Sexual Function Issues: Common Concerns for Young Men - Urology

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Sexual dysfunction issues


Is it normal to masturbate twice a week? Is it normal to ejaculate after three minutes of masturbation? As a young person, could I experience sexual dysfunction? Sometimes I notice that my erection hardness isn’t very good, or I ejaculate before becoming fully erect, but at other times everything seems normal.
Will this lead to erectile dysfunction or premature ejaculation in the future? Is it common for many people to experience this? I’m worried if this is a problem or if it’s just psychological factors making me overthink.
If I want to improve, should I avoid sexual activity or practice abstinence, or should I eat certain foods? I am an athlete and exercise daily.
Being young, I’m concerned about my sexual performance in the future.
I’ve consulted doctors at clinics, and they say young people typically don’t experience sexual dysfunction.
I wanted to hear some medical advice on this matter.

xuesheng, 10~19 year old female. Ask Date: 2019/06/11

Dr. Du Mingyi reply Urology


Generally, young people do not experience erectile dysfunction; if it occurs, it is often related to psychological factors and there is no need for concern.

Reply Date: 2019/06/11

More Info


Understanding sexual function issues is a common concern for many young men, and it's important to approach these topics with both sensitivity and factual information. Let's address your questions one by one.

1. Frequency of Masturbation: Masturbating twice a week is generally considered normal for most young men. The frequency of masturbation varies widely among individuals, and what is "normal" can differ from person to person. As long as it does not interfere with your daily life, responsibilities, or relationships, it is typically not a cause for concern.

2. Duration of Ejaculation: Ejaculating within three minutes during masturbation can also be normal, especially for younger men. Factors such as arousal level, physical stimulation, and even psychological state can influence the duration before ejaculation. It's important to note that there is no set "normal" time for ejaculation; it varies widely among individuals.

3. Concerns About Erectile Hardness: It's not uncommon for young men to experience variations in erection hardness. Factors such as stress, fatigue, anxiety, and even the context of the situation can affect erectile function. If you find that your erections are consistently less firm than they used to be, it could be worth discussing with a healthcare professional. However, occasional fluctuations are typically not indicative of a serious problem.

4. Fear of Future Sexual Dysfunction: Concerns about developing erectile dysfunction (ED) or premature ejaculation (PE) are common, especially among young men. It's essential to understand that psychological factors, such as anxiety about performance, can significantly impact sexual function. Many young men experience these issues, and they often resolve with time and experience.
5. Psychological Factors: Anxiety and stress can play a significant role in sexual performance. If you find yourself worrying excessively about your sexual function, it may create a cycle of anxiety that exacerbates the issue. Practicing relaxation techniques, such as mindfulness or deep breathing, can help reduce anxiety levels.

6. Improvement Strategies: If you're looking to improve your sexual function, consider the following tips:
- Healthy Lifestyle: Maintain a balanced diet, exercise regularly, and get adequate sleep. Physical fitness can enhance overall health and improve sexual function.

- Limit Substances: Reduce alcohol intake and avoid recreational drugs, as these can negatively impact sexual performance.

- Open Communication: If you have a partner, communicate openly about your concerns and experiences. This can help alleviate pressure and improve intimacy.

- Professional Guidance: If your concerns persist, consider seeking advice from a healthcare professional who specializes in sexual health. They can provide tailored advice and support.

7. Avoiding Myths: It's crucial to dispel myths surrounding sexual health. Many young men worry about issues like ED or PE without realizing that these are often temporary and can be influenced by many factors, including psychological ones.
In conclusion, while it's natural to have concerns about sexual function, especially as a young man, many of the issues you're experiencing are common and often linked to psychological factors rather than physical ones. Maintaining a healthy lifestyle, managing stress, and communicating openly with partners can significantly enhance your sexual health and overall well-being. If you continue to have concerns, don't hesitate to reach out to a healthcare professional for further evaluation and support.

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