Hello,
As per my clinical experience:
1. The passing of semen at early morning is called Night fall, which is absolutely normal physiologic condition happening in almost all of the adult personnel due to hormone changes levels in parts of sleep cycles. It is not a disease and does not require any therapy.
2. The involuntary passing of liquid while coughing, bending, hard work or exercise indicates
stress urinary incontinence, due to weakness of
pelvic floor muscles. This issue requires consultation with an expert
Urologist for uroflowmetry evaluation and further management.
3. Itching ass for a long period of time does not
pause with this type of leakage of urine or semen.
However, if you are having any of the reports available with you, kindly share with me during follow up period so that better healthy discussion can be progressed.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Bhagyesh V. Patel, General Surgeon