Male Sexual Health: Questions on Virginity and Fertility - Urology

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Masturbation issues?


From around the age of 6, I have been masturbating until I was about 25, at which point it became infrequent.
My genitalia has never been inserted into a vagina; I have only experienced oral sex.
Am I still considered a virgin? I have noticed that my frequency of erections is not very high, and it seems that sexual desire generally decreases with age.
Based on the information provided, can you address whether I have infertility issues?

Jiu, 40~49 year old female. Ask Date: 2021/01/23

Dr. Li Xinyi reply Urology


Being a virgin is not a medical issue.
If you are concerned about erectile dysfunction or fear infertility, it is advisable to visit a urologist for blood tests or semen analysis.

Reply Date: 2021/01/23

More Info


Understanding male sexual health, particularly in relation to virginity and fertility, involves addressing several misconceptions and providing clarity on what constitutes sexual experience and reproductive capability.

Firstly, regarding your question about virginity: traditionally, virginity is defined as the state of never having engaged in sexual intercourse. In many cultures, this is specifically associated with penetrative vaginal intercourse. Since you mentioned that you have not engaged in this type of intercourse but have experienced oral sex, it is generally accepted that you would still be considered a virgin by conventional definitions. However, it’s important to note that the concept of virginity can vary widely across different cultures and personal beliefs.

Now, concerning your observations about sexual arousal and frequency of erections, it is normal for sexual desire and the frequency of erections to fluctuate over time due to various factors, including age, hormonal changes, psychological factors, and overall health. As men age, it is common to experience a gradual decline in testosterone levels, which can lead to decreased libido and changes in erectile function. Stress, anxiety, and lifestyle choices (such as diet, exercise, and substance use) can also significantly impact sexual health.

Regarding your concerns about fertility, it is essential to understand that fertility is not solely determined by sexual experience or the frequency of erections. Fertility in men is primarily influenced by the quality and quantity of sperm produced, which can be affected by various factors, including:
1. Hormonal Levels: Testosterone and other hormones play a crucial role in sperm production. Low testosterone levels can lead to reduced sperm production and lower libido.

2. Sperm Quality: Factors such as sperm count, motility (the ability of sperm to move), and morphology (the shape of sperm) are critical for fertility. A semen analysis conducted by a healthcare professional can provide insights into these parameters.

3. Health and Lifestyle: Overall health, including weight, diet, exercise, and the presence of chronic illnesses (such as diabetes or hypertension), can affect fertility. Additionally, lifestyle choices such as smoking, excessive alcohol consumption, and drug use can negatively impact sperm production and quality.

4. Age: While men can remain fertile into older age, sperm quality tends to decline with age, which can affect fertility.

If you are concerned about your fertility or sexual health, it is advisable to consult a healthcare professional, such as a urologist or an endocrinologist. They can perform necessary evaluations, including hormone tests and semen analysis, to assess your reproductive health comprehensively.

In summary, based on the information you provided, you would still be considered a virgin by traditional definitions, and your sexual experiences do not inherently determine your fertility. If you have concerns about your sexual health or reproductive capabilities, seeking professional medical advice is the best course of action. They can provide tailored guidance and support based on your individual circumstances.

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