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Reproductive Health Concerns in Males


Size and dimension

Does the size of the penis matter?

Many boys question the adequacy of the size of their penis. This is a normal and common feeling especially if one is not sexually active or is considering becoming sexually active. The size of the penis is simply determined by factors, called genetic traits, which are inherited from one‘s parents.


Is there anything that one that can do about the size of one’s penis?

There is nothing one can do to increase or decrease the size of your penis. It will develop into its adult size as you change from a boy to a man through the process of puberty


Does the size of the penis have any impact on the performance?

The size of a man's penis is more than adequate for its functions which are for sexual pleasure, and maybe reproduction. One thing that men can be assured of is that the size of the penis has no relation to sexual pleasure or performance. Performance is about the ability to get and maintain an erection or to provide sexual pleasure to one‘s partner and oneself with or without an erection. Performance, then, is not really related to size -- but dependent on muscles, blood and nerve supply to the reproductive organs. In reality sexual pleasure is related to: a person's state of mind; to respecting their partner's needs; and their own needs. During intercourse, the opening of the vagina is normally not too small or too large for any penis because it is really a "space" that is surrounded by muscular tissue and will adapt to most size penises.


Is it normal for the penis to be curved?

It is quite normal for a man's penis to curve or lean slightly to the right or the left when erect. Many men's penises will curve upwards too. If the penis suddenly develops a lump which causes it to bend abnormally however, this should probably be checked by a doctor.



What is masturbation?

Masturbation is a method of getting sexual pleasure by manipulation of one‘s genitalia. It is practiced by both males and females.


Is masturbation normal?

Yes, Masturbation is a natural, normal mode of self-exploration and sexual expression.Almost 100% of men and majority of women masturbate


Is it true that masturbation isn't "real sex" and only losers masturbate?

This is just not true. According to some sexuality experts people who masturbate tend to function better sexually when with a partner since they know their own body and have fulfilled sexual expression. Apart from that some married persons also masturbate.


Does masturbation cause growth stunt or cause premature balding?

This is not true.


Does masturbation affect married life or lead to Infertility?

Masturbation does not affect married life, if the partner has no objection to the practice. Also, it does not lead to infertility in a person. This is a normal mode of sexual expression if done in moderation.


How to get rid of masturbation?

Masturbation is one of the ways of experiencing sexual pleasure. It is worrisome, only if, the person is constantly preoccupied with the thought and it is hampering normal routine activities. If it is so then to keep mind off masturbation, one can, keep oneself busy in some other activities as playing, reading etc.


There is burning sensation in my penis when I masturbate, what should I do?

The burning sensation you are feeling is more likely urine. The urine is trapped in the urethra. Empty your bladder prior to any sexual activity where ejaculation will occur and the burning sensation should go away. You may be suffering from a urinary tract infection or sexually transmitted infection. Consult your doctor


Erection and impotence

What is an erection?

Erection refers to an enlargement, hardening, and elevation of the penis.


Why does an erection occur?

Males have spontaneous penis erections throughout their lives. During puberty boys tend to get erections more frequently. Erections can occur with or without any physical or sexual stimulation. Often these erections are associated with dreams and; teens may have as little as two erections or up to six erections each night.


What is morning erection? Is it normal?

It is very normal and natural to have erection of penis in the morning


Is it normal to get erections during the day?

Yes. Erections are a perfectly normal function of the male body, especially in boys who are going through puberty. Many erections are caused by sexual arousal, such as watching a movie or from sexual fantasizing. Many seem to happen for no reason at all.


How can one increase time period of erection of penis?

Normal period for erection has very wide variations. It should sustain till the successful completion of sexual act, ending with ejaculation or pre-ejaculation withdrawal. The time of erection could vary from few minutes to an hour or even more. Couples learn art of sex with time. Good foreplay followed by emotional and passionate sexual intercourse with slow start can lead to a very long pleasurable sex. Very fast sexual movements often lead to short and less pleasurable (sometimes injurious) intercourse. Couples often enjoy long moments of just calmly lying in copulated positions. This is an art which loving couples learn together. There are no medicines for prolonged erection. However, there are some reasons for early ejaculation or loss of erection: Lack of privacy, Fears or guilt, especially in case of infidelity, sex with sex workers, premarital sex, bad odors, poor oral or personal hygiene. Brushing the teeth and taking bath before sex is a good habit. If foul breath persists then consult a dentist. Bad physical conditions of room, heat, suffocation etc also lead to discomfort and thereby less pleasurable sex. Some diseases such as diabetes or influence of some medicines may also affect the period of erection. In such situations a qualified doctor should be consulted.


What is impotence?

Impotence is the inability to achieve or sustain an erection for satisfactory sexual activity.


What are the causes of impotence?

Impotence may occur due to:

  • (i) Mental stress and depression.
  • (ii) Alcohol/ drug abuse.
  • (iii) Smoking.
  • (iv) Diabetes.
  • (v) Heart disease.
  • (vi) High blood pressure.
  • (vii) Certain medications used for treating blood pressure, depression, peptic diseases.


How is impotence managed / treated?

Impotence may be managed / treated by:

  • (i) Psychotherapy..
  • (ii)Stopping smoking and alcohol intake.
  • (iii) Following the medical advice after thorough assessment by a qualified doctor.


