Sexual Desire Changes After Short-Term Abstinence - Urology

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Issues with libido after a short period of abstinence?


Hello, doctor.
Two weeks ago, I was masturbating every two days, but then I experienced slight pain during urination.
However, it returned to normal the next day, so I thought it might be due to excessive masturbation.
I refrained from masturbating for two weeks, but I noticed a problem yesterday and would like to ask if it is normal.

1.
After a short break, I felt a strong urge to masturbate again shortly after ejaculation (about 2-3 hours later).
I ended up masturbating three times yesterday.
My body feels fine, and my mental state is okay today.
Is this acceptable? Previously, I was doing it every two days, so I didn't have this issue.
Does a long break increase sexual desire?
2.
Sometimes, I masturbate before bed out of laziness and ejaculate into my underwear without cleaning up, then go to sleep.
I only wash up in the morning.
Does this increase the risk of developing urethritis?
3.
Occasionally, after ejaculation, my testicles feel a bit swollen and there is slight pain.
I read that this might be due to excessive force during masturbation affecting both testicles, but it usually only happens on one side.
4.
Sometimes, when I masturbate for a longer duration without intentionally delaying ejaculation, I experience slight pressure or pain in my lower abdomen or bladder area, but it is also usually only on one side.
The pain is very mild and often goes unnoticed.
I apologize for asking so many questions and for the lengthy message.
Thank you very much for reading.

Kai Kai, 20~29 year old female. Ask Date: 2020/03/29

Dr. Li Xinyi reply Urology


Based on what you've described, there doesn't seem to be any significant issues from a urological perspective.
However, my advice is: do not use DIY as an outlet for seeking stimulation.
Overindulgence can lead to injury.
Maintaining a healthy lifestyle for both your body and mind will help prevent these strange little ailments.

Reply Date: 2020/03/29

More Info


Understanding changes in sexual desire after a period of abstinence is a topic that can be influenced by various physiological and psychological factors. Your experience of increased sexual desire after a two-week period of abstinence is not uncommon and can be explained through several mechanisms.

1. Physiological Response to Abstinence: When you abstain from sexual activity, your body can experience a buildup of sexual tension. This tension can lead to heightened sexual desire once you resume sexual activity. The body’s natural response to sexual arousal can be amplified after a period of abstinence, as the hormonal levels, particularly testosterone, may increase, leading to a stronger urge to engage in sexual activity. This is often referred to as the "rebound effect," where the desire to engage in sexual activity can be more intense after a period of not doing so.

2. Frequency of Masturbation: You mentioned that you previously engaged in masturbation every two days and then took a break for two weeks. After resuming, you found yourself wanting to masturbate multiple times in a short period. This can be attributed to the body's natural response to sexual stimuli and the release of endorphins and other hormones during orgasm, which can create a cycle of desire. It is generally considered normal to have varying levels of sexual desire, and as long as you are not experiencing pain or discomfort, engaging in masturbation multiple times in a day is typically not harmful.

3. Potential Risks of Not Cleaning Up: Regarding your practice of ejaculating in your underwear and not cleaning up immediately, while this may not directly lead to urinary tract infections (UTIs) or urethritis, it is advisable to maintain good hygiene. Semen can create a moist environment that may promote bacterial growth if left in contact with the skin for prolonged periods. It is best to clean up after ejaculation to minimize any potential risk of irritation or infection.

4. Discomfort in the Testicles: The slight swelling and discomfort in your testicles after masturbation could be due to several factors, including the intensity of the activity or the position during masturbation. If you are applying excessive pressure or engaging in vigorous movements, this can lead to temporary discomfort. It is essential to listen to your body; if the pain persists or worsens, it would be wise to consult a healthcare professional to rule out any underlying issues.

5. Abdominal Discomfort: The mild discomfort you experience in your abdomen or bladder area after longer sessions of masturbation could be related to pelvic floor tension or the pressure exerted during the activity. Again, if this discomfort is mild and transient, it may not be a cause for concern. However, if you notice persistent pain or changes in your urinary habits, it is advisable to seek medical advice.

In summary, fluctuations in sexual desire, especially after a period of abstinence, are normal and can be influenced by both physical and psychological factors. Maintaining good hygiene practices and being mindful of your body's responses during sexual activity can help ensure a healthy sexual experience. If you have ongoing concerns or experience significant discomfort, it is always best to consult a healthcare professional for personalized advice and care.

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