Brief Answer:
rule out infection in urinary tract

Detailed Answer:
Hello Young man,

Thanks for writing to us. Sperms coming out during sleep is called Night Fall.
Nocturnal emission is natural phenomenon. It is also called night fall. First of all clarification about night fall:

In all boys when puberty starts around age of 3 to 7, production of testosterone increased. This leads to increase in body hair, beard and moustache as well as production semen and physical body changes.

Semen is produced regularly after puberty by prostate and testicles and stored in seminal vesicles. This semen in general is expelled by masturbation or sex. When someone does not actively expel semen through masturbation or sex, there is excess semen in seminal vesicles.
When production rate exceeds capacity of storage of seminal vesicles stored semen has to come out to give space to newly produced semen.
This excess stored semen comes out during sleep, urination or defecation.
In sleep during dreams or excitement with slight force excess semen comes out and it is known as night fall.
If you are not doing masturbation regularly or not involved in sexual activities, night fall would be there. It is absolutely normal phenomenon and not a problem/disease.

Let me know,

- What is frequency of masturbation or sex in your case?

- What is frequency of night fall?

- If you are married, is there any genito urinary infection in your partner?

- If you are not married, tell me to whom you had experience sex and with or without condom?

- Bad smell suggests infection in urinary tract. Please go for urine routine micro investigation to laboratory. Give morning mid-stream sample of urine for testing.

- Is there any symptom like fever, burning in urine or other discharge?

I will be happy to help further after your response.
Regards,
Dr.Chintan Solanki.

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Brief Answer:
Please clarify frequency

Detailed Answer:
Hi,

Thanks for information.

Please clarify frequency of masturbation, not duration. Means how many time a day /week/month do you masturbate?

Also let me know how many times per week/month do you get night fall?

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Brief Answer:
increase frequency of masturbation or take medicine

Detailed Answer:
Hi,

Thanks for information.

Firs of all no need to worry as you have good semen producing capacity and you are normal. You just need to expel the excess semen by masturbation more frequently. This will prevent night fall. If at all night fall does not stop or you cannot increase the frequency , medicine can help.

Taking clomipramine which is used in premature ejaculation can be used to stop night fall.However according to my clinical experience almost more than 90% patients with night fall do not need medicine.

If still any query there, I will be happy to answer. If not, you can close the discussion and give your feedback and rating so I can improve my service.

In future if you wish you can contact me directly with following link:
http://bit.ly/drchintansolanki

by clicking on 'Ask me a question' on same page with three follow up questions.

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