Concerns About Early Masturbation and Penis Development in Adolescents - Urology

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Premature ejaculation


Hello, Doctor Du.
I started masturbating in the fifth and sixth grades of elementary school, and I have ejaculated about ten times.
I am now about to enter junior high school, but I am worried that starting too early might affect the normal development of my penis, or that it could lead to a shorter penis length, or cause some issues with my sexual organs.
These fears have led to a lack of confidence in my penis, and I am afraid that it will be embarrassing to have a small penis during sexual activities in the future.
I want to stop masturbating now and wait until I am 17 or 18 years old, when my development is more complete, before I start again.
However, Doctor, I have a question: is it too late for me to change? Could my early and frequent masturbation have caused my penis to be smaller? Is there a way for me to recover now?

Xiao Dong, 10~19 year old female. Ask Date: 2021/07/30

Dr. Du Shixi reply Urology


Hello: It is also important to pay attention to sleep, exercise, and nutrition, as these factors can help with development.
Once voice changes, Adam's apple prominence, and body hair development are complete, the possibility for change becomes relatively smaller.
Wishing you good health.

Reply Date: 2021/07/30

More Info


It's completely normal for adolescents to have concerns about their sexual development, including masturbation and its potential effects on penis size and overall sexual health. First and foremost, it's important to clarify that masturbation is a common behavior among adolescents and does not cause any physical harm to the penis or hinder its growth.
The penis undergoes significant development during puberty, which typically begins between the ages of 9 and 14. This development is largely driven by hormonal changes in the body, particularly the increase in testosterone levels. Masturbation, regardless of frequency, does not interfere with these hormonal changes or the natural growth process of the penis. Research has shown that there is no correlation between masturbation and penis size; the size of the penis is primarily determined by genetics and hormonal factors during puberty.

Your concerns about having started masturbating at an early age are understandable, especially given the societal pressures and myths surrounding sexual health. However, it's crucial to recognize that masturbation is a normal part of sexual exploration and development. Many adolescents engage in this behavior, and it is generally considered a healthy expression of sexuality.
If you are feeling anxious about your penis size or sexual performance, it may be helpful to talk to a trusted adult or healthcare professional. They can provide you with accurate information and reassurance. It's also worth noting that self-esteem and confidence in sexual situations are influenced by many factors beyond physical attributes, including emotional connection, communication, and mutual respect with partners.

Regarding your desire to stop masturbating, it's important to approach this decision thoughtfully. If you feel that your habits are interfering with your daily life or causing you distress, it may be beneficial to reduce the frequency. However, it's also essential to understand that masturbation itself is not inherently harmful. If you choose to abstain for a period, it may help to find alternative activities to occupy your time and mind, such as sports, hobbies, or socializing with friends.

In summary, early masturbation does not negatively impact penis development or size. Your concerns are valid, but it's essential to focus on healthy sexual attitudes and behaviors rather than worrying about myths or misconceptions. If you continue to feel anxious, consider seeking support from a healthcare provider who can help you navigate these feelings and provide guidance on sexual health. Remember, sexual development is a natural process, and everyone experiences it differently.

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