Changes in Sexual Health: Common Urology Concerns - Urology

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Hello.
I used to have a habit of masturbating every night in high school, but recently, the frequency has decreased to about twice a week.
Sometimes, I notice mucus in my urine and feel like I need to ejaculate.
I sometimes can't resist, and yesterday I gave in, but I noticed that I couldn't achieve an erection, and when I did, it wasn't as firm or large as before, and I finished quickly.
What could be the problem, and is there a way to improve this?

Xiao Dai, 20~29 year old female. Ask Date: 2018/03/21

Dr. Du Shixi reply Urology


Hello: If you have engaged in sexual intercourse, please seek medical attention.
If there has been no sexual activity and only masturbation, please ensure you get enough sleep, exercise moderately, avoid alcohol, and refrain from masturbation for now.
Observe for one week, and if there are still issues, please consult a doctor.
Wishing you good health.

Reply Date: 2018/03/21

More Info


It's important to understand that changes in sexual health can be influenced by a variety of factors, including physical health, psychological well-being, and lifestyle choices. Based on your description, it seems you are experiencing several symptoms that may be concerning, including changes in your sexual function, the presence of mucus during urination, and alterations in the firmness and duration of your erections. Let's break down these issues and explore potential causes and solutions.

1. Changes in Sexual Function: The decrease in the frequency of masturbation and the changes in the quality of your erections can be attributed to several factors. Stress, anxiety, and even changes in your routine can impact sexual health. It's also worth noting that hormonal fluctuations can play a role. Testosterone levels, which are crucial for sexual function, can vary due to factors such as age, diet, exercise, and overall health. If you are feeling more stressed or anxious than usual, this could also contribute to the changes you're experiencing.

2. Presence of Mucus: The presence of mucus in your urine can be a normal occurrence, but if it is accompanied by other symptoms such as discomfort, pain, or changes in urination frequency, it may warrant further investigation. Mucus can sometimes indicate an infection or inflammation in the urinary tract or prostate. Given your history of prostatitis (inflammation of the prostate), it’s possible that this condition could be flaring up again. Chronic prostatitis can lead to symptoms such as discomfort during urination, pelvic pain, and changes in sexual function.

3. Erection Quality: The changes in the firmness and duration of your erections can be concerning, especially if they are significantly different from your previous experiences. Factors such as anxiety, depression, and physical health can all impact erectile function. It's also important to consider lifestyle factors such as diet, exercise, and sleep. Regular physical activity and a balanced diet can improve blood flow and overall health, which are essential for maintaining good erectile function.

4. Psychological Factors: Sometimes, psychological factors can significantly impact sexual health. If you are feeling anxious about your sexual performance or experiencing stress in other areas of your life, this could contribute to the changes you are noticing. It might be beneficial to explore relaxation techniques, mindfulness, or even speaking with a mental health professional if you feel that anxiety is affecting your sexual health.

5. Lifestyle Modifications: To improve your sexual health, consider making some lifestyle changes. Regular exercise can enhance blood flow and improve overall health. A balanced diet rich in fruits, vegetables, whole grains, and lean proteins can also support hormonal balance and sexual function. Additionally, ensuring you get adequate sleep and managing stress through relaxation techniques or hobbies can be beneficial.

6. Consulting a Healthcare Professional: Given your symptoms, it may be wise to consult a healthcare professional, particularly a urologist. They can perform a thorough evaluation, including a physical examination and possibly some laboratory tests, to rule out any underlying conditions such as infections or hormonal imbalances. Open communication with your healthcare provider about your symptoms and concerns is crucial for receiving appropriate care.

In summary, while changes in sexual health can be concerning, they are often manageable with the right approach. By addressing lifestyle factors, managing stress, and seeking professional guidance, you can work towards improving your sexual health and overall well-being. Remember, it's important to prioritize your health and seek help when needed.

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