Definition of seminal emission
It is a physiological phenomenon that refers to the self-ejaculation of semen without sexual intercourse, with a difference between physiological and pathological. It is called “dream spermatorrhea”, while spermatorrhea without dreams, or even sperm slipping out on its own when awake, is called “spermatorrhea”. Most of them are caused by kidney deficiency, or heart-kidney disconnection, or damp-heat injection. In western medicine, it can be seen in circumcision, prepuce, urethritis, prostate disorders and so on. Dreaming and spermatorrhea is often the first stage of waking spermatorrhea, and dreaming and spermatorrhea are two different symptoms of spermatorrhea with different severity. It should be noted that seminal emission is not menstruation, so there is no regularity to it. It is normal to have seminal emission before, but now it disappears. Especially when men enter middle age, it almost stops happening.
Non-dream seminal emission: Self-emission of semen in non-coital situations is called seminal emission, also known as ejaculation and loss of semen. Spermatorrhea in dreams is called dream spermatorrhea; spermatorrhea without dreams is called slippery sperm.
Dream emission:Dream emission refers to the evidence of semen emission during sleep, which is known only after waking up. Dream emission can be the result of sexual dreams, or it can be the result of too warm bedding, too tight underwear, stimulation of the penis by the clothes or pressure on the penis. The sexual dream before the dream loss may be very vague, and some of them cannot recall the main episodes of the sexual dream after the dream loss. It may also be very clear, with some people waking up early in the morning with a clear recollection of the events that took place in the dream. In reality, sex dreams are subconscious responses, often linked in some way to fantasies and experiences.
There are deficiencies and realities in dreaming, and there are first real and then deficiencies. The disease process for a long time to deficiency evidence is more common, or deficiency mixed with the real. The deficiency is divided into Yang deficiency and Yin deficiency. Yang deficiency is caused by the lack of sperm, mostly due to congenital deficiency, excessive masturbation, early marriage and indiscipline in sexual intercourse. If the kidney is Yin deficient, Yin deficiency will lead to fire, and seminal chamber will be disturbed and seminal emission. But these elements are not recognized by Western medicine, and there are no scientific experiments that can prove that these can lead to seminal emission.
According to the ancients, “seminal emission is not separate from kidney disease, but it should also be in the heart of the king. The Ming dynasty doctor Dai Yuanli said in his book “The Essential Evidence? Spermatorrhea” said: “There are excessive intention, the heart does not take the kidneys, resulting in the loss of semen; there is because of the thought of lust is not, semen color out of place, semen and out of those ……” to the Qing Dynasty, spermatorrhea pointed out that “there are dreams for the heart disease, no dream for the kidney disease.” The one who dreams of spermatorrhea is called dream spermatorrhea; the one who does not dream but spermatorrhea is called slippery sperm”. It is also divided into dream emission and slippery semen, which has been used by later medical practitioners to this day. It is difficult to separate them in the clinical diagnosis and treatment, so they are collectively called spermatorrhea.
Physiological seminal emission and pathological seminal emission: Seminal emission can be divided into physiological seminal emission and pathological seminal emission, mainly from age, physical state, erection of the penis during seminal emission, semen quality and self-conscious symptoms after seminal emission to identify.
Physiological ejaculation is usually seen in young adults, unmarried or separated after marriage, healthy and energetic, or healthy people who are easily agitated by events or strained by labor. Generally, the seminal emission is once every two weeks or longer, and the semen is thick and voluminous. Erection of the penis is normal during seminal emission and is not accompanied by other symptoms.
Pathological seminal emission is mostly seen in middle-aged and old people, or those with congenital physical deficiencies, i.e. people who have a pale complexion, are physically tired, smoke a lot, drink alcohol in excess, eat too much fat and sweet, have a fat or weak body, often masturbate, have excessive intercourse, and have inappropriate sexual desire. The ejaculation is frequent, some of them are ejaculated at night, or the semen comes out when they are awake, the amount of semen is small and thin, the erection of the penis is not firm when ejaculating, or it cannot be erected at all, and after ejaculation there are symptoms such as mental fatigue, lumbar and knee weakness, tinnitus and dizziness, and physical weakness.
Etiology and pathogenesis of seminal emission
Etiology
Seminal emission refers to the phenomenon of ejaculation without sexual intercourse, according to statistics, 80% of men have this phenomenon, which occurs mostly at night during sleep, and the frequency of seminal emission can generally vary from once every 1-2 weeks to once every 4-5 weeks, which is normal. If you have seminal emission several times a week or several times a night, it is a pathological phenomenon. The main cause of seminal emission is the dysfunction of the cortical center and spinal cord center, as well as due to certain diseases of the reproductive system, which are described as follows.
