Culture bound syndromes which present with symptoms which resemble somatization have been described. In the Asian countries, syndromes which involve the loss of semen (the ?Dhat syndrome?), which present with physical and psychological symptoms are common. This is only the second case report which has described seminal retention. A 24- years old, unmarried male who presented with the symptoms of a somatization disorder, which was attributed to seminal retention and who developed cybersex addiction has been described. He responded to the treatment with fluoxetine 20mg daily. Seminal retention syndrome needs further exploration in the southeast Asian countries for its prevalence, presentations and treatment.
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