Young men sometimes, and married men that have been continent a long
time, and bachelors commonly, are subject to spermatic ejaculations
involuntary, without genital debility. It has been stated by authors,
high in authority, that seminal losses two or three times a week
were only physiological. From this I must dissent. I do not wish to
be understood as saying that occasional seminal losses are always
injurious, but I do not on the other hand believe, as do some, that
even occasional losses are really and always physiological.
To think that the disease exists entirely in the act of involuntary
emission, is as great an error; as it would seem only rational that,
if a larger quantity of semen was manufactured than the vesiculæ
seminales could hold, the natural result would be an evacuation. Again,
I have known males to live continent and have involuntary losses for
ten years, as often as weekly, and no evidence of any general or local
debility. Yet I believe this to be an exception worthy of note. It is
quite useless to attempt to effect a cure in some of these cases of
pseudo-spermatorrhœa, as no real disease exists. Some of them will
continue: others are only transitory, and need only to be assured that
no wrong exists. Even if it is not physiological or desirable that such
things should exist, yet it is not actually pathological.
Again, so-called mental spermatorrhœa partakes partly of this
character; especially when a young man is so pathophobic, from mere
book-reading fright, derived from specialists and impostors, whose main
business is to scare a young man to pay out his money and be humbugged.
If he has not had emissions oftener than monthly, and he is of a
confiding turn of mind, a troublesome mental disease may be founded.
If no marked physical disturbance follows these occasional losses, I
generally inform the young man that he has been mistaken as to the
gravity of his troubles; thus putting his mind at ease, and the patient
in a position for self-recovery.
Public-domain text, read in full here on John Shaqi.
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