Scrotum and Penis Issues: Common Concerns and Solutions

Q: Scrotum and Penis Issues: Common Concerns and Solutions

Hello： 1. <br>Excessive masturbation can cause the penis to not fully retract the glans, leading to retraction of the skin --> Many people experience this. <br>2. <br>The scrotum contracts in winter and hangs lower in summer (expands with heat and contracts with cold), but my scr

Scrotum and penis

1.
Excessive masturbation can cause the skin to retract, resulting in the glans penis being exposed and uncomfortable against underwear.

2.
The scrotum contracts in winter and hangs lower in summer (due to heat expansion and cold contraction), but in summer, my scrotum hangs excessively, while in winter, it becomes wrinkled and the penis retracts to the point where the glans is covered, causing significant pain that requires me to pull the penis back out.

3.
There is benign prostatic hyperplasia affecting the scrotum and the penis, and I have 2 or 3 thromboses in the scrotum.
Should I see a doctor? (Do I need medication?)
4.
Can excessive masturbation really lead to erectile dysfunction?

Mr. Zhu, 20~29 year old female. Ask Date: 2017/09/14

Dr. Du Shixi reply Urology

Hello: 1.
Excessive masturbation can cause the penis to not fully retract the glans, leading to retraction of the skin --> Many people experience this.
2.
The scrotum contracts in winter and hangs lower in summer (expands with heat and contracts with cold), but my scrotum hangs excessively in summer, and in winter, it becomes wrinkled, with the penis retracting in layers, covering the glans to the smallest size --> This is a normal phenomenon; as one ages, muscle atrophy will reduce this effect.
3.
The scrotum and penis have benign prostatic hyperplasia, and there are 2 or 3 thromboses in the scrotum; should I see a doctor? (Do I need medication?) --> Given your age, benign prostatic hyperplasia is not a concern, and thromboses are common.
There are no specific medications required.
4.
It should be noted that this can affect actual sexual performance.
Excessive masturbation is not recommended, as many people suspect it is the cause of poor sexual performance.

Reply Date: 2017/09/14

More Info

When it comes to understanding issues related to the scrotum and penis, it's essential to recognize that many concerns can arise from a variety of factors, including anatomical changes, physiological responses to temperature, and even lifestyle habits. Here, I will address the common concerns you've raised and provide insights into potential solutions.

1. Penile Sensitivity and Skin Issues: The discomfort you experience when the glans (head of the penis) is exposed due to retraction of the skin can be a result of frequent masturbation. This can lead to a condition known as "glans sensitivity," where the glans becomes more sensitive to touch and friction. If the skin is retracting too much, it may be beneficial to consult a urologist. They can assess whether there are any underlying conditions, such as phimosis (tight foreskin) or skin irritation, and recommend appropriate treatments or lifestyle adjustments.

2. Scrotal Changes with Temperature: It is completely normal for the scrotum to change size and position in response to temperature. The cremaster muscle contracts in cold conditions, pulling the scrotum closer to the body to maintain warmth, while it relaxes in warmer conditions, allowing the scrotum to hang lower. If you notice extreme changes that cause discomfort or pain, it may be worth discussing with a healthcare provider. They can evaluate for any potential issues such as varicocele (enlarged veins in the scrotum) or other conditions that might require treatment.

3. Prostate Enlargement and Blood Clots: The mention of prostate enlargement (benign prostatic hyperplasia) and the presence of blood clots in the scrotum is concerning. While some degree of prostate enlargement is common with age, it can lead to urinary issues and discomfort. Blood clots in the scrotum could indicate a more serious condition, such as thrombophlebitis or varicocele. It is crucial to see a healthcare provider for a thorough evaluation. They may recommend imaging studies or blood tests to assess the situation and determine if medication or other interventions are necessary.

4. Masturbation and Erectile Dysfunction: The concern about excessive masturbation leading to erectile dysfunction (ED) is a common one. While moderate masturbation is generally considered normal and healthy, excessive or compulsive behavior can lead to psychological issues that may affect sexual performance. If you find that your sexual function is being impacted, it may be beneficial to speak with a mental health professional or a urologist. They can help address any underlying psychological factors and provide strategies to manage sexual health.

In summary, while many of the issues you are experiencing can be common and often benign, they can also indicate underlying health concerns that warrant professional evaluation. It is always advisable to consult a healthcare provider, particularly a urologist, who can provide tailored advice and treatment options based on your specific symptoms and medical history. They can help ensure that any potential issues are addressed early, promoting better overall sexual and reproductive health.

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