There are probably comparatively few young men who have not at some
time been alarmed by reading the newspaper advertisements, pamphlets
and handbills with which the country is flooded, offering relief in
the name of pure philanthropy and humanity to the thousands of young
men who must otherwise go down to a wretched and early grave. These
pamphlets and circulars emanate generally from “ victims of
self-abuse,” who have after long years of unsuccessful treatment at
the hands of physicians discovered accidentally a sure cure for the
affection, which they are willing to impart — for a consideration.
The business of these men would be destroyed, and much
unhappiness, misery and despondency would be avoided by young men
generally, if the actual facts with regard to seminal emissions were
known to the public.
The fact is that seminal emissions occur naturally in men in
good health who do not indulge in sexual intercourse. Within a
certain limit it is perfectly natural and healthy for the fluid to
escape without the usual provocation. The question then arises, what
is the limit at which these emissions cease to be healthy and become
injurious ? It would be a source of much satisfaction to the writer,
as well as to other physicians, if there were some fixed law by
which this question could be answered. But there is no such law ;
indeed, when we consider the matter, it is evident that there can be
no rule which shall apply to all individuals. It is impossible to
state definitely just how much beefsteak a man should eat or can eat
without injury; he can easily ascertain for himself by experiment.
So it is with regard to the frequency of seminal emissions ; the
interval which elapses between them varies extremely in individuals
who remain nevertheless in equally good health. Some men suffer such
an emission once in two weeks, while others have several in a week,
and yet maintain perfect health.
What are the
is not usually a separate disease by itself, but is a symptom of
several affections which may be located in the genital organs or may
affect other parts of the body, especially the nervous system. In
most cases it is simply a nervous disease, and is accompanied by
numerous other symptoms which indicate feebleness of the nervous
system. The subject of it is commonly of a nervous, excitable
temperament; and as first pointed out by an eminent French
physician; he has usually suffered in earlier life from some
manifestation of weakness in the genital or urinary organs, such as
inability to retain the urine. It has been noted that children
afflicted in this way often suffer in later life from weakness of
the genital organs.
Among the causes which predispose to this affection is
constant indulgence of the imagination in licentious thoughts. This
especially when combined with unsatisfied sexual excitement, in duces an irritability of the organs which finally results in the
escape of the seminal fluid upon slight provocation.
Spermatorrhoea is most frequently induced by the habit of
self-abuse. When this habit is stopped the individual usually
suffers from involuntary emissions instead of those which he had
formerly excited voluntarily.
It must not, however, be supposed that every individual who has
once indulged in this habit must suffer from incontinence of semen
afterward. In many cases the habit is practiced to only a limited
extent and is not followed, to any particular degree, by seminal
emissions ; that is, these emissions do not occur with more
frequency than is natural for individuals who have not practiced
There are several causes which may act in exciting seminal
emissions in cases where no disease of the sexual organs exists.
Sometimes an unusual formation of the organ is a source of constant
irritation which provokes seminal emissions. One of the most
frequent of these is an unnatural tightness of the foreskin, whereby
the secretion formed beneath it cannot escape, and being retained
irritates the inner surface. An unnatural narrowness of the urethral
opening may also cause constant irritation and seminal losses.
Cases have been known in which spermatorrhoea has followed
several ordinary derangements of the rectum ; thus piles, fissures,
worms and skin eruptions in these parts have all been known to cause
seminal losses, which disappeared when the original affection was
removed. Habitual constipation may also cause the same effect by
constant pressure pon the parts.
They cannot be accused of any injurious effect unless they are
followed by headache, backache, sleeplessness, mental depression,
and bodily lassitude. Even in these cases it is quite possible that
other causes, such as excessive devotion to business or pleasure,
are largely responsible for the symptoms just mentioned; in every
case the patient should take a calm and reasonable view of the
matter, and not jump to the conclusion that his health is being
undermined by seminal emissions when there are actually other causes
which are in themselves sufficient to account for his difficulties.
It is a fact that seminal emissions may be a result as well as a
cause of general debility ; and much effort is sometimes wasted in
attempts to cure seminal emissions, which should be directed to
improvement of the general health.
Most cases in which the patients believe themselves to be afflicted
with seminal emissions by day, are really not cases of
spermatorrhoea at all. Unless the discharge be accompanied by the
usual symptoms, it is highly probable that the fluid which escapes
is not the seminal fluid at all, but merely an increased secretion
from the urethra and from the prostate gland. The question can be
decided at once by submitting the fluid to microscopical examination
; until this is done the patient should remember that the
probabilities are against the supposition that this fluid is the
true seminal discharge. It should also be remembered that in certain
conditions of the general system seminal emissions occur as a rule,
and have no other significance than that of a symptom of the
disease. It is not uncommon for patients who are recovering from
exhausting diseases — such as the infectious fevers, smallpox,
typhoid fever, etc.These may occur at short intervals for several
weeks and yet disappear permanently when the patient finally
recovers his health.
What are the Symptoms of spermatorrhoea?
symptoms of true spermatorrhoea vary according to the general
condition, disposition and age of the patient, yet the general
course is somewhat as follows.Among the earlier symptoms which
indicate that the pollutions are becoming more frequent than is
compatible with perfect health, are pain in the small of the back,
pain in the head, a sense of fatigue and inability for exertion, and
a certain incapacity for mental effort. As the emissions increase in
frequency, the patient observes a diminished capacity for sexual
enjoyment; the general symptoms are made worse, and include
dizziness, weakness of sight, trembling in the limbs, a sense of
weight in the chest, palpitation of the heart, and signs of
dyspepsia. After a time he begins to have emissions by day also, and
he now usually becomes the prey of despondency.
His mental depression may be so great that his thoughts are con
stantly directed to the one subject — a condition which aggravates
the difficulty. His gait becomes unsteady ;
he feels wandering pains in various parts of the body ; his rest is
disturbed by frightful dreams ; he shuns society, because he
imagines that others see and recognize the cause of his difficulty.
In fact, his mental condition approaches finally a mild type of
insanity. It must be said, however, that there but few, if any,
cases in which insanity can be traced to excessive seminal losses.
There are numerous instances in which an individual suffering from
seminal emissions has become insane, and such cases are commonly
ascribed to the seminal losses. A closer scrutiny of the case
usually shows that the patient had a tendency to insanity, and that
the seminal losses are to be regarded rather as one of the symptoms
of the general nervous depression which resulted in insanity — as an
effect, therefore, rather than as the cause of his mental
derangement. Certain it is that those who have inherited a
disposition to certain nervous diseases — epilepsy and insanity for
instance—are far more frequently affected with seminal emissions
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