Patient's question:
Hello! I would like to ask, well, I want to have a child, but every time after sexual intercourse, the sperm always flows out of my vagina and won't stop, making it impossible for me to get pregnant. It has happened several times like this. Is it related to the fact that I had my first child? When I gave birth to my first child, I had an incision of eight centimeters and had to have a C-section. Is it because the vagina wasn't stitched back that it's leaking? What should I do to be able to get pregnant?Doctor's answer:
After coitus, semen flowing out of the vagina is a common phenomenon. In fact, although each ejaculation can expel about 2-5 milliliters of semen containing billions of sperm, only a very small number of sperm can pass through the cervix and uterine cavity to reach the fallopian tubes and await fertilization. Generally, only 15-50 sperm can do so, and rarely more than 200. Among these, only one high-quality sperm combines with the egg. The rest of the sperm are expelled from the vagina along with the semen. To prevent semen leakage and increase the chances of conception, it is recommended to lie flat for two hours after intercourse to ensure that the semen covers the cervix and reduces leakage. As for the natural expulsion of excess semen from the vagina after intercourse, it generally has no impact on fertility.