Excessive masturbation. Frequent urination?
Hello, doctor.
I am 38 years old and have a long-standing habit of masturbating once a day.
This has led to urgency, reduced urine output, and frequent urination.
On July 23, I went to the hospital for a urine culture, and all tests were sterile with no signs of inflammation.
I have been returning for follow-up appointments every two weeks, and the doctor has prescribed antibiotics.
I have been taking medication for overactive bladder for six weeks, but there has been no improvement.
Last Thursday, September 3, the doctor prescribed Oxybutynin extended-release tablets 5 mg and Uroselectin capsules 4 mg, to be taken once daily for seven days.
During this month of medication treatment, I have tried to control my daily masturbation habit.
I was able to ejaculate normally once a week.
However, yesterday, after masturbating, I reached orgasm but did not ejaculate.
I tried again today and still could not ejaculate.
Is this a side effect of the medication, or is there an issue with my urinary system? Could excessive masturbation be causing urgency, reduced urine output, frequent urination, or prostate inflammation and enlargement? Thank you.
Wei Zai, 30~39 year old female. Ask Date: 2015/09/11
Dr. Xu Weikai reply Urology
Wei Zai: Hello, masturbation can basically cause stimulation of the autonomic nervous system, which can lead to urinary symptoms that are quite common.
It is recommended to apply a local heat pack for 10-15 minutes after masturbation, which should help improve the situation.
Difficulty in ejaculation is mostly due to prolonged erection time caused by medication.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers found online should only be used as a reference; if necessary, it is still important to seek medical attention at a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.
Reply Date: 2015/09/11
More Info
Excessive masturbation can have various effects on urinary health and prostate function, and your symptoms of urgency, frequency, and reduced urine output may indeed be related to your habits and underlying medical conditions.
Firstly, it's important to understand that masturbation itself is a normal sexual activity and, for most people, does not lead to significant health issues. However, excessive masturbation can sometimes lead to physical discomfort or psychological stress, which may manifest as urinary symptoms. In your case, the symptoms of urgency and frequency could be linked to a few factors:
1. Pelvic Floor Dysfunction: Frequent masturbation can lead to pelvic floor muscle tension, which might contribute to urinary urgency and frequency. The pelvic floor muscles support the bladder and help control urination. If these muscles are overly tense or fatigued, they may not function properly, leading to symptoms like urgency and frequency.
2. Prostate Health: While there is no direct evidence linking masturbation to prostate enlargement or inflammation, excessive sexual activity can sometimes irritate the prostate. This irritation may lead to symptoms such as discomfort, changes in urinary patterns, or even pain. Conditions like prostatitis (inflammation of the prostate) can cause similar urinary symptoms and may require medical evaluation.
3. Medication Side Effects: The medications you mentioned, such as Oxybutynin (often used for overactive bladder) and other urinary medications, can have side effects that include urinary retention or changes in ejaculation. If you are experiencing difficulty ejaculating after using these medications, it could be a side effect rather than a direct result of your masturbation habits.
4. Psychological Factors: Anxiety or stress related to sexual performance or urinary symptoms can exacerbate the feeling of urgency or frequency. If you are concerned about your urinary health or the effects of masturbation, this anxiety can create a cycle that worsens your symptoms.
Given that your urine cultures have been negative and you have not shown signs of infection, it is essential to consider other underlying causes. Here are some recommendations:
- Consult a Urologist: Since you have ongoing urinary symptoms, it would be beneficial to consult a urologist who can perform a thorough evaluation, including a physical examination and possibly urodynamic studies to assess bladder function.
- Pelvic Floor Therapy: If pelvic floor dysfunction is suspected, a referral to a physical therapist specializing in pelvic health may help. They can provide exercises and techniques to relax and strengthen the pelvic floor muscles.
- Medication Review: Discuss with your doctor the possibility of side effects from your current medications. They may consider adjusting your treatment plan if the side effects are significant.
- Moderation in Masturbation: While it’s normal to engage in masturbation, if you feel it is excessive, consider moderating the frequency. This may help alleviate some of the tension in the pelvic area and improve your urinary symptoms.
- Hydration and Lifestyle Changes: Ensure you are well-hydrated and consider lifestyle changes that promote urinary health, such as avoiding irritants like caffeine and alcohol, which can exacerbate urinary urgency.
In summary, while excessive masturbation may contribute to your urinary symptoms, it is likely not the sole cause. A comprehensive evaluation by a healthcare professional is essential to determine the underlying issues and appropriate treatment options.
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