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Urology/Nocturnal emission (or wet dreams)

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Question
Dear Sir,

The following questions are all related to Nocturnal emission (wet dreams).

1. Do wet dreams (followed by ejaculation) cause any harm to men's sexual, mental, physical health if experienced twice a month?

2. Is it mandatory that ejaculation should be accompanied by sexual dreams? That is to say, Is it abnormal if nightfall (seminal discharge) occurs WITHOUT dreaming?

3. Is it normal to remain asleep even after ejaculation?

4. I am experiencing lack of morning erections for the last few months and experiencing nightfall without dream during the same period? Is there any connection between the two? Is it something which is concerned with Erectile Dysfunction?

Many Thanks.

Answer
Nocturnal emissions or wet dreams do not cause any known harm.  It is certainly not mandatory that ejaculation be associated with sexual dreaming and a nocturnal emission can occur totally by itself.

It is not abnormal to remain asleep after such an emission.

Lack of morning erections is not significant by itself. It may only represent the state of sleep immediately before waking which can vary.  Only in REM or dreaming state does the morning erection usually occur.

From the available information provided, there is no evidence of ED.

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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