What is Dhat Syndrome | How to Treat and Identify Dhat

While certain illnesses and medical conditions affect people worldwide, some diseases are widespread in a specific cultural group or region. Dhat roga, also known as Dhat syndrome, is one of the examples of these culturally bound syndromes.

It is a sexual neurosis mainly affecting men in the Indian subcontinent, including India, Bangladesh, Sri Lanka & Nepal. Dr. Narendra Wig first explained it in 1960 as Psychosomatic symptoms of sexual dysfunction, anxiety, stress & fatigue. In Which Man constantly fears the Semen leaking from his body will affect his sexual power & Health.

Men who suffer from dhat disorder experience emotional and physical distress because of perceived sperm loss and/or a fear of sperm loss.

What is Dhat?

The word ‘Dhat’ comes from the Sanskrit term ‘Dhatu,’ which implies life’s elixir. Additionally, traditional Ayurvedic medicine regarded sperm as the seven ‘Dhatus’ most valuable in humans.

It was once thought that it takes 40 drops of blood to produce one drop of sperm. As a result, semen conservation was critical in every way. Also, there were efforts to clarify how this belief system emerged in the Indian subconscious.

Dhat describes a group of symptoms, including sexual, psychological, and physical ones, caused by the passage of whitish fluid, which is thought to be sperm in urine. Sometimes it accompanies psychological anxiety and distress in patients due to sperm loss.

Also, males with dhat syndrome typically believe they have premature ejaculation. Moreover, they think they undergo impotence besides leakage of white seminal fluid during urination. Because the fear of sperm loss is so intense in the subcontinent, they become depressed due to this loss. Young men from rural backgrounds or lower socioeconomic status are more likely to experience this syndrome.

Types of Dhat Syndrome

Only Dhat: In this situation, the patients have hypochondriac symptoms attributed to the loss of sperm.

Dhat followed by depression or anxiety: In this scenario, the fundamental situation that may accompany Dhat is depression or anxiety.

Dhat accompanied by sexual dysfunction: When depressive neurosis or anxiety neurosis is present, the patient may experience erectile dysfunction, sexual dysfunction, or other psychosexual dysfunction situations like depressive neurosis or anxiety neurosis.

Symptoms of Dhat Syndrome

According to the patient, the dhat syndrome symptoms include the following symptoms

1. The loss of semen in the urine,
2. Regular masturbation or extreme sexual activity.
3. Patients with Dhat syndrome have somatic, nervousness, and depressive symptoms, and sexual dysfunction is common.
4. Weakness in the body, Anxiety, lack of sleep & gilt of losing semen

Other symptoms include fatigue, lack of physical strength, guilt, poor concentration, memory loss, and appetite loss.

Causes of Dhat Syndrome –

There is no direct physical cause that causes Dhat Syndrome. It mostly happens due to wrong beliefs and traditional misconceptions.

Medical Conditions That Can Leads to Dhatu Rog

Some medical conditions can create symptoms like Dhat syndrome and, if left untreated, can lead towards dhat syndrome and other severe medical complications.

1. Prostate gland infection prostatitis is the main reason for semen leakage in a male body.
2. Retrograde ejaculation is another reason for semen leakage in the male body that mostly occurs due to prior surgeries or injuries.
3. Nerve damage in the groin area leads to poor urination and excessive semen loss in males.
4. A poor lifestyle like drinking, poor diet, and fat in the body affect strain on your organs making them unhealthy and open to all sorts of diseases.

Some Common Misconceptions of Dhat

Dhat roga is susceptible to a set of misconceptions. Most patients believe that losing Semen during urination will consider them impotent. It will also make them sexually weaker in a certain way. According to certain Ayurvedic treatises back thousands of years, losing a drop of Semen, would be enough to cause weakness to the entire body.

Moreover, some associate Dhat syndrome with a lot of stigmas, guilt, and depression due to this cultural idea.

Dhat syndrome is associated with morbid hypochondriacal fear, which is also the stuff of myths. Also, patients believe dhat will end up causing irreversible harm to their bodies, rendering them incapable of producing male offspring.

Moreover, dhat will result in the demise of offspring at a young age, the birth of a malformed fetus, or anaemia, leprosy, permanent impotency, and penis shrinkage.

How Dhat is Different from Premature ejaculation and Semen Leakage?

Premature ejaculation or शीघ्रपतन  happens when a man participates in sexual intercourse and ejaculates within 2 minutes due to overexcitement or nervousness. Sometimes premature ejaculation or Shighrapatan is associated with nerve damage and other bodily dysfunction that cause it and other semen leakage problems.

At the same time, Dhat Syndrome is associated with semen loss or Dhatu loss, or elixir loss. A man suffering from dhat syndrome has a constant fear and anxiety of losing his life elixir which makes this situation worse than its actual severity.

Various Treatment Procedures for Dhat Syndrome

Sex Education and stress relief or any exercises are a part of the intervention programs.

Cognitive Behavioural Therapy shows to be effective for treating anxiety, mood disorders, somatic complaints, and other unexplained dhatu rog symptoms. Because patients with Dhat syndrome have symptoms from both of these abnormalities, it can be assumed that they might react to CBT meant to reduce their symptoms.

In light of false beliefs and misrepresentations about the origins of their symptoms and sexual functioning, CBT seems the most pertinent intervention. CBT would also address the distinct illness behaviour displayed by Dhat syndrome patients.

