Penis Shrinkage: Age, Alcohol, and Sexual Health Concerns - Urology

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Penile atrophy..?


I'm 22 years old, my dad is 50, my grandpa is 76, and my younger brother is 18...
Does aging lead to penile shrinkage? One day, I went to a hot spring and noticed something...
Doctor, my brother and I often compare sexual experiences; is that abnormal? Also, on my birthday, I got drunk and woke up with my girlfriend in my bed.
Is it possible to engage in sexual activity while drunk? Will it still function? If so, why did I feel nothing?

Xiao Ge, 20~29 year old female. Ask Date: 2004/01/06

Dr. Lin Hexing reply Urology


Hello there: To answer your main question, aging does not cause penile shrinkage; rather, it is due to a decline in the blood flow to the penile erectile tissues.
Everyone's penis size varies, even among biological brothers, just as their height and weight differ.
Comparing sexual experiences among men can be seen as problematic, as it is a common human phenomenon unless one is overly introverted or has significant sexual dysfunction.
Discussions and banter among peers are often unavoidable.
The effects of alcohol can vary in degree; if one is extremely intoxicated to the point of being unconscious, then they will certainly be unable to perform.
However, if one is merely tipsy, the effects may be minimal.
Each person's tolerance to alcohol is different, and alcohol has anesthetic properties; excessive consumption can dull the sensory nerves, but it does not necessarily lead to a complete inability to achieve an erection.
Nonetheless, it is advisable to note that excessive alcohol consumption can indeed lead to sexual dysfunction, so please avoid drinking in excess.

Reply Date: 2004/01/06

More Info


Understanding penis shrinkage and the factors that influence sexual health is a multifaceted topic that encompasses age, lifestyle choices, and psychological aspects.
Firstly, it is important to clarify that while some men may experience a perceived decrease in penis size as they age, this is not a universal phenomenon. Factors such as hormonal changes, blood flow, and overall health can contribute to changes in erectile function and penile appearance. For instance, testosterone levels naturally decline with age, which can affect libido and erectile function. Additionally, conditions such as obesity, diabetes, and cardiovascular diseases can impair blood flow, leading to difficulties in achieving or maintaining an erection, which may create the illusion of shrinkage.

Regarding your concerns about comparing sexual experiences with your brother, it is not uncommon for siblings, especially those close in age, to discuss such topics. However, it is essential to approach these conversations with sensitivity and respect for each other's privacy. Open discussions about sexual health can be beneficial, but they should be conducted in a manner that is comfortable for both parties.

As for your experience of waking up next to your girlfriend after a night of drinking, alcohol can significantly impact sexual performance. While some individuals may still be able to achieve an erection while intoxicated, alcohol is a depressant that can impair the nervous system and reduce sensitivity. This means that even if you are physically capable of an erection, your ability to feel pleasure may be diminished. It is also worth noting that excessive alcohol consumption can lead to longer-term sexual health issues, including erectile dysfunction.

If you are concerned about your sexual health or any changes you have noticed, it is advisable to consult a healthcare professional. They can provide personalized advice and conduct any necessary evaluations to rule out underlying health issues. Additionally, maintaining a healthy lifestyle—such as regular exercise, a balanced diet, and avoiding excessive alcohol—can help support sexual health as you age.

In summary, while age can influence sexual health and perceptions of penis size, it is not the sole factor. Lifestyle choices, health conditions, and psychological factors play significant roles as well. Open communication about sexual health is important, but it should be approached thoughtfully. If you have concerns about your sexual function or health, seeking professional guidance is the best course of action.

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