The reason why a 50-year-old man discharged his gun without sperm

The phenomenon of no sperm or empty ejaculation in a 50-year-old man may be related to age-related physiological degeneration, reproductive system diseases, changes in hormone levels and other factors. Common causes include hypogonadism, vas deferens obstruction, chronic prostatitis, etc. The diagnosis needs to be confirmed based on specific symptoms and medical examination.

1. Hypogonadism

After the age of 50, men's testicular function gradually declines, and reduced testosterone secretion may lead to spermatogenesis disorders. Along with symptoms such as decreased sexual desire and difficulty in erection, the diagnosis can be confirmed through serum hormone testing. Treatment requires hormone replacement under the guidance of a doctor, such as testosterone undecanoate capsules, testosterone propionate injection and other drug adjustments. It is also recommended to maintain moderate exercise and a balanced diet.

2. Vas deferens obstruction

Previous reproductive system infection or surgery may cause the vas deferens to be blocked and semen cannot be discharged normally. Such patients experience pleasure during ejaculation but no semen, and need to be confirmed by examinations such as seminal vesicle angiography. Depending on the location of the obstruction, vas deferens anastomosis or transurethral ejaculatory duct incision can be selected. Postoperative infection prevention and regular review are required.

3. Chronic prostatitis

Long-term prostate inflammation will affect semen production and discharge quality, and may be accompanied by frequent urination and perineal swelling and pain. Prostatic fluid examination is required to confirm the diagnosis. For treatment, tamsulosin hydrochloride sustained-release capsules, Qianlieshutong capsules and other drugs can be used together with warm water sitz baths. Avoiding prolonged sitting and spicy meals may help relieve symptoms.

4. Diabetes complications

Long-term poor blood sugar control may damage the nerve function that controls ejaculation, leading to retrograde ejaculation or reduced semen volume. Such patients usually have a history of polydipsia and polyuria and need to monitor their blood sugar levels. On the basis of controlling blood sugar, you can use methylcobalamin tablets and other neurotrophic drugs as directed by your doctor, and perform pelvic floor muscle exercises at the same time.

5. Psychological factors

Emotional problems such as anxiety and depression may inhibit ejaculation through neural reflexes, which is common in people who have recently encountered stressful events. If you have an erection but cannot reach orgasm, you need to undergo a professional psychological evaluation. It can be improved through psychological counseling combined with drugs that regulate autonomic nerve function such as oryzanol tablets, and your partner should provide sufficient emotional support.

It is recommended that men with azoospermia go to the urology department or andrology department in time to complete semen analysis, ultrasound examination and other evaluations. In daily life, it is necessary to avoid high-temperature environments, reduce the intake of tobacco and alcohol, and ensure supplementation of trace elements such as zinc and selenium. Moderate pelvic floor training such as squats and Kegel exercises, and maintaining a regular frequency of sexual life can help maintain the function of the reproductive system. If there are underlying diseases such as hypertension and diabetes, priority must be given to controlling the primary disease.