Patient's question:
I noticed that there are solid-like stringy substances in the semen I ejaculated. Hello, is this due to semen not liquefying? What are the possible disturbances, and how should it be treated?Doctor's answer:
Normal semen is milky white or grayish white. After ejaculation, it transforms into a gel-like state under the action of semen coagulase. Within 15–30 minutes, it turns into a liquid under the action of prostatic vaporization enzyme. If the semen does not liquefy within 30 minutes or within 60 minutes, it indicates a urological condition. Common causes include: prostatitis and seminal vesiculitis leading to insufficient fibrinolysin excretion by the prostate, deficiency of trace elements such as magnesium and zinc, congenital absence of the prostate, and others. If the condition of semen non-liquefaction recurs, it is important to seek medical attention promptly for a definitive diagnosis and to adopt effective treatment measures to prevent missing the optimal treatment window and interfering with fertility.