Dhat syndrome is a condition found in the cultures of the indian subcontinent in which male patients report vague psychosomatic symptoms of fatigue, weakness, anxiety, loss of appetite, guilt, and sexual dysfunction, attributed by the patient to loss of semen in nocturnal emission, through urine or masturbation. Dhat syndrome in india on 17 jul, 2014 by moriah hill with 2 comments posted in w3 activity dhat syndrome is found in people in cultures in india, it is when males believe thy have premature ejaculation or that they are urinating out semen during. Dhat syndrome semen loss related psychological distress is a culturebound entity seen in natives of indian subcontinent. Wig4 coined the term dhat syndrome, characterized by vague somatic symptoms of fatigue, weakness, anxiety, loss of appetite and guilt attributed to semen loss through nocturnal emissions, urine and masturbation though there is no evidence of loss of semen. Dhat syndrome is commonly seen in young males, in all educational and socioeconomic status. Dhat syndrome in india anp204 introduction to medical. Indian story on semen loss and related dhat syndrome europe. Perhaps the term dhat syndrome was first used by wig in 1960 sing, 19850. The patient experiences depressive and anxiety features which are attributed to the loss of semen as a vital substance during a nocturnal emission, through the urine or as a result of masturbation.
Dhat syndrome is a condition in which the male patients suffer from premature ejaculation or impotence, and believe that they are passing semen in their urine. Semen leakage in urine, dhat syndrome ayurvedic treatment. Though the origin of this condition is deeply rooted to the overvalued role of semen as a vital substance of the human body, sexual awareness and improved literacy rates have still not been able to convince the general population of its non organic nature. Prevalence of psychiatric and sexual disorders is about three times higher in subjects with dhat syndrome compared to subjects without dhat syndrome. This syndrome is a conglomeration of multiple psychosomatic symptoms, including sexual symptoms in the absence of physical illnesses. Dhat syndrome is a condition found in the cultures of the indian subcontinent in which male patients report that they suffer from premature ejaculation or impotence, and believe that they are passing semen in their urine. Comprehensive questionnaire for assessment of dhat syndrome. Various physical and mental symptoms usually accompany the chief complaint.
The dhat syndrome has been found in several cultures and they often go by different names. The concept and epidemiology of dhat syndrome ajit avasthi,om. Dhat syndrome is known as a culturebound syndrome of south east asia. Readers must therefore always check the product information and clinical procedures with the most up to date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations.
Dhat syndrome among the islamic populations of india and. This condition has been considered to be a culture. The prevalence rate is varying between 4066% among indian population. Dhat derives from the sanskrit word dhatu, meaning metal and, also, elixir. Dear editor,i read the case report culturespecific pathogenicity of dhat semen loss syndrome in an arabislamic society, oman published in the may 2017 issue of the oman medical journal with interest.
Semen leakage in urine creates severe deficiencies in the body which makes a male weak and stops him from recovering the problem. Dhat syndrome is a true culture bound sex neurosis quite common in natives of the. Dhat syndrome is a condition described in the indian subcontinent, in which patients present with concerns about loss of semen. In conclusion, dhat syndrome is a very common culture bound sex neurosis, widely prevalent in india. Dhat syndrome is described as a culturebound syndrome, common mainly in the southeast asian region, including nepal. Wig, described as a specific syndrome nurtured as a result of culturerelated beliefs. Dhat syndrome in india on 17 jul, 2014 by moriah hill with 2 comments posted in w3 activity dhat syndrome is found in people in cultures in india, it is when males believe thy have premature ejaculation or that they are urinating out semen during urination and also having erectile dysfunctions. Dhat syndrome semen loss related psychological distress is a culture bound entity seen in natives of indian subcontinent. Depression in dhat syndrome dhikav 2008 the journal. Dhat syndrome is a culturebound syndrome prevalent in the natives of the indian subcontinent characterized by excessive concern about harmful consequences of loss of semen icd10. A study of dhat syndrome a culture bound syndrome in nepalese context article pdf available november 2018 with 104 reads how we measure reads. Dhat syndrome is a condition found in the cultures of the indian subcontinent in which male patients report that they suffer from premature ejaculation or impotence, and believe that they are passing semen in their urine in traditional hindu spirituality, semen is described as a vital fluid.
Its manifestations mimic the phenomenology of neurotic spectrum disorders. Pdf a study of dhat syndrome a culture bound syndrome. Dhat syndrome is a clinical condition that is mainly reported on the indian subcontinent. Dhat syndrome seems to be associated with sexual dysfunctions as well as with inadequate sex education. Dhat syndrome has been thought to occur primarily upon the indian subcontinent, where cultural and religious beliefs view semen as one of the bodys most. Dhat syndrome is being reported from different corners of the world. Dhat syndrome has been thought to occur primarily upon the indian subcontinent, where cultural and religious beliefs view semen as one of the bodys most precious fluids. Dhat syndrome is nowadays reported mostly by people coming from the indian subcontinent 4 and is defined as a culture.
