Patient's question:
I am 25 years old and unmarried. Since entering puberty, I have been experiencing frequent nocturnal emissions, occurring about five to six times a month, and they are always accompanied by dreams. I also sleep with vivid dreams. I have a habit of masturbation, and during masturbation, the stimulation is intense, with ejaculation occurring in just one minute. My sexual performance is also very short, lasting only one minute with a few thrusts before feeling extremely intense and wanting to ejaculate.Doctor's answer:
The main cause of nocturnal emissions is the weakening of the inhibitory process in the cerebral cortex and the enhancement of the excitability of the sexual center. When exposed to relevant sexual stimuli, nocturnal emissions often occur. Tight underwear, stimulation from smegma, etc., can lead to reflexive nocturnal emissions. Inflammations in areas such as the foreskin, glans, urethra, prostate, and seminal vesicles may also cause nocturnal emissions. However, most cases are due to a lack of sexual knowledge, exposure to pornographic materials, or erections and ejaculation caused by watching pornographic books or videos. Generally, nocturnal emissions can occur after masturbation, but there is no direct relationship between nocturnal emissions and masturbation. The above situations describe the triggers of nocturnal emissions. As for the occurrence of yellow semen, it may be due to prolonged abstinence and prolonged semen retention. However, it is not ruled out that it may be caused by inflammatory stimulation, such as prostatitis or seminal vesiculitis. If accompanied by symptoms such as damp scrotum and abnormal urination, it is recommended to seek medical attention for tests, such as a prostatic fluid examination or a semen examination.