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 my 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, experience nocturnal emission 1 to 2 times a month, which is known as "fullness and spontaneous discharge." If the frequency of nocturnal emission exceeds the normal range and is accompanied by clinical symptoms after emission, 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; overexertion, chronic illness, physical weakness, and malnutrition, which disrupt 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, and may also lead to frequent nocturnal emission.Furthermore, in daily life, wearing tight pants, having excessively warm or heavy bedding during sleep, playing with the genital organs before bed, and regularly consuming stimulating foods or drinking strong alcohol can easily induce penile erection and genital congestion, also contributing to 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 address the specific causes and take corresponding measures, including acquiring scientific sexual knowledge, maintaining a regular lifestyle, focusing energy on studies and work, avoiding supine sleeping positions, not wearing tight pants, not drinking alcohol, and avoiding poor-quality stimulating foods. It is also important to pay attention to hygiene of the external genital organs, regularly clean them, and remove smegma from the prepuce. If the frequent nocturnal emission is due to chronic urogenital inflammation or other local lesions, timely anti-inflammatory treatment should be administered.