Xue Lei is a college student who just graduated. He likes watching science fiction movies the most, and occasionally he also watches some action movies that express passionate love. However, Xue Lei has been very distressed recently because he has experienced what he considers to be a serious case of Spermatorrhea, and the nocturnal emission has become regular, with almost 2-3 nocturnal emissions every week .
Sometimes it happens while dreaming, and sometimes it happens even without dreaming.
Then, the next day you will feel listless, unable to concentrate, your work efficiency will drop significantly, and sometimes you will even suffer from insomnia.
He felt very scared, and then sent a private message to Ding Ding to find out: Is this normal?
Ding Ding will take this opportunity to talk about the issue of ” nocturnal emission “!
What is spermatorrhea
As the body develops, the male genitals begin to mature, and the testicles continue to produce sperm , and the seminal vesicles and prostate begin to secrete seminal plasma . These substances are produced every day and stored in the epididymis . No matter how large the capacity of any warehouse is, as long as it continues to take in but not out, there will be a day when the warehouse will be unable to accommodate it.
This is the case with the epididymis, which acts as a ” semen bank “. Due to its limited capacity , when it cannot store any more semen , the phenomenon of ” semen overflowing ” will occur, which is called nocturnal emission.
Usually, nocturnal emission is divided into two categories. The one that occurs during sleep is called nocturnal emission ; the one that occurs while awake is called spermatorrhea . Both conditions are collectively called nocturnal emission.
Spermatorrhea is a sign that the male reproductive glands are beginning to mature. It usually begins to occur in men between the ages of 13 and 15 and is a normal physiological phenomenon.
However, according to the law of the unity of opposites of Marxist materialist dialectics, we can understand that:
Nocturnal emission is not always a normal physiological phenomenon. There are also abnormal situations, namely pathological nocturnal emission.
How to judge pathological spermatorrhea?
Generally speaking, single adult males have nocturnal emissions 1-2 times a week , and some men have slightly more, which is a normal physiological phenomenon. However, since it is not as regular as menstruation, it is difficult to judge whether it is normal or not.
To facilitate comparison and judgment, clinicians generally make diagnoses on a weekly or monthly basis.
By week:
When the frequency of nocturnal emission is > 2 times/week and cannot be controlled , causing serious physical and mental impact , it is called pathological nocturnal emission.
By month:
The normal number of nocturnal emissions for a normal person is 1-8 times per month. The frequency distribution can be even, with a nocturnal emission once every 1-2 weeks or once a day for several consecutive days in a short period of time. Both are within the normal range.
However, if it is more than 8 times a month , it should be considered a pathological phenomenon. Of course, it is obviously inaccurate to judge based on the number of nocturnal emissions, because everyone’s physical fitness is different.
Therefore, we also need to combine physical and psychological conditions for diagnosis .
- Weakness and anorexia due to excessive semen discharge
- Loss of appetite or anorexia can lead to further weakness
- Emotional stress, depression, poor concentration, memory loss, etc.
- Fatigue, back pain, dizziness
- Repeated urge to urinate
- abnormally fast heart rate
Therefore, if you have nocturnal emissions more than 2 times/week (8 times/month) , and then experience negative physical and psychological effects such as those mentioned above, you should consider pathological nocturnal emissions and go to the hospital for treatment in time.
Note : If the number of nocturnal emissions is normal, but physical or psychological conditions occur, you should go to the hospital for medical treatment in time.
What are the causes of pathological spermatorrhea?
At present, the mechanism of pathological spermatorrhea is still unclear, and there may be four reasons :
- Men have weak immunity, poor physical condition, and excessive fatigue, which can lead to organ damage, increasing the excitement of the erection center and ejaculation center , leading to nocturnal emission;
- Inflammatory irritation of the reproductive system ( prostatitis, urethritis, balanitis );
- Endocrine factors ( testosterone );
- Medical origin and drug and substance abuse ( surgery, drug use );
Because the pathogenesis of pathological nocturnal emission is still unclear, we need to provide targeted treatment when pathological nocturnal emission occurs.
Treatment of pathological spermatorrhea
1. General treatment
- Avoid drinking alcohol
- Eliminating tobacco consumption
- Reduce addiction to excessive sexual activity
- Healthy and balanced diet
- Increase fluid intake
2. Exploratory treatment In the article “A case report and literature review on the treatment of intractable spermatorrhea with paroxetine hydrochloride combined with kidney-tonifying Chinese medicine”: paroxetine hydrochloride combined with kidney-tonifying Chinese medicine can be tried to treat intractable spermatorrhea .
Doctors such as Zhao Yugengqiang speculated that the potential mechanism of pathological nocturnal emission is the balance between 5-HT1A and 5-HT2C receptors in the human body. Paroxetine hydrochloride can restore this balance and reduce the occurrence of nocturnal emission.
In the “Observation on the Efficacy of Tamsulosin Hydrochloride in Treating 60 Cases of Spermatorrhea”, it is proposed that:
The total effective rate of tamsulosin hydrochloride in treating pathological spermatorrhea is 73.3%. Tamsulosin hydrochloride has a rapid onset of action, high effective rate and good safety in treating spermatorrhea, but it is easy to relapse after discontinuation of the drug. It can be combined with traditional Chinese medicine treatment to consolidate the therapeutic effect.
Tintin Summary
At present, there is relatively little research on pathological nocturnal emission in China. Of course, various effective treatments still need to be explored and discovered.
Ding Ding believes that with the development of medical technology, there will be breakthroughs in the research and treatment of pathological nocturnal emission in the near future.
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