Nocturnal emission, commonly referred to as ‘wet dreams’, is a natural phenomenon characterized by involuntary ejaculation during sleep. It is a normal occurrence in men and is not associated with any medical condition. In this article, we aim to provide an overview of nocturnal emission and its associated factors, as well as review the literature on its management.
Nocturnal emission is believed to be a normal and common occurrence in men, with prevalence rates ranging from 8-85% in the literature (Komisaruk, Beyer-Flores, & Whipple, 2006). It is associated with increased levels of testosterone and other hormones that are produced during puberty (Foubert, 2002). It typically occurs during the Rapid Eye Movement (REM) stage of sleep, and is more likely to occur if the individual has frequent sexual thoughts or dreams prior to falling asleep (Komisaruk et al., 2006).
Nocturnal emission is typically not associated with any medical condition, and does not require any medical intervention (Foubert, 2002). However, individuals may experience some psychological distress as a result of this occurrence, particularly if it is perceived as a source of embarrassment or shame (DeLamater & Sill, 2005). Some individuals may find it difficult to discuss nocturnal emission with their healthcare provider and may benefit from psychotherapy to address any associated emotional distress (DeLamater & Sill, 2005).
There is limited evidence regarding the management of nocturnal emission. Some research suggests that men who experience frequent nocturnal emissions may benefit from psychological interventions such as cognitive-behavioral therapy (CBT) (Foubert, 2002). CBT can help individuals to identify and modify any unhelpful thoughts and beliefs that they may have about nocturnal emission and to develop strategies for coping with any associated distress.
In conclusion, nocturnal emission is a common and normal occurrence in men, and is typically not associated with any medical condition. While no medical intervention is typically necessary, individuals who experience psychological distress as a result of this occurrence may benefit from psychological interventions such as CBT.
References
DeLamater, J. D., & Sill, M. (2005). Sexuality and adolescent development: Challenges for young people today. Journal of Adolescent Health, 36(4), S3-S11.
Foubert, J. D. (2002). Nocturnal emissions: An empirical study of psychological correlates in college men. The Journal of Men’s Studies, 10(3), 231-243.
Komisaruk, B. R., Beyer-Flores, C., & Whipple, B. (2006). The science of orgasm. Baltimore, MD: Johns Hopkins University Press.