Patient's question:
Frequent nocturnal emissions, feeling tired and weak the next day. Can medication be used to suppress this, or how should it be properly guided? Thank youDoctor's answer:
Hello: Emission without sexual intercourse 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, known as "full semen spontaneously overflowing." If the frequency of nocturnal emission exceeds the normal range and is accompanied by clinical symptoms after emission, such as fatigue, dizziness, insomnia, frequent dreams, soreness in the lower back and knees, and weakness in the limbs, it is considered frequent nocturnal emission. There are many causes of frequent nocturnal emission, but most are functional, such as a lack of sexual knowledge; excessive concentration on sexual issues, with the brain 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, which may also lead to frequent nocturnal emission.Furthermore, 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 address different causes with corresponding measures, acquire scientific sexual knowledge, maintain a regular lifestyle, focus energy on studies and work, avoid supine sleeping positions, not wear tight pants, refrain from drinking alcohol and consuming harmful stimulating foods, and pay attention to the hygiene of the external genitalia.