Mental factors: Due to the excessive sexual requirements can not be restrained, especially in the sleep before the thought of prostitution caused by sexual excitement, a long time so that the central nerve of sexual activity is stimulated and caused by spermatorrhea (such as often read obscene books, obscene paintings, resulting in the impulse to spermatorrhea).
Weakness: The function of each organ is not sound enough, such as the cerebral cortex is not fully functional, losing control of the lower sexual center, and the excitability of the erection center and ejaculation center is increased, spermatorrhea can also occur.
Local lesions: Local lesions of sexual organs or urinary system, such as prepuce, prepuce, urethritis, prostatitis, etc. These lesions can stimulate the sexual organs and ejaculation can occur. Clinical manifestations of seminal emission
Psychological factors: due to the lack of knowledge about sex, excessive concentration of thoughts on sexual problems, easy acceptance of sexual stimulation, so that the cerebral cortex persists in sexual excitement, thus inducing seminal emission.
Environmental influence of sexual stimulation: the sexually stimulating shots in yellow books or movies stimulate the brain and induce ejaculation.
Excessive fatigue: excessive physical or mental labor makes the body tired, sleeps deeply, and strengthens the activity of the subcortical centers of the brain and causes ejaculation.
Inflammatory stimulation: Ejaculation occurs due to inflammation of external genitalia and accessory gonads, such as stimulation of glansitis, prostatitis, vesiculitis, epididymitis, etc.
Physical factors: sleeping on your back, warm and heavy bedding stimulates and compresses the external genitalia, or wearing tight-fitting clothes and pants, fetters squeeze the erect penis, and induces seminal emission.
The sperm is full and overflowing: men’s testicles keep producing sperm, and the seminal vesicle gland and prostate gland also keep producing secretions. When the body is stored to a certain amount, semen is automatically discharged from the urethra.
The ejaculation of semen occurs during non-intercourse: 2~3 times a night or more than 2 times a week, or the semen slips out since when awake, accompanied by depression, dizziness and tinnitus, insomnia and dreaminess, fatigue, weakness of the waist and knees, memory loss, etc.
Due to the influence of traditional concepts, many people believe that seminal emission will lose the essence of the body and hurt the “vitality”. Some young people think about sperm loss almost every day, thinking that sperm loss is a big injury to the vital energy, “one drop of sperm ten drops of blood” and so on. In fact, this is a socially circulated misconception that lacks scientific basis. Medical doctors have done a lot of laboratory analysis on semen, proving that the main component of semen is water, with only a small amount of protein, sugar and inorganic salts, and each discharge is 2-3 ml, which is equivalent to a few percent or even a few thousandths of the daily nutrition. Therefore, Western medicine believes that seminal emission is not harmful to health.
Treatment of seminal emission
The main treatment for seminal emission is to treat the cause, first of all, to learn about sex, to establish a normal sexual life routine, to avoid excessive excitement of the sexual organs, to strengthen physical exercise, to enhance the body’s physical fitness, to use the main energy to study and work. In addition, in the sleep is to take the side position, avoid supine, because supine hand pressed on the abdomen, the cover is also pressed on the abdomen. Do not wear pants that are too tight and too narrow, because these can stimulate the genital organs and cause sexual excitement and produce the main seminal emission. For spermatorrhea caused by diseases of the sexual organs and lower urinary tract, treatment must be given for the cause, such as circumcision or prepuce, which requires surgery, urethritis or prostatitis, which can be treated with antibiotics, and spermatorrhea caused by neurasthenia, which can be treated with appropriate oral sedatives in severe cases.
Spermatorrhea begins 1-2 years after the launch of puberty and can occur until a person reaches old age. Spontaneous ejaculation without masturbation or stimulation of sexual intercourse that occurs in men during waking hours is called “spermatorrhea”. In essence, there is no big difference between slippage and dream emission. Women can also have wet dreams of heavy vaginal discharge during sleep, but it generally doesn’t cause them any more confusion. Men are different. Many men may view seminal emission, a normal physiological phenomenon, as a medical condition and become concerned about the frequency of seminal emission, whether it is accompanied by sexual dreams, its effect on male sexual function and fertility, and so on. In addition, people are also concerned about its historical background and its relationship with puberty. Only by clarifying these issues can we treat it correctly and eliminate all the psychological burdens of adolescents.
Spermatorrhea rarely occurs in boys under 12 years of age, the incidence of spermatorrhea in boys at 14 years of age is 25%, at 16 years of age is 55%, at 18 years of age is 70%, at 20 years of age is 75-80%, and by 45 years of age at least 90% of men have had spermatorrhea in some situation. 40% of women will have sexual dreams of reaching orgasm. So, sooner or later, the majority of adolescent boys will experience seminal emission, the incidence of which averages 1 time per week and can be as low as 0.5 times per week or as many as several times per week, it is normal.
