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Ejaculation

Anatomy and Physiology · NLM MeSH · updated 2026-10-31 · version 1

Citations verified against PubMedNot yet clinician-reviewed10 referencesApproximately 5 min read

The emission of semen to the exterior, resulting from the contraction of muscles surrounding the male internal urogenital ducts.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 4 complete abstracts (898 words), 10 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

The emission of semen to the exterior, resulting from the contraction of muscles surrounding the male internal urogenital ducts.

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Also known as: Ejaculations.

Where it fits in the MeSH classification

Broader topics
Reproduction
See also
Premature Ejaculation

Related concepts

  • Semen

Research landscape

PubMed indexes 6,840 records tagged with the MeSH heading “Ejaculation” (counts retrieved 2026-10-31). 610 of them (8.9%) were published from 2020 onward, and the busiest period so far is through 1999 with 3,385 records.

Reviews account for 772 records (11.3%) and meta-analyses for 59. Randomized controlled trials number 235 (3.4%) as a share of all records on the topic.

PubMed records by publication periodthrough 1999: 3,385 records; 2000-2009: 1,557 records; 2010-2019: 1,288 records; 2020 onward: 610 records3,385through 19991,5572000-20091,2882010-20196102020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 19993,385
2000-20091,557
2010-20191,288
2020 onward610
Share of records by publication typeReviews: 11.3 percent; Meta-analyses: 0.9 percent; Randomized controlled trials: 3.4 percentReviews11.3% (772)Meta-analyses0.9% (59)Randomized controlled trials3.4% (235)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 6,840 PubMed records
TypeRecordsShare
Reviews77211.3%
Meta-analyses590.9%
Randomized controlled trials2353.4%

Method: PubMed query "Ejaculation"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-31.

Reading the evidence in anatomy and physiology

Anatomy describes how body structures are built and physiology describes how they normally work, so most findings here are descriptive or mechanistic rather than evidence about treatment. Much of what is known comes from dissection, imaging, tissue studies and experiments in animals, and measurements in healthy volunteers can differ from those in people with disease or at different ages. Normal ranges vary between individuals and populations. Check whether a result was measured in people or in another species, the age and health of the participants, and the method used.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
The enigmatic seminal plasma: a proteomics insight from ejaculation to fertilization
Samanta L, Parida R, Dias TR, Agarwal A
2018Review article
Design not recorded in structured metadata
140cc by
PMID 29704899 · DOI · PMC5923003
Influence of ejaculation frequency on seminal parameters
Mayorga-Torres BJ, Camargo M, Agarwal A, du Plessis SS, Cadavid ÁP, Cardona Maya WD
2015Research article
Design not recorded in structured metadata
54cc by
PMID 25994017 · DOI · PMC4445565
Ejaculation in testicular cancer patients after post-chemotherapy retroperitoneal lymph node dissection
Jacobsen KD, Ous S, Waehre H, Trasti H, Stenwig AE, Lien HH, et al.
1999Research article
Design not recorded in structured metadata
51cc by
PMID 10390004 · DOI · PMC2363017
Male allocation to ejaculation and mating effort imposes different life history trade-offs
Chung MJ, Fox RJ, Jennions MD
2024Research article
Design not recorded in structured metadata
4cc by
PMID 38787858 · DOI · PMC11156437

The enigmatic seminal plasma: a proteomics insight from ejaculation to fertilization [1]

Review article Samanta L, Parida R, Dias TR, Agarwal A · · 2018 · cited 140 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
BackgroundThe 'omics' approach for a noninvasive diagnosis of male reproductive system disorders has gained momentum during the last decade, particularly from a screening and prognosis point of view.
Closing excerpt
Moreover, ART success rates may be improved by taking into account the critical role of seminal proteome in fertilization.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (188 words)

BackgroundThe 'omics' approach for a noninvasive diagnosis of male reproductive system disorders has gained momentum during the last decade, particularly from a screening and prognosis point of view. Due to the rapid development in assisted reproductive technologies (ART) over the years, the major focus of proteomic studies has been around the ejaculated spermatozoa. Although seminal plasma is not a requirement for ART, the question arose whether the role of seminal plasma is merely to transport spermatozoa.Main bodySeminal plasma (SP) contains a large diversity of proteins that are essential not only for sperm transport, but also for sperm protection and maturation. Most of the proteins bind to sperm surface through exosomes (epididymosomes and prostasomes), modulating sperm function, interaction with the female reproductive tract and finally fertilization. This review focuses on the state-of-art discoveries regarding SP proteome and its role in fertilization.ConclusionTissue-specific proteins in the SP have emerged as fundamental contributors for protein biomarker discovery. This is important for a noninvasive diagnosis of male infertility and development of new therapeutic approaches. Moreover, ART success rates may be improved by taking into account the critical role of seminal proteome in fertilization.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 29704899 · DOI · PMC5923003

Influence of ejaculation frequency on seminal parameters [2]

