Patient's question:
Detailed medical condition and consultation purpose: Lately, I've been having nocturnal emissions every night. What could be the reason? Do I need to take any medication? Thank you!Doctor's answer:
Hello: Is the situation you mentioned premature ejaculation? 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 1-2 nocturnal emissions per month, known as "fullness overflow." If the frequency of nocturnal emissions 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 matters, with the brain cortex always maintaining a sexual excitation focus, which can trigger spinal cord excitement at any time; mental tension, anxiety, and fear, leading to muscle tension and increased muscle activity; overexertion, chronic illnesses, 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.Moreover, in daily life, wearing tight pants, having excessively warm or heavy bedding during sleep, playing with the 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 it is often not a single reason but 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 sleeping on your back, not wear tight pants, abstain from alcohol, and avoid consuming unhealthy foods.