I am a 29-year-old woman. We have been married for five years but still have no child. For some time I have been worried about one thing: after intercourse, some of my husband’s semen flows out of the vagina. I feel this may be the reason I am not getting pregnant.
Many people say that if semen comes out, pregnancy cannot happen. Is this true? Is it a sign of premature ejaculation or some “semen defect”, or is it normal?
According to Ayurveda, conception needs the proper union of the man’s Shukra Dhatu and the woman’s Artava. If the semen does not stay inside long enough, does this union remain incomplete? Would Vajikarana treatment or herbs such as Ashwagandha, Shilajit, Kapikachhu and Safed Musli help my husband, and Ashoka, Lodhra or Shatavari help me? We want to improve our chances of conceiving naturally.
ગુજરાતીમાં વાંચો · हिंदी में पढ़ें
Namaste. Your worry is very natural, and many couples are confused by this same question.
Direct answer: Some semen flowing out after intercourse is a normal process in almost every woman, and this alone does not prevent pregnancy. When pregnancy has not happened in five years, both husband and wife need tests to find the real cause.
Why does this happen?
At ejaculation, semen is thick and becomes liquid within a few minutes. Sperm move very quickly, within just a few minutes, towards the mouth of the uterus (cervix). The fluid that comes out afterwards is mostly the remaining seminal fluid. So believing that “everything came out” is wrong.
This is not premature ejaculation either. Premature ejaculation means ejaculating very early, before one wishes to; semen flowing back out is a separate matter.
The Ayurvedic view
In Ayurveda four things are considered necessary for conception: Ritu (the right time, that is, the ovulation days), Kshetra (a healthy uterus), Ambu (proper nourishment) and Beeja (pure Shukra and Artava). Some semen flowing out does not leave the union of “Beeja” incomplete; but if there is a defect in any of these four, conception can be difficult. So finding the real cause matters most.
What to do now?
- Tests: a semen analysis for your husband; for you, on a gynaecologist’s advice, sonography, ovulation study (follicle study), thyroid and hormone tests, and a tube test (HSG) if needed.
- The right days: if periods are regular, intercourse on alternate days between roughly day 10 and day 18.
- After intercourse: lie down quietly for 15-20 minutes; do not get up and bathe immediately. (This may help, but it is not a guarantee.)
- Market gels or lubricating substances can affect sperm movement, so do not use them without a doctor’s advice.
Diet and lifestyle
- For both: fresh, nourishing food, milk, ghee, dates, dry fruits, seasonal fruits; less fried, stale and junk food.
- For the husband: stop smoking, tobacco and alcohol completely; avoid excess heat (laptop on the lap, long hot baths).
- Enough sleep, regular walking and less stress; the monthly stress of “will it happen this time” also has an effect.
- Yoga: Anulom-Vilom, Bhramari pranayama, Baddha Konasana (for you), meditation.
About the herbs
The herbs you mentioned, Ashwagandha, Shilajit, Kapikachhu and Safed Musli for men (Vajikarana herbs) and Shatavari, Lodhra and Ashoka for women, are considered nourishing to Shukra and Artava in Ayurveda. But which herb, how much and for how long can only be decided after seeing the test reports and the Prakriti of both. The right medicine, dose and duration will be decided by the Vaidya after examining your condition. Do not start medicines on your own without reports.
Panchakarma: If needed, treatments such as Virechana-Basti for the man and Uttarbasti for the woman can be useful under expert supervision.
When to see a doctor immediately?
- Very irregular periods, very scanty or very heavy
- Severe pain during periods or intercourse
- Foul-smelling discharge, fever
- History of miscarriage, tube problems or surgery
- If age is over 35, without waiting
Example 1: A woman in her thirties had the same worry. Tests showed low sperm motility in her husband; with diet, lifestyle changes and Ayurvedic treatment, his report improved in a few months. (Results can differ from person to person.)
Example 2: In another couple both reports were normal, but intercourse was not happening on the right days. After understanding the ovulation days and reducing stress, they found their way.
Related Questions
Does raising the legs after intercourse increase the chance of pregnancy?
Lying quietly for a few minutes is enough. There is no clear evidence that raising the legs gives extra benefit.
When pregnancy does not happen, who should be tested first?
Both. A semen analysis is a simple and inexpensive test, so it should be done at the start.
Can Vajikarana herbs be taken on one’s own?
No. Herbs such as Shilajit and Kapikachhu should be taken only on a Vaidya’s advice, after considering Prakriti, BP, sugar and other medicines.
In short: Some semen flowing out after intercourse is normal; sperm reach towards the uterus within a few minutes. If pregnancy has not happened in five years, the husband’s semen analysis and the wife’s gynaecological tests are needed to find the real cause.
You can consult in person or online with your reports. Your information and consultation will remain completely confidential.
Dr. Nikul Patel (B.A.M.S.)
307, 3rd Floor, Shalin Complex, Above Farki Lassi, Krishnabag Char Rasta, Maninagar, Ahmedabad – 380008
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