Dhat Syndrome presents with a combination of physical, psychological, and sexual symptoms, primarily rooted in the cultural belief that semen is a vital fluid whose loss weakens the body. Patients commonly report excessive concern about semen loss during urination, nocturnal emissions, or masturbation. This concern often leads to feelings of weakness, fatigue, and lethargy, accompanied by physical symptoms such as back pain, headaches, or dizziness.

Psychological symptoms are significant and include anxiety, depression, irritability, and guilt, often stemming from cultural misconceptions. Many individuals experience reduced sexual performance, such as erectile dysfunction or premature ejaculation, which exacerbates their distress.

These symptoms are often intertwined with low self-esteem, excessive worry about health, and a tendency to seek repeated medical reassurance. Recognizing and addressing the psychological and cultural dimensions of these symptoms is crucial for effective management and improving overall well-being.