Uncommon Penis Problems: Spontaneous Ejaculation

Generally speaking, keeping a careful eye on one’s penis health helps avoid many potential penis problems. But sometimes penis health issues pop up despite careful and close monitoring. One of the less common penis problems a man may encounter is that of the spontaneous ejaculation.

The problem

A spontaneous ejaculation is exactly what it sounds like - a release of semen from the penis without any "warning" and often without any corresponding orgasm (although this last may vary from man to man or from one spontaneous ejaculation to another). In many instances, the ejaculation occurs in the absence of an erection or any outward sign of arousal in the penis at all.

Some men report that their very first ejaculation may be of the spontaneous variety, although there is some controversy about this. Often, a man means that his first ejaculation occurred without him physically stimulating himself or engaging in sexual contact with another person; however, very frequently the first ejaculation is accompanied by a very definite erection and fairly lengthy period of arousal and of sexual feeling, which differentiates it from what is meant by spontaneous ejaculation.

On a purely technical basis, sometimes nocturnal emissions - ejaculating in one’s sleep - may be considered forms of spontaneous ejaculation; however, doctors tend to treat them as distinct from spontaneous ejaculation.

Embarrassing

As one can well imagine, a man who suffers from frequent spontaneous ejaculation (or even infrequent instances) might find it extremely embarrassing. This is the case whether a man experiences the problem in the presence of definite erections or arousal or in their absence.

One of the things that is frustrating about chronic spontaneous ejaculation is that it is usually difficult to predict. Perhaps it happens to one man 2 or 3 times a month and is accompanied by an erection. This can make a man anxious when he gets an erection, as he is not sure whether it will result in an unexpected ejaculation or not. On the other hand, if he does not generally have "warning" in the form of arousal, he may find himself mid-conversation having to excuse himself.

Why does it happen?

Doctors do not really know exactly why spontaneous ejaculation occurs, especially chronically and in adult men. During adolescence, the raging hormones associated with that period may account for an occasional spontaneous ejaculation or two.

But what about during adulthood? One factor that is common with spontaneous ejaculation is stress. Some men who ejaculate spontaneously - whether it is one time only or fairly frequently - report experiencing keen stress in their lives (and especially in their work situation) and often find that the problem occurs when they are feeling especially stressed. It has been theorized by some that the spontaneous ejaculation is the body’s attempt to ease that stress, as typically it is accompanied by high levels of dopamine, the "feel good" hormone. However, studies have not been conducted to test this hypothesis.

In some cases, there may be a medical connection to spontaneous ejaculation. Some medications used to treat attention deficit hyperactivity disorder (ADHD), depression, or psychosis may potentially be associated with this form of penis problem.

When medication seems to be a trigger, trying another drug might be an option. If stress is the likely cause, lifestyle changes to minimize stress or to learn to deal with it better (such as meditation and yoga) might be tried.

Spontaneous ejaculation is one of the more embarrassing penis problems, and so a man may want to pay attention to penis health to minimize chance of another issue. Regular application of a first-rate penis health oil (health professionals recommend Man 1 Man Oil, which is clinically proven mild and safe for skin) can help improve penis health. The best oils will contain both a high-end emollient (such as shea butter) and a natural hydrator (like vitamin E) to help keep skin soft and well moisturized. The oil should also contain vitamin C, a key component of collagen, a tissue in the body that gives skin its tone and elasticity.

Penis Problems: ADHD Medications and Spontaneous Ejaculation

There are a wide range of issues which could legitimately be termed penis problems, from erectile dysfunction to dry penis skin to a bent penis to premature ejaculation. One of the more unusual (and therefore rare) penis problems is spontaneous ejaculation. This condition can occur in any man, but some men with ADHD (attention deficit hyperactivity disorder) may be more likely to experience it, as a side effect of medication used to treat ADHD.

About spontaneous ejaculation

Some people may assume that spontaneous ejaculation is the same as premature ejaculation, but they are considered two different conditions.

When a man suffers from premature ejaculation, it generally means that he ejaculates earlier in a sexual encounter than he intends. Typically, this is in reference to penetrative intercourse, with the semen erupting from the penis either before it enters the vagina or within a very short time after successfully penetrating. (The International Society for Sexual Medicine defines that very short time as within one minute of penetration.) Premature ejaculation always therefore occurs during a sexual situation.

Spontaneous ejaculation, on the other hand, refers to semen leaving the penis outside the context of a sexual situation and one in which there has been no physical or mental sexual stimulation beforehand.

Nocturnal emission?

Some men might assume therefore that nocturnal emissions – or wet dreams – would qualify as spontaneous ejaculation. However, nocturnal emission may often include physical or mental stimulation, even if the mental stimulation may be encoded in indirect dream imagery.

When a man has true spontaneous ejaculation, it occurs devoid of sexual context (other than perhaps a non-sexually-induced erection). For instance, one case history reports a teen-aged boy with ADHD who experienced multiple spontaneous ejaculations while taking tests in school.

