July 15, 2016

Q & A: How Do I Control My Pre-Ejaculate Flow?

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My entire life I have always experienced leaking pre-ejaculate before and after getting hard. It does not interfere with my normal function. But when I get romantically involved with someone it can be really embarrassing! Just light flirting, maybe a kiss or two, I am still soft, not even hard yet but I’m soaking wet with pre-cum. I not talking a little bit I’m talking soaked. I’ve had women put their hand on my pants and say, “Oh my God, you came already!” Is there any medication for this? Thank you.

Pre-ejaculatory fluids are made by the Cowper’s glands and the glands of Littre. These fluids are actually pretty amazing as they are thought to neutralize the acidic environment of the urethra, thus making it safe for sperm to travel through the urethra (important in instances where men are trying to become pregnant with a partner).

The amount of fluid varies among men. Some men don’t notice pre-ejaculate (also called  “pre-cum”) and other produce just a few drops or even several milliliters when aroused – estimates range from 0.2mL to about 5mL. Some men who produce considerable amounts of  pre-ejaculate, particularly if it seeps through clothing, may feel embarrassed by this and their embarrassment can get in the way of dating, hooking up, and sexual activity with partners.

To Treat Or Not To Treat?

There have been several case histories documented with doctors reporting success with 5-alpha-reductase inhibitors, so that is something you can ask your healthcare provider about. I recommend making an appointment with a urologist who can ask you questions about your experience, see whether this is what might be going on with your body (or whether it’s something else, like prostate fluids or something else entirely), and what his or her recommendation for treatment might be.

And of course some men choose to not use medical treatment and to just make peace with the way their particular body works. That’s up to you, and at least you can explore your options by meeting with a urologist.

Reviewed on April 29, 2017 and updated to include a link to some mentioned case histories.