Is Long-Term Abstinence from Masturbation Harmful to Sexual Health? - Urology

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Long-term abstinence from sexual activity, including masturbation, may not be beneficial either?


Hello, doctor.
I have a low sex drive and used to masturbate once a week.
However, in the past two months, I have hardly masturbated at all and have been relying on nocturnal emissions instead.
After reading various articles, I found that many people say that long-term abstinence can negatively affect mental health, as well as lead to poor sperm quality and decreased sexual function.
Is it better to engage in moderate masturbation?

Chen Hao, 20~29 year old female. Ask Date: 2017/06/22

Dr. Du Shixi reply Urology


Hello: If you don't want to, then don't; only do it if you feel like it.
Long-term abstinence can actually affect your mental health.
DIY methods may not necessarily be effective, so avoid reading articles that might negatively influence you.
As for poor sperm quality and decreased sexual function, ensuring adequate sleep, a balanced diet, and moderate exercise, along with avoiding smoking and alcohol, can be more effective.
Wishing you good health.

Reply Date: 2017/06/22

More Info


Long-term abstinence from masturbation can indeed have implications for sexual health, but the effects can vary significantly from person to person. It’s important to understand the physiological and psychological aspects of sexual health to address your concerns adequately.

From a physiological standpoint, regular ejaculation—whether through masturbation or sexual intercourse—can have several benefits. It helps maintain the health of the prostate and may reduce the risk of prostate cancer. Some studies suggest that frequent ejaculation may help in flushing out older sperm and producing healthier sperm, potentially improving fertility. However, the relationship between ejaculation frequency and sperm quality is complex and not fully understood.

In terms of sexual function, some individuals may experience changes in libido or erectile function due to long-term abstinence. For some, the absence of sexual activity can lead to decreased sexual desire or even difficulties in achieving erections when sexual activity is attempted after a prolonged period of abstinence. This phenomenon can be attributed to psychological factors, such as anxiety about performance or changes in sexual arousal patterns.

Psychologically, long-term abstinence can lead to feelings of frustration or anxiety regarding sexual performance. This is particularly true if one feels societal or self-imposed pressure to engage in sexual activity. The fear of losing sexual function or the anxiety about not being able to perform can create a cycle of stress that further impacts sexual health. Additionally, some individuals may find that their sexual fantasies or urges become more intense during periods of abstinence, which can lead to a heightened focus on sexual activity when it does occur.

It’s also worth noting that while some people thrive on regular sexual activity or masturbation, others may find that their sexual desire naturally fluctuates. For those who do not feel a strong sexual urge, occasional abstinence may not have any negative effects. In fact, some individuals report that they feel more focused and less distracted by sexual thoughts when they abstain from masturbation.

If you are concerned about the effects of long-term abstinence on your sexual health, it may be beneficial to reintroduce masturbation into your routine at a frequency that feels comfortable for you. This can help maintain your sexual function and alleviate any anxiety you may have regarding your sexual health.
Moreover, it’s essential to listen to your body and understand your own sexual needs. If you find that your sexual desire is low and you are comfortable with that, it may not be a cause for concern. However, if you experience significant changes in your sexual function or if you have concerns about your sexual health, consulting with a healthcare professional, such as a urologist or a sexual health specialist, can provide personalized guidance and support.

In summary, while long-term abstinence from masturbation can have potential effects on sexual health, these effects are not universally negative and can vary widely among individuals. Maintaining a balance that feels right for you, both physically and psychologically, is key to a healthy sexual life.

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