Patient's question:
Twenty-nine years old, there have been three cases of nocturnal emissions in thirteen days this month. Is it pathological?Doctor's answer:
Hello, the phenomenon of semen leakage without sexual intercourse is called nocturnal emission. After males reach puberty, the testicles continuously produce sperm, and the seminal vesicles and prostate continuously produce seminal fluid. Semen is a mixture of sperm and seminal fluid. When it accumulates to a certain quantity that cannot be stored anymore, it may leak out under the influence of psychological and neurological factors, which is what is meant by "when the essence is full, it overflows." This type of nocturnal emission that occurs during sleep with dreams is called "dream emission," while that which occurs when awake is called "slippery emission."For healthy unmarried men, having one or two nocturnal emissions per month is a normal physiological phenomenon. Since each emission releases about 3 milliliters of semen, which is mainly water in addition to sperm, with very little protein, fat, and sugar, the nutrients released over a few days are negligible and do not affect overall health. If nocturnal emissions occur several times a week or several times a night, this should be considered abnormal.
After marriage, with the establishment of normal sexual life, nocturnal emissions naturally decrease, but they do not completely stop. For married men who are separated from their spouses, having one or two nocturnal emissions per month is still a normal physiological phenomenon. However, if nocturnal emissions still occur during cohabitation, with one or two emissions every day or several times a night, accompanied by symptoms such as fatigue, dizziness, weakness, lower back pain, and leg weakness, this is no longer normal.
Nocturnal emissions in married men are primarily caused by dysfunction in the cerebral cortex and spinal cord centers, as well as certain diseases of the reproductive system. Examples include severe neurasthenia, smegma inflammation, balanitis, posturethral inflammation, prostatitis, seminal vesiculitis, and seminal colliculus inflammation, as well as certain chronic