Nightfall in man is a phenomenon where he ejaculates (releases sperm) in his sleep, mostly late in the night or early morning. This is common among teenagers and adults, caused due to weakness of the nerves and muscles of the penis, fluctuating hormonal levels, and other factors.

Doctors call this nocturnal emission or sleep orgasm because it means seminal fluid emission at night when fast asleep.

It primarily occurs due to the weak penile muscles and weakness of the penile nerves caused due to excessive masturbation, thinning of semen viscosity, changes in hormonal levels, due to full bladder, root cause for all these symptoms is gastrointestinal malfunctioning and/or diseases, hepatic weakness and/or diseases, prostate gland inflammations, Hyposensitivity of 5-HT2C receptor, hypersensitivity of 5-HT1A/5-HT2B  receptor, hypersensitivity of the glans, psychosocial and relational factors, etc. and hemorrhoids – said Dr Qaisar Ahmed MD, DHMS.

Weak nerves and prostate glands can cause nightfall. Doctors say that sitting for long periods, depression, anxiety, and a sedentary lifestyle weakens nerves, reducing control over ejaculation.

Reduced control over prostate gland nerves is a cause of nightfall in men.

Wet dreams or nightfall itself is not a disease or taboo. Both males and females have wet dreams, but male’s wet dreams are more noticeable because of the sperm that is ejected. Wet dreams happen because sexual tension, and bodily fluids, build up in the body and must be released.

The testicles make sperm by the second, and even though they are very small, they do add up the feeling of full testicles and prostate gland is very uncomfortable, and aches at times. In watching nocturnal emissions take place, the penis gets erect, throbs, then starts stiffening up and ejaculating sperm out several times with each stiffening. then when done, the penis gets soft again.

Nightfall in Men

When a male undergoes adolescence, many physiological changes occur. One of the significant changes includes the growth of sexual organs and hormonal changes. Due to these changes, boys usually undergo involuntary ejaculation of semen in a subconscious state in their sleep. They have dreams about various sexual acts, which results in the ejaculation of sperm in the sleep state. This uncontrolled semen ejaculation in the sleep is the meaning of nightfall.

Nightfall or wet dreams are not always perfectly normal, it usually common among teenagers who have just started puberty, but not normal if it is due to the other underlying disease. Nightfall is not restricted to teenagers alone. Older men, too, have nightfall. On a side note, find out what happens if you release sperm daily and the myths and facts around this widespread concern too.

Also Read about Azoospermia & Oligospermia

Reason of Nightfall – When You Masturbate Way Too Frequently or Excessively

Nightfall also occurs when you masturbate excessively, which causes the weakening of the parasympathetic nerve, which in turn is responsible for holding a man’s erection and locking the semen into the organ. This also causes fluctuation in the hormonal levels and makes men more susceptible to nightfall or wet dreams.

What are the Symptoms of Nightfall or Wet dreams?

Some of the commonly spotted symptoms of nightfall in men include:

• Nightfall in men causes weakness in the body.
• Nightfall in men leads to premature ejaculation.
• Nightfall in men is responsible for muscle cramps.
• Nightfall in men causes mood swings.
• Nightfall in men makes you lazy.
• Nightfall in men causes sleeplessness/insomnia.

Is nightfall good or bad?

The frequent occurrence of wet dreams or nightfall is a bad sign. Here are the side effects of excessive nightfall:

• Frequent nightfall leads to decreased sperm count.
• Nightfall leads to dizziness.
• Nightfall causes insomnia.
• Nightfall causes knee pain.
• Nightfall leads to poor vision.
• Nightfall leads to infertility.
• Nightfall leads to sexual problems.

Allopathic treatment for Nightfall

The optimal allopathic treatment regimen for premature ejaculation has not been established, they are still doing experiments.

In my (Dr. Qaisar Ahmed MD, DHMS) experience has been that in some males, single dosing before sexual relations can work well, whereas in others, it may be necessary to achieve and maintain a target blood level through daily use of the medication.

Numerous studies have shown that selective serotonin reuptake inhibitors (SSRIs) and drugs with SSRI-like side effects are effective to treat this nightfall, and many physicians use these agents for this purpose. Topical desensitizing therapy with local anesthetic agents can also be useful in some men with premature ejaculation.

If the patient has premature ejaculation, erectile dysfunction, and depression, an antidepressant with SSRI side effects has the added benefit of possibly alleviating the premature ejaculation.

Simple combinations of lidocaine cream or related topical anesthetic agents can also be effective.

