Dhat Monastery
   HOME

TheInfoList



OR:

Dhat syndrome ( Sanskrit: धातु दोष,
IAST The International Alphabet of Sanskrit Transliteration (IAST) is a transliteration scheme that allows the lossless romanisation of Indic scripts as employed by Sanskrit and related Indic languages. It is based on a scheme that emerged during ...
: Dhātu doṣa) is a condition found in the cultures of South Asia (including Pakistan, India, Bangladesh, Nepal, and Sri Lanka) in which male patients report that they suffer from premature ejaculation or impotence, and believe that they are passing semen in their urine. The condition has no known organic cause. In traditional
Hindu Hindus (; ) are people who religiously adhere to Hinduism.Jeffery D. Long (2007), A Vision for Hinduism, IB Tauris, , pages 35–37 Historically, the term has also been used as a geographical, cultural, and later religious identifier for ...
spirituality, semen is described as a "vital fluid". The discharge of this "vital fluid", either through
sex Sex is the trait that determines whether a sexually reproducing animal or plant produces male or female gametes. Male plants and animals produce smaller mobile gametes (spermatozoa, sperm, pollen), while females produce larger ones (ova, oft ...
or
masturbation Masturbation is the sexual stimulation of one's own genitals for sexual arousal or other sexual pleasure, usually to the point of orgasm. The stimulation may involve hands, fingers, everyday objects, sex toys such as vibrators, or combinatio ...
, is associated with marked feelings of anxiety and dysphoria. Often the patient describes the loss of a whitish fluid while passing urine. At other times, marked feelings of guilt associated with what the patient assumes is "excessive" masturbation are noted. Many doctors view dhat as a folk diagnostic term used in South Asia to refer to anxiety and hypochondriacal concerns associated with the discharge of semen, with discoloration of the urine, and feelings of weakness and exhaustion. Dhat is thought to be a culture-bound syndrome similar to ''jiryan'' ( South-East Asia), ''prameha'' (
Sri Lanka Sri Lanka (, ; si, ශ්‍රී ලංකා, Śrī Laṅkā, translit-std=ISO (); ta, இலங்கை, Ilaṅkai, translit-std=ISO ()), formerly known as Ceylon and officially the Democratic Socialist Republic of Sri Lanka, is an ...
), and ''
shenkui ''Shenkui'' ( zh, t=腎虧, s=肾亏, p=shènkuī) is a traditional Chinese medicinal term in which the individual suffers withdrawal like symptoms including painful brain fag syndrome, chills, nausea, and even flu-like symptoms with anxiety, ...
'' (
China China, officially the People's Republic of China (PRC), is a country in East Asia. It is the world's most populous country, with a population exceeding 1.4 billion, slightly ahead of India. China spans the equivalent of five time zones and ...
). Dhat syndrome might be related to other post-orgasmic diseases, such as
post-coital tristesse Post-coital tristesse (PCT), also known as post-coital dysphoria (PCD), and colloquially post-nut clarity, is the feeling of sadness, anxiety, agitation or aggression, after sexual intercourse or masturbation. Its name comes from New Latin ''p ...
(PCT),
postorgasmic illness syndrome Postorgasmic illness syndrome (POIS) is a syndrome in which people have chronic physical and cognitive symptoms following ejaculation. The symptoms usually onset within seconds, minutes, or hours, and last for up to a week. The cause and prevalen ...
(POIS), and
sexual headache Sexual headache is a type of headache that occurs in the skull and neck during sexual activity, including masturbation or orgasm. These headaches are usually benign, but occasionally are caused by intracranial hemorrhage and cerebral infarction, ...
.


Signs and symptoms

Young males are most often affected, though similar symptoms have been reported in females with excessive vaginal discharge or
leucorrhea Leukorrhea or (leucorrhoea British English), also known as fluor albus, is a thick, whitish, yellowish or greenish vaginal discharge. It has also been referred to as "the whites". There are many causes of leukorrhea, the usual one being estrogen ...
, which is also considered a "vital fluid". In addition, there are symptoms of fatigue and weakness. Patients with Dhat condition most normally ascribe their semen misfortune (secretion of semen in urine) to reasons like inordinate masturbation, sensual dreams, and unreasonable sexual longing. Nocturnal emission and secretion of semen in urine are considered to be the most widely recognized symptoms of semen misfortune. Patients with Dhat condition frequently dread the result of semen misfortune and regularly have the conviction that it will lead to decrease in sexual performance. The most widely recognized side effects in patients with Dhat condition are shortcoming of the body, sluggishness, low energy, and low temperament. Premature ejaculation and impotence are commonly seen. Other somatic symptoms like weakness, easy fatiguability, palpitations, insomnia, low mood, guilt and anxiety are often present. Males sometimes report a subjective feeling that their penises have shortened. These symptoms are usually associated with an anxious and dysphoric mood state. Another sign of this syndrome is white discharge. According to Ayurvedic, an Indian medical system, men who have experienced this have shown signs of anxiety issues. This disease is a culture bound syndrome. Semen loss is generally viewed as taboo and harmful. It is also associated with a lower socioeconomic class. Being able to produce semen is viewed as longevity of one's health and certain powers. In Indian culture, it is important for a man to produce semen.


