If you haven't had sex or even an erection in a long time, you
might think you're giving your body a break. Here's the
uncomfortable truth: long-term abstinence can weaken the exact
tissue you need for erections, because the penis is like any
other muscle. If blood flow stops, it can start to shrink,
stiffen, and scar. In this video, I'll explain what can
happen over time. The simple maintenance routine I recommend
twice a week, and how this also connects to prostate health, and
why weekly ejaculation can matter.
This podcast is for you, the Modern Man. I'm Dr Anne Truong,
your host. I'm an intimate health medical doctor and best
selling author of the book, Erectile Dysfunction Fix. I'll
do a deep dive into sexual health and performance and how
it affects men of all ages and backgrounds. So let's get
started, and be sure to visit my website at
sexualhealthformenpodcast.com for more information and
resources from the show. See you on the inside.
I've been abstaining for three years, going on four. Is there
any health and long-term consequences to go that long
without sex? That's a great question, Lebo. What's the
reason why you're abstaining? Are you abstaining from
masturbation? So, the reason why I'm asking that question is, if
you are not having sexual activity, you just be aware that
the penis atrophy if you don't use it, meaning the penis muscle
can shrink and it can start having scar tissue that it's in
the penis muscle if you don't have an erection. So when you
have an erection, it's bringing more blood flow to the penis, it
expands the penis, it keeps it healthy.So if you're abstaining,
then maybe you should masturbate to continue the blood flow to
the penis, keep the muscle flexible to having the sensation
what it's like to have an erection. It's kind of like your
muscle, your biceps muscle here, if you bend your elbow, exercise
to atrophy, right, start to shrink, and then when the muscle
fiber gets filled up with a scar tissue, and then over time it's
harder for that muscle to expand. So again, when it does
expand, it gets stiff, and it's hard for it to expand. So I
would recommend masturbation at least once or twice a week, not
with a lot of excessive pressure. I mentioned before.
Just enough pressure that will feel like penetration. I would
say enough pressure that you don't see any bruising on the
penis, won't see any swelling on the penis. So that's the only
thing that I can see if you're not having an erection, just be
careful, maybe have some atrophy, that's all. Other than
that, it's the only thing that I would think of. However, you
don't need to kind of masturbate with using your hand. You can
actually just exercise it with just the penis pump. I don't
know why I didn't think about talking about the penis pump
before. You can just use the penis pump, put your penis in
the cylinder, pump it up, and then it will bring blood flow to
the penis. It will help the penis muscle expand, and if you
do that about two times a week, you should be okay. No need for
masturbation using your hand, just use the penis pump and keep
the penis erect in the cylinder for about 10 minutes. Don't go
more than 10 millimeter of pressure, then you should be
okay. That's like maybe twice a week, once a week, but at least
have some kind of erection once a week. Now, do you need to
ejaculate? Well, probably ejaculation is probably not a
bad thing, because your prostate, I don't know how old
you are, but your prostate still makes semen. The testicle makes
sperm, and then it gets moved to the prostate, and that's where
semen is stored. So you still make semen, you don't stop
making semen, the prostate stored the semen, and then I
guess your body absorbs it. But studies have shown that men have
sexual activity three times a week, have less chances of
prostate cancer. What I'm trying to say is that if you're going
to abstaining, and if you're going to use the penis pump, may
not be a bad idea to also get rid of that semen as well, too,
to ejaculation. Just to kind of clear the pipes, kind of get the
semen moving along, and not clamp down on the prostate,
because the prostate probably gonna get like swollen, clamp
down if you don't get rid of it. Okay, so once a week, probably.
I call it cleaning the pipe, keep the pipe going. Probably,
maybe once a week, because you know what our body is geared
toward procreation, because our body is made to be able to have
sexual activity to carry the human or the DNA over the years.
Believe it or not, that kind of like the primordial, the
primitive way that our body is made to carry the human gene,
and so the way that your body is made is to continue to always
feed the reproductive system to keep it going. And that if
you're not keeping it going, it may get blocked up. So, what I'm
trying to get at is that clear the pipe, use a penis pump to
get an erection once a week or so. If you don't do what I
mentioned with using a penis pump and cleaning the pipe, you
don't do it, there may be a slight chance of putting
yourself at risk for more enlarged prostate. I know
there's a chance you're going to have atrophy if there's no
erection. And then scar tissue development. I guess the
long-term risk that may put it yourself for harder chance to
get an erection later on.
Where can you get the penis pump? You can get the penis pump
at ED No More.com or check the link down below this video to
get the penis pump so you can start exercising your penis
again. Remember, you are only one pump away.
Is there a difference between ED specialist and a urologist?
There is. There is no specialty that specify ED specialist, but
an ED specialist could come from multiple specialty. I'm a
physical medicine or rehab board certified physician. So I come
from a pain management orthopedic medicine perspective,
but my training involved comprehensive treatment and
evaluation of the whole body. Evaluating the nerve and the
muscle and the whole complete body and hormone as a complete
unit for treatment for pain, but for rehabilitation and for
function. With that mindset, I look at the whole, everything
that I treat holistically and comprehensively. And in order to
be an ED specialist, you have to do extra training yourself.
Extra courses yourself in hormones, in sexual health. So,
what that mean is that we go to get specialized training in
courses for that. And we go get specialized training in that,
and that is really what the ED specialist is. Compared to
urologists. Urologists are specialists in urology, which is
the bladder, the ureter, and also obviously a male and female
sexual organ. So, there's an overlap between urology and
OB-GYN for women. And it's also overlap with the kidney
specialist with the urologist. But not every urologist are
sexual health specialist. Some urologists just do medical
management. Some sexual health specialists prefer not to,
because sexual health specialists really do need to
have a background in hormone replacement therapy, as well as
a holistic understanding of sexual health. However,
urologists are the leading researchers in ED because
they're the one dealing with that sexual organ, and in fact,
they're the one that I learned from from going to courses. Some
of my mentors are urologists as well that are specialized in
sexual health. However, sexual health specialists could also be
your family medicine doctor. They can be an internist, your
primary care doctor. They can be an OB-GYN. They can be like
somebody like myself, physical medicine and rehab, or a pain
specialist. It can be different specialists as well. I know an
emergency medicine doctor who's also sexual health. I know a
surgeon who's also a sexual health doctor, as well. So, that
is a very good question, I guess. If the doctor labeled
themselves as an ED specialist, then it probably means that they
focus on ED. And urologists are doctors that you go see for
kidneys and for prostate problems and things along the
penis, along with the female. They also treat female as well,
too. They do medical treatment, but they also do surgery as
well, too. So they do the prostate surgery. They also do
complex surgery to the penis, such as penile implant and other
surgery as well, too. However, most of my knowledge I've
learned about ED come from urologists, come from
endocrinologists for hormone replacement therapy. So, just
depends on who you see. That's a great question, Keith.
Okay, Modern Man, you are not alone and you don't have to
suffer anymore. ED can feel isolating, frustrating, and even
defeating. The endless guessing, the quiet shame, the weight of
not feeling like yourself is exhausting. But here's the
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at getwoodnow.com. I'll see you there.
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