Hyperspermia: Is it a cause of infertility?

What is hyperspermia?

Hyperspermia is a condition where a male person produces semen of a larger volume than average volume. The fluid that man ejaculates during orgasm or copulation is semen, which contains sperm, along with other fluids produced from the prostate gland.

Hyperspermia is a relatively rare condition. It is comparatively less common than hypospermia. In various studies around the world, fewer than 5 to 10 percent of men had a high sperm volume.

Hyperspermia doesn’t affect a man’s health adversely or negatively. However, it could reduce his fertility, and sperm counts can differ.

Semen is the fluid that is ejaculated at the time of orgasm containing sperm and secreted from the seminal vesicle (60%), prostate (30%), vas deferens (10%), Cowper’s gland covering by the urethral gland.

Criteria:

Composition of semen:

1. Unfertilized sperms
2. other components:

Symptoms of Hyperspermia

Unless you are willing to risk your chance of becoming a parent, it’s best to take an early step towards treating the condition.

Here are some significant symptoms of hyperspermia that you need to be aware of:

1. Production of a more significant amount of seminal fluid during ejaculation: This condition is also defined as the production of semen volume of more than 6.3 milliliters (0.21 ounces), but some other studies put it in the range of 6.0 to 6.5 milliliters (0.2 to 0.22 ounces) or more than that.
2. Chances of infertility or miscarriage: Men with hyperspermia can have a problem for getting their partner pregnant. If their partner does become pregnant, there’s a slightly higher risk of miscarriage during that period.
3. The long duration of sexual drive: Some men with hyperspermia have a more extended period of a sex drive than men without the condition.
4. Alteration in the sperm color: The color of sperm discharged will be an off-white or yellowish color.
5. Pain during ejaculation: Men and boys suffering from hyperemia often experience mild discomfort during ejaculation. Also, pains and aches in the genitals are joint.

What can cause Hyperspermia?

Though the definite cause of hyperspermia is yet to be identified, particular factors may cause this rare condition: 

1. Use of stamina boosting drugs: Sperm level goes up due o the usage of sexual performance-boosting drugs and objects, which leads to increase sperm count.
2. Intervals between sexual intercourse: One of the other cause of increase sperm count is the increased interval between sexual that lead to accumulation of sperm.
3. Sexual accelerators: Use of the various Pills which increase sexual performance would invariably increase semen levels.
4. Diet: Consumption of food rich in proteins, fibers, and nutrients are said to increase the volume of seminal fluid in some cases.
5. Prostate infection: Experts believe that an infection in the prostate can sometimes induce this rare condition in men.
6. Use of steroids: The purpose of steroids can also lead to this condition.

Is it a cause of infertility?

Hyperspermia can in some cases lead to low fertility.  Some men with a very large amount of semen volume have fewer sperm in the fluid they ejaculate than normal. This dilutes the material. This dilution impacts fertility negatively.

However, low sperm counts don’t make a person automatically infertile. An individual with hyperspermia is still possible to conceive.

Hyperspermia does not affect your fertility if your semen is high but you still have a daily sperm count.

Some of the causes of infertility in men are:

• Infections that may affect sperm production such as gonorrhea, HIV, Chlamydia, or mumps.
• Genetic disease such as cystic fibrosis
• Diabetes
• varicocele
• smoking
• drinking alcohol
• Certain medication which is used to treat bacterial infections
• Hypertension
• depression
• Radiation
• chemotherapy

Diagnosis of Hyperspermia

Here are some methods used to diagnose hyperspermia:

• Physical examination to check the male reproductive organs
• Semen analysis
• Hormone test
• Imaging

When to see a doctor?

You might want to look out for a doctor for tests regarding one’s sperm production or fertility. 

For this purpose, the doctor would carry out a physical examination of your reproductive system. Then only will proceed to specific tests required to confirm the diagnosis.

In the physical examination if there is anything unusual seen in the reproductive system, then you have to do an imaging test such as an ultrasound. It is done so to know the issue more and take measures against it.

Semen sample analysis may be another test that doctors may also ask for you to do. In this test, semen is taken to check the total sperm present and the sperm’s quality as well.

There may be a blood test done to look out for other causes of infertility. It is mainly done to know if there is a presence of hormonal imbalances or if there is the presence of low testosterone levels.

Treatment

Hyperspermia mainly doesn’t require treatment until it doesn’t cause any problems related to fertilization. But Prevention is critical, so it is recommended worth to stay away from sexual-performance enhancing drugs and pills.

But also if the seminal discharge causes you problems, then it is wise to consult a urologist.

If the hyperspermia is causing infertility problems, then one should access treatment. The treatments include:

Medicine to increase the sperm count.

Clomiphene citrate (Clomid) is a medicine used to increase sperm count. It is an estrogen blocker. When men take it in oral form, it triggers the pituitary gland to make more luteinizing hormone (LH) and follicle stimulation (FSH). A higher level of these two hormones can improve sperm count, morphology, and motility.

Sperm retrieval technique

Sperm retrieval technique is anyway used to get sperm for fertility purposes. There are many ways to get sperm. The method used depends on why sperm isn’t in the semen, what the patients want, and the surgeon’s skill.

Some of sperm retrieval technique is:

• Penile vibratory stimulation (PVS)
• Electroejaculation (EEJ)
• Testicular sperm extraction (TESE)
• Testicular sperm aspiration (TESA)
• TESA with Mapping
• Microsurgical Epididymal sperm aspiration (MESA)
• Percutaneous epididymal sperm aspiration (PESA)
• Microsurgical testicular sperm extraction (micro-TESE)

Use IVF or ICSI to achieve pregnancy.

Invitro fertilization can be used to treat infertility in the following patients. Blocked or damaged fallopian tubes. Male factor infertility, including diminished sperm count or sperm motility. Women with ovulation disorders, premature ovarian failure, uterine fibroids. Intracytoplasmic sperm injection (ICSI) can help in the management of the hyperspermia

Conclusion

Hyperspermia is found to be affected by around four percent of the male population in India. Though you escape from all the causative factors for hyperspermia like stamina boosting drugs, steroids, and diet, there are no definite preventive measures for this condition. If you face any major problem, you must consult a urologist.