nocturnal emission
Introduction
Introduction to the nocturnal emission Nocturnal emission refers to a condition in which semen is not discharged by sexual intercourse, and it is physiologically and pathologically different. Traditional Chinese medicine refers to semen self-remaining phenomenon as spermatorrhea or infertility. There is a dream and the person named "Dream of the Dream", no dreams, even when awake, the semen slides out as "slippery". Most of the kidneys are not solid, or the heart and kidney are not paid, or caused by hot and humid bets. Western medicine can be found in phimosis, prepuce, urethritis, prostate disease and so on. Dreams are often the beginning stage of lucid and slippery, dreams, slippery essence are two kinds of syndromes of different spermatorrhea. It should be pointed out that spermatorrhea is not a menstruation, so there is no law in the spermatorrhea. It used to be a spermatorrhea, and it is now normal. Especially when men enter middle age, they almost never happen. basic knowledge Probability ratio: 60% of a specific population Susceptible people: male Mode of infection: non-infectious Complications: premature ejaculation kidney deficiency
Cause
Cause of spermatorrhea
Mental factors (15%):
Because sexual requirements are too strong and can not be restrained, especially before sleep, sexual intercourse causes sexual excitement, and the central nervous system of sexual activity is stimulated for a long time to cause spermatorrhea (such as frequent reading of pornography, erotic painting, leading to impulsive spermatorrhea).
Physical weakness (18%):
The function of each organ is not sound enough, such as the cerebral cortex insufficiency, loss of control of the lower-level center, and the excitability of the erectile center and the ejaculation center is enhanced, and nocturnal emission will occur.
Local lesions (12%):
Local lesions of the sexual organs or urinary tract, such as phimosis, prepuce, urethritis, prostatitis, etc., these lesions can stimulate the sexual organs and spermatorrhea.
Nocturnal emission refers to the phenomenon of ejaculation in the absence of sexual intercourse. According to statistics, 80% of men have this phenomenon. This phenomenon occurs mostly during nighttime sleep. The frequency of general spermatorrhea can be from 1 to 2 weeks to 4 to 5 times. Once a week, it is normal. If there are several times or a few nights of spermatorrhea in a week, it is a pathological phenomenon, causing nocturnal emission mainly in the cortical center, dysfunction of the spinal cord center, and due to certain diseases of the reproductive system. .
Prevention
Nocturnal emission prevention
Nocturnal emission will not affect fertility
The quantity and quality of male sperm are determined by the testes and innate genes, so masturbation and nocturnal emission will not affect fertility. Nocturnal emission is ejaculation when there is no sexual intercourse. About 80% of unmarried young people have this phenomenon. The spermatorrhea that occurs in sleep state is called a dream. When it is awake, it is generally called slippery essence. In healthy young adults, when there is no normal sex life, spermatorrhea should be considered normal for about 2 weeks, but it should be noted that sometimes men who claim to be spermatorrhea are actually only secreted by the urethra during sexual excitement, and the asexually excited prostatic fluid overflows. This is a normal physiological phenomenon, not a nocturnal emission. The true morbid nocturnal emission refers to the state of spermatorrhea several times a week or several times a week, the spermatorrhea in the conscious state, or the spermatorrhea in the case of normal sexual life.
Occasionally, nocturnal emission has no effect on fertility. If frequent spermatorrhea is accompanied by impotence or premature ejaculation, it often causes infertility due to decreased semen quality or sexual dysfunction.
The cause of nocturnal emission is mainly due to the weakening of the inhibition process of the cerebral cortex and the excitability of the sexual center. In the case of sexual stimulation, the spermatorrhea often appears, the panties are too tight, and the smegma stimulation can cause reflexive nocturnal emission, foreskin balanitis. , urinary tract, prostate, seminal vesicles and other parts of the inflammation may be nocturnal emission, but most of them due to lack of sexual knowledge, watching yellow books, video, etc. caused by penile erection and ejaculation.
Complication
Estrogen complications Complications, premature ejaculation, kidney deficiency
Long-term slippery is harmful to the body, often leading to dizziness, swelling, backache, shortness of breath, shortness of mind, lack of energy, fatigue and fatigue. Although spermatorrhea also has sperm spillage, as long as the number of times is within the normal range (average 2- to 3-times per month), it is not sick, and slippery is not the case, regardless of the number of times should be considered abnormal. If it is an inflammatory disease caused by nocturnal emission, the pathogen can be complicated by pyelonephritis.
Symptom
Symptoms of nocturnal emission common symptoms, backache, dizziness, insomnia, forgetfulness, wilting, tinnitus, heart palpitations
1. Married men do not excrete semen due to sex, more than once a week, or unmarried adult men frequently have semen discharge, more than twice a week, accompanied by other discomfort.
2. Common accompanying symptoms are: dizziness, tinnitus, forgetfulness, palpitations, insomnia, backache, and apathy.
Examine
Nocturnal examination
Rectal examination, prostate B ultrasound, semen routine and prostatic fluid examination can help to diagnose the cause of the disease, to determine whether there is urinary tract infection and prostate infection, the above infection can increase the inflammatory stimulation of the reproductive tract to induce spermatorrhea, so for frequent Patients with spermatorrhea (several times a week) should be examined to determine if there is nocturnal emission due to inflammation and to be treated for anti-infective treatment based on the test.
Diagnosis
Diagnosis and identification of nocturnal emission
diagnosis
Diagnosis can be performed based on clinical manifestations and examinations.
