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How healthy are you?
To answer this question your doctor will likely ask about your smoking, drinking, diet, and exercise.
Then they will likely measure your cholesterol, blood pressure, blood sugar, body weight and maybe your waist size. You may also be asked if you're happy or stressed and if you sleep well.
If you’re lucky, they may also measure your hormone levels, and possibly scan your body.
All of these measurements are important and validated measures of overall health, yet they almost all require a doctor’s visit and expert interpretation.
Luckily, there’s one measurement that is simple to make, that acts as the ultimate ‘canary in the coal mine’ for your health, yet is rarely talked about due to stigma and blatantly (and sexist) on-line censorship.
Your Semen Volume.
Despite its scientific origins, the word semen is largely thought of as a bad word, somehow only thought of in the context of sex acts.
Even the word "semen" itself is frequently flagged or suppressed on various digital platforms, ostensibly due to its association with sexual content, which stifles educational discussions about men’s health and disproportionately marginalizes topics central to male reproductive and overall wellness, potentially perpetuating ignorance and delaying preventive care.
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It’s time we talked about semen
Semen is the zenith of male sexual health. From a reproductive point of view it is the ultimate point of sexual intercourse.
An adequate semen volume of ejaculate fluid is required to transport sperm into the female reproductive tract and allow for fertilization of the oocyte. Thus, seminal fluid volume is an important part of the semen analysis done to investigate male infertility.
But semen can tell us so much more than just a man’s level of fertility.
Semen volume is linked to men's health through factors like age, lifestyle, and underlying conditions. It is influenced by unhealthy lifestyle factors like alcohol intake, smoking, processed foods and obesity, but can also be affected by excessive exercise, stress, and lack of sleep. A low semen volume is also a marker of a sedentary lifestyle.
Why does Semen Volume Matter?
Recent research indicates that reduced semen volume may foreshadow increased risk for type 2 diabetes mellitus (T2DM) later in life. A low semen volume is also a marker or both Hypothyroidism and hypogonadism (low testosterone).
Observational studies link low semen volume to elevated cardiovascular disease risk and even the risk of developing some forms of cancer.
Furthermore, in a study of more than 14,000 men it was discovered that having hypertension (high blood pressure) was significantly linked to having a low semen volume.
In other words, semen is a general measure of vitality and wellness, and any decreases in semen volume should be taken seriously.
What else can cause low semen volume?
Aging, bodyweight, diet and lifestyle factors are the main culprits, but there are other, less obvious ways that a man’s semen volume can be reduced.
According to the Department of Environmental Health at the University of Washington, lead exposure can decrease semen volume. You can be exposed to lead in drinking water, and foods like dark chocolate. Many protein powders are also high in lead as are some herbs and spices like some forms of cinnamon.
Research shows that people who used their laptops for 2 to 5 hours daily were approximately 16 times more likely to be diagnosed with low semen volume.
Even dehydration can reduce semen volume. Drinking enough water and fluids can help increase semen production
Other lifestyle factors that can lower semen volume include a high coffee consumption and regular marijuana use.
Sign of a healthy Diet
Data from 9 observational studies showed a positive association between the adherence to Mediterranean Diet and total semen volume.
Processed red meat intake (defined as the sum of hamburger, hot dog, bacon, and other processed red meats (e.g. salami)) but not Unprocessed red meat intake (beef, pork, and ham) is associated with a decrease in semen volume.
Essential nutrients like zinc and selenium are also associated with semen volume. Blood Iron levels are associated with Semen volume with Low iron being a risk factor in low semen volume, while Improving iron levels through diet or supplementation improves semen volume.
Forty studies were selected from databases examining the effect of alcohol consumption on male reproductive health in 23,258 people on five continents of the world. The meta-analysis revealed that chronic alcohol intake reduced semen volume in a dose dependent manner.
A link to depression
Research suggests a link between depression and decreased ejaculate volume, indicating that men experiencing depression may have a lower semen volume compared to those without depression; with the severity of depression often correlating to a greater reduction in ejaculate volume.
Compared with men without depression, those with severe depression had a 25.26% lower semen volume, and men with moderate depression had a 12.28% lower semen volume.
A clue to a man’s Longevity
Finally, Researchers from Denmark analyzed semen samples from nearly 80,000 men and tracked their mortality rates for up to 50 years and found a direct, linear relationship between lifespan and semen volume, even after correcting for multiple confounding variables.
Compared to a semen volume of 5 mL, each mL decline represented a large jump in all cause mortality, with 3 mL and under representing an almost 125% increase risk of death during the study time period.
Conclusions
The bottom line is that the results from decades of research show that not only is a man’s semen volume highly influenced by day to day lifestyle, exercise and nutritional habits, but also acts as a clear marker of overall health and longevity.
As Choy and Eisenberg stated in their 2018 paper Male infertility as a window to health “Semen quality and male infertility may be fundamental biomarkers of overall health and could serve as harbingers for the development of comorbidity and mortality.”
So despite the fact that semen can often be associated with sex, sexual arousal and even a kink or form of fetish, this doesn’t mean it can’t also be a valuable tool in assessing a man’s overall health.
