Q: Hello Dr Ketch I have been married for 1 year now, yet no pregnancy. All I notice is that whenever my hubby has sex with me, his sperm doesn’t stay inside of me. It comes down even if I lie down till the next day. As soon as I stand up, I feel it coming down. Please, what could be the problem?
A: Hello dear, thanks for writing in. In answer to your question, I reproduce a post I had made on this subject.
Q: Good morning, Doctor. Please I have this problem with my partner such that whenever we have sex, after withdrawal the semen returns back and we have been trying to conceive. Please, what is responsible for this and what is the remedy? Thank you so much.
A: I’ve received this question in various forms from men and women alike and so it must mean that this is an important issue for a lot of people.
Lots of couples wishing to have a baby appear to believe that semen flowing out of the vagina signifies a problem and so, they do different things to stop this including, raising the female partner’s legs in the air or even performing a cycling motion. None of these need to be done, really.
A man’s ejaculate is made up of more than just sperm cells. The sperm count in ejaculate (which should be about half to 2 teaspoons in volume) is any number from 20million to several hundreds of millions! That’s a lot of sperm cells for 1 teaspoon, right? Now, when a man ejaculates, the initial force of that pushes some of the semen a significant way into the vagina. The rest of it flows back. In case you’re worried about the semen that flows back, just like the person who asked this question, the truth is that you don’t need more than 1 sperm cell to fertilize an egg.
Some sperm cells are retained at the back of the vagina, some make it all the way to the cervix and some others get into the uterus and make the trip into the fallopian tubes to fertilize an egg. And in addition, these sperm cells can remain alive and active for even up to 3 to 5 days after intercourse, depending on conditions. So, if there was no egg to fertilize at the time of intercourse, if the woman ovulates within this window of 3 to 5 days, she could still very well get pregnant.
Now, if you have been trying for up to one year to have a baby with no luck, please see your doctor and let him evaluate you and your partner. Analysis of the semen with sperm count etc will be helpful in defining course of treatment.
For more on this, please click on this link https://chatwithdrketch.com/2014/12/14/daily-health-tips-miscarriage-and-infertility-re-visited/
I hope y’all had a great day? Have an extra special night 😀