Impact of Abstaining from Masturbation on Prostate and Testicular Health

The impact of unexcreted substances?

Hello, doctor.
I am 29 years old and have had the habit of masturbation since around middle school.
I have never had a girlfriend.
About 300 days ago, in August of last year, I tried to stop masturbating.
During this period, I experienced nocturnal emissions once or twice, but I haven't had any since.
I would like to know if not masturbating and not having nocturnal emissions will have any effects on my prostate, testicles, or other sexual organs.
If there are indeed effects, would you recommend that I maintain a regular schedule, such as a few times a month, to help with release? Thank you.

Xiao Tian, 20~29 year old female. Ask Date: 2016/05/08

Dr. Liu Jiaju reply Urology

Masturbation is a normal physiological release and has no significant impact on health.
However, excessive indulgence may affect normal daily activities.
It is advisable to engage in moderate exercise to divert attention.

Reply Date: 2016/05/08

More Info

Abstaining from masturbation and its impact on prostate and testicular health is a topic that has garnered interest in both medical and lay communities. At 29 years old, you have made a significant lifestyle change by refraining from masturbation for over 300 days. It's important to understand the physiological and psychological implications of this decision.

Prostate Health
The prostate gland plays a crucial role in male reproductive health, and its function can be influenced by various factors, including sexual activity. Research indicates that regular ejaculation, whether through sexual intercourse or masturbation, may help reduce the risk of prostate issues, including benign prostatic hyperplasia (BPH) and prostate cancer. A study published in the journal *European Urology* found that men who ejaculated more frequently (21 times or more per month) had a lower risk of prostate cancer compared to those who ejaculated less frequently.

The rationale behind this is that ejaculation helps to clear out potentially harmful substances from the prostate and may reduce inflammation. When you abstain from ejaculation, there is a possibility of increased pressure and discomfort in the prostate, which could lead to conditions such as prostatitis (inflammation of the prostate). However, the evidence is not definitive, and individual experiences can vary.

Testicular Health
Regarding testicular health, the testicles produce sperm and testosterone, and regular ejaculation is part of the natural reproductive cycle. While there is no direct evidence suggesting that abstaining from masturbation negatively impacts testicular health, prolonged periods without ejaculation can lead to a buildup of sperm, which may cause discomfort or a feeling of heaviness in the testicles. This condition is often referred to as "spermatic congestion."
Moreover, testosterone levels can fluctuate based on sexual activity. Some studies suggest that sexual arousal and ejaculation can temporarily boost testosterone levels, which play a vital role in various bodily functions, including mood regulation, energy levels, and libido.

Psychological Aspects
The psychological impact of abstaining from masturbation can also be significant. Many individuals report feelings of increased energy, focus, and motivation when they abstain. However, others may experience increased anxiety or stress related to sexual urges. It is essential to find a balance that works for you and to consider your mental health alongside physical health.

Recommendations
If you are concerned about the potential impacts of abstaining from masturbation on your prostate and testicular health, it may be beneficial to establish a routine that includes regular ejaculation. This could be through masturbation or sexual activity, depending on your comfort level. A frequency of once a week to once a month is often suggested as a healthy balance for maintaining prostate health without overindulgence.

Additionally, if you experience any discomfort, changes in urinary habits, or other concerning symptoms, it is advisable to consult a healthcare professional. Regular check-ups can help monitor your prostate health and address any issues that may arise.

Conclusion
In summary, while abstaining from masturbation for an extended period may not have immediate detrimental effects on prostate and testicular health, regular ejaculation is generally considered beneficial for maintaining these organs' health. If you feel comfortable, incorporating a routine that allows for occasional ejaculation may help alleviate any potential risks associated with prolonged abstinence. Always listen to your body and consult with a healthcare provider if you have specific concerns or symptoms.

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