For optimal health and longevity a man should aim to keep his semen volume as high as possible for as long as possible.
To improve your semen volume is to take many of the lifestyle approaches that are already considered healthy. Limit alcohol, caffeine and marijuana intake. Avoid lead and other heavy metal contaminants. Limit processed foods and stay hydrated.
Essential minerals like zinc and selenium can help as may ‘semen boosting’ supplements like Baker's.
Finally, do your best to avoid stress and get a good night’s sleep.
In summary, semen volume is a stigmatized yet highly useful measure that offers a practical, non-invasive insight into men's health.
References
Afeiche MC, Williams PL, Gaskins AJ, Mendiola J, Jørgensen N, Swan SH, Chavarro JE. Meat intake and reproductive parameters among young men. Epidemiology. 2014 May;25(3):323-30.
Agarwal R, Salas-Salvadó J, Davila-Cordova E, Shyam S, Fernández de la Puente M, Azurmendi MP, Babio N, Salas-Huetos A. Mediterranean Diet, Semen Quality, and Medically Assisted Reproductive Outcomes in the Male Population: A Systematic Review and Meta-Analysis. Adv Nutr. 2025 Aug;16(8):100454.
Alexander BH, Checkoway H, Faustman EM, van Netten C, Muller CH, Ewers TG. Contrasting associations of blood and semen lead concentrations with semen quality among lead smelter workers. Am J Ind Med. 1998 Nov;34(5):464-9.
Choy JT & Eisenberg ML. (2018) Male infertility as a window to health. Fertil Steril 110, 810–814.
Eisenberg ML, Kim S, Chen Z, Sundaram R, Schisterman EF, Buck Louis GM. The relationship between male BMI and waist circumference on semen quality: data from the LIFE study. Hum Reprod. 2014 Feb;29(2):193-200.
Eskenazi B, Wyrobek AJ, Sloter E, et al. The association of age and semen quality in healthy men. Hum Reprod. 2003;18:447–454.
Graziani A, Scafa R, Grande G, Ferlin A. Diabetes and male fertility disorders. Mol Aspects Med. 2024 Oct;99:101303.
Hehemann MC, Raheem OA, Rajanahally S, Holt S, Chen T, Fustok JN, Song K, Rylander H, Chow E, Ostrowski KA, Muller CH, Walsh TJ. Evaluation of the impact of marijuana use on semen quality: a prospective analysis. Ther Adv Urol. 2021 Jul 20;13:17562872211032484.
Hellstrom WJ, Overstreet JW, Sikka SC, et al. Semen and sperm reference ranges for men 45 years of age and older. J Androl. 2006;27:421–428.
Kulaksiz, D., Toprak, T., Tokat, E. et al. Sperm concentration and semen volume increase after smoking cessation in infertile men. Int J Impot Res 34, 614–619 (2022).
Lalinde-Acevedo PC, Mayorga-Torres BJM, Agarwal A, du Plessis SS, Ahmad G, Cadavid ÁP, Cardona Maya WD. Physically Active Men Show Better Semen Parameters than Their Sedentary Counterparts. Int J Fertil Steril. 2017 Oct;11(3):156-165.
La Vignera S, Vita R. Thyroid dysfunction and semen quality. Int J Immunopathol Pharmacol. 2018 Jan-Dec;32:2058738418775241.
Mehta S, Goyal L, Meena ML, Gulati S, Sharma N, Harshvardhan L, Jain G, Mehta S. Assessment of Pituitary Gonadal Axis and Sperm Parameters in Anemic Eugonadal Males Before and After Correction of Iron Deficiency Anemia. J Assoc Physicians India. 2018 Sep;66(9):11-12.
Nguyen-Thanh T, Hoang-Thi AP, Anh Thu DT. Investigating the association between alcohol intake and male reproductive function: A current meta-analysis. Heliyon. 2023 Apr 24;9(5):e15723.
Schlegel PN. Depression and semen quality. Fertil Steril. 2022 Jan;117(1):95.
Shi X, Chan CPS, Waters T, Chi L, Chan DYL, Li TC. Lifestyle and demographic factors associated with human semen quality and sperm function. Syst Biol Reprod Med. 2018 Oct;64(5):358-367.
Soliman A, Yassin M, De Sanctis V. Intravenous iron replacement therapy in eugonadal males with iron-deficiency anemia: Effects on pituitary gonadal axis and sperm parameters; A pilot study. Indian J Endocrinol Metab. 2014 May;18(3):310-6.
Sterling L, Carroll K, Harris LR. Laptop and tablet use and their influence on total motile s perm count parameters: are laptops linked to infertility in Jamaican men? Rev Int Androl. 2024 Dec;22(4):25-32.
Ye YX, Chen HG, Sun B, Chen YJ, Duan P, Meng TQ, Xiong CL, Wang YX, Pan A. Associations between depression, oxidative stress, and semen quality among 1,000 healthy men screened as potential sperm donors. Fertil Steril. 2022 Jan;117(1):86-94.