Below is a limited summary of some perspectives. There are numerous religious views on nocturnal emissions. Some alternative practitioners, especially herb healers, continue to diagnose and advise treatments for cases of spermatorrhea. In the 18th and 19th centuries, if a patient had ejaculations outside of marital intercourse, or released more semen than is typical, then he was diagnosed with a disease called spermatorrhea or 'seminal weakness.' A variety of drugs and other treatments, including circumcision and castration, were advised as treatment. The frequency of nocturnal emissions is highly variable, just as with men.

The study indicates that such a first ejaculation resulting from a nocturnal emission was delayed a year or more from what would have been developmentally possible for such males through physical stimulation. Kinsey found that males experiencing their first ejaculation through a nocturnal emission were older than those experiencing their first ejaculation by means of masturbation. ĭuring puberty, 13% of males experience their first ejaculation as a result of a nocturnal emission. In a 1998 study by Robby C, the number of boys reporting nocturnal emissions drastically increased as their testosterone doses were increased, from 17% of subjects with no treatment to 90% of subjects at a high dose. One factor that can affect the number of nocturnal emissions men have is whether they take testosterone-based drugs. Some of these males credit the frequent emissions to the fact that they do not masturbate but it is just as likely that the reverse relationship is true, namely, that they do not masturbate because they have frequent emissions.' In general the males who have the highest frequencies of nocturnal emissions may have somewhat lower rates of masturbation. Alfred Kinsey found there may be 'some correlation between the frequencies of masturbation and the frequencies of nocturnal dreams. The frequency that one has nocturnal emissions has not been conclusively linked to frequency of masturbation. Some men have the dreams only at a certain age, while others have them throughout their lives following puberty. For example in Indonesia surveys show that 97% of men experience nocturnal emissions by the age of 24. In some parts of the world nocturnal emissions are more common. For married males the mean ranges from 0.23 times per week (about once per month) for 19-year-old married males to 0.15 times per week (about once every two months) for 50-year-old married males. For males who have experienced nocturnal emissions the mean frequency ranges from 0.36 times per week (about once every three weeks) for single 15-year-old males to 0.18 times per week (about once every five-and-a-half weeks) for 40-year-old single males. 84% of men in the United States will experience nocturnal emissions at some time in their life.

Some men have experienced large numbers of nocturnal emissions as teenagers, while others have never experienced one. The frequency of nocturnal emissions is highly variable.

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