Q. When I am fortunate enough to have an orgasm, very little ejaculate comes out. The problem is that after an orgasm, the ejaculate oozes out over the next five to ten minutes. Without the discharge of semen, this reduces the intensity of the orgasm as well. I know that jumping up and urinating will solve most of the problem, but on occasion it will continue to ooze even after urination (though not in the same quantity). Can you offer any advice?
A. This type of delayed semen release often points to a blockage in the urethra that prevents normal ejaculation during orgasm. In a similar condition discussed in Blockage in Ejaculation Duct?, the semen may accumulate behind the obstruction and then slowly ooze out afterward. Such blockages, known as strictures, can result from infection, trauma, or inflammation of the urinary tract.
A urethral stricture not only interferes with semen flow but can also cause urinary symptoms like weak stream, straining to urinate, or frequent urination. These symptoms are also seen in men with Benign Prostatic Hypertrophy (BPH), so your doctor may recommend diagnostic tests to distinguish between them. A urethrogram — an X-ray with contrast dye injected through the penis — or a cystoscopy using a thin viewing scope can confirm the diagnosis.
Once the blockage is identified, it can often be treated surgically or with a minimally invasive endoscopic procedure to restore normal flow. As noted in No Ejaculation (Anorgasmia), ejaculation issues can sometimes have overlapping causes, including nerve damage, medication side effects, or hormonal imbalance, so a full urological evaluation is essential.
For more on how urethral strictures and related conditions are diagnosed and treated, you can consult the National Library of Medicine overview on urethral stricture disease. Managing this problem promptly helps preserve both fertility and sexual satisfaction.