1. Physiological over-expansion adult unmarried men, or married couples after marriage, one or two spermatorrhea in January, the next day does not appear obvious discomfort or other symptoms, is a physiological phenomenon, such as "Jing Yue Quanshu, nocturnal emission "If you are full, then you will go, the living will be self-sufficient, and the nature will be natural, and you will not be satisfied." Physiologically, it is more common in the body, and there are dreams and many times. Yu Changren, after the excretion, generally do not feel sleepy and tired, the veins can be normal, and pathological nocturnal sperm is more than twice a week, or several times a day, accompanied by dizziness, weakness, waist and legs, flustered and shortness of breath and other symptoms .
2. Fine turbidity refers to the urethra often drops rice smear or mushy turbidity, dripping continuously, itch or pain in the stem, even if the knife cuts fire, but the urine is not turbid, often with turbidity and blood. White turbid, bloody person is red, and nocturnal emission has no pain.
3. Premature ejaculation means that the time of sexual intercourse is extremely short, that is, the line is fine, and even the condition of ejaculation before sexual intercourse can not perform normal sexual intercourse. For example, "Shen's Zunsheng Book" says: "If you don't pay, you will vent, or you will vent, "The spermatorrhea is excreted from sexual intercourse and generally does not affect sexual life."
4. Nicotinic syndrome refers to urinary urgency, forced, short, number, sputum, painful symptoms, caused by urinary tract infections, turbidity, penile pain when seeing urine, fine turbid drops such as pus, stench, Occasionally, the jade stems are ulcerated, mostly gonorrhea. It is an acute or chronic inflammatory contact infection caused by gonococcal granules. It is more male than female, especially young and middle-aged. The test can confirm the diagnosis of gonorrhea.
Differential diagnosis
The urethra "flowing white" is not a spermatorrhea
Men are stimulated by sexuality, whether it is consciousness, audio-visual or local contact, etc., you can find a little clear secretion from the urethra. This is the phenomenon of "whitening", not the nocturnal emission, it is made by the urethra A liquid secreted by the glands, the main part of which is the secretion of the paraurethral glands in the penis. Because the corpus cavernosum is congested, the penile erection is in pursuit of the paraurethral glands, causing it to secrete secretions without sperm. This is a normal physiological response. Its function is to lubricate the glans and help to carry out sexual activities. Therefore, it must not be mistaken for pathological conditions.
There is also a phenomenon of whitening, which is more common, that is, it occurs in the process of stool, especially when the stool is dry, and it is more obvious when forced to defecate. It can be seen that a few drops of milky white clear mucus flow out of the urethral orifice, which is often mistaken for leakage of stool. In fact, this is also the secretion of the urethral gland and prostate, because these two glands are located in the perineum at the bottom of the pelvis, close to the rectum and anus. When the force is defecation, the muscles contract strongly and oppress the glands to excrete the secretions. Under normal circumstances In normal bowel movements, you can't use too much force. This kind of situation does not occur, so this kind of whitening is not an abnormal phenomenon.
Of course, there is also an abnormal whitening phenomenon, that is, in the case of prostatitis, the prostate secretion is abnormal due to inflammation. When there is local stimulation, there will be a phenomenon of whitening after urinating and urinating. More, and more turbid, more times, different from normal whitening, if there is such a phenomenon of whitening, you need to go to the hospital for examination and treatment.
The difference between nocturnal emission and "excellence"
Both spermatorrhea and ejaculation are the phenomenon of semen excretion in the state of loss of self-control. We first elaborate on what is "excellent", as the name implies, the overflow of "overflow" is also overflowing, which is caused by too much semen accumulation. It is a physiological phenomenon, as the article "Jing Yue Quan Shu, Nocturnal Essence" says: "There are people who are prosperous and prosperous, and those who have long-term desires for the house, and those who are full and overflowed" also said: "If it is full, then go." The self-going, the self-born, the potential of nature, the lack of care, "visible Essence refers to the physiological, can not be enough, sexual behavior can not be satisfied and spermatorrhea can sometimes be regarded as Essence, Nocturnal emission is generally referred to as pathological nocturnal emission, and is related to the deficiency of kidney deficiency or dampness, damp heat, bonfire and other factors, such as physiological phenomena, one for pathological manifestations, and different treatment and treatment methods.
Physiological nocturnal emission and pathological spermatorrhea
Physiological nocturnal emission refers to unmarried young people or separated after marriage, no sexual intercourse, usually 2 weeks or more, no spermatorrhea, no physical discomfort, normal penile erection function, no dreams, but also dreams Legacy.
Pathological nocturnal emission is more complicated, many causes can be caused, sexual nerve allergy can cause nocturnal emission, Chinese medicine believes that common pathogenesis has kidney gas is not solid, kidney deficiency is not enough to cause kidney deficiency, the cause can be excessive labor, ignorance and cause Hemiplegia, diet is not good, alcohol and wine are thick, wet and hot, hot and humid bet is also an important cause.
The difference between physiological spermatorrhea and pathological nocturnal emission is:
1 different ages: physiological nocturnal emission is more common in young adults, unmarried or separated after marriage; pathological nocturnal emission is more common in middle-aged or physically congenital deficiency;
2 physical condition: physiological spermatorrhea, physical health, energetic, or irritating, or tired and healthy people; pathological spermatorrhea, more common in complexion, physical fatigue, a lot of smoking, drinking too much, over-eaten Gan, a body of puffiness or a weak body, excessive room, ambiguity, etc.;
3 state of nocturnal emission: physiological nocturnal emission, usually 2 weeks or more, the amount of spermatorrhea is more and the semen is thick, the erectile function of the penis is normal when the spermatorrhea is normal; the pathological spermatorrhea frequently works, some are left at night, or awake When the semen comes out, the amount of spermatorrhea is small and thin, the erection of the penis is not strong, or the erection is not at all. After the spermatorrhea, mental fatigue, weak waist and knees, dizziness, dizziness, and physical weakness can be identified. I don't agree with it, and there are no scientific experiments to prove it.
