excessive indulgence
Hello, doctor...
I lost nearly 20 kilograms over a two-month period when I was in the first year of junior high school.
At that time, I was unaware of the consequences and had a habit of masturbation for about three to four years.
Could this be the reason why my bodily functions are disrupted, leading to low testosterone levels and causing my genitalia and testicles to be significantly smaller than those of my peers? I would like to know if testosterone therapy would still be effective for me now, as this issue has troubled me for a long time, and I haven't dared to discuss it with my family...
so I turned to you, doctor.
Fan Nao De Ren, 10~19 year old female. Ask Date: 2004/08/26
Dr. Chen Xiuyi reply Urology
Hello: It is generally not advisable for a 19-year-old male to consider testosterone supplementation for issues related to the testes and reproductive organs, unless there is confirmed evidence of a pituitary problem.
It is best to conduct an evaluation before proceeding with treatment.
Sincerely, Dr.
Chen Hsiu-Yi, Urologist.
Reply Date: 2004/08/26
More Info
Excessive masturbation and its impact on male hormones and development is a topic that often raises concerns among young men. It’s important to clarify that while masturbation is a normal and common behavior, excessive or compulsive masturbation can lead to psychological and physical issues, but it does not directly cause hormonal imbalances or developmental issues in the way you might be concerned about.
First, let’s address the hormonal aspect. Testosterone, the primary male hormone, is produced in the testes and regulated by the hypothalamus and pituitary gland. Masturbation does not significantly alter testosterone levels in a way that would lead to long-term deficiencies. Studies have shown that while there may be a temporary spike in testosterone levels immediately following ejaculation, these levels return to baseline shortly thereafter. Therefore, it is unlikely that your masturbation habits have caused a deficiency in testosterone.
Regarding your concerns about physical development, such as the size of your genitals and testicles, it’s essential to understand that these characteristics are primarily influenced by genetics and hormonal levels during puberty. If you experienced significant weight loss during your early teenage years, it could have affected your overall health and development. However, it is crucial to differentiate between the effects of weight loss and the effects of masturbation. If you were undernourished or experiencing stress during this time, it could have impacted your hormonal balance and physical development.
If you are concerned about having low testosterone levels, the best course of action is to consult with a healthcare professional. They can conduct blood tests to measure your hormone levels accurately. If it is determined that you have low testosterone, hormone replacement therapy (HRT) may be an option. However, it’s important to note that HRT should only be considered after thorough evaluation and under the guidance of a qualified healthcare provider.
In terms of physical development, if you have already passed through puberty, there may be limitations to how much HRT can influence the size of your genitals or testicles. Hormonal treatments can help improve symptoms associated with low testosterone, such as fatigue, mood changes, and decreased libido, but they may not significantly alter physical characteristics that have already developed.
Lastly, it’s important to address the psychological aspect of your concerns. Feeling anxious or embarrassed about your body and sexual health is common, especially during adolescence and young adulthood. It may be beneficial to speak with a mental health professional who can help you navigate these feelings and provide support.
In summary, while excessive masturbation is not likely to be the cause of hormonal imbalances or developmental issues, it’s essential to consider other factors such as nutrition, overall health, and genetics. Consulting with healthcare professionals can provide clarity and help you find the right path forward regarding your concerns about testosterone levels and physical development. Remember, you are not alone in this, and seeking help is a positive step towards understanding and improving your health.
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