What is the reason for reducing the amount of ejaculate?

Alexander, 27 years: Hello! Concerned about the decrease in sperm! Had 3 Varicocele on the left (operated). When handed over spermogrammu, it was 7.4 ml, and after, that is, at the present time, and up to 1.5-2 ml does not hold well, very little! What happened???

And yet there is discomfort in the coccyx, rectal area, buttocks, and recalls that all the stiffness or hardening. In General, it is not clear what it is, but very worried! When I was checking the prostate for the first time, said about chronic prostatitis (although tests did not confirm this diagnosis). Another urologist during the inspection claimed that prostatitis no!

The sensitivity of the penis (head) is also very dropped, its almost not at all. At the same time, back problems is not watched (MRIs), injuries of the pelvis and the back was not! I suspect that this is the tearing of the frenulum, it usually destroys her nerve endings -- Not sex, and flour!!!

I don't smoke and alcohol is not abused. After surgery, re-spermogrammu handed, as the eye can see that there is a problem! Sorry: down with the 7.4 ml to 1.5 ‒ this is very suspicious, the difference in 6 ml!!!

Please comment on these two questions. Is there a connection between them or is it, as I understand it, two different organic problems?
 

The answer of the doctor-doctor: Hello, Alexander! Semen volume can vary as a result of various diseases of the reproductive system (testicles, prostate, seminal vesicles), hormonal diseases. I recommend first to examine the total testosterone, LH, FSH, SHBG, inhibin b, prolactin, TSH, blood sugar. On the second issue, additionally, perform a TRUS prostate+total PAP smear+PCR+secret of a prostate). I wish you health.