DIY Effects on Sexual Health and Urology Concerns - Urology

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Hello, doctor.
I have a question.
Does doing DIY for a long time affect the sensation during sexual intercourse with my girlfriend in the future? It seems like there is no response.
Could it be a psychological factor? Additionally, I feel like my penis sometimes has difficulty achieving a full erection and goes soft quickly, even if it does get hard.
Also, the angle of the erection bends to the right at more than 45 degrees; does this need correction? Lastly, when I make an appointment at the urology department, will there be nurses present? Would that be embarrassing?

Wang Jing, 20~29 year old female. Ask Date: 2006/08/12

Dr. Chen Zhirong reply Urology


Wang Jing: When a man's semen reservoir is full, he may release it through dreams even without engaging in self-stimulation.
Therefore, moderate self-stimulation is not harmful.
However, if one feels mentally exhausted and fatigued after self-stimulation, it may be a warning sign of overindulgence.
Many cases of erectile dysfunction in young men are caused by psychological factors, and it is essential to eliminate these psychological barriers quickly.
Otherwise, over time, if one feels a lack of affection from above, it can lead to feelings of despair.
When visiting a urologist, if you prefer not to have a nurse present but want to remain polite, it is advisable to "hand a note to the doctor indicating that you wish to discuss your condition privately."

Reply Date: 2006/08/12

More Info


Understanding the effects of DIY (Do It Yourself) practices, particularly in the context of masturbation, on sexual health and urology is a topic that raises several important questions. Let's address your concerns systematically.

1. Impact on Sexual Function: Engaging in DIY practices, particularly frequent masturbation, can have varying effects on sexual health. While moderate masturbation is generally considered a normal part of sexual health, excessive or compulsive behaviors may lead to issues such as erectile dysfunction or diminished sexual satisfaction during partnered sexual activities. This phenomenon can often be attributed to psychological factors, including conditioning. If one becomes accustomed to a specific type of stimulation during masturbation, it may lead to difficulties in achieving arousal or satisfaction during sexual intercourse with a partner. This is sometimes referred to as "desensitization."
2. Erectile Issues: The concerns you mentioned regarding incomplete erections or rapid loss of erection can be indicative of both physical and psychological factors. In younger individuals, psychological factors such as anxiety, stress, or performance pressure can significantly impact erectile function. If you find that your erections are not firm or are difficult to maintain, it may be beneficial to explore these psychological aspects. Additionally, physical factors such as hormonal imbalances or vascular health should also be considered. If the issue persists, consulting a healthcare professional is advisable.

3. Curvature of the Penis: Regarding the curvature of the penis, a slight bend is typically normal and does not require correction unless it causes pain or interferes with sexual function. A curvature exceeding 45 degrees, especially if it leads to discomfort or difficulty during intercourse, may warrant evaluation by a urologist. Conditions such as Peyronie's disease can cause significant curvature and may require treatment.

4. Visiting a Urologist: It's understandable to feel apprehensive about visiting a urologist, especially with the presence of nurses. However, healthcare professionals are trained to handle such situations with discretion and professionalism. If you prefer to speak privately with the doctor, you can communicate this preference upon arrival, either verbally or through a note. Your comfort is important, and healthcare providers are there to support you.

5. Frequency of DIY: As for the frequency of masturbation, there is no universally "ideal" number of times per week. What's most important is that your habits do not interfere with your daily life, relationships, or sexual function. If you feel that your current frequency is excessive and wish to reduce it, consider gradually increasing the time between sessions. Engaging in alternative activities, such as exercise or hobbies, can also help redirect your focus.

6. Long-Term Effects of Abstaining: If you decide to reduce or eliminate DIY practices, it is unlikely to have negative effects on your health, especially if you do not experience intense sexual urges. Some individuals may experience temporary increases in sexual tension or desire, but this typically normalizes over time. The body is adaptable, and many people find that their sexual function improves with a balanced approach to sexual health.

In summary, while DIY practices are generally safe when done in moderation, excessive habits can lead to psychological and physical issues affecting sexual health. If you have ongoing concerns about erectile function, curvature, or the psychological aspects of your sexual health, consulting a urologist can provide clarity and guidance tailored to your situation. Remember, open communication with healthcare providers is key to addressing any health concerns effectively.

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