I had a vasectomy 7 years ago. Right after, I noticed that my ejaculate is much less than before. Could this be another issue?

I've read in many places that the amount of ejaculate should not decline after a vasectomy, but mine substantially changed after the procedure. Sometimes, if there is more than one ejaculation during the day, almost nothing comes out. Should I be concerned there is another issue? Again, it happened right after the procedure and I assumed that was normal for a vasectomy. I'm concerned there is some after-affect. I also had blood in my ejaculate a few times in the initial 3 years after.

Answers from doctors (2)


Vasectomy should not decease the volume of ejaculation to any noticeable degree. Most often decreased ejaculation is a side effect of medications to treat BPH or prostate issues

Answered by Mark J. Saslawsky, MD - Memphis Office (View Profile)

Vasectomy should not decease the volume of ejaculation to any noticeable degree. Most often decreased ejaculation is a side effect of medications to treat BPH or prostate issues

Published on Jul 11, 2012


More About Doctor John C. McHugh, MD

Published on Oct 06, 2017

The sperm portion of semen accounts for less than 10% of the volume of the ejaculate. Most of the fluid comes from the prostate and seminal vesicle. So most probably unrelated. Some medicines like Flomax and some diseases like diabetes can affect the volume. Hydration can be a contributing factor. Blood in the ejaculate, hematospermia, is a benign process that is usually a ruptured blood vessel of the prostate and is self limiting. As always to be sure there is no less common reason for your complaint it is wise to see your urologist.

Answered by John C. McHugh, MD (View Profile)

The sperm portion of semen accounts for less than 10% of the volume of the ejaculate. Most of the fluid comes from the prostate and seminal vesicle. So most probably unrelated. Some medicines like Flomax and some diseases like diabetes can affect the volume. Hydration can be a contributing factor. Blood in the ejaculate, hematospermia, is a benign process that is usually a ruptured blood vessel of the prostate and is self limiting. As always to be sure there is no less common reason for your complaint it is wise to see your urologist.

Published on Jul 11, 2012


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