Prostate Health: Impact of Frequent Masturbation and Inflammation on Sexual Function - Urology

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Prostate and sexual function issues?


Hello, doctor.
I would like to ask: 1.
Does frequent masturbation or prolonged abstinence from ejaculation lead to repeated congestion of the prostate, potentially resulting in inflammation? 2.
If prostate inflammation does occur, could it cause premature ejaculation in men?

Lin Xiao, 20~29 year old female. Ask Date: 2017/12/19

Dr. Du Shixi reply Urology


Hello: 1) It is possible, but Western medicine does not recommend it.
2) In the case of prostatitis, does it cause premature ejaculation in men? --> No, it does not; some may experience pain during ejaculation.
Wishing you good health.

Reply Date: 2017/12/19

More Info


The relationship between prostate health, frequent masturbation, inflammation, and sexual function is complex and multifaceted. Let's break down your questions and concerns.

1. Frequent Masturbation and Prostate Health: Frequent masturbation itself is not inherently harmful to prostate health. However, excessive or compulsive masturbation may lead to temporary discomfort or a feeling of fullness in the prostate, which could potentially contribute to inflammation if it leads to chronic congestion. The prostate can become engorged due to repeated stimulation without ejaculation, which some studies suggest may lead to a condition known as chronic pelvic pain syndrome (CPPS). This condition can manifest as discomfort in the pelvic area, urinary symptoms, and sometimes sexual dysfunction.
It's important to note that while some men may experience discomfort or pain after frequent sexual activity or masturbation, this does not necessarily mean they will develop prostatitis (inflammation of the prostate). Prostatitis can be caused by various factors, including bacterial infections, but in many cases, especially in chronic non-bacterial prostatitis, the exact cause remains unclear.

2. Impact of Prostatitis on Sexual Function: If prostatitis does occur, it can indeed affect sexual function. One common symptom of prostatitis is pain during ejaculation, which can lead to anxiety about sexual performance. This anxiety can, in turn, contribute to issues such as premature ejaculation or erectile dysfunction. The discomfort associated with prostatitis may make it difficult for a man to maintain an erection or may lead to a decrease in sexual desire.

In cases where prostatitis is present, men may find that they experience changes in their sexual response. For example, they might notice that they ejaculate more quickly than before, which could be due to heightened sensitivity or discomfort during sexual activity. Additionally, the psychological impact of dealing with chronic pain or discomfort can further exacerbate sexual dysfunction.


Additional Considerations
- Psychological Factors: The mind plays a significant role in sexual function. Anxiety, stress, and depression can all negatively impact libido and erectile function. If a man is worried about pain during sex or the possibility of prostatitis, this can create a cycle of anxiety that affects performance.

- Lifestyle Factors: Factors such as diet, exercise, and overall health can influence prostate health and sexual function. Maintaining a healthy lifestyle, including regular exercise, a balanced diet, and managing stress, can help improve both prostate health and sexual function.

- Medical Evaluation: If symptoms persist, it is crucial to seek medical advice. A healthcare provider can perform necessary evaluations, including blood tests, urine tests, and possibly imaging studies, to determine the underlying cause of symptoms. Treatment options may include medications, lifestyle changes, or physical therapy.

- Communication with Partners: Open communication with sexual partners about any discomfort or concerns can help alleviate anxiety and improve sexual experiences. Understanding and support from a partner can be beneficial in managing the psychological aspects of sexual dysfunction.

In conclusion, while frequent masturbation is not directly linked to prostatitis, it can contribute to discomfort in some cases. If prostatitis does occur, it can lead to changes in sexual function, including premature ejaculation. Addressing both the physical and psychological aspects of these issues is essential for improving prostate health and sexual function. If you or someone you know is experiencing these symptoms, it is advisable to consult a healthcare professional for a comprehensive evaluation and tailored treatment plan.

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