Research article Mayorga-Torres BJ, Camargo M, Agarwal A, du Plessis SS, Cadavid ÁP, Cardona Maya WD · · 2015 · cited 54 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
BackgroundSeveral factors have been shown to influence semen parameters, one of which is sexual abstinence; a clinical criteria included in the semen evaluation to provide maximum sperm quality.
Closing excerpt
ConclusionsThe study shows that an extended 2 week period of daily ejaculation does not have major clinical effects on conventional and functional seminal parameters.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (220 words)

BackgroundSeveral factors have been shown to influence semen parameters, one of which is sexual abstinence; a clinical criteria included in the semen evaluation to provide maximum sperm quality. The aim of the present study was to assess the effect of a daily ejaculation frequency on conventional and functional semen parameters.MethodsSemen samples were collected daily over a period of two weeks of which every second sample per person was processed and analyzed according to the World Health Organization guidelines. Furthermore, mitochondrial function, intracellular reactive oxygen species production and sperm DNA fragmentation were evaluated by flow cytometry.ResultsTotal sperm count and seminal volume per ejaculation declined and remained decreased for the duration of the daily ejaculation period. However, conventional parameters such as sperm concentration, motility, progressive motility, morphology, vitality and functional parameters such as sperm plasma membrane integrity, mitochondrial membrane potential and DNA fragmentation was not significantly affected and remained similar to the initial measurement throughout the daily ejaculation period. Despite intra- and inter individual variations, the average values of the basic semen parameters remained above the WHO (2010) reference values throughout the daily ejaculation period. Interestingly, a decreasing trend in intracellular ROS production was observed, although statistically not significant.ConclusionsThe study shows that an extended 2 week period of daily ejaculation does not have major clinical effects on conventional and functional seminal parameters.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 25994017 · DOI · PMC4445565

Ejaculation in testicular cancer patients after post-chemotherapy retroperitoneal lymph node dissection [3]

Research article Jacobsen KD, Ous S, Waehre H, Trasti H, Stenwig AE, Lien HH, et al. · · 1999 · cited 51 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
The purpose of this study was to evaluate fertility after different types of post-chemotherapy retroperitoneal lymph node dissection (RPLND).
Closing excerpt
Post-treatment fatherhood can be achieved in at least 50% of the patients attempting paternity.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (218 words)

The purpose of this study was to evaluate fertility after different types of post-chemotherapy retroperitoneal lymph node dissection (RPLND). During 1980-1994, 192 patients with metastatic testicular cancer underwent post-chemotherapy RPLND with a gradual shift from modified bilateral template RPLND to nerve-sparing RPLND. Modified bilateral template RPLND was done in 92% of the patients operated during 1980-1984 as compared to 16% during 1989-1994. Pre- and post-treatment fertility was assessed by microscopic sperm analysis, determination of serum FSH and information on ejaculation and paternity. There was no significant difference of the survival rates between the three treatment periods. Antegrade ejaculation was preserved in 11% of the patients after modified bilateral template RPLND as compared to 89% after the nerve-sparing operation technique. The median ejaculatory volume decreased post-operatively, serum FSH increased and sperm density remained unchanged. Fifty-six patients attempted fatherhood after their treatment, and 27 fathered at least one child after an observation-time of 55 months, nine of them by assisted fertilization. Patients with initially advanced testicular cancer but limited residual retroperitoneal masses after induction chemotherapy can safely undergo limited post-chemotherapy RPLND as a part of multimodality treatment. After nerve-sparing RPLND antegrade ejaculation is preserved in 89% of the patients though the ejaculatory volume decreases after RPLND. Post-treatment fatherhood can be achieved in at least 50% of the patients attempting paternity.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 10390004 · DOI · PMC2363017

Male allocation to ejaculation and mating effort imposes different life history trade-offs [4]

Research article Chung MJ, Fox RJ, Jennions MD · · 2024 · cited 4 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
When males compete, sexual selection favors reproductive traits that increase their mating or fertilization success (pre- and postcopulatory sexual selection).
Closing excerpt
Instead, we provide clear evidence that allocation into traits under pre- and postcopulatory sexual selection have different trait-specific effects on subsequent male reproductive performance.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (272 words)