In a prospective study of 144 consecutive male patients with psychosexual disorders, comprising 93 with dhat syndrome with or without impotence or premature ejaculation, 21 with premature ejaculation, and 30 suffering only impotence, the commonest associated psychiatric illness was neurotic depression 39% followed by anxiety neurosis 21 %, while 31% did not receive a psychiatric diagnosis. Cognitive behavioral therapy is the mainstay of treatment. Sir, dhat syndrome is a true culture bound sex neurosis quite common in natives of the indian subcontinent. Its diagnosis and management issues need to be taught to postgraduates in their teaching program. Shilajit capsules reverse weaknesses and deficiencies caused by semen leakage in urine to provide longlasting dhat syndrome treatment. The term dhat gets its origin from the sanskrit word dhatus, which, according to the sushruta samhita, means elixir that constitutes the body. Most of the empirical studies on dhat syndrome have emerged from asia, whereas. Dhat syndrome is a widely recognized clinical condition in the indian subcontinent characterized by excessive preoccupation with semen loss as the main presenting complaint. Dhat syndrome is an illness that affects the india culture. Comprehensive questionnaire for assessment of dhat. Other case reports suggest dhat to be semen, prostatic secretion, pus due to infection, lymph, and sugar.
Post orgasmic illness syndrome pois page 957 naked. Due to processes of globalization and population migration, dhat syndrome now can be detected, diagnosed, and treated worldwide. The patient is preoccupied with the excessive loss of semen by nocturnal emissions. Dhat syndrome is considered a culturebound syndrome cbs specific to the indian subcontinent. The concept and epidemiology of dhat syndrome ajit avasthi,om prakash jhirwal abstract culture bound syndromes refer to prevalence of some syndromes in specific cultures. A study was carried out to investigate the cultural basis of the dhat syndrome. The clinical picture includes severe anxiety and hypochondriasis.
Study of clinical presentations in a teaching institute of eastern nepal dhana ratna shakya1 abstract background. Dhat syndrome is a true culture bound sex neurosis quite. Lessons for postgraduate trainees about dhat syndrome ncbi. Dhat syndrome is often taken as culture bound syndrome cbs of indian subcontinent. Development of cognitivebehavioral therapy intervention.
Treatment offered to the patients suffering from it continues to be esoteric, unstructured and without standardization. Dhat syndrome is reported on basis of self diagnosis. In a prospective study of 144 consecutive male patients with psychosexual disorders, comprising 93 with dhat syndrome with or without impotence or premature ejaculation, 21 with premature ejaculation, and 30 suffering only impotence, the commonest associated psychiatric illness was neurotic depression 39% followed by anxiety neurosis 21 %, while. This is a psychological issue caused primarily by social taboos and deeply ingrained beliefs which stem from religious doctrine or social stigma. May 21, 2015 symptoms, risk factors and treatments of dhat syndrome medical condition dhat syndrome is a condition found in the cultures of the indian subcontinent in which male patients report that they. Management of dhat syndrome understanding of dhat syndrome by modern medicine fails to impress most patients. Historical perspective and development of beliefs related to semen loss 24.
The icd10cm alphabetical index is designed to allow medical coders to look up various medical terms and connect them with the appropriate icd codes. The syndrome is named for jules cotard 18401889, a french neurologist who first described this condition in 1880. There are 0 terms under the parent term dhat syndrome in the icd10cm alphabetical index. The syndrome consists of patient complaints of semen loss in any context accompanied by vague symptoms andor discomfort. Though the origin of this condition is deeply rooted to the overvalued role of semen as a vital substance of the human body, sexual awareness and improved literacy rates have still not been able to convince the general population of its non. He formulated the syndrome as a new type of depression characterized by symptoms such as anxious melancholia, ideas of. Dhat syndrome and its association with sexual behavior and pyschiatric comorbidities in males. Cotards syndrome involves nihilistic delusions about the patients own body, such as believing that he or she is a walking corpse.
There is historical evidence that the same syndrome existed in europe, united states, and australia, mainly in the 19th century, probably related to moral and religious concerns, and that it disappeared. Dhat syndrome is a cultural bound syndrome in which affected individuals have morbid preoccupation with semen loss in their urine and its impact on the body. It is a semenloss related physical and psychological distress seen mainly in people of indian subcontinent. Letters the journal of neuropsychiatry and clinical. A condition described in india which is characterised by anxiety, weakness, exhaustion, and hypochondriasis that may accompany discharge of semen or a whitish discolouration of urine.
