Pediatric Sexual Behavior: When to Seek Medical Advice

Elementary school students may experience sexual curiosity or interest?

Hello, Dr.
Liu.

1.
My son, born in May 2015, is currently 8 years old and in the second grade.
Since kindergarten, he has exhibited a behavior of tightly squeezing his anus.
Initially, I thought he only did this before sleeping while lying in bed, but I once caught him standing in the study and playing with his bottom while frequently looking back.
I noticed that when he squeezes his anus, his penis becomes erect.
Should I take him to see a doctor for this condition? If so, which specialty should I consult?
2.
My husband, who is 36 years old, has been experiencing itching in the genital area since we got married.
He is afraid to see a doctor.
If he were to self-medicate, what type of topical medication should he purchase? (Our sexual life is straightforward, and we always use condoms.)

Danxin de mama, 30~39 year old female. Ask Date: 2005/09/17

Dr. Liu Jianting reply Urology

1.
Introducing a book titled "The Sexual World of Children, Did You Know?" published by First Awareness Publishing.
This behavior indicates that your child is growing up and exploring their body; it’s just that the context may not be appropriate.
It might be helpful to talk to a pediatric psychiatrist about it, so don’t be anxious!
2.
Consult a urologist for further evaluation.

Reply Date: 2005/09/17

More Info

When it comes to pediatric sexual behavior, it is essential to approach the topic with sensitivity and understanding. Children often explore their bodies and may engage in behaviors that can seem unusual or concerning to parents. In your case, your son’s behavior of squeezing his anus and the associated physical response can be a part of normal childhood exploration, but it is also important to monitor the behavior and consider seeking medical advice if it raises concerns.

1. Understanding Your Son's Behavior: At the age of 8, children are naturally curious about their bodies and may engage in behaviors that involve touching or exploring their genital areas. This can include behaviors like squeezing or clenching the anus. While this behavior can be normal, especially if it is done in private and not in a socially inappropriate manner, it is crucial to observe the context in which it occurs. If your son seems to be doing this excessively, appears to be distressed, or if it interferes with his daily activities, it may warrant further investigation.

2. When to Seek Medical Advice: If you notice that your son’s behavior is compulsive, causing him distress, or if he is unable to control it, it would be advisable to consult a pediatrician or a child psychologist. These professionals can help assess whether the behavior is within the realm of normal exploration or if it indicates a deeper issue that needs to be addressed. They can also provide guidance on how to discuss body autonomy and appropriate behaviors with your child.

3. Choosing the Right Specialist: If you decide to seek medical advice, starting with a pediatrician is a good choice. They can evaluate your son’s behavior and, if necessary, refer you to a child psychologist or a specialist in pediatric behavioral health. These professionals can provide a safe space for your son to express himself and help you understand the underlying motivations for his behavior.

4. Addressing Your Husband's Health Issue: Regarding your husband's issue with genital itching, it is important for him to seek medical advice rather than self-medicate. While over-the-counter antifungal creams may provide temporary relief, they may not address the underlying cause of the itching, which could be due to a variety of factors such as a yeast infection, dermatitis, or other skin conditions. A healthcare provider can conduct a proper examination and recommend appropriate treatment. It is essential for him to feel comfortable discussing this issue with a healthcare professional, as it is a common concern that many men face.

5. Encouraging Open Communication: In both cases, fostering an environment of open communication is crucial. For your son, discussing body boundaries, privacy, and the difference between public and private behaviors can help him understand appropriate actions. For your husband, encouraging him to seek help and normalizing discussions about sexual health can lead to better outcomes.

In conclusion, while your son’s behavior may be part of normal exploration, it is essential to monitor it and seek professional advice if it becomes concerning. For your husband, encouraging him to consult a healthcare provider will ensure that he receives the appropriate care for his condition. Open communication and education about sexual health and behavior are vital in both scenarios.

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