Is It Normal...? Medical Man Talk
MEDICAL MYSTERIES (For guys only)
You may feel like you’re the only one asking these things, but you’re not. Here are quick answers to some of your unanswered questions.
1. IS IT NORMAL FOR GUYS TO HAVE FREQUENT ERECTIONS, EVEN WHEN NOTHING SEXUAL IS HAPPENING?
Our Sex Therapist answers:
You are very normal, especially if you are a young male. Your body is just doing what it was made to do. It can be embarrassing at times for sure. As you get older, your body will settle down and you will have more control over them. But the good news is that your body is doing what it was wired to do!
2. WHY CAN I GET AN ERECTION WITHOUT ANY STIMULATION OR AROUSAL? (IE. MORNING ERECTION)
Often due to changing levels of testosterone in the body, fluctuating hormones can cause this to occur. According to some scientists, a morning erection can simply be a leftover from a series of nocturnal penile tumescence (NPT) episodes that occur like clockwork during the night for all healthy human males—most frequently in REM periods of sleep. Scientists have determined that the average 13 to 79-year-old penis is erect for about 90 minutes each night, or 20 percent of overall sleep time. With your brain cycling between the four sleep stages, your “sleep-related erections” appear at 85-minute intervals lasting, on average, 25 minutes. Needless to say, this is normal and common.
3. WHY DO I EJACULATE (OCCASIONALLY) WHEN I EXCERCISE?
Exercise ejaculation occurs during intense physical exercise. It is more commonly associated with weight lifting, but other strenuous exercises – particularly those that engage the core muscles – can also cause the release of semen. A very intense abdominal and core workout puts a lot of pressure and squeezing on the prostate gland, which, in some cases, expels some semen. Mostly it is related to a general release of testosterone.
4. WHY DO I GET AN ERECTION SIMPLY WHEN I FEEL LOVED AND CLOSE WITH SOMEONE?
This is a natural response since the body will respond to a chemical stimulant and release in the brain. As you feel loved and are close to someone, the chemicals in your brain respond which releases testosterone in the body. There’s nothing abnormal about this, especially while you’re younger and the body is learning how to respond to things. If you are trying to refrain from this, try thinking about different things when you’re feeling this way. If this is an issue among people you are not attracted to, think about how much you respect them, cherish them and honor them the same way you would a sibling or parent. Learn to train your brain and see what works for you.
5. I SEEM TO BE HAVING ERECTILE ISSUES? WHAT WOULD YOU RECOMMEND?
The Doctor answers:
Erectile dysfunction (ED), can be embarrassing, frustrating, and discouraging. It is also quite treatable. The first thing to do is go to your doctor for an exam and some lab work. This will likely include looking at levels for testosterone, thyroid, chemistries, and so forth. The causes of ED can be as simple as newlywed anxiety or more physiological. Certain medications, alcohol, and tobacco can get in the way. If the issue is more psychological and persistent, a good sex therapist can be of help. If physiological, proper diagnosis leads to the right treatment.
One last thought from our Sex Therapist: We are seeing an increase in erectile dysfunction in young men who have looked at a lot of porn. If this is true for you, then getting free from porn would be an important first step. After that, learning to be truly sexually intimate can begin to happen.
6. WHEN I GET AN ERECTION MY FORESKIN DOESNT RETRACT OVER THE HEAD OF MY PENIS BECAUSE THE BAND WITHIN MY FORESKIN IS TOO TIGHT. IS CIRCUMCISION NORMALLY THE ANSWER, OR IS THERE ANY OTHER PROCEDURE TO CURE IT?
This condition is called phimosis (Greek for “muzzled”), and you are not alone. Circumcision has commonly been used as the most reliable and effective treatment, but there are several alternatives that can be tried first. These include application of topical steroids over 4 to 6 weeks, simple dilation (either by repeated manual stretching or using tools designed for that purpose), or a minor surgical procedure for cutting the constricting band itself but leaving the foreskin (preputioplasty). A urologist can get you started with your treatment options.
7. IS IT HARMFUL TO NOT EJACULATE? CAN IT MAKE YOU STERILE?
No, this is not harmful nor can it make you sterile. Seminal fluid and sperm are from two different places. Semen back up does not destroy sperm.
8. IS IT OK TO PERFORM ORAL SEX WHEN I HAVE A COLD SORE OR FEVER BLISTER?
No, it is not a good idea to have oral sex when you have a cold sore. Historically, viral sores on the lips (cold sores or herpes labialis) were HSV type 1, and sores on the genitals were HSV type 2. Both are types of herpes viruses. However, things are less clear now, and either can be found in either location, though it is still more common for the distinctions mentioned above to hold true.
In either case, cold sore viruses can be transmitted to genitals by oral sex. Not the best of gifts.
9. CAN I HAVE AN STD AND NOT KNOW IT?
Yes. Unfortunately. According to the CDC, there are 19 million new cases of STDs in this country every year, and at least 50% of those are in teens or young adults. For two of them, HIV and herpes, there is no cure. Another, HPV, can lead to genital warts or cervical cancer (in women). So it is important to know if you have an STD. The best way to do that is to be tested by a medical professional.
For more urban legends, unexplained phenomena, locker-room bravado debunked, and questions answered, check out: https://moralrevolution.com/top-health-questions-the-body-for-guys-only/