Patient's question:
I am nineteen years old this year. After following the guidance of the doctors on your website, I have been taking Liuwei Dihuang Pills and exercising to treat premature ejaculation. I have already taken 5 bottles, but it hasn't been effective yet. I feel constantly weak in the waist and legs. What should I do?Doctor's answer:
Hello: Emission without sexual activity is called nocturnal emission. Nocturnal emission is a common physiological phenomenon in males after puberty. Unmarried men, under normal circumstances, may experience nocturnal emission 1 to 2 times a month, known as "fullness and spontaneous discharge." If the frequency of nocturnal emission exceeds the normal range, accompanied by clinical symptoms such as fatigue, dizziness, insomnia, disturbed dreams, soreness in the lower back and knees, and weakness in the limbs, it is considered frequent nocturnal emission. There are multiple causes for frequent nocturnal emission, but most are functional, such as a lack of sexual knowledge; excessive concentration on sexual matters, with the cerebral cortex always maintaining a sexual excitatory focus, which can trigger spinal cord central excitation at any time; mental tension, anxiety, and fear, leading to muscle tension and increased muscle activity; excessive fatigue, chronic diseases, physical weakness, and malnutrition, disrupting ejaculation function. Additionally, reproductive system disorders, such as prostatitis, seminal vesiculitis, phimosis, excessive prepuce, and balanoposthitis, can cause inflammation and congestion, making the penis prone to erection, all of which may lead to frequent nocturnal emission.In daily life, wearing tight pants, having overly warm or heavy bedding during sleep, playing with sexual organs before bed, and regularly consuming stimulating foods or drinking strong alcohol can easily induce penile erection and genital congestion, also causing nocturnal emission.
In summary, there are many causes that can trigger frequent nocturnal emission, and sometimes it is not due to a single reason but rather a combination of multiple factors. Treatment should target the specific causes and take corresponding measures. It is essential to acquire scientific sexual knowledge, maintain a regular lifestyle, focus energy on studies and work, avoid supine sleeping positions, refrain from wearing tight pants, drinking alcohol, and consuming harmful stimulating foods. Pay attention to hygiene of the external genitalia, regularly clean them, and remove smegma from the prepuce. If the condition is due to chronic urogenital inflammation or other local lesions, timely anti-inflammatory treatment should be administered.