<s>[INST] hi dr. my name is mukul (17 year ) &i m suffering from problem of automatic activation of sperms not because of wet dreems .i had realeased my sperms with hand many time but ultimattly i do this countinues more than 4 hr. & reult is , i m suffering i also approch urologer but medicens are not working i am taking them more than 8 months but i still serching for oitementmedicins are alprax-0.25,flodart 0.4mg, tryptomer 25mg [/INST] Sorry, I did not get u. Do u mean that u have ejaculation without masturbation ? And it occurs in wake state? Do u have erection before ejaculation? If u don't have erection and semen discharges, then you must be thoroughly examined by urologist. Sometimes without masturbation, only signals from brain can cause ejaculation and sometimes the cloth material can stimulate the nerve endings in glans resulting in ejaculation. Kindly consult better urologist. </s>