Some tricyclic antidepressants (TCAs) with SSRI-like activity have the same effect in orgasm that SSRIs do. The TCA that has been most frequently studied for treatment of premature ejaculation is clomipramine.

In most cases, females require considerably more time to reach climax than males do; thus, in females taking SSRIs and SSRI-like agents, the delayed climax caused by these agents becomes an adverse effect. In many females, such an inability to reach orgasm can induce a pattern of sexual avoidance, along with a corresponding decrease in libido or sexual excitement (lubrication). In males, too-rapid orgasm can cause some of the same patterns of sexual avoidance and decreased libido.

SSRIs useful for treating premature ejaculation include the following:

• Sertraline.
• Paroxetine.
• Fluoxetine.
• Citalopram.
• Dapoxetine.

Adverse effects of long-term SSRI use are a significant concern and should be considered by both the physician and the patient.

Such adverse effects may include the following:

• Psychiatric and neurologic sequelae.
• Dermatologic reactions.
• Anticholinergic effects.
• Fluctuation in body weight.
• Cognitive impairment.
• Drug interactions.
• Sexual side effects other than delayed ejaculation (e.g. erectile dysfunction or loss of libido).

In addition, caution should be exercised in changing SSRIs; a washout period is necessary to avoid overdose. SSRI discontinuance syndrome (especially with paroxetine) has been associated with dose reduction or discontinuance and may cause dizziness, nausea and vomiting, headache, gait instability, lethargy, agitation, anxiety, and insomnia.

Phosphodiesterase type 5 inhibitors

Some studies have demonstrated that combining phosphodiesterase type 5 (PDE5) inhibitors with SSRIs provides better results in the treatment of premature ejaculation than using SSRIs alone. The reason for this is unknown, but part of the explanation may be that the improved (firmer, longer-lasting, or both) erection resulting from the PDE5 inhibitor provides inhibition of ejaculation via downregulation of receptors involved in somatosensory latency times. In addition, a reduction in performance anxiety may exist on a subconscious level.

The only PDE5 inhibitors studied to any significant degree in the setting of premature ejaculation are sildenafil and tadalafil, vardenafil may also work, but the available data are insufficient to support its use.

Other agents

A study demonstrated that a single daily high dose of pindolol (a nonselective beta-adrenergic antagonist with 5-HT1A auto receptor antagonist properties in combination with paroxetine (or possibly another SSRI) delayed ejaculation in patients in whom paroxetine therapy alone failed to provide benefit. However, more studies must be performed before pindolol can be considered an ideal option for first- or second-line treatment of premature ejaculation.

A systematic review and meta-analysis found that tramadol may be effective in treatment of premature ejaculation, especially when other therapies have failed, but that it remains necessary to consider the possibility of drug addiction and adverse effects before initial use or after long-term use. A meta-analysis of on-demand use of tramadol noted that the available evidence was of low to moderate quality, but the drug appears to be effective in this setting, the effective dose remains uncertain, but some data support the use of 50 mg.

Homeopathic Treatment for Nightfall

Homeopathy has many proven medicines for nightfall and is a very effective and highly safe mode of treatment. Homeopathy acts at the root cause of the problem. These medicines are very easy to take and not habit-forming in nature.

Selenium Metallicum

Marked effects on the Genito-urinary organs, and often indicated in elderly men, especially for prostatitis and sexual atony. Great debility; worse, heat. Easy exhaustion, mental and physical. Debility after exhausting diseases. Lascivious thoughts, with impotency. Mental labor fatigues. Extreme sadness. Abject despair, uncompromising melancholy. Premature ejaculation. Early emissions with extreme sadness. Sexual weakness with thin and odorless semen. Great irritability and weakness after coitus. Nightfall. Dribbling of prostatic fluid. Irritability after coitus. Loss of sexual power, with lascivious fancies. Increases desire, decreases ability. Semen thin, odorless. Sexual neurasthenia. On attempting coition, penis relaxes. Hydrocele.

Graphite

Sexual debility, with increased desire; aversion to coition; too early or no ejaculation; herpetic eruption on organs. Great tendency to start. Timid. Unable to decide. Want of disposition to work. Music makes weep. Apprehensive, despondency, indecision. Nightfall. Swollen genitals.