ADHD

In the case of this boy, and of some other reports in the medical literature, the reason for this spontaneous ejaculation appears to be a combination of medication used to treat his ADHD and a feeling of intense anxiety. The boy had been prescribed methylphenidate, a common medication for ADHD. The medication seemed to be effectively treating his ADHD, but with this embarrassing and inconvenient side effect. When drug use was discontinued, the spontaneous ejaculations did as well.

Another drug associated with ADHD, atomoxetine, also has been reported to cause spontaneous ejaculation. One adult male on this medication reported experiencing spontaneous ejaculation frequently, especially following urination – as often as eight times in one day.

Treating ADHD can be challenging, but there are a number of drugs which are approved for use. Such being the case, if a man with ADHD is prescribed a drug which seems to be a likely cause of spontaneous ejaculation, he should bring this to the attention of his doctor and investigate the possibility of utilizing an alternative medication to treat his ADHD. It should also be noted that sometimes spontaneous ejaculation may be a one-time only occurrence, in which case it may or may not be related to medication.

Spontaneous ejaculation is one of the more atypical penis problems, most of which can impact penis health. Regular use of a top drawer penis health creme (health professionals recommend Man 1 Man Oil, which is clinically proven mild and safe for skin) is always recommended to simply and easily help maintain appropriate penis health. When dry penis skin is an issue, a creme that contains a combination of a high end emollient (such as shea butter) and a natural hydrator (such as vitamin E) can help creature a moisture seal to lock in moisture. The ideal creme will also include vitamin A, which has wonderful antibacterial properties which can help a man fight persistent penis odor issues which can be a huge turn-off to a potential partner.

When Spontaneous Ejaculation Impedes Penis Function

Premature ejaculation is a concern for many men, but another penis function issue is considerably rarer: spontaneous ejaculation. As the name implies, spontaneous ejaculation is a release of semen which occurs without any physical - and sometimes without any mental - stimulation. Since penis function is part of proper penis health, understanding spontaneous ejaculation helps a man know more about caring for his equipment.

Not nocturnal emission

Technically, many instances of nocturnal emission - ejaculating while sleeping - can be considered a form of spontaneous ejaculation. If that were to be the case, then spontaneous ejaculation would not be rare but instead would be quite common among adolescent males. However, when doctors speak of spontaneous ejaculation, they tend to consider it separate from nocturnal emission.

Statistics on this issue are hard to come by, but one study found that approximately 1.5% of men experience their first ejaculation through spontaneous means. However, there is a dearth of statistics on frequency of spontaneous ejaculations later in life. In general, it is felt that the incidence in adulthood is less than 1%. However, it is also acknowledged that many men may experience spontaneous ejaculation without ever reporting it, especially if it is a one-time or rare occurrence, rather than chronic.

Embarrassing

Clearly, incidents of spontaneous ejaculation can be embarrassing, inconvenient and messy. In many cases, the time between when a man notices that arousal has happened and the time when he ejaculates is so quick that he has no time to find a private place in which to ejaculate. And in some instances, men report ejaculating without any kind of arousal, so it is even more of a surprise. It’s difficult to anticipate and prepare for.

Causes

Because the condition is fairly rare, scientists have not been able to study it as much as they would like - and so pinpointing exact causes is sometimes difficult.

In some instances, the cause may be medication-related. Certain medications have an association with spontaneous ejaculation; such an association does not mean any man who uses these medications will have this problem, but it does make it somewhat more likely to occur. For example, methylphenidate, which is often used to treat attention deficit hyperactivity disorder (ADHD), can sometimes cause spontaneous ejaculations. At least one case study recounts that reboxetene, a drug used to treat depression, caused the condition in a man. And several antipsychotic drugs include the issue as a potential side effect.

In addition, often a man who is withdrawing from opioid addiction may experience spontaneous ejaculations.

Often, however, the issue seems to be related more to anxiety and stress. For example, a man feeling extreme stress over a college exam or great anxiety due to an important work presentation may become a victim of this problem. Some people with post-traumatic stress syndrome may also have the condition.

Finally, in older men, an enlarged prostate may sometimes produce this result.

Treatment

In cases where medication may be an issue, switching drugs can alleviate the problem. If the prostate is the root of the problem, seeing a doctor for advice is recommended.

If stress and anxiety are the problem, seeking help from a mental health professional may be helpful. In addition, practicing relaxation and meditation activities, including yoga, might be beneficial.

Penis function issues like spontaneous ejaculation worry a man and can make him question his penis health status. Using a top notch penis health crème (health professionals recommend Man1 Man Oil, which is clinically proven mild and safe for skin) helps to ensure a man that he is taking appropriate steps to better his penis health. Look for a crème that includes a wide range of key vitamins, including vitamins A, B5, C, D and E. In addition, a crème with alpha lipoic acid will help to fight free radicals which if left unchecked can create severe damaging oxidative stress.