When males compete, sexual selection favors reproductive traits that increase their mating or fertilization success (pre- and postcopulatory sexual selection). It is assumed that males face a trade-off between these 2 types of sexual traits because they both draw from the same pool of resources. Consequently, allocation into mate acquisition or ejaculation should create similar trade-offs with other key life history traits. Tests of these assumptions are exceedingly rare. Males only ejaculate after they mate, and the costs of ejaculation are therefore highly confounded with those of mating effort. Consequently, little is known about how each component of reproductive allocation affects a male's future performance. Here, we ran an experiment using a novel technique to distinguish the life history costs of mating effort and ejaculation for mosquitofish (Gambusia holbrooki). We compared manipulated males (mate without ejaculation), control males (mate and ejaculate), and naïve males (neither mate nor ejaculate) continuously housed with a female and 2 rival males. We assessed their growth, somatic maintenance, mating and fighting behavior, and sperm traits after 8 and 16 weeks. Past mating effort significantly lowered a male's future mating effort and growth, but not his sperm production, while past sperm release significantly lowered a male's future ejaculate quantity, but not his mating effort. Immune response was the only trait impacted by both past mating effort and past ejaculation. These findings challenge the assumption that male reproductive allocation draws from a common pool of resources to generate similar life history costs later in life. Instead, we provide clear evidence that allocation into traits under pre- and postcopulatory sexual selection have different trait-specific effects on subsequent male reproductive performance.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 38787858 · DOI · PMC11156437

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article The neurobiological approach to premature ejaculation [5]
    Waldinger MD · J Urol · 2002 · cited 279 times (Europe PMC)
  • Research article Premature ejaculation and serotonergic antidepressants-induced delayed ejaculation: the involvement of the serotonergic system [6]
    Waldinger MD, Berendsen HH, Blok BF, Olivier B, Holstege G · Behav Brain Res · 1998 · cited 225 times (Europe PMC)
  • Research article Relevance of methodological design for the interpretation of efficacy of drug treatment of premature ejaculation: a systematic review and meta-analysis [7]
    Waldinger MD, Zwinderman AH, Schweitzer DH, Olivier B · Int J Impot Res · 2004 · cited 213 times (Europe PMC)
  • Research article The sixth edition of the WHO Laboratory Manual for the Examination and Processing of Human Semen: ensuring quality and standardization in basic examination of human ejaculates [8]
    Björndahl L, Kirkman Brown J, other Editorial Board Members of the WHO Laboratory Manual for the Examination and Processing of Human Semen · Fertil Steril · 2022 · cited 175 times (Europe PMC)
  • Research article Disorders of orgasm and ejaculation in men [9]
    Rowland D, McMahon CG, Abdo C, Chen J, Jannini E, Waldinger MD, et al. · J Sex Med · 2010 · cited 173 times (Europe PMC)
  • Research article Central regulation of ejaculation [10]
    Coolen LM, Allard J, Truitt WA, McKenna KE · Physiol Behav · 2004 · cited 167 times (Europe PMC)

References

  1. Samanta L, Parida R, Dias TR, Agarwal A. The enigmatic seminal plasma: a proteomics insight from ejaculation to fertilization. . 2018. PMID 29704899 · DOI · PMC5923003
  2. Mayorga-Torres BJ, Camargo M, Agarwal A, du Plessis SS, Cadavid ÁP, Cardona Maya WD. Influence of ejaculation frequency on seminal parameters. . 2015. PMID 25994017 · DOI · PMC4445565
  3. Jacobsen KD, Ous S, Waehre H, Trasti H, Stenwig AE, Lien HH, et al.. Ejaculation in testicular cancer patients after post-chemotherapy retroperitoneal lymph node dissection. . 1999. PMID 10390004 · DOI · PMC2363017
  4. Chung MJ, Fox RJ, Jennions MD. Male allocation to ejaculation and mating effort imposes different life history trade-offs. . 2024. PMID 38787858 · DOI · PMC11156437
  5. Waldinger MD. The neurobiological approach to premature ejaculation. J Urol. 2002. PMID 12441918 · DOI
  6. Waldinger MD, Berendsen HH, Blok BF, Olivier B, Holstege G. Premature ejaculation and serotonergic antidepressants-induced delayed ejaculation: the involvement of the serotonergic system. Behav Brain Res. 1998. PMID 9638953 · DOI
  7. Waldinger MD, Zwinderman AH, Schweitzer DH, Olivier B. Relevance of methodological design for the interpretation of efficacy of drug treatment of premature ejaculation: a systematic review and meta-analysis. Int J Impot Res. 2004. PMID 14961051 · DOI
  8. Björndahl L, Kirkman Brown J, other Editorial Board Members of the WHO Laboratory Manual for the Examination and Processing of Human Semen. The sixth edition of the WHO Laboratory Manual for the Examination and Processing of Human Semen: ensuring quality and standardization in basic examination of human ejaculates. Fertil Steril. 2022. PMID 34986984 · DOI
  9. Rowland D, McMahon CG, Abdo C, Chen J, Jannini E, Waldinger MD, et al.. Disorders of orgasm and ejaculation in men. J Sex Med. 2010. PMID 20388164 · DOI
  10. Coolen LM, Allard J, Truitt WA, McKenna KE. Central regulation of ejaculation. Physiol Behav. 2004. PMID 15488540 · DOI

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-10-31; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-10-31.

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At a glance

6,840
PubMed records on this heading
9%
published since 2020
772
review articles
235
randomized trials
10
verified references below

Counts come from PubMed on 2026-10-31; they show how much has been written, not how strong the evidence is.

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