Urology/Pre cum

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Question
I am 26 years old and do not have pre cum. I have masturbated and had sex many, many, times and I don't have any.  I have read lots of info on the importance of it in regards to fertilization and how it helps to lubricate the vagina. My wife said that with her other two partners they had it and it helped to get her lubricated and ready for sex. I'm dry until I have an orgasm and my orgasm and ejaculate is very normal.  I'm circumcised. I talked with my dad and my brother about it and they both have it.  Please help with this. I feel like I'm missing out on something special.  Also, since it comes from the cowperns gland... does this mean I am missing mine.

Answer
Pre cum is no big deal.  It matters little with regards to fertility whether or not you actually have any.  The vagina normally has plenty of lubrication by itself without the need for any additional contributions.  Many men lack a precum.  Most likely the production from Cowper's gland is just not sufficient to be expressed and is just mixed with the semen.  I wouldn't worry about it.

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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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