Treatment

Cognitive behavioral therapy Cognitive behavioral therapy (CBT) is a psycho-social intervention that aims to reduce symptoms of various mental health conditions, primarily depression and anxiety disorders. CBT focuses on challenging and changing cognitive distortions (suc ...
is the mainstay of treatment. At other times counseling, anti-anxiety and antidepressant medications have been shown to be of use. Doctors have found that antidepressant (PDE-5 inhibitors) medicines have shown positive results in controlling the Dhat syndrome's psychological causes."


Epidemiology

Dhat syndrome has been reported throughout South Asia in several communities."


History

The term ''Dhat'' gets its origin from the Sanskrit word ''Dhatu'' (धातु), which, according to the
Sushruta Samhita The ''Sushruta Samhita'' (सुश्रुतसंहिता, IAST: ''Suśrutasaṃhitā'', literally "Suśruta's Compendium") is an ancient Sanskrit text on medicine and surgery, and one of the most important such treatises on this subj ...
, means "elixir that constitutes the body". Indian doctor Narendra Wig coined the term Dhat syndrome in 1960 and described it as being characterized by vague
psychosomatic A somatic symptom disorder, formerly known as a somatoform disorder,(2013) nocturnal emission, through urine or masturbation. Literature describing semen as a vital constituent of the human body dates back to 1500 BC. The disorders of ''Dhatus'' have been elucidated in the
Charaka Samhita The ''Charaka Samhita'' (, “Compendium of ''Charaka''”) is a Sanskrit text on Ayurveda (Indian traditional medicine). Along with the ''Sushruta Samhita'', it is one of the two foundational texts of this field that have survived from ancien ...
, which describes a disorder called ''Shukrameha'' (शुक्रमेह) in which there is a passage of semen in the urine. In China, various names such as (
Shen K'uei __NOTOC__ Shen may refer to: * Shen (Chinese religion) (神), a central word in Chinese philosophy, religion, and traditional Chinese medicine; term for god or spirit * Shen (clam-monster) (蜃), a shapeshifting Chinese dragon believed to create m ...
), Sri Lanka ( Prameha) and other parts of South East Asia ( Jiryan) symptoms and conditions are similar to ''dhatus''. The International Classification of diseases ICD-10 classifies Dhat syndrome as both a neurotic disorder (code F48.8) and a culture-specific disorder (Annexe 2) caused by "undue concern about the debilitating effects of the passage of semen".


Society and culture

Some doctors believe Dhat syndrome to be either a culture-bound presentation of clinical depression, as a somatized set of symptoms, or a result of Western doctors' misinterpretation of patients' descriptions of their condition. Dhat syndrome is very common in Nepali culture as well. Most of them come with the complaints of "drops" and become extremely anxious about it and see it as loss of "male power". It is often related with obsessive ruminations and
somatoform A somatic symptom disorder, formerly known as a somatoform disorder,(2013) dsm5.org. Retrieved April 8, 2014. is any mental disorder that manifests as physical symptoms that suggest illness or injury, but cannot be explained fully by a general ...
symptoms. Others see it as a distinct clinical entity which is less culture-bound than these critics assert, and describe it as one form of a syndrome of " semen-loss anxiety" which also occurs in other Eastern cultures as jiryan and
shen-k'uei ''Shenkui'' ( zh, t=腎虧, s=肾亏, p=shènkuī) is a traditional Chinese medicinal term in which the individual suffers withdrawal like symptoms including painful brain fag syndrome, chills, nausea, and even flu-like symptoms with anxiety, b ...
, as well as in Western cultures.
Chlamydia infection Chlamydia, or more specifically a chlamydia infection, is a sexually transmitted infection caused by the bacterium ''Chlamydia trachomatis''. Most people who are infected have no symptoms. When symptoms do appear they may occur only several we ...
might also be related to it because of similar symptoms in case of infection of the urethra ( urethritis), which is usually symptomatic, causing a white discharge from the penis with or without pain on urinating ( dysuria).


See also

* Cross-cultural psychiatry *
Koro Koro may refer to: Geography *Koro Island, a Fijian island *Koro Sea, in the Pacific Ocean *Koro, Ivory Coast *Koro, Mali *Koro, Wisconsin, United States, an unincorporated community Languages *Koro language (India), an endangered language spoken ...
*
Shenkui ''Shenkui'' ( zh, t=腎虧, s=肾亏, p=shènkuī) is a traditional Chinese medicinal term in which the individual suffers withdrawal like symptoms including painful brain fag syndrome, chills, nausea, and even flu-like symptoms with anxiety, ...


References


External links

{{DEFAULTSORT:Dhat Syndrome Stress-related disorders Culture-bound syndromes Sexual health