Puberty: No Nocturnal Emissions and Tight Foreskin Concerns - Urology

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Having pubic hair but not yet experiencing nocturnal emissions?


Hello Doctor, I am currently in the first year of junior high school and I have developed some short and fine pubic hair (this is my only secondary sexual characteristic so far).
However, I have not experienced any nocturnal emissions.
Is this normal? Additionally, when I am not erect, I can easily retract my foreskin, but when I am erect, it feels tight and painful to retract it.
Is this a problem? I hope the doctor can respond to my questions.
Thank you!

Zhang, 10~19 year old female. Ask Date: 2017/10/10

Dr. Du Shixi reply Urology


Hello: Having long pubic hair but not experiencing nocturnal emissions does not necessarily indicate a problem.
However, it is important to pay attention to sleep, nutrition, and exercise to support development.
The foreskin can be normally retracted, but if it becomes tight and painful during an erection, it is advisable to consult a physician.
This is often due to a tight portion of the foreskin.
Please seek the doctor's recommendations for management.
Wishing you good health.

Reply Date: 2017/10/10

More Info


Understanding puberty is a crucial aspect of adolescent health, and it's completely normal to have questions about the changes your body is going through. Let's address your concerns regarding nocturnal emissions and tight foreskin.

Firstly, the absence of nocturnal emissions, commonly referred to as "wet dreams," is not unusual for someone your age. Puberty varies significantly from person to person, and while some boys may start experiencing nocturnal emissions as early as 11 or 12 years old, others may not experience them until later. The presence of pubic hair is a sign that your body is entering puberty, and it’s a positive indication that your body is developing. However, the timing of other changes, such as the onset of nocturnal emissions, can differ widely among individuals. So, if you haven’t experienced them yet, it doesn’t necessarily indicate a problem; it may simply mean your body is still in the process of maturing.

Now, regarding your concern about the tight foreskin, this condition is known as phimosis. It is quite common during puberty, as the body undergoes various changes. In many cases, the foreskin gradually becomes more retractable as you continue to grow and develop. If you can push back the foreskin when you are not erect, that is a good sign. However, if you experience pain or difficulty pushing back the foreskin when you are erect, it may be worth discussing with a healthcare professional. They can assess whether this is a normal part of your development or if any treatment is necessary.

It’s important to note that while some tightness can be normal, if it causes significant pain, discomfort, or issues with hygiene, it may require medical attention. In some cases, gentle stretching exercises can help, but this should be done under the guidance of a healthcare provider. They may also discuss other options with you if necessary.

In summary, both the absence of nocturnal emissions and the tightness of your foreskin can be normal aspects of puberty. However, if you have ongoing concerns or if the tightness of your foreskin causes pain, it’s advisable to consult with a healthcare professional. They can provide personalized advice and reassurance based on your individual situation. Remember, puberty is a time of change, and it’s perfectly okay to seek guidance and support as you navigate this phase of your life.

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