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 causes of spermatorrhoea?

Spermatorrhoea 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 self-abuse.
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?

Although the 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 than others.

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