Kalium Phos

Nocturnal emissions. Sexual power diminished utter prostration after coitus. One of the greatest nerve remedies. Prostration. Weak and tired. Especially adapted to the young. Marked disturbance of the sympathetic nervous system. Conditions arising from want of nerve power, neurasthenia, mental and physical depression. Anxiety, nervous dread, lethargy. Indisposition to meet people. Extreme lassitude and depression. Very nervous, starts easily, irritable. Brain-fag; hysteria; night terrors. Somnambulance. Loss of memory. Slightest labor seems a heavy task. Great despondency about business. Shyness; disinclined to converse.

Natrum Phos

Emissions without dreams, with weakness in back and trembling in limbs. Desire without erection. Gonorrhea. Nightfall. Imagines, on waking at night.

Natrum Sulph

Lively music saddens. Melancholy, with periodical attacks of mania. Suicidal tendency; must exercise restraint. Inability to think. Dislikes to speak, or to be spoken to. Condylomas; soft, fleshy excrescences; greenish discharges. Nightfall. Gonorrhea; discharge thick, greenish; little pain.

China Officinalis

Debility from exhausting discharges, from loss of vital fluids, together with a nervous erethism. Nightfall. Excited lascivious fancy. Frequent emissions, followed by great weakness. Orchitis.

Agnus Castus

Premature ejaculation with less sexual desire. Sexual excesses. Yellow discharge from urethra. No erections. Impotence. Parts cold, relaxed. Desire gone. Scanty emission without ejaculation, nightfall. Loss of prostatic fluid on straining. Gleety discharge. Testicles, cold, swollen, hard, and painful.

Natrum Muriaticum

Emission, even after coitus. Impotence with retarded emission. Nightfall. Psychic causes of disease; ill effects of grief, fright, anger. Depressed, particularly in chronic diseases. Consolation aggravates. Irritable; gets into a passion about trifles. Awkward, hasty. Wants to be alone to cry. Tears with laughter.

Digitalis Purpura

Despondency; fearful; anxious about the future. Dullness of sense. Every shock strikes in epigastrium. Melancholia, dull lethargic with slow pulse. Nightly emission (Nightfall), with great weakness of genitals after coitus. Hydrocele: scrotum enlarged like a bladder. Gonorrhea, balanitis, with oedema of prepuce. Dropsical swelling of genitals. Enlarged prostate.

Sulphur

Stitches in penis. Involuntary emissions. Itching of genitals when going to bed. Organs cold, relaxed and powerless. Very forgetful. Difficult thinking. Delusions.  Imagining giving wrong things to people. Nearly always irritable, depressed, thin and weak.

Conium Maculatum

Nightfall. Early emissions, weak erection and excessive sexual desire. Involuntary discharge of thick seminal fluid from just the thought of sex or thinking about women. Desire increased; power decreased. Sexual nervousness, with feeble erection. Effects of suppressed sexual appetite. Testicles hard and enlarged. Excitement causes mental depression. Depressed, timid, averse to society, and afraid of being alone. No inclination for business or study; takes no interest in anything. Memory weak; unable to sustain ‘any mental effort.

Baryta Carbonica

Loss of memory, mental weakness. Irresolute. Lost confidence in himself. Senile dementia. Confusion. Bashful. Aversion to strangers. Childish; grief over trifles. Nightfall. Diminished desire and premature impotence. Enlarged prostate. Testicles indurated.

Uranium Nitricum

Complete impotency, with nocturnal emissions. Organs cold, relaxed sweaty. Ill-tempered; dull, heavy pain. Nostrils sore, with purulent, acrid discharge. Mental depression.

Picric Acid

Emissions profuse, followed by great exhaustion, without sensual dreams. Priapism; satyriasis. Hard erections, with pain in testicles and up cord. Prostatic hypertrophy, especially in cases not too far advanced. Brain fage and sexual excitement. Prostration, weakness and pain of back, pins and needle sensation in extremities. Neurasthenia. Muscular debility. Heavy tired feeling. Myelitis with spasms and prostration. Writer’s palsy. Progressive, pernicious anemia. Uremia with complete anuria. Nightfall. Lack of will-power; disinclined to work. Cerebral softening. Dementia with prostration, sits still and listless.

Phosphoric Acid

Emissions at night and at stool. Seminal vesiculitis. Sexual power deficient; testicles tender and swollen. Parts relax during embrace. Prostatorrhea, even when passing a soft stool. Eczema of scrotum. Edema of prepuce, and swollen glans-penis. Nightfall. Herpes preputialis. Sycotic excrescences.

