Medical Masturbating

Medical Masturbating
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If there's one thing that almost every guy is an expert at, it's masturbation . After years of extensive, hands-on experience, you think you know everything there is to know. But according to the experts, maybe you don't. Here are some that may surprise you.
"It appears that not all orgasms are created equally," says Tobias S. Köhler, MD, MPH, an associate professor at Southern Illinois University School of Medicine in Springfield.
Study after study shows that intercourse has all sorts of benefits for men -- for your blood pressure , heart and prostate health, pain, and more. You'd think that masturbation would, too. But it doesn't.
Why would it make a difference whether you ejaculate during sex or on your own? No one's sure. But your body seems to respond differently. Even the makeup of semen is different if you masturbate instead of having sex .
Still, does it really matter? Have you honestly been masturbating all these years only because you wanted to boost your prostate health? Didn't think so. But one study, Harvard’s Health Professional Followup, showed that Masturbation may help lower risk of prostate cancer .
Sure, it's low-risk. It's the safest form of sex possible. No one ever caught an STD from themselves or made themselves pregnant . But like other low-risk activities (chewing, walking), it still has some risks.
Frequent or rough masturbation can cause minor skin irritation. Forcefully bending an erect penis can rupture the chambers that fill with blood , a rare but gruesome condition called penile fracture.
Köhler has seen guys with it after vigorous masturbation. "Afterward, the penis looks like an eggplant," he says. "It's purple and swollen." Most men need surgery to repair it.
Guys can get hung up on whether they masturbate too much. But it's not how many times you masturbate in a week (or day) that really matters, says Logan Levkoff, PhD, a sexologist and sex educator. It's how it fits into your life.
If you masturbate many times a day and have a healthy, satisfying life, good for you. But if you masturbate many times a day and you're missing work or giving up on sex with your partner because of it, consider seeing a sex therapist.
Even then, there's nothing specific about masturbation that's the problem. Compulsive masturbation is like any behavior that disrupts your life -- whether it's compulsively playing poker or checking your social media every other minute.
Levkoff says the most damaging myth about male masturbation is that it's a sign something is wrong in your relationship.
The fact is that most guys masturbate. They masturbate if they're single, in a bad relationship, or in a great relationship. It's just something they do that has nothing to do with their partners.
Masturbation isn't only about sex, Levkoff says. For many, it's a routine way of relieving stress, clearing your head before work, or going to sleep .
Masturbation can help your sex life, since it's how guys learn what they like during sex. "I think women would be more satisfied sexually in their relationships if they masturbated as much as men do," Levkoff says.
Are there exceptions? Some guys do get so hooked on a certain amount of pressure during masturbation or the stimulation of porn that they can't perform with a partner, says Ian Kerner, PhD, a sex therapist and author of She Comes First .
Still, Kerner says those guys are the exception. "For the vast majority of men, masturbation is a healthy thing," he says. "I'm usually more concerned about a guy who's stopped masturbating -- which can be a sign of anxiety or health problems -- than a guy who's doing it regularly."
Brody, S. Journal of Sexual Medicine , April 2010.
Ian Kerner, PhD, sex therapist, New York; author, She Comes First: The Thinking Man's Guide to Pleasuring a Woman .
Tobias S. Köhler, MD, MPH, andrologist; associate professor, Southern Illinois University School of Medicine, Springfield.
Logan Levkoff, PhD, sex therapist, American Association of Sexuality Educators, Counselors and Therapists-certified sex educator, New York.
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An orgasm is a "peak sensation of intense pleasure." For a short time, your pelvic muscles contract; your consciousness changes; and the blood levels of chemical messengers called oxytocin and prolactin—associated with social bonding—increase. The orgasm causes feelings of well-being and contentment . Afterward, you may feel calm, satisfied, and relieved, per an October 2016 review published in Socioaffective Neuroscience & Psychology .

