Doctor I am 20 year aged boy. Once in a week night fall occur. This is repeating for years. I consulted Doctors and they gave some medicine and again it comes when not taking medicine. And also my pennis size is less than 5 cm. And also am not able to masturbate. Is there any problems?

Dr. Prithviraj SinghaHomeopath7yrs exp

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Dear Lybrate User, First of all let me make it clear that you may experience nightfalls/Nocturnal Emission of sperm for twice in a month if you do not have a habit of masturbation or if you do not indulge in any sexual intercourse. However, if you experience nightfalls for more than twice in a month then it is surely abnormal. Every person experience an erection after a sleep of 6-8 hours. Such an erection during waking up from sleep is a typical characteristic of normal sexual system. An uninterrupted sleep of 6-8 hours pacifies the nerves which get hyper-activated after a long day work & results in a sexual arousal by channelising the blood flow towards the male sexual system. But an erected penis cannot ejaculate involuntarily unless it is being rubbed as it undergoes during masturbation & sexual intercourse. Involuntary ejaculation of semen indicates that the internal muscles of your pelvic region are not strong enough to control the outflow of semen. However, nightfalls indicate that you are having a normal erection as well as it also proves that there is no deficit of sperm production in testis. Nightfall implies that there is only loss of control of the pelvic muscles. It is often observed that a person suffering from nightfalls complains of premature ejaculation during sexual intercourse if his problem of nightfalls is left untreated. The cause behind such quick discharge during sex is same as it is in case of nightfalls i.e. loss of the control of the muscles of pelvic region. One of the common causes behind the loss of control of pelvic muscles is Digestive troubles. Slow digestion compels the blood to circulate around the organs of digestive system until the ingested food is fully broken down into soluble food molecules. Such circulation of blood around the digestive system for a prolonged period often results in sluggish circulation of blood around the other systems of human body. Sexual system is one of such system whose normal functioning gets disturbed due to impaired digestion. To get rid of nightfalls carry on the following medication as directed:- 1) 5 drops of Homoeopathic Dilution SELENIUM 30, thrice daily, in empty stomach. 2) Take 30 drops of Homoeopathic Mother Tincture SALIX NIGRA Q in a cup of water daily after lunch 3) Take 30 drops of Homeopathic Mother Tincture ACID PHOS Q in a cup of water daily after lunch Apart from medicines You could try a home therapy. Soak 5 grams of Fennel seeds (SNOUFF) & 5 grams of Rock Candy (MISRI) in a glass of water before going to bed daily. On waking up next morning drink the Snouf-Misri soaked water in empty stomach. Kindly note that this medication may not be sufficient enough to take care of your problem. These medicines are based on the symptoms of your diseased condition & these medicines need to be complemented by further deep-acting remedies in order to permanently eliminate the underlying cause of the disease. So I would suggest you to consult me privately via Lybrate as it is very necessary to diagnose the proper underlying cause of your problem if you are wishing for a permanent relief from your problems. A permanent annihilation of the underlying cause of the disease will not only provide you relief from your troubles but it will also cease any chance of further relapse of that particular disease condition 

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