Is It Normal to Experience No Ejaculation or Wet Dreams After Diagnosis? - Urology

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Masturbation without ejaculation and the absence of nocturnal emissions?


Hello, doctor.
Since my diagnosis, I haven't ejaculated or experienced nocturnal emissions for a week.
Is this a normal phenomenon? Previously, I used to masturbate every two days.

Mr. Chen, 10~19 year old female. Ask Date: 2022/08/22

Dr. Du Shixi reply Urology


Hello: Stopping masturbation for one to two weeks, is there any medication that has affected ejaculation? If there is still no semen, medical attention is needed.
Wishing you good health.

Reply Date: 2022/08/22

More Info


Experiencing a lack of ejaculation or wet dreams after a diagnosis can be concerning, but it is important to understand the context and potential factors involved. From a medical perspective, several factors could contribute to this phenomenon, and it is essential to consider both psychological and physiological aspects.

Firstly, the psychological impact of a diagnosis can significantly affect sexual function. Stress, anxiety, and depression are common reactions to receiving a medical diagnosis, and these emotional states can lead to changes in libido and sexual performance. When a person is preoccupied with their health or future, it can result in decreased sexual desire or arousal, which may explain the absence of ejaculation or wet dreams. This is often referred to as psychogenic erectile dysfunction or sexual dysfunction, where psychological factors inhibit sexual function.

Secondly, the physiological aspects should also be considered. Depending on the nature of the diagnosis, certain medical conditions or treatments may directly affect sexual health. For instance, hormonal imbalances, medications (such as antidepressants or anti-anxiety medications), or even changes in physical health can impact sexual function. If you are on any medication as part of your treatment, it is crucial to consult with your healthcare provider to understand how these medications might influence your sexual health.

Additionally, the frequency of sexual activity prior to the diagnosis may also play a role. If you were previously engaging in sexual activity every two days, a sudden change in this pattern could be due to a combination of psychological stress and physical changes in your body. It is not uncommon for individuals to experience fluctuations in sexual desire and function during times of significant life changes or stress.

It is also worth noting that the absence of wet dreams or ejaculation for a week is not inherently abnormal. Sexual function can vary widely among individuals, and temporary changes in sexual activity are common. The body may go through phases where sexual arousal and ejaculation are less frequent, especially during periods of stress or emotional upheaval.

If this lack of sexual activity continues or if you experience other concerning symptoms, it is advisable to seek medical advice. A healthcare professional can provide a thorough evaluation, considering both your psychological and physical health, and help determine if any underlying issues need to be addressed.

In summary, while it can be concerning to experience a lack of ejaculation or wet dreams after a diagnosis, it is not uncommon and can be influenced by various psychological and physiological factors. It is essential to monitor your overall well-being and consult with a healthcare provider if you have ongoing concerns or if this situation persists. Open communication with your healthcare team can help you navigate these changes and find appropriate support.

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