The Curious Case of the Missing Semen

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Where did the semen go? In this week’s episode of Taco Bout Fertility Tuesday, Dr. Mark Amols unpacks one of the lesser-discussed causes of male infertility—low semen volume and retrograde ejaculation.

From the science of what makes up semen (spoiler: sperm is only about 3% of it!) to the coordinated dance between the sympathetic and parasympathetic nervous systems, you’ll learn how the body decides when to open and close the right channels during urination and ejaculation.

We break down:

• What qualifies as “low volume”
• How retrograde ejaculation happens—and how to spot it
• Conditions like diabetes, surgeries, and medications that can cause it
• Diagnostic tools including post-ejaculatory urinalysis
• Treatment options including Sudafed, sperm retrieval, and IVF/ICSI
• Other causes of low volume like ejaculatory duct obstruction and congenital absence of the vas deferens

Whether you're a patient, partner, or just curious about how sperm can get lost in transit, this episode is full of insight, clarity, and of course—compassion and tacos.

Thanks for tuning in to another episode of 'Taco Bout Fertility Tuesday' with Dr. Mark Amols. If you found this episode insightful, please share it with friends and family who might benefit from our discussion. Remember, your feedback is invaluable to us – leave us a review on Apple Podcasts, Spotify, or your preferred listening platform.

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Join us next Tuesday for more discussions on fertility, where we blend medical expertise with a touch of humor to make complex topics accessible and engaging. Until then, keep the conversation going and remember: understanding your fertility is a journey we're on together.