HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Treatment For Nightfall And Fatigue

default
Posted on Mon, 31 Aug 2015
Question: I am suffering night fall since at the age of 14. I used to masterbate earlier. Average Frequency of my night fall is about twice in a week. Sometimes it happens twice in a night too. I feel some fatigue after night fall. I use Ayurvedic medicine sharangdhar stamina. I feel no problem as long as I take it. I am going to get married soon in next 4-5 months. I want to have normal sex life with my partner without taking any medicine on regular basis. Is night fall normal with above mentioned frequency? Will it have any adverse effect on my sexual life in future? my penis erects properly after stimulation but in normal condition it's size looks so small & it shrinks too? Sometimes while watching porn videos I couldn't resist my ejaculation? Is it a premature ejaculation? Please suggest permanent solution
doctor
Answered by Dr. Chintan Solanki (50 minutes later)
Brief Answer:
you do not have any physical problem, no need to worry

Detailed Answer:
Hello XXXXXXX

Thanks for writing to us.

First of all clarification about night fall:

In all boys when puberty starts around age of 13 to 17, 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. Twice a week night fall is absolutely normal.

If you actively try to expel the semen through masturbation frequently, you would not have this nightfall.

There are lots of herbal and ayruvedic products claiming treatment for nightfall but no scientific studies of those products.

Kegel exercise may help up to some extent by tightening muscles. You can search details of the same on internet easily.

In conclusion you do not have any illness; rather night fall suggests your reproductive system is working well.

Clarification regarding weakness:
It is very prevalent wrong belief in XXXXXXX that semen loss/night fall causes weakness. One ejaculation of semen (2-3 ml) contains only 30-40 calories and if you do masturbation it needs some more 100 calories. This is very negligible calorie in regard to overall daily food intake. This semen loss does not cause any weakness at all. Fatigue which is felt is more psychological than physical in such cases.

If you have doubt about masturbation I want to clarify that aspect also.
Masturbation is natural and normal thing. It is done by 95% of the males in the world, mostly before marriage as well as when wife is away, in menses or pregnant after marriage. It is not at all harmful. Frequency of masturbation done by an individual varies from once a day to once a week. It depends upon individual libido, wish and timing. It neither causes any weakness nor any problem in sexual activity.

Now clarification about size of penis:

Normal size of penis in flaccid state is 2 to 4 inches (5 to 10 cm) while in erect position 4 to 6 inches (10 to 15 cm). It varies according to body structure and race. Size of penis does not matter much for satisfying partner.
Anterior 3 inches of female vaginal wall is sensitive to sexual stimuli. Only 3.5 inches of erect penis is sufficient to satisfy female. Hope you are clear about concern of size of penis now.


If there is excess semen is there in your seminal vesicles while watching porn it is likely to come out. It is not premature ejaculation. Premature Ejaculation (PME) or early discharge defined only when male partner ejaculates early before the female partner reaches to orgasm during sex. There is no absolute time by which we can diagnose PME. It is relative term and female partner is the best judge.

In conclusion from your history it seems that there is no physical problem at all. You are just over concerned about your sex life. You need to relax and clear your doubts. You can enjoy your post marital sex life without any problem.

Hope I have answered your all questions, feel free to ask if you have still any doubt.

Regards,
Dr.Chintan Solanki.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
default
Follow up: Dr. Chintan Solanki (9 hours later)
Sir, I asked many of my friends they do not face any of such night falls. Then why does it happens with me? Even after masterbation I feel fatigue. Feel legs & lower back ache. My eyes go deep. Shall keep taking medicine or not? Do I need to take any medicine or health supplements? Can medicines increase libido or sex time? Is oral sex safe? What to do keep my self fit in bedroom?
doctor
Answered by Dr. Chintan Solanki (11 hours later)
Brief Answer:
No need to take supplement if your BMI(Body Mass Index) is normal

Detailed Answer:
Hi,

Thanks for follow up.

I have already clarified that night fall is not a disease. It is true that not all persons suffer from night fall.
It is possible that some of friends are doing masturbation but not disclosing you. In some persons semen production rate reduces if they refrain from masturbation/sex and they do not suffer from night fall. And in some semen goes out with urine and person is not aware.

You have night fall that means your semen production rate is good and your libido is also good.

I have also mentioned about masturbation. Believe me masturbation is not all responsible for fatigue. It is possible that these are vitamin B12 deficiency symptoms. Go for serum Vit. B12 level. Also check thyroid level. If both reports come normal, no need of any specific treatment.

- To clarify this matter please let me know that do you masturbate with hands or by rubbing your body with bed?


If your BMI - Body Mass Index is normal (21-25) no need of any supplement. You can check your BMI online if you are aware about your height and weight.

There are medicines to increase libido and sex time. In my opinion you are not required them at all.

