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Some people complain of having pain in the testicles after ejaculation or a feeling of having some kind of obstruction during the process of ejaculation, which make it difficult to enjoy sex and affect the fertility of the man as well.

While these symptoms are not the most common ones, recent evidence has shed light on the fact that an obstruction in the ejaculatory ducts or seminal vesicles could be the cause behind this occurring.

Symptoms Of A Blocked Ejaculatory Duct

Some of the things that will be noticeable include an abnormally low volume of sperm being ejaculated, pain in the testicles or in the region of the lower abdomen, an inability to get your partner pregnant and a lack of any other, hormonal, deficiency.

Remember that males who are unaffected by this condition can also notice a smaller volume of sperm being ejaculated during masturbation and this is why they often find the feeling of discomfort less at such times than when they are engaged in intercourse with a partner.

Diagnosis

The doctor will need to carry out a thorough medical history and then some blood tests, semen analysis, CT scans, or ultrasounds to confirm the initial diagnosis. A semen analysis will likely show an abnormally low count of sperm or may even show a complete absence altogether.

Differential Diagnosis

Azoospermia or an absence of sperm from the ejaculate is something that could be caused by a hormonal imbalance where the testicles are not stimulated adequately to produce sperm, could be caused by a failure of the sperm-producing cells in the testicles which do not their job even in the presence of a normal hormone level, or could be due to a blockage in sperm delivery system.

The diagnostic tests conducted will help determine which of these is the cause that the doctors are dealing with and then allow them to advise the correct form of treatment.

Why Does A Blockage In The Ejaculatory Ducts Occur?

The reason behind the blockage could be due to an injury or due to an infection that occurred in the area. It could also be congenital in origin. Whatever the cause of the problem, however, the treatment remains the same.

Treatment

The treatment for blocked ejaculatory ducts is done through a surgical procedure called a transurethral resection of the ejaculatory ducts (TURED). The doctor will likely need transurethral ultrasounds or vasograms, which are specific x-ray tests for the area, to be conducted beforehand as well.

The surgical procedure itself is relatively minor but requires expertise in the field on the part of the doctor and can help increase the amount of sperm being released in the ejaculate by a significant amount, help resolve the symptoms of pain, as well as increase the chances of conception by a great deal.

Other techniques such as lithotripsy and vasoepididymostomy and vasovasostomy have also been tried in removing obstructions from the sperm delivery apparatus of the body.

The rare nature of this condition, the specialized nature of its treatment, and a lack of awareness among general physicians can lead to an underdiagnosis of the problem of ejaculatory ducts being blocked.  

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