Patient's question:
I didn't realize I had nocturnal emissions while sleeping; I only found out after waking up, and I didn't have any dreams. Recently, during sexual activity, I haven't experienced any pleasure during ejaculation, and it feels more like the semen is leaking out rather than being released. I have been having sex for about three years. For the first two years, I had pleasure during ejaculation, and my nocturnal emissions were normal. However, in the past year and a half, they have become irregular. In the past, I had slightly more frequent sexual activity, but it wasn't too frequent. What could be the reason for this?Doctor's answer:
This may be a manifestation of nocturnal emission, most commonly caused by inflammation of the reproductive system, such as prostatitis or seminal vesiculitis. You can undergo routine prostatic fluid tests, magnetic resonance imaging, and other examinations to get a thorough check. It may also affect the sensitivity of the sexual nerves. For a definitive diagnosis, further treatment should be considered. The condition of nocturnal emission tends to recur, requiring long-term oral medication. For male patients, it is important to seek medical attention promptly at professional and reputable hospitals. Treatment should be planned based on examination results. Additionally, it is advisable to restrict sexual activity and maintain a positive mood.