Do Men Really Need to Ejaculate to Prevent Prostate Issues? - Urology

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Is it true??


I heard something today, is it true? For males, if they don't ejaculate, will they develop prostate issues?

Xiao Chen, 20~29 year old female. Ask Date: 2008/09/11

Dr. Lin Wenxu reply Urology


Hello Sir: Thank you for your inquiry.
I would like to address your question and provide the following advice: The prostate gland is a naturally occurring organ in males, essential for the male reproductive and urinary systems, and it is completely unrelated to sexual activity or masturbation.
Lastly, I wish you peace and happiness!

Reply Date: 2008/09/11

More Info


The question of whether men need to ejaculate regularly to prevent prostate issues is a topic that has garnered attention in both medical literature and popular discussions. While there is no definitive answer, research suggests that regular ejaculation may have some protective effects against certain prostate conditions, including prostate cancer.

Ejaculation is a natural physiological process that occurs during sexual activity or masturbation. Some studies have indicated that men who ejaculate more frequently may have a lower risk of developing prostate cancer. For example, a study published in the journal "European Urology" found that men who reported 21 or more ejaculations per month had a significantly lower risk of prostate cancer compared to those who ejaculated four to seven times per month. The proposed mechanism behind this correlation is that regular ejaculation may help to clear out potentially harmful substances from the prostate and reduce inflammation.

However, it is important to note that while these findings are intriguing, they do not establish a direct cause-and-effect relationship. Other factors, such as genetics, diet, lifestyle, and overall health, also play significant roles in prostate health. Therefore, while regular ejaculation may be beneficial, it should not be viewed as a standalone preventive measure against prostate issues.

In addition to ejaculation frequency, maintaining a healthy lifestyle is crucial for prostate health. This includes a balanced diet rich in fruits, vegetables, and healthy fats, regular physical activity, and avoiding smoking and excessive alcohol consumption. Some studies suggest that diets high in omega-3 fatty acids, found in fish, and low in red and processed meats may be associated with a reduced risk of prostate cancer.

Moreover, men should be proactive about their prostate health by undergoing regular screenings, especially as they age. The American Urological Association recommends that men discuss the potential benefits and risks of prostate-specific antigen (PSA) testing with their healthcare provider, starting at age 55 for those at average risk. Early detection of prostate issues can lead to more effective treatment options.

Regarding the notion that men must ejaculate to avoid prostate problems, it is essential to clarify that while there may be some benefits to regular ejaculation, it is not an absolute requirement for prostate health. Men who do not ejaculate frequently may still maintain good prostate health through other means, such as a healthy lifestyle and regular medical check-ups.

In conclusion, while there is some evidence suggesting that regular ejaculation may be associated with a lower risk of prostate issues, it is not the sole factor in maintaining prostate health. A comprehensive approach that includes a healthy lifestyle, regular medical screenings, and open communication with healthcare providers is essential for men to manage their prostate health effectively. If you have specific concerns about your prostate health or ejaculation frequency, it is advisable to consult with a urologist or healthcare professional who can provide personalized guidance based on your individual health needs.

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