What causes a low volume of semen?

Patient's question:

What are the possible reasons for a low volume of semen? I'm almost 22 years old and not married, but I used to have frequent masturbation for several years, and during that time, my semen volume was high. However, recently, I haven't masturbated for over ten days, and last night I noticed that my semen volume is very low. What could be the reasons for this?

Doctor's answer:

Hello: Azoospermia accounts for the majority of infertility cases. A normal semen sample contains more than 20 million sperm per mL. If the sperm count is less than 20 million per mL, it is considered azoospermia. Between 5 to 10 million per mL, it is moderate azoospermia; less than 5 million per mL, it is severe azoospermia. Common causes of azoospermia include: (1) Congenital testicular dysgenesis or cryptorchidism leading to impaired spermatogenesis (2) Varicocele of the seminal vesicles, hydrocele of the tunica vaginalis (3) Inflammation of the reproductive tract (4) Immunosuppression and endocrine disorders (5) Chromosomal abnormalities, etc. Since the causes vary, the treatment methods also differ. It is recommended that you visit a specialized hospital for examination. Based on the examination results, under the guidance of a doctor, you should receive symptomatic treatment.

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