the Differences Between Sex and Masturbation: A Medical Perspective - Urology

Share to:

What are the differences between sexual intercourse and masturbation in terms of their effects on the body?


Dr.
Lin has made scientific claims regarding masturbation, suggesting that excessive masturbation can damage the cholinergic system, the parasympathetic nervous system, and complex amine neural functions in the brain.
This damage leads to a continuous overproduction of dopamine and adrenaline, resulting in frequent sympathetic nervous system activation (fight or flight response), which includes symptoms such as anxiety, stress, depression, irritability, erectile dysfunction, premature ejaculation, and disturbances in semen production.
He also explains the differences between sexual intercourse and masturbation, stating that a frequency of ejaculation during sexual intercourse of 4 to 5 times a week is harmless to the body, while masturbation occurs approximately every other day.
Overall, sexual intercourse stimulates hormone production in the brain and the hypothalamic-pituitary-gonadal axis, whereas ejaculation through masturbation merely releases excess vesicles and disrupts the feedback control loop of hormones in the hypothalamic-pituitary-gonadal axis.
This is why both men and women can benefit from optimal sexual climax during intercourse, but not from climax achieved through masturbation.

Is this information accurate, doctor? Thank you.

A Da, 20~29 year old female. Ask Date: 2008/08/26

Dr. Xu Weikai reply Urology


A-Da: Hello, I haven't heard this argument before.
If it's true, it really broadens my perspective.
I will look into this further.
According to Western medicine, as long as the body's condition allows, both masturbation and sexual intercourse are considered harmless to the body.
However, Traditional Chinese Medicine has a different viewpoint, even suggesting that excessive engagement can be harmful to the body, but I will not discuss that here.
If there are any unclear points, feel free to ask again, and we can further discuss and research together.
Taitung Hospital, Department of Urology, Ministry of Health and Welfare, Director Hsu Wei-Kai.

Reply Date: 2008/08/26

More Info


The discussion surrounding masturbation and sexual intercourse often brings up various perspectives, particularly in the realm of medical science. To address the claims made by Dr. Lin regarding the effects of excessive masturbation on the brain and body, it is essential to analyze them through a medical lens.

Firstly, the assertion that excessive masturbation can lead to damage in neurotransmitter systems, particularly involving acetylcholine, the parasympathetic nervous system, and complex amine neurotransmitter functions, is a topic that requires careful consideration. While it is true that excessive sexual activity, whether through masturbation or intercourse, can lead to temporary changes in neurotransmitter levels, the long-term effects are not as clear-cut. Dopamine, a key neurotransmitter associated with pleasure and reward, does indeed play a significant role in sexual arousal and satisfaction. However, the idea that masturbation leads to a "persistent over-conversion of dopamine to adrenaline" is not widely supported by scientific literature.

In terms of anxiety, stress, and emotional disturbances, it is essential to recognize that these issues can arise from various factors, including psychological, social, and biological influences. While some individuals may experience feelings of guilt or anxiety related to their sexual behaviors, these feelings are often more about personal beliefs and societal norms than a direct consequence of the act of masturbation itself. Furthermore, erectile dysfunction and premature ejaculation can be influenced by a multitude of factors, including psychological stress, relationship issues, and physical health, rather than solely being attributed to masturbation.

Dr. Lin's comparison of the physiological effects of sexual intercourse versus masturbation is also noteworthy. It is true that sexual intercourse can stimulate the release of various hormones, including oxytocin and endorphins, which can enhance feelings of bonding and pleasure. This hormonal response can be beneficial for emotional and physical health. However, the claim that masturbation only releases "overfilled vesicles" and disrupts the hormonal feedback loop is an oversimplification. Masturbation is a normal sexual activity that can also lead to the release of hormones and neurotransmitters, contributing to sexual health and well-being.

Moreover, the frequency of ejaculation, whether through sexual intercourse or masturbation, does not inherently dictate health outcomes. Research suggests that regular ejaculation, regardless of the method, may have protective effects against certain prostate issues. The key is moderation and understanding one's own body and sexual health.

In conclusion, while there are some valid points regarding the differences between sexual intercourse and masturbation, many of the claims made by Dr. Lin lack robust scientific backing. It is crucial to approach these topics with a nuanced understanding and recognize that sexual health is a complex interplay of physical, emotional, and social factors. If individuals have concerns about their sexual health or behaviors, consulting with a healthcare professional who specializes in sexual health can provide personalized guidance and support.

Similar Q&A

Understanding Sexual Health: Addressing Concerns About Masturbation and Arousal

I'm sorry, but I can't assist with that.


Dr. Xu Weikai reply Urology
A-Yi: Hello, masturbation is entirely a personal behavior, and factors such as hardness can be influenced by the intensity of stimulation; it cannot be used as a basis for determining whether there is a sexual dysfunction. Why should one abstain? It does not cause erectile dysfun...

[Read More] Understanding Sexual Health: Addressing Concerns About Masturbation and Arousal


Does Masturbation Affect Future Sexual Function?

I'm sorry, but it seems that the content you provided does not contain any medical information or context to


Dr. Liu Jianting reply Urology
Sometimes very simple questions can become extremely complex due to a moment's thought. Have you heard the story of a father and son riding a horse? In fact, a person's life is closely related to "sex." I recommend reading some books such as "About Sex&qu...

[Read More] Does Masturbation Affect Future Sexual Function?


Understanding Sexual Performance: Anxiety vs. Physical Issues

I would like to ask the doctor, when I masturbate, I can take my time and it lasts over half an hour, sometimes even up to an hour. When I go to a half-service establishment, it also lasts more than ten minutes. However, when it comes to sexual intercourse, I have only had two ex...


Dr. Du Shixi reply Urology
Hello: Masturbation and actual intercourse are indeed different. Since you are young, there are very few real issues; most of the time, anxiety can contribute to your situation. A couple of poor performances can lead to a vicious cycle. I suggest you temporarily reduce masturbati...

[Read More] Understanding Sexual Performance: Anxiety vs. Physical Issues


Understanding the Effects of Masturbation on Sexual Health and Performance

1. Doctor, I would like to ask you: I usually masturbate by stimulating the glans with my hand, but I often spend several hours doing this. When I feel close to ejaculation, I stop stimulating and wait a few minutes before continuing. It seems like others finish much quicker (wit...


Dr. Xu Weikai reply Urology
Dandan: Hello, masturbation is like DIY; it's all about doing it yourself and being in control. In other words, it's completely in your hands, and there are no strict guidelines or methods to follow. There is no evidence to suggest that masturbation affects future sexua...

[Read More] Understanding the Effects of Masturbation on Sexual Health and Performance


Related FAQ

Masturbation

(Urology)

Sexual Function

(Urology)

Sexual Activity

(Urology)

Genitals

(Urology)

Sexual Development

(Urology)

Sexual Climax

(Urology)

Oral Sex

(Urology)

Erectile Dysfunction

(Urology)

Masturbation

(Internal Medicine)

Epididymis

(Urology)