Penile issues and frequent urination problems?
Hello Doctor, I am a 21-year-old male.
It is said that my family has a hereditary tendency to develop kidney stones.
I drink more than 2000 cc of water daily.
I have been working out for two months, but since elementary school, I have often experienced frequent urination.
For example, after taking a shower, I feel the need to use the restroom again within 20 minutes, and I always have the sensation of not having fully emptied my bladder.
Fortunately, being young, I do not have to get up at night to use the bathroom.
I have wondered if this issue is related to having started masturbating too early; I inadvertently learned to masturbate in the fourth grade.
I have always believed that I manage my masturbation frequency well, typically not exceeding 2 to 4 times a week, and at most 2 times a day.
I have no sexual experience and have never engaged in excessive sexual activity or used unusual positions.
However, there has been no change, and recently I have considered trying abstinence for 50 days to see if it helps.
I am currently 15 days in with no significant changes.
After prolonged erections, I experience a dull ache on the left side of my penis, which resolves after ejaculation, but it keeps recurring.
I would like to ask the doctor: 1.
What methods or lifestyle changes can help with the issue of frequent urination? Is it really caused by starting to masturbate too early? 2.
Is the dull ache during erections a normal phenomenon or a cause for concern? Thank you very much, Doctor.
Zi Mu, 20~29 year old female. Ask Date: 2017/11/13
Dr. Du Shixi reply Urology
Hello: 1) Masturbating early in the morning is not likely to cause issues; it may be related to a bladder problem.
It is recommended to consult a urologist for examination.
2) If the erection is painful and severe, it is abnormal and medical attention should be sought.
Reply Date: 2017/11/13
More Info
Frequent urination and penile discomfort in young men can be concerning symptoms that may arise from various underlying causes. Let's break down your concerns and explore potential solutions based on medical knowledge.
Understanding Frequent Urination
Frequent urination, especially the sensation of not fully emptying the bladder, can be attributed to several factors. In your case, given your family history of kidney stones, it’s essential to consider that urinary tract issues may be hereditary. While drinking plenty of water (over 2000 cc daily) is generally beneficial for kidney health and can help prevent stone formation, it may also lead to increased urination if the bladder is frequently filled.
1. Bladder Irritability: Conditions such as overactive bladder can cause frequent urges to urinate. This might be exacerbated by anxiety or stress, which can heighten the sensation of urgency.
2. Dietary Factors: Certain foods and beverages, such as caffeine, alcohol, and spicy foods, can irritate the bladder and lead to increased urination. Keeping a food diary to track your intake and symptoms may help identify triggers.
3. Pelvic Floor Dysfunction: Weakness or tension in the pelvic floor muscles can lead to urinary symptoms. Engaging in pelvic floor exercises (Kegel exercises) may help strengthen these muscles and improve bladder control.
4. Medical Conditions: Conditions such as diabetes, urinary tract infections (UTIs), or prostate issues (even in young men) can lead to frequent urination. If symptoms persist, it would be wise to consult a healthcare provider for a thorough evaluation.
Addressing Penile Discomfort
The discomfort you experience during erections, particularly on one side of the penis, can be concerning. While it may not be uncommon for young men to experience some discomfort, persistent pain should not be ignored.
1. Normal Variations: Sometimes, discomfort can arise from normal anatomical variations or temporary conditions such as minor trauma or irritation. However, if the pain is recurrent and localized, it warrants further investigation.
2. Peyronie’s Disease: This condition involves the development of fibrous scar tissue inside the penis, leading to curvature and pain during erections. Although it is more common in older men, it can occur in younger individuals as well.
3. Nerve Sensitivity: Overstimulation or excessive friction during sexual activity or masturbation can lead to temporary discomfort. If you are concerned about your masturbation frequency, reducing it may help alleviate symptoms.
4. Psychological Factors: Anxiety about sexual performance or health can also manifest as physical symptoms. If you feel anxious about your sexual health, consider speaking with a mental health professional or a urologist.
Recommendations
1. Lifestyle Modifications:
- Maintain a balanced diet and avoid bladder irritants.
- Practice pelvic floor exercises to strengthen the muscles involved in urination.
- Monitor your fluid intake to ensure you are not overhydrating.
2. Medical Consultation: Given your symptoms, it is advisable to consult a urologist. They can perform necessary tests, including urinalysis, ultrasound, or other imaging studies, to rule out any underlying conditions.
3. Self-Care: If you choose to continue with your abstinence experiment, monitor any changes in your symptoms. However, remember that sexual health is a normal part of life, and moderation is key.
4. Mental Health: If anxiety about your symptoms persists, consider seeking support from a mental health professional. They can help you manage any psychological factors contributing to your physical symptoms.
In conclusion, while frequent urination and penile discomfort can be distressing, understanding the potential causes and seeking appropriate medical advice can lead to effective management and relief. Always prioritize your health and consult with professionals for personalized care.
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