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Question
I am in my mid-40s and over the past year or so I have noticed that I sometimes have a small amount of semen discharge present on the end of my penis before I go to the bathroom.  It's not a lot, just enough sticky discharge to be annoying.  My wife and I are sexually active but don't have sex as much as we used to, my sex drive has decreased, and there sometimes appears to be a positive correlation between days from last ejaculation and semen leakage.  But not always.

I do urinate more frequently than I used to, but it's usually manageable by drinking less fluids when needed.  If I drink too much fluids, like a full pot of coffee, I urinate multiple times per hour or even half hour, and sometimes the sensation of urination won't go away.  Occasionally my urinate has a strong smell, even if just drinking lots of water.  From the homework I've done on the web, these symptoms appear similar to enlarged prostate and/or bladder infection, but they are not consistent and have gone away.  I just wanted to bring this up in case it's related to the main semen leakage question.

Thanks in advance for any help.

Answer
Jon:

I doubt that the fluid is actually semen even if it appears that way.  This could be an infection or just fluid from the periurethral glands or even prostatic secretions.  The body does not allow semen to leak out that easily.  An enlarged or infected prostate is certainly a possibility.  Have your local physician check it for you.

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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