I had a wet dream the night before checking my prostate, so will that

Patient's question:

Expert,
I had nocturnal emission last night, and I went to check my prostate and sperm quality today. Will this affect the accuracy of the examination? The doctor told me that my sperm density and quality are not normal. The lecithin is also less than 50%. Could this be the reason for my nocturnal emission last night? Please help me and provide a detailed explanation. Thank you!

Doctor's answer:

Prostate fluid test, nocturnal emissions do not affect it, but semen analysis is greatly affected. It is recommended to retest the semen, and refrain from sexual activity within 7 days, while ensuring adequate rest, which is beneficial for the accuracy of the test.
Prostate fluid test is a reliable method for diagnosing prostate diseases. Normal prostate fluid is a pale milky liquid secreted by the prostate. Under high-power microscopic observation of a prostate fluid smear, it can be seen that it contains a large number of lecithin granules, occasionally with white blood cells, epithelial cells, and sperm.
It is recommended to refrain from sexual activity for 3 to 7 days before the test, as ejaculation and emotional excitement can increase the white blood cell count in prostate fluid, affecting the diagnosis. If abstinence exceeds 7 days, the prostate may also accumulate white blood cells, which can similarly create a false impression of inflammation.

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