Rena Malik, MD Podcast: Optimizing Health, Sex & Relationships with Science Backed Tips from Leading Experts

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

Sep 8, 2025
Ever wondered about that surprising sticky feeling upon waking up? Dive into the fascinating world of nocturnal emissions, commonly known as wet dreams! Discover what they really are and who experiences them. Are they tied to erotic dreams or just a normal part of human sexuality? Find out why these events occur and how age and hormones play a role, all while feeling reassured that they pose no health concerns. Tune in for a blend of science and down-to-earth discussion!
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INSIGHT

What Wet Dreams Are

  • Nocturnal penile emissions (wet dreams) are ejaculations that occur during sleep and leave fluid on bedding.
  • Dr. Rena D Malik clarifies the term and normalizes the physical event as an ejaculation in sleep.
INSIGHT

How Ejaculation Works Physiologically

  • Ejaculation involves sympathetic nervous system signals that close the bladder neck and expel fluid through the urethra.
  • Dr. Rena D Malik explains the spinal and pelvic muscle reflexes that produce emission and outward flow.
INSIGHT

Who Gets Wet Dreams

  • About 80–90% of men and 30–40% of women experience at least one wet dream in their lifetime, often during puberty.
  • Frequency depends on age, ejaculation frequency, and hormone levels, and emissions can occur across the lifespan.
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