Request pdf comprehensive questionnaire for assessment of dhat syndrome. Letters an unusual presentation of dhat syndrome to the editor. N n wig in1960 wig explained dhat syndrome the symptoms of dhat syndrome fatiguability weakness decreased appetite sexual dysfunction anxiety feeling of guilt the symptoms attribute to semen loss wig n. Nosological approach towards culture bound syndromes. The indian dhat syndrome is a culturebound symptom complex. This includes loss of semen through night discharges and masturbation or through sexual intercourse. For example, semen is considered to be a vital fluid and an integral part of life force. Dhat syndrome semen lossrelated psychological distress is a culturebound syndrome seen in the natives of indian subcontinent, but it is prevalent in other. Pdf comprehensive questionnaire for assessment of dhat.
Concept of dhat syndrome ds or semenloss syndrome is prevalent with different names in various cultures. Culture bound syndromes cbs were defined by littlewood and lipsedge as episodic and dramatic reactions specific to a particular community. Cbs were first described outside the west and so were thought to be only nonwestern conditions culturebound syndromes. Pdf dhat syndrome evaluation questionnaire swarnima. Increasingly, its nosological status has been questioned with some describing it as a culturally determined form of depression or an idiom of distress. The varied presentations of dhat syndrome springerlink. One of the more unusual cbss is dhat syndrome, typically located in the indian subcontinent india, sri lanka, bangladash. Often the patients respond to psychoeducation focusing on resolving the sexual. Dhat syndrome is an important diagnostic entity in clinical practice in south east asia. Pdf dhat syndrome and its association with sexual behavior. A condition where a patient presents with primary complaint of loss of semen.
It is suggested that such a perception is reflective of the unusual emphasis placed on the qualities of semen in ancient holy treatises. However, it is common in the indian subcontinent 1 and is also called neurosis of the orient. Pdf on jan 1, 2009, vandana mehta and others published dhat syndrome. These studies focused on clinical manifestations of dhat syndrome, associated attitude towards passage of dhat. Myths related to semen loss are the core belief around which anxiety, depressive as well as somatic symptoms develop. In 1969, yap coined the term cbs to delineate a rare and exotic group of disorders that cause little damage to humanity. There are many misconceptions which form base of symptoms and co morbidities. Other case reports suggest dhat to be semen, prostatic secretion, pus due to. Gittelsohn j, bentley m, pelto p, nag m, pachauri s, harrison a, et al. Oxford university press makes no representation, express or implied, that the drug dosages in this book are correct.
At other times counseling, antianxiety and antidepressant medications have been. Dhat syndrome is a culture bound syndrome that is found in the indian subcontinent. Dhat syndrome, a culture bound sex neurosis related to semen loss is commonly diagnosed in males of indian subcontinent. Indian doctor narendra wig coined the term dhat syndrome in 1960 and described it as being characterized by vague. Cbss comprise a combination of psychiatric andor somatic symptoms viewed as a recognizable disease within specific cultures or societies and are often unknown outside of their own local regions. Male patients think that they suffer from premature.
Dhat syndrome among the islamic populations of india and pakistan. Dear editor, i read the case report culturespecific pathogenicity of dhat semen loss syndrome in an arabislamic society, oman published in the may 2017 issue of the oman medical journal with interest. Wig to characterize the condition by vague somatic symptoms of fatigue. Lessons for postgraduate trainees about dhat syndrome. Indian doctor narendra wig coined the term dhat syndrome in 1960 and described it as being characterized by vague psychosomatic symptoms of fatigue, weakness, anxiety, loss of appetite, guilt, and sexual dysfunction, attributed by the patient to loss of semen in nocturnal emission, through urine or masturbation. The syndrome has been classified as both a neurotic disorder and a culture specific disorder. Dhat syndrome a useful diagnostic entity in indian culture. Dhat syndrome semen lossrelated psychological distress is a culturebound syndrome seen in the natives of indian subcontinent, but it is prevalent in other cultures also. Is dhat syndrome indeed a culturally determined form of. An unusual presentation of dhat syndrome the journal of. Dhat syndrome has been found to be prevalent in different. This mostly occurs in young men, although a variant of the condition unique to women as been. A culture bound syndrome the term was coined by dr.
The authors described a study on patients seeking urologic consultation with complaints of loss of semen. Jul 18, 20 dhat syndrome is an illness that affects the india culture. The study aims to study associated symptoms, sexual behavior and co morbidities in indian population. Sir, dhat syndrome, originally described as a culture bound syndrome of the indian subcontinent is a controversial diagnosis in many ways. National drug dependence treatment centre, all india institute of medical. Dhat syndrome the british journal of psychiatry cambridge. Nov 23, 2012 i read with interest the paper titled dhat syndrome, an emergent condition within urology in spain published in your journal on july 27, 2012 epub ahead of print, by menendez and colleagues. It presents with symptoms that resemble somatization. Pdf dhat syndrome is described as a culture bound syndrome cbs. Though this condition has been conceptualized as a culturebound syndrome, some authors have also considered it a manifestation of depression. Due to its clinical significance, it has been included in icd10. Development and use in patient population dhat syndrome is a culturebound syndrome, characterized by. A reappraisal find, read and cite all the research you need on.
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