the Effects of Excessive Masturbation on Sexual Health - Urology

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First of all, I would like to thank the doctor for the response.
Since I have not had much exposure to this area of knowledge, I have been unaware of the potential consequences since childhood.
I have been engaging in excessive masturbation until recently when I came across information online indicating that excessive masturbation is harmful.
However, it has already been many years, and I am worried about whether I might have any issues.
I have been masturbating since elementary school, and I am now almost a sophomore in college.
I am concerned about serious consequences.
Recently, I have noticed that while I can achieve an erection, it tends to become soft easily, and when not erect, it appears shorter.
I am unsure if this is due to anxiety, as I feel I have been masturbating too frequently for several years.
I am very scared about the potential consequences and wonder if there is still a way to remedy this.
I read somewhere that a person only has about 4,000 ejaculations in a lifetime.

Xiao Hao, 20~29 year old female. Ask Date: 2009/05/20

Dr. Xu Weikai reply Urology


Xiao Hao: Hello, the hardness of an erection is generally not affected by masturbation.
Each erection can vary in hardness, duration, and length depending on the intensity of stimulation.
Engaging in the same activity repeatedly may lead to a decrease in perceived stimulation and novelty, which can significantly affect the hardness of the erection.
Some even claim that the volume of ejaculation does not vary with different levels of stimulation.
As for the mention of 4000 times, that seems to be a concept from Traditional Chinese Medicine; Western medicine does not have such a notion.
Historically, emperors likely had the most sexual activity; for instance, Emperor Kangxi (Xuanye) had over 100 children during his 60-year reign, making him one of the more prolific emperors in history.
By calculation, his number of ejaculations would likely exceed 4000 times.
If there are any unclear points, feel free to ask again, and we can further discuss and research this topic together.
Department of Urology, Taitung Hospital, Ministry of Health and Welfare, Director Xu Weikai.

Reply Date: 2009/05/20

More Info


Excessive masturbation is a topic that often raises concerns, particularly among young adults who may be unsure about its effects on sexual health. It’s important to clarify that masturbation is a normal sexual activity that many people engage in, and it can have both physical and psychological effects. However, when it becomes excessive, it can lead to various issues that may affect sexual health and overall well-being.

Firstly, let’s address the concern about the frequency of masturbation. While there is no universally accepted definition of what constitutes "excessive" masturbation, it generally refers to engaging in the activity to the point where it interferes with daily life, responsibilities, or relationships. For some individuals, this might mean masturbating multiple times a day, while for others, it could be less frequent but still problematic if it leads to feelings of guilt or anxiety.

One of the common concerns associated with excessive masturbation is its potential impact on erectile function. Some individuals report experiencing difficulties achieving or maintaining an erection, which can be attributed to a variety of factors, including psychological stress, anxiety, or even physical desensitization due to frequent stimulation. The fear of not being able to perform sexually can create a cycle of anxiety that further exacerbates the issue. This is often referred to as performance anxiety, where the pressure to perform can lead to erectile dysfunction.

In your case, you mentioned experiencing softer erections and a perceived decrease in size when not erect. These feelings can be distressing, but it’s crucial to understand that they may not necessarily indicate a permanent condition. Psychological factors, including anxiety about your masturbation habits, can significantly influence erectile function. It’s also worth noting that the penis can naturally vary in size due to factors like temperature, arousal level, and overall health.

Regarding the notion of a finite number of ejaculations in a lifetime, such as the claim of "4000 times," this is a myth. The human body is capable of producing sperm and semen continuously, and while there may be temporary changes in volume or intensity of ejaculation due to frequency, these are not indicative of a permanent limit.
If you are concerned about your sexual health, it may be beneficial to consider a few strategies:
1. Moderation: If you feel that your masturbation habits are excessive, try to reduce the frequency gradually. This can help alleviate any psychological stress associated with the activity.

2. Mindfulness and Relaxation Techniques: Engaging in mindfulness practices, such as meditation or deep breathing exercises, can help reduce anxiety and improve your overall mental health, which may positively impact your sexual function.

3. Physical Health: Regular exercise, a balanced diet, and adequate sleep can improve your overall health and may enhance sexual function.
4. Professional Guidance: If your concerns persist, consider speaking with a healthcare professional or a therapist who specializes in sexual health. They can provide personalized advice and support tailored to your situation.

In conclusion, while excessive masturbation can lead to temporary issues with sexual function, it is often reversible with lifestyle changes and addressing psychological factors. Remember that sexual health is a complex interplay of physical, emotional, and psychological factors, and seeking help is a positive step toward improving your well-being.

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