the Effects of Masturbation on Sexual Health and Performance - Urology

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Some questions about masturbation?


Hello, doctor.
I have some questions I would like to ask you:
1.
Does frequent masturbation have any effects? Can it affect erectile duration and firmness, or cause other issues? I read online that after developing a habit of masturbation, some people experience problems with their sexual partners (such as insufficient erection for penetration, premature ejaculation, or inability to ejaculate).
Is this true?
2.
I often feel regret after masturbating due to concerns about the issues mentioned above, but I can't seem to break the habit.
What should I do?
3.
Recently, I sometimes have strong erections, but other times they become softer quickly.
Could this be related to frequent masturbation?
4.
If I keep worrying about these issues, could it worsen due to psychological stress? I have a girlfriend (we haven't had sexual relations), so I often worry about disappointing her...
which makes me feel anxious.
5.
What lifestyle habits should I pay attention to in order to maintain sexual function? Please help me address each question, as I am really worried...
Thank you.

BB, 20~29 year old female. Ask Date: 2012/04/02

Dr. Xu Weikai reply Urology


BB: Hello.
1.
Each person's constitution is different, and the methods, frequency, and intensity of masturbation vary, so there is no definitive conclusion.
However, it generally may cause temporary premature ejaculation.
2.
You can consult a physician in the field of psychosomatic medicine, or when you feel the urge to masturbate, try to distract yourself with other activities, such as exercising more.
3.
It is difficult to assess; I recommend conducting a penile sensitivity test, which is more objective and accurate.
4.
It may be caused by psychological factors, so consulting a psychosomatic medicine specialist is advisable.
5.
Maintain a regular routine, exercise regularly, and eat a balanced diet.
Avoid smoking and drinking alcohol.
If you have further questions, feel free to ask again for more discussion and research.
Online responses should only be used as a reference; if necessary, it is important to seek medical care at a healthcare facility.
This response is from Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2012/04/02

More Info


Masturbation is a common and natural behavior that many individuals engage in, and it can have various effects on sexual health and performance. Let's address your questions one by one.

1. Impact of Frequent Masturbation: Regular masturbation is generally considered a normal part of sexual health. It does not inherently cause issues like erectile dysfunction (ED) or premature ejaculation (PE). However, if someone develops a habit of relying on specific techniques during masturbation (such as using excessive pressure or specific positions), it might lead to difficulties in achieving the same level of arousal or performance during partnered sex. This is often referred to as "performance anxiety," where the individual feels pressure to perform in a certain way, which can lead to issues like difficulty maintaining an erection or premature ejaculation.

2. Regret After Masturbation: It's common to feel conflicted about masturbation, especially if you worry about its impact on your sexual performance. If you find that your feelings of regret are affecting your mental health or your relationship, it might be helpful to explore these feelings further. Consider speaking with a mental health professional who can help you understand and manage these feelings. Remember, masturbation is a normal behavior, and it’s important to find a balance that feels right for you.

3. Erection Variability: It's normal for men to experience fluctuations in their ability to maintain an erection. Factors such as stress, fatigue, anxiety, and even diet can influence erectile function. If you notice that your erections are sometimes strong and other times less so, it may not be directly related to masturbation but rather to other lifestyle factors or psychological stressors.
4. Psychological Pressure: Worrying about sexual performance can indeed create a cycle of anxiety that may worsen the situation. This anxiety can lead to a decrease in sexual arousal and performance. It’s important to address these feelings, perhaps through relaxation techniques, mindfulness, or therapy. Open communication with your partner about your concerns can also help alleviate some of the pressure you feel.

5. Maintaining Sexual Function: To support sexual health, consider the following lifestyle factors:
- Healthy Diet: Eating a balanced diet rich in fruits, vegetables, whole grains, and lean proteins can improve overall health and sexual function.

- Regular Exercise: Physical activity can enhance blood flow and improve mood, both of which are beneficial for sexual health.

- Adequate Sleep: Ensuring you get enough rest is crucial for maintaining energy levels and hormonal balance.

- Stress Management: Engage in activities that help reduce stress, such as yoga, meditation, or hobbies you enjoy.

- Limit Alcohol and Avoid Smoking: Both can negatively impact sexual performance and overall health.

In summary, masturbation is a normal behavior that, when practiced in moderation, does not typically lead to negative sexual health outcomes. However, if you find that it is causing you anxiety or affecting your relationships, it may be beneficial to seek support from a healthcare provider or therapist. Addressing both the physical and psychological aspects of sexual health is essential for maintaining a fulfilling sexual life.

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