Erectile Dysfunction and Concerns About Penis Size

Q: Erectile Dysfunction and Concerns About Penis Size

Hello： 1) Part of the constitution is related to factors such as physical development, exercise, sleep, and nutrition. <br>2) Due to lack of experience, it is unclear whether it will have an impact. <br>3) Some people are knowledgeable about this. <br>4) During a physical examina

Erectile dysfunction? Short penis? Premature ejaculation?

Hello doctor, I am a 19-year-old college freshman.
I have tendencies towards BDSM, and in the past, I have had a habit of wearing a chastity device while watching adult films and removing it after 5-6 hours to ejaculate.
Since about high school, I have felt that my penis is quite small, measuring about 3-4 cm when flaccid, and it tends to retract or pull inside when I walk in pants.
When erect, it is only about 7 cm.
Additionally, I often experience rapid ejaculation, finishing within about a minute.
This issue has been troubling me until now.
Since then, I have been resolving this issue myself about once every 1-2 days, and every few weeks I engage in the aforementioned practice.
My weight is 89 kg and my height is 169 cm.
Doctor, I would like to ask: 1.
Why is there no significant growth in my penis now? 2.
Will this practice affect my penis? 3.
Is it normal for the groin and penis area to appear slightly grayish in color? 4.
My friends say there is no problem and that I don't need to see a doctor?

Lao Pi, 10~19 year old female. Ask Date: 2019/01/08

Dr. Du Shixi reply Urology

Hello: 1) Part of the constitution is related to factors such as physical development, exercise, sleep, and nutrition.
2) Due to lack of experience, it is unclear whether it will have an impact.
3) Some people are knowledgeable about this.
4) During a physical examination (upon enrollment), if the physician's assessment is normal, then it is considered normal.

Reply Date: 2019/01/08

More Info

Erectile dysfunction (ED) and concerns about penis size are common issues that many young men face, and it’s important to address these concerns with accurate information and understanding. Based on your description, let’s break down your questions and provide some insights.

1. Why is there no noticeable growth in penis size?
Penis size can vary significantly among individuals, and it is influenced by genetics, hormonal levels, and overall health. By the age of 19, most males have reached their full adult size, but some may continue to experience slight growth into their early twenties. If you feel that your penis size is smaller than average, it’s essential to remember that size does not determine sexual function or satisfaction. Many factors contribute to sexual health, including emotional connection, communication, and technique.

2. Will using a chastity device and engaging in prolonged edging affect the penis?
Using a chastity device and practicing edging (delaying ejaculation) can have both psychological and physical effects. While these practices are generally safe for most individuals, excessive or prolonged use may lead to temporary numbness or sensitivity issues. It’s crucial to ensure that any device used is safe, properly fitted, and does not cause pain or injury. If you experience discomfort, it’s advisable to take breaks and consult a healthcare professional if issues persist.

3. Is it normal for the groin and penis area to appear slightly grayish?
Variations in skin color are common and can be influenced by several factors, including natural pigmentation, blood flow, and skin conditions. If the area appears healthy, without signs of irritation, rash, or other concerning symptoms, it is likely normal. However, if you notice any changes in color accompanied by discomfort, pain, or unusual discharge, it would be wise to seek medical advice.

4. Should you seek medical attention?
While your friends may suggest that there is no need for concern, it’s essential to trust your instincts about your health. If you are experiencing distress regarding your penis size, premature ejaculation, or any other sexual health issues, consulting a healthcare professional can provide clarity and reassurance. A doctor can assess your situation, discuss your concerns, and offer guidance tailored to your needs.
In addition to addressing these specific questions, it’s important to consider the psychological aspects of sexual health. Anxiety about performance, size, and sexual function can contribute to erectile dysfunction. Engaging in open conversations with partners, seeking therapy, or joining support groups can help alleviate some of these concerns.

Lastly, remember that sexual health is a multifaceted issue. Factors such as stress, anxiety, lifestyle choices (like diet and exercise), and overall mental health play significant roles in sexual function. Maintaining a healthy lifestyle, including regular exercise, a balanced diet, and good sleep hygiene, can positively impact your sexual health.

In conclusion, while your concerns are valid, many young men experience similar issues. Seeking professional guidance can help you navigate these challenges and improve your overall sexual health and confidence.

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