Is it normal for a man not to have sexual activity for a month without ejaculation?

Patient's question:

Previously, I usually experienced nocturnal emissions once a week, but for the past one and a half months, I haven't had any at all. Is it normal for a man not to have nocturnal emissions for a month without sexual activity?

Doctor's answer:

Ejaculation is a relatively normal physiological condition in men, occurring approximately three times a month on average. If there is a normal sex life, the frequency of ejaculation will correspondingly decrease. It is recommended to closely monitor the situation. If there are no symptoms such as fatigue, night sweats, fear of cold, or fear of heat, no treatment or medication is necessary. It is important to pay attention to health maintenance in daily life. Ejaculating three or four times a month is normal, but frequent ejaculation is not a normal.

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