Urological Concerns: Excessive Sexual Activity and Its Effects

Please ask your question?

Doctor: 1.
I have a high personal sexual drive, so I often engage in sexual intercourse and masturbation.
However, I’m unsure if this is excessive indulgence, as I frequently experience lower back pain and notice protein in my urine.
Could this be a sign of kidney deficiency? Is there a direct relationship between frequent sexual activity or masturbation and these symptoms? 2.
Can excessive sexual activity or masturbation lead to erectile dysfunction? Or does it result in insufficient rigidity and shorter duration? I am experiencing these issues; how can I improve? Should I see a doctor or take medication? 3.
Does frequent sexual activity or masturbation cause longer intervals before ejaculation during subsequent sessions? I often engage in both, but I find that the time to reach orgasm and ejaculation is getting longer each time.
I’m not intentionally trying to delay it, so is this normal?

A-Dai, 20~29 year old female. Ask Date: 2005/08/16

Dr. Xu Weikai reply Urology

In Western medicine, the relationship between sexual function and kidney health is not viewed as significantly as in Traditional Chinese Medicine.
Unless kidney function is severely impaired, it generally does not affect sexual function.
In fact, even patients undergoing dialysis or kidney transplants can maintain erectile function.
The frequency of sexual activity is highly emphasized in Traditional Chinese Medicine and some wellness theories, but the perspective in Western medicine is quite the opposite.
As long as the body is capable, sexual activity is not heavily restricted.
To use a simple analogy: some people feel full after three bowls of rice, while others may need six.
Recently, in an eating competition, a Japanese contestant named Kobayashi consumed 100 buns in 12 minutes.
These are all considered normal.
Engaging in sexual activity frequently can enhance the experience and duration of erections, which is a normal response.
There is even a method for treating premature ejaculation that involves anticipating sexual activity in the evening by first achieving ejaculation in the morning, which can help prolong erection time when the evening arrives.

Director of Urology, Taitung Hospital, Department of Health, Executive Yuan, Hsu Wei-Kai.

Reply Date: 2005/08/16

More Info

When it comes to understanding urological concerns, particularly those related to excessive sexual activity, there are several important aspects to consider. Your questions touch on various symptoms and experiences that may be linked to sexual activity, and I will address each of them in detail.

1. Frequent Sexual Activity and Symptoms: You mentioned experiencing lower back pain and proteinuria (the presence of protein in urine). While these symptoms can be concerning, they are not necessarily indicative of "kidney deficiency" or a direct result of excessive sexual activity. Lower back pain can arise from various factors, including muscle strain, poor posture, or even stress. Proteinuria, on the other hand, can be a sign of kidney issues, but it can also result from dehydration, intense physical activity, or temporary conditions. It is crucial to consult a healthcare provider for a thorough evaluation, including urine tests and possibly imaging studies, to determine the underlying cause of these symptoms.

2. Impact of Excessive Sexual Activity on Erectile Function: Engaging in sexual activity frequently, whether through intercourse or masturbation, does not inherently lead to erectile dysfunction (ED). However, if you are experiencing difficulties with erection hardness or duration, it could be related to psychological factors such as anxiety or stress, physical health issues, or even fatigue. Over time, excessive sexual activity can lead to temporary desensitization, which might affect your performance. If you find that these issues persist, it would be wise to consult a urologist or a sexual health specialist who can provide tailored advice and treatment options, which may include lifestyle changes, counseling, or medication.

3. Changes in Ejaculation Timing: You noted that the time it takes to reach ejaculation seems to be increasing with frequent sexual activity. This phenomenon can be influenced by various factors, including arousal levels, physical conditioning, and even psychological states. It is not uncommon for individuals to experience variations in their sexual response over time. If you are not intentionally trying to delay ejaculation but are noticing a change, it may be a natural response to your body's adaptation to frequent sexual activity. However, if this change is causing you distress or affecting your sexual satisfaction, discussing it with a healthcare provider can help clarify whether there are underlying issues that need to be addressed.

In summary, while frequent sexual activity can lead to certain physical and psychological responses, it is essential to differentiate between normal variations in sexual function and symptoms that may indicate a health issue. Regular check-ups with a healthcare provider can help monitor your urological health and address any concerns you may have. Additionally, maintaining a balanced lifestyle, managing stress, and ensuring adequate hydration and nutrition can contribute positively to your sexual health. If you have ongoing concerns, do not hesitate to seek professional medical advice for a comprehensive evaluation and personalized care.

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