Concerns About Urological Health: Effects of Childhood Experimentation - Urology

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It seems you have a number of concerns regarding your urological health, particularly in relation to childhood experimentation and its potential long-term effects. Let's address your questions systematically.

1. Penile Shape and Size: The shape and size of the penis can vary significantly among individuals. The "misshapen" appearance you describe, with a narrower base and head, is not uncommon and can be influenced by various factors, including genetics and hormonal levels during development. Childhood experimentation, such as using rubber bands, is unlikely to have caused permanent changes to the structure of your penis. If doctors have examined you and found no abnormalities, it is likely that your anatomy is within the normal range.

2. Erection Sensitivity: It is normal for children to experience spontaneous erections, which can be triggered by various stimuli, including physical sensations and hormonal changes. The fact that you experienced frequent erections as a child does not necessarily correlate with your current situation. Changes in sensitivity and frequency of erections can occur due to a variety of factors, including hormonal fluctuations, psychological factors, and physical health.

3. Morning Erections: The absence of morning erections can be influenced by several factors, including psychological stress, hormonal levels, and overall health. It is not uncommon for men to experience fluctuations in their erectile function, especially during periods of stress or weight gain. Your high BMI and elevated blood sugar levels could also contribute to changes in erectile function, as obesity and diabetes can affect blood flow and nerve function.

4. Ejaculation Concerns: If you find that you are ejaculating quickly or without a firm erection, this could be related to a number of factors, including anxiety, physical health, or even the frequency of masturbation. While premature ejaculation can be a concern, it is important to consider the context of your overall sexual health and any psychological factors that may be at play.

5. Vascular Health: The visibility of veins during an erection can vary among individuals and is not necessarily indicative of vascular health. If you are concerned about potential vascular damage from childhood experimentation, it is advisable to discuss this with a healthcare provider who can perform a thorough examination and possibly recommend imaging studies if necessary.

6. Pelvic Floor Muscle Strength: The strength of the pelvic floor muscles can indeed influence erectile function. If you feel that your pelvic floor muscles are weak, this could be a contributing factor to your concerns. Engaging in pelvic floor exercises, often referred to as Kegel exercises, may help strengthen these muscles and improve erectile function.

In summary, while your concerns are valid, many of the issues you are experiencing may not be directly related to your childhood experimentation. Factors such as weight, blood sugar levels, psychological health, and overall physical condition play significant roles in erectile function and sexual health. It is crucial to maintain open communication with your healthcare providers and consider seeking a urologist or sexual health specialist who can provide a comprehensive evaluation and tailored advice. Additionally, addressing lifestyle factors such as weight management, diet, and exercise can have a positive impact on your overall health and sexual function.