Can Lack of Ejaculation Lead to Constipation Issues? - Urology

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Ejaculation-related constipation?


I usually do not have a habit of constipation, but due to work-related reasons, I have not ejaculated for an extended period, which has even led to constipation.
I would like to inquire whether long-term abstinence from ejaculation can cause bowel movement issues.

Awei, 20~29 year old female. Ask Date: 2022/04/28

Dr. Du Shixi reply Urology


Hello: It's not too related, but changes in bowel habits should still be evaluated by a healthcare professional.
Wishing you good health.

Reply Date: 2022/04/28

More Info


The relationship between ejaculation and bowel movements is a topic that has garnered interest, particularly in the context of sexual health and gastrointestinal function. While there is no direct scientific evidence linking a lack of ejaculation to constipation, several physiological and psychological factors may contribute to this phenomenon.

Firstly, ejaculation is part of the male reproductive system's function, and it involves a complex interplay of hormones, nervous system responses, and muscular contractions. The process of ejaculation is associated with the activation of the sympathetic nervous system, which can influence various bodily functions, including digestion. Some studies suggest that sexual activity, including ejaculation, can stimulate peristalsis—the wave-like muscle contractions that move food through the digestive tract. Therefore, a decrease in sexual activity or ejaculation could potentially lead to a decrease in this stimulation, contributing to constipation.

Moreover, the psychological aspects of sexual health cannot be overlooked. Stress and anxiety, which are often heightened during periods of increased work pressure or personal issues, can significantly affect gastrointestinal function. The gut-brain axis is a well-established concept in medicine, indicating that psychological stress can lead to gastrointestinal disturbances, including constipation. If your work-related stress is causing both a lack of sexual activity and changes in bowel habits, it may be more related to the stress itself rather than the absence of ejaculation.

Additionally, hormonal changes can play a role. Testosterone levels, which can be influenced by sexual activity, have been linked to gastrointestinal motility. Lower levels of testosterone, which may occur with reduced sexual activity, could potentially lead to slower bowel movements. However, this relationship is complex and varies among individuals.

If you are experiencing constipation and have noticed a correlation with a lack of ejaculation, it is essential to consider other lifestyle factors as well. Diet, hydration, physical activity, and overall stress levels are crucial components of digestive health. A diet low in fiber, inadequate fluid intake, and a sedentary lifestyle can all contribute to constipation. Therefore, addressing these factors may provide relief.

In conclusion, while there is no direct evidence that a lack of ejaculation causes constipation, the interplay of hormonal, psychological, and physiological factors may contribute to changes in bowel habits. If you continue to experience constipation, it would be advisable to consult with a healthcare professional. They can help assess your overall health, including dietary habits, stress levels, and any other underlying conditions that may be contributing to your symptoms. Additionally, they can provide guidance on effective management strategies to alleviate constipation and improve your overall well-being.

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