Boys from families with higher socioeconomic status and those with more education are more likely to have ejaculation, probably because these men have a greater capacity for sexual fantasies and dreams, and because they have fewer other avenues for sexual release. Not surprisingly, single adult men and divorced men will have a higher incidence of ejaculation than married men. There is no doubt that incarcerated men have a higher incidence of ejaculation than men who live freely.
Ejaculation can account for 8% of all sexual outlets for single men with a secondary school education and 10%-16% of all sexual outlets for single men with a college education. Married men have 2-6% of their orgasms from seminal emission. In men, seminal emission is most common during the period from puberty to the age of 30.
The peak age of sexual dreams in women is later than in men, mostly in the 30-50 age group. For example, a 38-year-old woman who had been married for 15 years complained of frequent sexual dreams, but it turned out that in recent years she had sex with her husband only 1-2 times/month. As a result of frequent sexual dreams, she suspected whether she was hypersexual or unchaste and felt anxious and depressed about it. At her age, which is the peak age for women to have sexual dreams, and with such a poor sex life, it is completely understandable that sexual dreams occur.
Seminal emission can be the result of sexual dreams or the result of mere tactile stimulation of the genitals by underwear or quilts. Seminal emission with dreams is called dream emission, while seminal emission without dreams is called seminal emission. For example, seminal emission can sometimes occur in patients with complete paraplegia, whose nerve impulses from the brain (where dreams occur) do not reach the centers of the spinal cord.
The content of sex dreams associated with ejaculation can be very vague or very explicit, with specific events involving the ejaculator. Sexual dreams can reflect actual recent or past experiences or, more commonly, only a fantasy or desire to experience them. Actual orgasm is not necessarily achieved in the dream, and the man is likely to be half awake or fully awake when he ejaculates. Some people can recall the events that occurred in the dream in the morning in a clear and effective manner.
The physiological process of ejaculation is no different from that of ejaculation while awake, in that the same erection occurs in response to psychological stimulation acting on the thoracolumbar sympathetic nerves or tactile reflex stimulation acting on the sympathetic and sacral parasympathetic nerves, followed by parasympathetic stimulation of the secretion of the various glands involved. Orgasm involves both an involuntary nerve impulse acting through norepinephrine released by the sympathetic nerves and the actual ejaculation of semen caused by the efferent nerve fibers of the somatic nerve pubic nerve. This entire process can be influenced both by male hormone levels and by nerve centers from the cerebral cortex, hypothalamus, and limbic system.
It is not clear what purpose seminal emission serves in male sexual behavior. This is because many animals besides humans have seminal emission or spontaneous ejaculation, such as cats, dogs, cows, horses, rats, gophers, and deer. The most logical explanation is that seminal emission serves as a release of sexual tension in the absence of other sexual outlets. However, if a sexually active man becomes a bachelor, he will experience far fewer ejaculations than he did during previous intercourse, suggesting that ejaculations play only an incomplete compensatory role.
Seminal emission can be seen as the culmination of sexual dreams, but the sexual dreams themselves may be the result of repressed sexual impulses. The occurrence of seminal emission during adolescence contributes to men’s gender self-identification, which is not always clear. It has also been suggested that seminal emission facilitates racial reproduction because the periodic excretion of semen improves the quality of sperm, which means that it improves their fertility. In fact, as boys progress in their sexual development, the testes produce sperm and the prostate and seminal vesicle glands secrete seminal plasma, both of which together make up semen, and when a certain amount is reached, there is no longer room for it in the body, so it is natural to excrete it in the form of seminal emission, which is the reason for the so-called “overflow”. The medical profession generally believes that seminal emission can somehow relieve sexual tension in the body and create a physiological and psychological balance.
Misconceptions about seminal emission have a particularly serious impact on adolescent boys, because this is the age when the male sexual urge is strongest, the age when male seminal emission is most frequent, and the age when they lack the most sexual knowledge and need to acquire correct sexual knowledge. The ejaculation itself can make them confused, fearful, guilty and self-conscious, and if they listen to the scaremongering propaganda, it will aggravate their psychological burden. Teenagers don’t know what’s going on inside their bodies, some think it’s bleeding, some think it’s pus from an STD, and they don’t know if it’s normal and if the same thing happens to other boys. So parents or school teachers must promptly explain this normal physiological phenomenon to them, recognizing the role of seminal emission in the normal growth and development of a man. They also do not have to be upset about staining their underwear and bed sheets. However, some parents do not see this issue, but instead say: “I did not expect this child to be so bad at such a young age”, “go wash yourself, who cares about you” and other foul language, not only hurt their self-esteem, but also increased their psychological burden, not only for the present, but also for their future life will have a very negative impact.