At 18 with No Wet Dreams or Ejaculation: Should I See a Doctor?

Q: At 18 with No Wet Dreams or Ejaculation: Should I See a Doctor?

Hello： Based on personal experience, if you have developed an Adam's apple, your voice has changed, and pubic hair has grown, it suggests that you have completed puberty. <br>It is recommended to seek a consultation at a major hospital. <br>Wishing you good health.

At 18 years old, I have never experienced a wet dream or ejaculation?

At 18 years old, having sparse armpit hair and not experiencing nocturnal emissions, along with difficulties in ejaculation during masturbation where sometimes only urine is expelled, could indicate that you may still be in the developmental stages.
It might be advisable to consult a doctor for a thorough evaluation to rule out any underlying issues.

Chen, 10~19 year old female. Ask Date: 2022/11/03

Dr. Du Shixi reply Urology

Hello: Based on personal experience, if you have developed an Adam's apple, your voice has changed, and pubic hair has grown, it suggests that you have completed puberty.
It is recommended to seek a consultation at a major hospital.
Wishing you good health.

Reply Date: 2022/11/03

More Info

At 18 years old, experiencing a lack of nocturnal emissions (wet dreams) and difficulties with ejaculation can understandably raise concerns about your sexual health and development. It’s important to recognize that sexual development varies significantly among individuals, and not everyone will experience these milestones at the same age. However, there are several factors to consider regarding your situation.

Firstly, the absence of wet dreams and difficulties with ejaculation can be attributed to a variety of reasons, including hormonal levels, psychological factors, and individual differences in sexual maturation. During puberty, which can extend into the late teens, the body undergoes numerous changes, including the development of secondary sexual characteristics such as pubic hair and the ability to ejaculate. The timing of these changes can differ widely; some individuals may experience them earlier, while others may take longer.

In your case, the fact that you have not experienced wet dreams or ejaculation could suggest that your body is still in the process of maturing. It’s also worth noting that the presence of pubic hair can vary, and having less body hair does not necessarily indicate a problem. Hormonal levels, particularly testosterone, play a crucial role in sexual development, and variations in these levels can affect the timing of these changes.

However, if you are experiencing distress or anxiety about your sexual development, it may be beneficial to consult a healthcare professional. A doctor, particularly one who specializes in adolescent medicine or endocrinology, can provide a thorough evaluation. They may conduct a physical examination and possibly order blood tests to assess hormone levels. This can help determine if there are any underlying issues that need to be addressed.

Additionally, it’s important to consider psychological factors. Anxiety, stress, or concerns about sexual performance can impact sexual function and development. If you find that your worries about your sexual health are affecting your mental well-being, speaking with a mental health professional can also be beneficial.

In summary, while it is possible that you are still developing and that your body may catch up in time, seeking medical advice can provide clarity and peace of mind. A healthcare provider can help assess your situation, address any potential concerns, and guide you through this stage of development. Remember, it’s perfectly normal to have questions and concerns about your body, and seeking help is a proactive step towards understanding your health better.

Similar Q&A

Understanding Ejaculation: Is It Normal to Never Experience It?

Hello Dr. Lin, I am 19 years old and I have never masturbated or experienced a wet dream. Is there something wrong with my body?

Dr. Lin Hexing reply Urology
Hello: If you have any issues, it is recommended to consult the relevant specialty. Wishing you good health.

Understanding Erectile Dysfunction: When to Seek Urology Help

About a year ago, I experienced several instances where I became aroused after watching adult films but did not masturbate. I know this sounds strange, but since then, my sexual performance has not been as good as it used to be. I even experience erectile dysfunction, premature e...

Dr. Lin Hexing reply Urology
Hello, Xiao Wei: Youth is an asset, but a lack of experience combined with curiosity, especially when unmarried, makes moderate masturbation a natural behavior that aligns with physiological needs. Don't worry; feeling shame from watching adult films and then masturbating ca...

Understanding Unusual Sexual Health: No Masturbation or Wet Dreams?

I apologize for my curiosity, but I feel that my body seems different compared to other boys my age. Why is it that I can go for six months without masturbating and have never experienced a wet dream? However, I don't feel any particular discomfort; I just feel like I'm...

Dr. Xu Weikai reply Urology
Pikachu: Hello everyone, the metabolism of semen varies from person to person. It doesn't hold much significance. Some individuals may go their entire lives without experiencing nocturnal emissions. Additionally, I'm curious how you know if others have ejaculated or exp...

Understanding Urological Concerns: When to Seek Medical Help

If there are no changes at all, what should be done? There is no development of pubic hair or any other signs, and if masturbation does not result in ejaculation, and the size is very small, is it really necessary to go to the hospital? Or could weight loss be a factor? I wouldn&...

Dr. Xu Weikai reply Urology
Hello, I think further examinations are still necessary to know for sure. It is best to consult a specialist. This is a response from Dr. Hsu Wei-Kai, Director of Urology at Taitung Hospital, Department of Health, Executive Yuan.