Masturbation: Frequency, Techniques, and Health Concerns - Urology

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When can I start masturbating, and how should I do it?


Hello doctor, I have been masturbating since I was in sixth grade.
How many times a week is it okay to masturbate? Is it okay if I do it up to five times a week? Also, will this affect my ability to achieve an erection when I get to college? Will it lead to infertility in the future? What is the correct way to masturbate? When I have an erection, does my foreskin retract behind the corona? Additionally, why does my urethra hurt after I urinate following masturbation?

Niming, 10~19 year old female. Ask Date: 2017/01/24

Dr. Du Shixi reply Urology


Hello: It is best not to engage in masturbation too frequently, as it may affect your studies and daily life.
Generally, normal masturbation does not have adverse effects; however, if it significantly impacts your life and normal interactions with the opposite sex, it could affect future sexual relations.
As for infertility, it depends on the physical condition of both partners, including sperm quality.
Masturbation should be fine.
Regarding your question about the foreskin during an erection, it typically retracts behind the corona, correct? --> Yes, that is correct.
Additionally, if you experience pain at the urinary opening after masturbation, what could be the cause? --> It may be due to excessive force; be careful not to rub too hard to avoid skin injury.
Thank you for your inquiry.

Reply Date: 2017/01/24

More Info


Masturbation is a natural and common behavior among individuals of all ages, and it is often a topic surrounded by various myths and misconceptions. Understanding the frequency, techniques, and health concerns associated with masturbation can help alleviate anxiety and promote a healthier perspective on this behavior.

First, regarding the frequency of masturbation, it varies widely among individuals. For some, masturbating five times a week is perfectly normal, while others may do so more or less frequently. There is no medically defined "correct" frequency; it largely depends on personal comfort and individual libido. As long as it does not interfere with daily life, responsibilities, or relationships, it is generally considered healthy.

Concerns about the long-term effects of masturbation, such as erectile dysfunction or infertility, are common but largely unfounded. Research indicates that masturbation does not cause erectile dysfunction or infertility. In fact, regular ejaculation, whether through masturbation or sexual intercourse, may have some health benefits, including reducing the risk of prostate cancer and promoting sexual health.

When it comes to the techniques of masturbation, there is no one "right" way to do it. The key is to find what feels pleasurable and comfortable for you. It is important to practice good hygiene, such as washing your hands and any objects used, to prevent infections. If you experience pain during or after masturbation, such as pain at the urinary opening, it could be due to several factors, including friction, lack of lubrication, or an underlying medical condition. If this pain persists, it is advisable to consult a healthcare professional for further evaluation.

Regarding the anatomical aspect you mentioned, the foreskin (if present) typically retracts during an erection, exposing the glans (the head of the penis). This is a normal physiological response. If you have concerns about your anatomy or how it relates to sexual function, a healthcare provider can offer guidance and reassurance.

It's also important to address any feelings of guilt or anxiety surrounding masturbation. Cultural and societal attitudes can heavily influence how individuals perceive this behavior. Understanding that masturbation is a normal part of human sexuality can help reduce stigma and promote a healthier attitude towards one's sexual health.

In summary, masturbation is a normal and healthy activity when practiced in moderation. Concerns about its impact on sexual function or fertility are largely unfounded. If you experience pain or discomfort, it is essential to seek medical advice. Open discussions about sexual health, including masturbation, can help demystify the topic and promote overall well-being. If you have further questions or concerns, consider reaching out to a healthcare provider who specializes in sexual health for personalized advice and support.

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