There are physiological and pathological reasons for semen leakage twice a week. 1. Physiological: It is a normal phenomenon for young men to have spermatozoa twice a week. Young men due to strong spermatogenesis, normal testicular function, will produce a large number of sperm and semen, sperm in the epididymis after the maturation of the storage in the seminal vesicles, due to the seminal vesicles to store more semen will be semen, this is a normal physiological phenomenon. 2. Pathological: If spermatorrhea occurs twice a week despite normal sexual life, and is accompanied by symptoms such as lumbar and knee soreness, dizziness, fatigue and other discomforts, then it is called pathological spermatorrhea. The patient’s semen is not leaked on its own due to sexual intercourse, which can affect a person’s physical and mental health. Neurasthenia, prostatitis, seminal vesiculitis or phimosis may cause seminal emission, patients need to go to the hospital to find out the specific cause of the disease, under the guidance of the doctor for treatment.