Patient's question:
I am 25 years old and unmarried. Since entering puberty, I have experienced frequent nocturnal emissions, occurring about five to six times a month, and they are always accompanied by dreams. I also tend to have vivid dreams during sleep. I have a habit of masturbation, where the sessions are usually intense, with ejaculation occurring in just one minute. During sexual activity, the duration is also very short, lasting only one minute with a few thrusts before feeling intensely aroused 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 and stimulation from smegma can lead to reflexive nocturnal emissions. Inflammations in areas such as the foreskin, glans, urethra, prostate, and seminal vesicles may also cause nocturnal emissions, but most cases are due to a lack of sexual knowledge, exposure to pornographic books or videos, which lead to penile erection and ejaculation. Generally, ejaculation can occur after masturbation, but nocturnal emissions and masturbation are not directly related. 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, but it is also possible that it is 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 visit a hospital for examination, such as a prostatic fluid test or a semen test.