A Urologist explains nocturnal emissions (aka wet dreams, nightfall)!

A Urologist explains nocturnal emissions (aka wet dreams, nightfall)! Here’s the thing: nocturnal emissions have been wrapped in mystery, embarrassment, and bad information for generations. But when you break it down medically, wet dreams are one of the most normal and predictable parts of sexual development—and they’re not limited to teenagers, even though that’s when they happen most often. A nocturnal emission is simply the body releasing built-up sexual tension during sleep. The brain cycles through different stages each night, and during REM sleep—the phase where dreams are most vivid—the nervous system shifts into a state that can trigger arousal without conscious intention. If enough stimulation builds up, ejaculation can happen, even without sexual dreams. It’s automatic, not a sign of lack of control. What this really means is that wet dreams aren’t a problem to “fix.” They’re your body recalibrating itself. In teens and young adults, hormone levels are higher and fluctuate more, so nocturnal emissions show up more often. As men age, the frequency usually decreases simply because hormones stabilize and sexual routines become more consistent. But they can still happen at any age, especially during periods of abstinence, stress relief, or hormonal shifts. Another common misconception is that wet dreams reflect something psychological—guilt, fantasy, overthinking, or “impurity.” None of that holds up. Your body doesn’t ask for permission; it just performs maintenance. In fact, nocturnal emissions can be a sign that the reproductive system is functioning well. Urologists often use the presence of nighttime erections and emissions to distinguish physical issues from psychological ones. Culturally, wet dreams have carried shame for no good reason. Once you understand the physiology, the stigma disappears. It’s simply biology doing what biology does—clearing out old sperm, preserving tissue health, and keeping the system responsive. Nocturnal emissions aren’t weird, worrisome, or avoidable. They’re normal, healthy, and often a sign everything is working exactly as it should. #MensHealth #UrologyFacts #SexualDevelopment #RealTalk This channel is led by Dr. Neraya Wolfe, Urologist and Pelvic Surgeon, and offers clear, patient-focused education on urological and pelvic health, including urinary symptoms, pelvic pain, prostate and kidney conditions, bladder disorders, sexual health, and post-procedure recovery. Many people delay care because symptoms feel personal or confusing. This channel explains what symptoms may mean, when to seek care, and what to expect—using straightforward, evidence-based guidance grounded in clinical experience. Disclaimer: All content is for general education only and does not replace medical advice, diagnosis, or treatment. Always consult your own healthcare provider. This channel does not establish a doctor–patient relationship. Digital tools, including AI, may be used. Sensitive topics may be discussed. Seek in-person care for urgent symptoms.