Nux Vomica

Easily excited desire. Emissions from high living. Bad effects of sexual excesses. Constrictive pain in testicles. Orchitis (Hama; Puls). Spermatorrhea, with dreams, backache, burning in spine, weakness and irritability. Nightfall. Very irritable: sensitive to all impressions. Ugly, malicious. Cannot bear noises, odors, light, etc. Does not want to be touched. Time passes too slowly. Even the least ailment affects her greatly. Disposed to reproach others. Sullen, fault-finding.

Kalium Bromatum

Heart weakness. Temperature. General failure of mental power, loss of memory, melancholia, anesthesia of the mucous membranes, especially of eyes, throat, and skin; acne; loss of sexual desire, paralysis. Leading remedy in psoriasis. Nodular form of chronic gout. Symptoms of apoplectic attacks, uremic or otherwise; somnolence and stertor, convulsions, aphasia, albuminuria. Epilepsy.

Profound, melancholic delusion; feeling of moral deficiency; religious depression; delusions of conspiracies against him. Imagines he is singled out as an object of divine wrath. Loss of memory. Nightfall. Night terrors. Horrid illusions. Active delirium. Debility and impotence. Effects of sexual excesses, especially loss of memory, impaired co-ordination, numbness and tingling in limbs. Sexual excitement during partial slumber.

Tribulus Terrestris

Dysuria, and in debilitated states of the sexual organs, as expressed in seminal weakness, ready emissions and impoverished semen. Nightfall. Prostatitis, calculous affections and sexual neurasthenia. It meets the auto-traumatism of masturbation correcting the emissions and spermatorrhea. Partial impotence caused by overindulgence of advancing age, or when accompanied by urinary symptoms, incontinence, painful micturition.

Staphysagria

Persistent dwelling on sexual subjects. Spermatorrhea, with sunken features; guilty look; emissions, with backache and weakness and sexual neurasthenia. Dyspnea after coition. Premature ejaculation having a history of excessive sex in the past. Constant thoughts of sexual sphere. They constantly dwell on sexual subjects and are highly excited even before the sexual stimulation starts. This highly excited state leads to premature ejaculation. Staphysagria acts well in treating premature ejaculations followed with backache and fatigue.

Caladium Metallicum

Premature ejaculation and erectile dysfunction (inability to obtain or sustain erection firm enough to have sexual intercourse). Emotional and stressed. Nightfall. Pruritus. Glans very red. Organs seem larger, puffed, relaxed, cold, sweating; skin of scrotum thick. Erections when half-asleep; cease when fully awake. Impotency; relaxation of penis during excitement. No emission and no orgasm during embrace.

Physical health plays an important role:

1. Minimum 1km running in the morning. Apart from this, you can do your regular exercises. But running is important.
2. Drink as much water as you can. Minimum 1 glass per hour from wakeup up to 6 PM. After 6 PM don’t drink much water, it will ruin your sleep.
3. After Breakfast, lunch and dinner walk at least 500m to 1km.
4. In the evening do some exercise like cycling (3 to 4km daily), rope skipping (3 sets of 100 reps at least) this is enough.
5. Before going to bed wash your feet in tap water for 2 to 3 minutes
6. Before sleeping apply coconut oil to your foot fingers from the lower side and massage it for 2 to 3 minutes.
7. Stop doing Masturbation. Don’t do it.

Part II (Mental Health)

1. Stop Watching Porn. banned it from your life. this is very important to not watch porn.
2. At the time of sleeping do not think about any sexual content. Think about some other good stuff.
3. Do something creative and go for a picnic, spend more time with your friends.

P. S: This article is only for doctors having good knowledge about Homeopathy and allopathy, for learning purpose(s).

For proper consultation and treatment, please visit our clinic.

None of above-mentioned medicine(s) is/are the full/complete treatment, but just hints for treatment; every patient has his/her own constitutional medicine.

To order medicine by courier, please send your details at WhatsApp– +923119884588

Dr. Sayyad Qaisar Ahmed (MD {Ukraine}, DHMS), Abdominal Surgeries, Oncological surgeries, Gastroenterologist, Specialist Homeopathic Medicines.

  Senior research officer at Dnepropetrovsk state medical academy Ukraine.

Location:  Al-Haytham clinic, Umer Farooq Chowk Risalpur Sadder (0923631023, 03119884588), K.P.K, Pakistan.

Find more about Dr Sayed Qaisar Ahmed at:

https://www.youtube.com/Dr Qaisar Ahmed

https://www.facebook.com/ahmed drqaisar

https://www.drqaisarahmed.com