Constant thinking of semen loss and other life problems creates stress and unrest in life. Doctors have observed these phenomena and recommend antidepressants for dhat syndrome treatment medicine to patients who have depressive symptoms.

Also, some natural remedies are a part of dhat syndrome treatment. Foods high in vitamin B and antioxidants can help relieve stress and improve blood circulation in the body, which can aid in the treatment of dhat syndrome.

Workout regimens such as aerobics and yoga can assist in the release of negative emotions and the activation of happy hormones. Vitamin B-rich foods can help reduce stress and keep the activity of the happy neurotransmitter.

Exercises for Dhat Syndrome

Many sexologists advise young folks, married couples, and the elderly to use workout guides and diagrams to resolve their sexual problems and enjoy life with a healthy mind and body. Men get psychologically prompted after doing workouts.

The blood vessels that supply blood in the penis or groin become healthier, and pelvic muscles get toned, eliminating all penis issues.

Yoga aids in the relaxation of all body parts and promotes proper blood flow and oxygen levels in the body. Yoga poses like yoga for erectile dysfunction, practiced every day for 30-40 minutes, have assisted in eliminating dysfunctional problems.

Foods to Cure Dhat Syndrome?

Vitamin B is a very effective supplement to improve the quality of sperm and health, especially  Vitamin B12,  which increases sperm quality, and quantity and reduces DNA Damage in sperm.

Try consuming foods rich in Vitamin B to minimize the effect of Dhat syndrome on your body. Include nuts, sprouts, peas, fish, and dairy products in your diet to fulfill the demand for Vitamin B in your body.

Moreover, having a balanced diet will help you tackle many health problems and help you live a healthy life.

Dhat Syndrome Treatment in Ayurveda

According to Chakra Samhita, sperm is the foundation of life and energy that maintains energy levels in the body. That’s why Chakra Samhita suggests 168 ejaculations in a year or one ejaculation per week as a healthy ejaculation in a male.

Using ayurvedic herbs like Shilajit can treat Dhat Syndrome with ayurvedic herbs that boost the reproductive system’s vitality and effectiveness. These herbs will reinvigorate and re-energize the reproductive system by removing infirmity and weakness and increasing testosterone in the body.

This also contains herbs that enhance, repair, and activate nerves and herbs that provide an optimal energy supply throughout the day to avoid semen discharge with urine.

Overindulgence in sex, particularly excessive masturbation, can lead to an imbalance in the dhatus, resulting in dhat.

Avoid Certain Things During Dhat Syndrome

In both men and women, social and cultural concerns are the main cause of the onset of Dhat syndrome. Semen released regularly is not normal, as it causes body weakness. During Dhatu rog treatment, there are a few things to avoid:

• Excessive Stress
• Excessive exposure to sexual content
• Caffeine consumption that exceeds the daily limit
• Excessive alcohol or cigarette consumption
• Obsessing over the negative aspects

Conclusion

In Dhat Syndrome, regular counselling, as well as anti-anxiety and anti-depression therapy, is essential. Doctors may prescribe medication to prevent semen leakage into the urine. The patient learns to relax to keep the genitourinary system running smoothly.

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Frequently Asked Questions About Dhat

1. Is Dhat syndrome curable?
   Ans: Yes, Dhat syndrome is a curable condition; its treatment involves both medication and lifestyle changes. However, according to NCBI, around one-fifth or (21%) of patients were successfully treated, and 33% showed some improvement. Whereas the condition for 45% of patients suffering from Dhat syndrome remained the same.
2. How do you treat Dhat syndrome?
   Ans: Dhat or Dhatu rog treatment Includes Medication like antidepressants, Diagnosis for prostatitis, and other medical conditions. But cultural counselling, sex education, and lifestyle changes are important factors of dhat treatment. These counselling and education may help you reduce the fear of semen loss and help you heal fast.
3. What causes Dhat?
   Ans: Dhat Syndrome or Dhatu rog happens due to our misconception about normal sexual functionality. A Normal sex dream or nightfall can lead a man towards the Dhatu rog if he doesn’t understand his bodies functionality. It’s normal to have nightfall if you are young. If this problem is persistent later in your life then you should find ways on How to stop nightfall.  Because cultural bond theories create a fear inside him that makes him think that losing semen is unhealthy and that he will eventually lose life energy.
   This mindset inside a man is the most prominent cause of Dhat in men. Sometimes, Some medical conditions also push a man towards this mentality, like prostatitis and retrograde ejaculation that obstruct the flow of semen and mix it with urine. But Proper medical treatment can easily treat these medical conditions.
4. What type of disorder is Dhat syndrome?
   Ans: Dhat is a neurotic disorder and a culture-specific disorder in the Indian subcontinent or, more accurately, in India, Nepal, Bangladesh, and Sri Lanka.
5. What is meant by Dhat?
   Ans: Dhat in Sanskrit is referred to as “Dhatu” or “Life Elixir”, important to maintain life energy, power, and manhood. However, in the Condition of Dhat syndrome, the loss of semen creates a fear of losing the life elixir. Other dhatu rog symptoms appear like anxiety, stress, Fatigue, hypochondriasis, and Whitish urine mixed with semen.

Reference – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2800886/