Does psychological therapy help in management of impotence?

Experts often treat psychologically based impotence using techniques that decrease anxiety associated with intercourse. The patient's partner can help apply the techniques, which include gradual development of intimacy and stimulation. Such techniques also can help relieve anxiety when physical impotence is being treated.


How effective is injecting medicines into the penis or urethra for treating impotence?

Medications can be injected directly into the penis to attain and maintain erections. Even though such injections can be effective, they are not widely used because the injections are painful, there may be scarring of the penis, and there is a risk of developing prolonged and painful erections lasting more than 6 hours. Medications can be inserted in a pellet (suppository) form into the urethra to attain erections. This technique also is not popular because of occasional side effects of pain in the penis and sometimes in the testicles, mild urethral bleeding, dizziness, and vaginal itching in the sex partner.


What are vacuum devices?

Mechanical vacuum devices cause an erection by creating a vacuum around the penis that draws blood into the penis, engorging it and expanding it.


What surgery is performed for a case of impotence?

Surgery for impotence involves using an implantable device known as prostheses which can cause erection in many men with impotence.


How effective is sildenafil (Viagra)? Does it increase erection in a normal person?

Sildenafil is used for the treatment of erectile dysfunction of either physical or psychological cause. It has been found to be effective in treating erectile dysfunction in men with coronary artery disease, diabetes mellitus, hypertension, depression, coronary artery bypass surgery, and men who are taking antidepressants and anti-hypertensive drugs. In clinical trials, an estimated 60% of men with diabetes, and 80% of men without diabetes experienced improved erections with sildenafil. The drug should not be used as an over the counter drug. It should only be used after consultation with a medical doctor. It has no effect on normal erection.


What is the dose of sildenafil (Viagra)?

Sildenafil should be taken only under Doctors supervision.A doctor considers the age, general health status, and other medication(s) the patient is taking while prescribing the drug. The doctor may increase or decrease the dose depending on side effects and effectiveness.


How should sildenafil (Viagra) be administered?

It should be taken approximately one hour before sexual activity. Sildenafil should be taken on an empty stomach for best results since absorption and effectiveness of sildenafil can be diminished if it is taken shortly after a meal, particularly a meal that is high in fat.


What are the side effects of sildenafil (Viagra)?

Sildenafil has been found to be well tolerated without important side effects. The reported side effects are usually mild, and include headache, flushing, nasal congestion, nausea, acidity, diarrhea, and abnormal vision (seeing a bluish hue or brightness).


Wet dream/night fall/Dhat

What is a wet dream or night fall?

A wet dream is the uncontrolled ejaculation of semen from the penis during sleep. The fluid is creamy to clear in color. It is completely harmless


How are wet dreams caused?

Wet dreams are caused by sexual excitement from dreams, and or by physical stimulation like rubbing against blankets, the bed, or a full bladder.


Is getting wet dreams or night falls a normal phenomenon?

Wet dreams are a normal part of the many things that are changing in the body during puberty. Not all boys have wet dreams and that's okay too, it doesn't mean anything is wrong if one does not get a wet dream.


Does a wet dreamcause any physical or mental weakness?

Wet dreams are a normal part of the many things that are changing in the body during puberty. Not all boys have wet dreams and that's okay too, it doesn't mean anything is wrong if one does not get a wet dream. It does not cause any physical or mental weakness.


Is it normal to pass semen during urination or defecation?

Yes, it is normal. When one strains much during urination or defecation some semen may come out from seminal vesicle.


What is dhat syndrome? How can it be treated?

Dhat syndrome is a condition in which the patient believes he is physically ill as a result of the loss of semen. It is characterized by several vague symptoms, including fatigue, weakness, anxiety, loss of appetite, guilt, and sometimes impotence or premature ejaculation. The patient often attributes his symptoms to masturbation or overindulgence in sexual intercourse. Patients often think they are losing semen through the urine and complain of a whitish discharge. The management of Dhat syndrome involves sex education, relaxation therapy and medications.


Premature ejaculation

What is premature ejaculation?

Discharge of semen before achieving orgasm is called premature ejaculation.


How are wet dreams caused?

Wet dreams are caused by sexual excitement from dreams, and or by physical stimulation like rubbing against blankets, the bed, or a full bladder.


What are the causes of premature ejaculation? How could it be prevented?

Premature ejaculation occurs mainly due to psychological reason. It can occur in following situation.

  • When male partner is very much worried about his sexual performance.
  • When sexual intercourse is done for the first time.
  • When male partner is doing sex after a long time When sexual inter course is done in fearful situation.
  • If one suffers this problem repeatedly he should consult a doctor.


What is Master and Johnson technique used in premature ejaculation?

This technique is used for man who ejaculates very quickly. The squeeze method describes stimulating the man to the brink of ejaculation. When the man feels the onset of orgasm, he squeezes his penis hard enough to inhibit ejaculation and to partially lose erection. The female partner can help. Your partner places her hand so that her thumb is on one side of the man's erect penis. Her index and middle fingers are on the other side. The index finger is just above the ridge of the glans (the 'head'), while the middle finger is just below the ridge. When the man feels that he's near to a climax, he tells his partner. She then squeezes his shaft firmly between her thumb and the other two fingers.



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