 6.3 ml of seminal fluid during ejaculation, you may be suffering from hyperspermia. But certain studies have termed hyperspermia as the condition where the patient produces seminal fluid between 6 and 6.5 ml or even more than that. 
  • Ejaculatory pain: If you suffer from hyperspermia, you may experience pain and even mild discomfort during ejaculation. There may be pain in your testicles for a while after having intercourse.
  • Longer sex drive: During this condition, your sex drive may last longer than it does for other men. 

 

If you encounter any of the issues mentioned above, you may want to consult with your doctor about hyperspermia.

What Are Its Causes?

Although the experts have not yet been able to determine the precise cause of hyperspermia, there are a few possible factors that may be behind this condition:

  • Intervals between intercourse: One of the possible causes of hyperspermia is the longer duration between instances of sexual intercourse, which may lead to excessive build-up of ejaculatory fluids. 
  • Diet: Balanced diet rich in fibre, protein and other essential nutrients can be highly beneficial for you. But at the same time, this kind of diet may result in an increased volume of ejaculatory fluids in your body. 
  • Steroid use: Steroid consumption may lead to excessive build-up of ejaculatory fluids, causing hyperspermia.
  • Stamina boosting drugs: If you consume stamina boosting drugs to enhance your sexual performance, it may lead to hyperspermia. 
  • Prostate infection: Although rare, an infection in your prostate can lead to the development of this condition. 
  • Sexual accelerators: Several drugs can be used to accelerate your sexual performance. But these drugs can also increase the semen volume in your glands leading to hyperspermia. 

 

Although these are a few of the plausible causes of hyperspermia, you will be able to understand the cause behind you having this condition after a proper diagnosis with the doctor.

Risk And Complications

If you have larger than normal ejaculation but its consistency is diluted, there may be a chance of infertility. That is because of a lower sperm count. Also, as hyperspermia can cause exhaustion and fatigue, there is a higher chance of poor erection quality. It may also lead to impotence after a while.

A few risk factors associated with hyperspermia include potent steroids used for boosting stamina, sex boosters to boost your sexual performance, sexual abstinence for a long time, and a nutritious diet with high protein, fibre and other nutrients, though healthy is a risk factor for hyperspermia.

If you find yourself fit in any of the above-stated risk factors, you may need to have a consultation with your doctor about hyperspermia.

Impact On Fertility

A medical condition during which you ejaculate seminal fluids of a larger volume than usual is called hyperspermia. According to recent studies, it is quite a rare condition and affects only about 4% of the males in India. On average, an individual may ejaculate seminal fluids between 2ml and 6 ml. But if this volume goes over 6.5 ml, the doctor may diagnose the individual with hyperspermia. 

The effect of hyperspermia on fertility issues would mainly depend upon the content of sperm in your ejaculatory fluid. Although in most cases, the impact of hyperspermia on fertility won’t be too much, there are exceptions. If the proportion between sperm and the seminal fluid is not good, there may be a chance of infertility. In the case of hyperspermia, the volume of seminal fluid in your ejaculate may be considerably higher than average, which may lead to sperm dilution, resulting in lower fertility. But if the volume of sperm is well-proportioned to the volume of semen, it may help improve your fertility.

Also, if the hyperspermia is due to sexual abstinence, there is a chance of your semen containing a higher content of dead and defective sperm, which may not be able to fertilise the eggs. 

Having hyperspermia usually means a lower sperm count, which may decrease the chances of insemination through natural sexual intercourse. But if you have hyperspermia with an average sperm count, there most probably won’t be an effect on your fertility.

When Should You See A Doctor?

Hyperspermia is a condition in which you produce ejaculatory fluids that are larger in volume than normal. The fluid ejaculated during copulation is called semen, which contains sperm and other fluids produced by your prostate gland. 

According to recent studies, it is quite a rare condition (even when compared to hypospermia) and affects only about 5 to 10% of the males in India. 

Other than affecting your sperm count and fertility, hyperspermia doesn’t cause any adverse effect on your health. 

You may want to consider getting in touch with your doctor if you are worried about producing too much semen or cannot conceive through natural sexual intercourse even after trying for more than a year. 

The doctor will use a few particular tests to diagnose the condition of hyperspermia and infertility. These tests may include:

  • Semen analysis: The doctor will first ask for your semen sample through a cup via either masturbation or sexual intercourse. A technician will then analyse this sample in a fertility lab to determine your sperm’s morphology, motility and sperm count. 
  • Blood tests: The doctor will then conduct blood tests to analyse your testosterone and other hormone levels. A lower level of testosterone may result in infertility.
  • Imaging: Afterwards, the doctor will perform imaging tests like ultrasound to analyse your testicles and other reproductive parts to diagnose the problems resulting in infertility. 

 

If you have symptoms of hyperspermia, the doctor will conduct these analysis tests to confirm their diagnosis.

Treatment

Although hyperspermia doesn’t require any treatment until you notice some adverse effects due to it, here are a few treatment approaches you may try:

  • Sperm retrieval technique: In the case of artificial reproductive treatments, this technique can be used to retrieve the sperm. Several sperm retrieval techniques may be used depending on your requirement as the patient and the doctor’s skill. Here are a few types of sperm retrieval techniques:

 

  • Electroejaculation or EEJ
  • Testicular sperm aspiration or TESA
  • Microsurgical epididymal sperm aspiration or MESA
  • Microsurgical testicular sperm extraction or micro-TESE
  • Penile vibratory stimulation or PVS
  • Testicular sperm extraction or TESE
  • Percutaneous epididymal sperm aspiration or PESA
  • TESA with mapping

 

  • Medicine for increasing sperm count: Your fertility doctor may recommend certain medications to increase your sperm count, like clomiphene citrate, an estrogen blocker. 


Try IVF, ICSI or any other ART: If you have not been able to conceive a child even after trying for more than a year through natural sexual intercourse, then hyperspermia may have affected your fertility. In that case, you may consider trying artificial reproductive techniques or ARTs like IVF, ICSI, etc., to have a successful pregnancy.

Conclusion

Hyperspermia is a medical condition during which you ejaculate seminal fluids of a larger volume than usual. There are several signs that may indicate hyperspermia, including unusual sperm colour, ejaculatory pain, risk of infertility and miscarriage, longer sex drive and production of a larger volume of ejaculation fluid. 

Although it is rare for this condition to affect your fertility, you may still want to have a consultation with a urologist. There are various treatment options available, including medication that can help you, especially if you and your partner want to get pregnant. 

If you are looking to have more information about hyperspermia, please consult the Fertility experts at Siya Health, or call our Siya Fertility Counsellor today.

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Dr. Dipesh Sorathiya

M.S. (Obs & Gyn)
DIP. in Gynec Endoscopy (CICE)

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