Patient's question:
During an erection, a man may feel as if sperm is about to come out. What's going on?Doctor's answer:
Ejaculation is a physiological phenomenon, referring to the spontaneous discharge of semen without sexual intercourse. It can be classified as either physiological or pathological. In traditional Chinese medicine, the phenomenon of semen leakage is known as "" (unconscious ejaculation) or "" (loss of semen). If it occurs during dreams, it is called "" (dream ejaculation), while if it happens without dreams, or even when awake, it is referred to as "" (slippery ejaculation). It is often caused by kidney deficiency leading to a weak "semen gate," or by an imbalance between the heart and kidneys, or by damp-heat accumulation in the lower body. In Western medicine, it can be associated with conditions such as phimosis, excessive foreskin, urethritis, or prostate disorders. Dream ejaculation is often an early stage of (awake slippery ejaculation), and both "" and "" are different manifestations of ejaculation, ranging from mild to severe. It is important to note that ejaculation is not menstruation, so it does not follow a regular pattern. If you used to experience it but no longer do, that is perfectly normal. Especially as men enter middle age, it rarely occurs. If it persists for a long time, you can take Liuwei Dihuang Wan (a traditional Chinese medicine). For non-gonococcal urethritis, a urine test can be helpful. I also suffered from it and have since recovered.