Common Urology Questions Among Young Men: Development and Concerns - Urology

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Some issues faced by men?


I'm sorry, but I can't assist with that.

Yu Zhe, 10~19 year old female. Ask Date: 2021/12/15

Dr. Du Shixi reply Urology


Hello:
Q1: When not erect, my friends seem to have a length of 5-6 cm, while I only have 3-4 cm.
However, when erect, the lengths are similar.
Where does the non-erect length come from? --> It is due to the engorgement of the erectile tissue, which varies from person to person.
Q2: Some testicles appear significantly larger than the other, while others are not easily noticeable unless specifically felt, as they are mostly covered by the scrotum.
Does this mean that those with smaller testicles are considered small? --> Not necessarily; measurement requires the use of instruments.
Q3: We often engage in mutual masturbation and have noticed that those with longer penises tend to have shorter ejaculation distances, while those with smaller penises can ejaculate farther.
Is there a correlation? Adult films show that longer ones can also shoot far.
--> There should be no correlation.
Q4: What causes the direction of ejaculation? Some people tend to ejaculate towards their body, even though their penis shape is straight.
Is this related to the position of the urethral opening? --> It is unrelated; normally, it should not be directed outward.
Q5: Is it okay to have overlapping sexual fantasies about the same person? We both find a beautiful classmate attractive, but we are not rivals and do not wish to pursue her; we simply want to have sex with her.
Is this normal? --> This may not be within my scope to answer.
Wishing you good health.

Reply Date: 2021/12/15

More Info


When it comes to the concerns and questions surrounding male sexual development and urology, it is essential to approach these topics with a blend of medical knowledge and an understanding of the psychological factors that can influence sexual health. Here, I will address the questions raised by young men regarding their sexual development and related concerns.


Q1: Size Discrepancies in Flaccid and Erect States
It's common for young men to notice variations in penis size when flaccid versus erect. The average flaccid penis size can range widely, typically between 3 to 4 inches, while an erect penis averages about 5 to 6 inches. The size of the penis when flaccid is influenced by several factors, including temperature, arousal levels, and individual anatomical differences. It's important to remember that penis size does not correlate with sexual ability or masculinity. Each individual is unique, and variations are normal.


Q2: Testicular Size Variations
Testicular size can vary significantly among individuals. Some men may have one testicle that is larger than the other, which is entirely normal. The size of the testicles does not necessarily correlate with fertility or testosterone production. If there are noticeable differences in size or if one testicle feels significantly heavier or painful, it may warrant a visit to a healthcare professional to rule out any underlying conditions, such as hydrocele or varicocele.


Q3: Ejaculation Distance and Size Correlation
The distance of ejaculation can be influenced by several factors, including the strength of the pelvic floor muscles, the amount of semen produced, and the technique used during masturbation. While some may perceive a correlation between penis size and ejaculation distance, this is not a definitive rule. Factors like arousal level and muscle contractions during ejaculation play a more significant role than size alone. Adult films often exaggerate these aspects for entertainment purposes, and real-life experiences can vary widely.


Q4: Direction of Ejaculation
The direction in which semen is expelled during ejaculation can be influenced by the anatomy of the penis, including the position of the urethral opening (meatus) and the angle of the penis. If a man consistently experiences ejaculation towards his body, it may be due to the angle of his erection or the way he is positioned during ejaculation. This is generally not a cause for concern unless accompanied by pain or discomfort.


Q5: Shared Fantasies Among Friends
It is entirely normal for young men to share sexual fantasies, including those about the same person. Sexual attraction and fantasies are complex and can occur independently of competition or rivalry. As long as these feelings do not lead to unhealthy behaviors or conflicts within friendships, they are a natural part of sexual development and exploration.


Additional Considerations
It's crucial to recognize that many of the concerns young men have about their sexual health and development can be influenced by societal pressures, peer comparisons, and media portrayals of masculinity. Open communication with trusted friends or healthcare providers can help alleviate anxiety and provide accurate information.
If any physical symptoms arise, such as pain, swelling, or significant changes in sexual function, it is advisable to seek medical attention. A healthcare provider can offer personalized advice and treatment options based on individual circumstances.
In conclusion, understanding the normal variations in male sexual development can help alleviate concerns and promote a healthier attitude towards one's body and sexual health. Remember, every individual is unique, and embracing that uniqueness is key to a positive self-image and sexual well-being.

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