In people assigned male at birth, ejaculation is typically associated with an orgasm—though it's possible to ejaculate without an orgasm and orgasm without ejaculation, per the October 2016 review.

But is ejaculation good for you? And how often should it happen? Ethical restrictions and privacy concerns make it a difficult topic to study. But here's what we knew about the benefits of ejaculation as of July 2022.

Several studies have linked more frequent ejaculation to a lower risk of prostate cancer , but not all researchers agree.

The largest study on the association was published in European Urology in December 2016. It followed more than 31,000 men for almost 20 years. In the beginning, researchers asked participants between the ages of 40–75 to report how often, on average, they ejaculated at different points in their life. Eighteen years later, researchers recorded who developed prostate cancer.

The study conclusion: More frequent ejaculations were associated with lower rates of prostate cancer. Specifically, participants who had reported 21 or more monthly ejaculations had a significantly lower risk of prostate cancer than those who had reported 4–7 monthly ejaculations.

Does that mean you should ejaculate at least 21 times a month? As of July 2022, there was no definitive evidence to recommend this. For one, participants in the December 2016 study were asked to remember how often they ejaculated at, say, ages 20–29 when they were between 40–75 old. And the study didn't ask how ejaculations were achieved—with partnered sex or masturbation.

Another study of more than 2,000 men, published in August 2017 in Urologic Oncology found only "weak evidence" for the lowered risk of prostate cancer with more frequent ejaculation, and only for participants aged 30–39.

The bottom line: We need more studies to explore the association, according to an August 2021 paper published in Frontiers in Psychology .

Does ejaculating more often improve your sperm quality ? On this, too, researchers aren't in agreement, though many have studied sperm features after different periods of abstinence.

A November 2017 review in the Journal of Assisted Reproduction and Genetics described a complex relationship: Longer abstinence seems to improve sperm count and volume. But shorter abstinence may improve sperm motility (movement ability), morphology (size and shape), and DNA fragmentation (breakages in the chromosomes' genetic material). The review concluded that they can't recommend "ideal abstinence" because of conflicting evidence.

An October 2017 review in the International Journal of Fertility & Sterility made the same conclusions about sperm count, volume, and motility, but went as far as to recommend shortening abstinence periods because of the importance of improved motility—the ability of sperm to move properly through the female reproductive tract.

A May 2015 study in Reproductive Biology and Endocrinology found that ejaculating daily for two weeks decreased sperm count and volume, but didn't affect any other measures of sperm quality.

To make things more complicated, the quality of your sperm depends on other factors too: for example, the type and location of sexual activity. Studies have shown differing sperm quality between at-home and in-clinic masturbation, and between masturbation and intercourse (though only penile-vaginal intercourse was considered), per the August 2021 review.

The bottom line: As of July 2022, it was too early to say whether abstaining is good for your fertility.

Orgasms with or without a partner may improve your sleep quality, per a March 2019 study published in Frontiers in Public Health . More than 700 participants responded how they perceived different sleep outcomes after sex with a partner and masturbation, with or without an orgasm.

The study found that having an orgasm, by yourself or with a partner, improved sleep quality and latency (the time it takes to fall asleep), compared to sex or masturbation without an orgasm. More than half of all participants who had an orgasm (especially with a partner) perceived higher sleep quality afterward.

This effect may occur because, following an orgasm, you experience a release of oxytocin, associated with a better quality of life, and the obstruction of cortisol, a stress hormone.

The findings prompted the study authors to suggest "promoting safe sexual activity before bed" as a new behavioral strategy for better sleep.

Human sexuality research is complicated because of ethical and privacy concerns, as well as researchers' biases, per the August 2021 paper. The participant samples may not be fully representative, skewing the behaviors studied to, say, penile-vaginal intercourse in monogamous couples.

As of July 2022, the evidence on the benefits of ejaculation was inconclusive. Frequent ejaculation may reduce the risk of prostate cancer and improve sperm motility, but more studies are needed to confirm this.

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