Oral sex is safe if both partners maintain hygiene and not suffering from any infection.

There are some natural lifestyle measures which help to improve blood flow to penis and overall sexual performance in bedroom.

- The most important factor is healthy heart. Blood is pumped in to body by heart. So regular exercise and avoidance of fatty fast food are important measures to prevent heart disease. Regular walking, swimming or running overall improves blood flow to whole body circulation including penis and keep the mind fresh.

- Good healthy food is also an important aspect. Bananas, Garlic, dry fruits(they contains vitamins), eggs, cow milk, cow butter are good food which help in sexual fitness.

- Avoid smoking and alcohol. Low amount of alcohol can help in increasing blood flow but more amount can cause opposite effects. So better to avoid the same.

Hope this answers your concern. Feel free to discuss further.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Chintan Solanki (9 hours later)
Sir, considering above mentioned facts, could I maintain sexual relationship everyday after my marriage. I heard those who suffer night falls face problems of low sperm count or infertility, is it true? In oral sex is it safe if one ingest vaginal liquid? I used to masterbation both ways by rubbing and hand. But now I hardly do masterbation. Shall I keep doing masterbation or stop it? I heard if one do masterbation without ejaculation it improves your libido, is it true? What I face fatigue even after marriage?
doctor
Answered by Dr. Chintan Solanki (13 hours later)
Brief Answer:
yes you can maintain sexual relationship after marriage without any problem

Detailed Answer:
Hi,

Thanks for asking your doubts.

Night fall is natural phenomenon to expel excess semen. It does not cause any fertility problem or low sperm count. You can maintain sexual relationship after marriage without any problem.

If female does not have any vaginal infection it is ok if you ingest vaginal liquid by chance. But better to avoid as it is difficult to judge about infection in female vagina.

You should continue masturbation whenever you wish and satisfy your sexual desire. It is absolutely normal. And even it will cure your problem of night fall.

Without ejaculation masturbation is not at all complete. Ejaculation occurs simultaneously with orgasm in male so if you avoid ejaculation you cannot enjoy and even it can cause some discomfort. It is false belief that masturbation without ejaculation improves libido.

If you understand my answers and can relax your mind about your apprehension related to sex, you will not have any fatigue after masturbation or even after marriage.

Hope your doubts are clear now. You can ask again without hesitation if still any confusion.

Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Chintan Solanki

Psychiatrist

Practicing since :2007

Answered : 2406 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Treatment For Nightfall And Fatigue

Brief Answer: you do not have any physical problem, no need to worry Detailed Answer: Hello XXXXXXX Thanks for writing to us. First of all clarification about night fall: In all boys when puberty starts around age of 13 to 17, 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. Twice a week night fall is absolutely normal. If you actively try to expel the semen through masturbation frequently, you would not have this nightfall. There are lots of herbal and ayruvedic products claiming treatment for nightfall but no scientific studies of those products. Kegel exercise may help up to some extent by tightening muscles. You can search details of the same on internet easily. In conclusion you do not have any illness; rather night fall suggests your reproductive system is working well. Clarification regarding weakness: It is very prevalent wrong belief in XXXXXXX that semen loss/night fall causes weakness. One ejaculation of semen (2-3 ml) contains only 30-40 calories and if you do masturbation it needs some more 100 calories. This is very negligible calorie in regard to overall daily food intake. This semen loss does not cause any weakness at all. Fatigue which is felt is more psychological than physical in such cases. If you have doubt about masturbation I want to clarify that aspect also. Masturbation is natural and normal thing. It is done by 95% of the males in the world, mostly before marriage as well as when wife is away, in menses or pregnant after marriage. It is not at all harmful. Frequency of masturbation done by an individual varies from once a day to once a week. It depends upon individual libido, wish and timing. It neither causes any weakness nor any problem in sexual activity. Now clarification about size of penis: Normal size of penis in flaccid state is 2 to 4 inches (5 to 10 cm) while in erect position 4 to 6 inches (10 to 15 cm). It varies according to body structure and race. Size of penis does not matter much for satisfying partner. Anterior 3 inches of female vaginal wall is sensitive to sexual stimuli. Only 3.5 inches of erect penis is sufficient to satisfy female. Hope you are clear about concern of size of penis now. If there is excess semen is there in your seminal vesicles while watching porn it is likely to come out. It is not premature ejaculation. Premature Ejaculation (PME) or early discharge defined only when male partner ejaculates early before the female partner reaches to orgasm during sex. There is no absolute time by which we can diagnose PME. It is relative term and female partner is the best judge. In conclusion from your history it seems that there is no physical problem at all. You are just over concerned about your sex life. You need to relax and clear your doubts. You can enjoy your post marital sex life without any problem. Hope I have answered your all questions, feel free to ask if you have still any doubt. Regards, Dr.Chintan Solanki.