Does nocturnal emission count as a one-time sexual activity?

Patient's question:

In the past year, I haven't had a girlfriend or engaged in sexual activity. I've noticed that cases of nocturnal emissions occur frequently. Is nocturnal emission considered sexual activity?

Doctor's answer:

Ejaculation during sleep does not count as sexual activity. It generally occurs in men who do not engage in sexual activity or masturbation, and it is a normal physiological response. Under normal circumstances, experiencing it once a week is normal, and it can also occur three to four times within a month. However, if it happens frequently alongside masturbation or sexual activity, it is not normal. Additionally, exceeding the normal frequency is also abnormal.

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