Penile Changes During Activity: When to Seek Medical Advice - Urology

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Masturbation issues


Hello, doctor.
My penis becomes small and hard when I walk naturally, especially during exercise.
Sometimes it happens, and sometimes it doesn't.
It doesn't occur when I'm sitting or lying down.
This issue has been bothering me for two years.
I started masturbating in sixth grade, and I'm not sure if that's related to this.
Should I see a doctor? I hope you can provide some answers.

Sam, 10~19 year old female. Ask Date: 2022/09/25

Dr. Sun Hongshun reply Urology


Hello Sam: May I ask if your "small and hard" state is an erection or a state of some excitement? Nowadays, many individuals are developing well, and it is not uncommon for sixth graders or first-year junior high students to start masturbating, which typically does not cause the aforementioned issues.
If you have any questions, feel free to seek medical advice.

Reply Date: 2022/09/25

More Info


When it comes to changes in penile size and firmness during physical activity, it's important to understand that these variations can be quite normal and may not necessarily indicate a medical issue. However, your concerns are valid, especially since this has been a persistent issue for you over the past two years.
Firstly, it's essential to clarify that the penis can undergo various changes in size and firmness due to a range of factors, including physical arousal, blood flow, and even psychological states. During activities such as walking or exercising, increased blood flow to the pelvic region can lead to temporary changes in the penis. This is often a normal physiological response and can happen to many men.
However, if you are experiencing consistent changes that are accompanied by discomfort, pain, or any other unusual symptoms, it would be wise to consult a healthcare professional. Here are some signs that may warrant a visit to the doctor:
1. Persistent Pain or Discomfort: If you experience pain during physical activity or at rest, this could indicate an underlying issue that needs to be addressed.

2. Changes in Erections: If you notice significant changes in your ability to achieve or maintain an erection, or if you experience erectile dysfunction, this is a reason to seek medical advice.

3. Changes in Size or Shape: If you notice any unusual changes in the size or shape of your penis that are not typical for you, this could be a sign of a medical condition.

4. Psychological Impact: If your concerns about these changes are causing you significant anxiety or affecting your quality of life, discussing these feelings with a healthcare provider can be beneficial.

Regarding your history of masturbation, it's important to note that masturbation is a normal sexual activity and, in general, does not cause physical changes to the penis. However, if you have concerns about your sexual health or habits, discussing them with a healthcare professional can provide clarity and reassurance.

In conclusion, while some changes in penile size and firmness during activity can be normal, persistent or concerning symptoms should not be ignored. Consulting a healthcare provider can help you understand what is happening and whether any treatment or further evaluation is necessary. Remember, seeking medical advice is a proactive step towards maintaining your sexual health and overall well-being.

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