1. Dhat syndrome was said to be semen-loss anxiety. It has vague somatic symptoms of fatigue, weakness, anxiety, loss of appetite, guilt, and sexual dysfunction due to theloss of semen in either through masturbation, nocturnal emission, or urine. The symptoms are well known in the Indian history of this semen loss anxiety. This syndrome was found not only in India but other parts of Asia and through history it shows that even in the 19th century Western culture had fear of semen loss as well. The researchers said that they think through industrialization and urbanization this semen loss anxiety vanished from the West, and that the same may happen in Asia.
2. There is no biological dimension to this illness. The cultural dimension is that it is what people and cultures believe about semen to make it a syndrome. That is it is present in more than one place. Like in China it is believed that semen is a vital energy and excessive loss is weakness so it causes panic. In history of Western cultures masturbation was a crime and the loss of semen in a inappropriate way would lead to reduction of its size. SO the way a culture sees the loss of semen as such a bad thing and state of weakness it brings on the anxiety and worry. In the Indian culture they believe that it takes 40 days for 40 drops of food to be converted into blood, 40 drops of blood to one drop of flesh which converts to marrow and then to semen. So to them it seems so important and such a process that they want to preserve their semen. So for the individual these cultural beliefs create a fear so they then produce a somatic symptoms and seek help for themselves from practitioners because of these worries because semen loss is seen as harmful.
3. In India it is being evaluated by practitioners and confirmed that their are physical reasons for there complaint of semen loss. Patients are being assessed as an hypochondirac, sexual dysfunction, and weakness. Treatments are psychiatric diagnosis because this disorder has symptoms of common mental disorders.