Erectile dysfunction

The muscles, ligaments, and tissues of the pelvic floor support the bladder, rectum, and sexual organs. When the supportive structures weaken or become especially tight, doctors describe it as pelvic floor dysfunction. It is a common health issue.

When a person has pelvic floor dysfunction, the organs in the pelvis may drop. They often press down on the bladder or rectum, causing a leakage of urine or stool. Or, a person with this condition may have trouble urinating or passing stool.

Keep reading to learn more about pelvic floor dysfunction — including the symptoms, treatments, and some exercises that may help.

What is pelvic floor dysfunction?

The pelvic floor is made up of muscles, ligaments, and tissues that surround the pelvic bone. The muscles attach to the front, back, and sides of the bone, as well as to the lowest part of the spine, called the sacrum.

The function of the pelvic floor is to support the organs in the pelvis, which can include the:

  • bladder
  • rectum
  • urethra
  • uterus
  • vagina
  • prostate

People with pelvic floor dysfunction may have weak or especially tight pelvic floor muscles.

When the muscles tighten, or spasm, people may have trouble urinating or passing stool. When they weaken, the organs within the pelvis may drop and press down on the rectum and bladder.

The table below outlines several common types of pelvic floor dysfunction.

Type of pelvic floor dysfunctionDescription
Obstructed defecationThis occurs when stool enters the rectum, but the body cannot fully evacuate the bowels.
RectoceleThis involves tissue from the rectum protruding into the vagina. Stool may get caught in this pocket, forming a bulge in the vagina.
Pelvic organ prolapseThis refers to the pelvic floor stretching and the pelvic organs dropping as a result of age, childbirth, or a collagen disorder.
Paradoxical puborectalis contractionThis involves a pelvic floor muscle called the puborectalis contracting. When it happens, trying to pass stool may feel like pushing against a closed door.
Levator syndromeThis involves the pelvic floor muscles spasming after bowel movements. It can cause lasting dull pain or achy pressure high in the rectum.
CoccygodyniaThis refers to pain in the tailbone that worsens during and after bowel movements.
Proctalgia fugaxThis involves painful spasms of the rectum and muscles in the pelvic floor.
Pudendal neuralgiaThis refers to irritation or damage to the pudendal nerves, which help the pelvis function.
UrethroceleThis refers to the urethra pressing into the vagina.
EnteroceleThis involves the small intestine descending and pushing into the vagina, forming a bulge.
CystoceleThis involves the bladder dropping and pushing into the vagina.
Uterine prolapseThis refers to the uterus descending and pushing into the vagina.

Symptoms

Pelvic floor dysfunction can cause a variety of symptoms, and some can interfere with daily life.

Depending on the type of pelvic floor dysfunction, a person may experience:

  • pelvic pain
  • pressure
  • a bulge somewhere in the lower pelvic region
  • stress urinary incontinence, which involves a small amount of urine leaking from the body due to an activity such as coughing
  • involuntary leakage of stool
  • incomplete urination
  • bowel movement dysfunction
  • pain during sexual intercourse

Also, some people who see their doctors about bladder overactivity find that pelvic floor dysfunction is responsible.

Causes

Many issues can cause the structures of the pelvic floor to weaken, including:

  • age
  • systemic diseases
  • lasting health issues that cause increased pressure in the abdomen and pelvis, such as a chronic cough
  • pregnancy
  • trauma during delivery
  • multiple deliveries
  • large babies
  • operative delivery

Research indicates that stress urinary incontinence, pelvic organ prolapse, or both occur in about half of all women who have given birth. These issues are closely associated with birth-related injury to the pelvic floor muscles.

The pelvic floor muscles can also stretch naturally with age. Stress urinary incontinence and pelvic organ prolapse become more common with increasing age in females, for example.

Collagen disorders can also affect the muscles’ ability to support the pelvic organs.

Meanwhile, coccygodynia usually stems from trauma to the tailbone, such as from a fall. That said, in about one-third of people with the condition, the cause of coccygodynia is unknown. The pain can make having a bowel movement difficult.

Exercises

Doctors recommend pelvic floor exercises in various situations.

They may particularly benefit pregnant women because the pelvic floor muscles can stretch and weaken during labor. Strengthening these muscles may help prevent incontinence after the baby is born. Some doctors recommend that women who wish to become pregnant start the exercises ahead of time.

Males can also benefit from pelvic floor exercises, though the dysfunction is more common in females. In males, these exercises can help prevent pelvic organ prolapse and urinary incontinence and improve sexual intercourse.

To exercise these muscles, a person should be sitting comfortably. Then, they should attempt to squeeze their pelvic muscles without holding their breath.

It is important to isolate the correct muscles without tightening those of the stomach, buttocks, or and thighs.

Doctors recommend that females aim to do 10 long squeezes — holding each for 10 seconds — followed by 10 short squeezes. However, initially, it may be a good idea to practice holding a squeeze for a few seconds at a time.

By practicing frequently, a person should be able to add more contractions to their routine week by week. It is important to do this gradually and to avoid overworking the muscles.

Within a few months, a person may notice a reduction in their symptoms. Even if symptoms resolve completely, a person should continue strengthening these muscles.

There are physical therapists who specialize in pelvic floor dysfunction. A person may find that consulting one of these professionals leads to a better outcome.

Treatment

Doctors determine the cause of pelvic floor dysfunction before recommending treatment because different types of dysfunction require different approaches.

The purpose of treatment is to relieve or reduce symptoms and improve the person’s quality of life. For some people, a combination of treatment methods works best.

Doctors may recommend:

  • Dietary changes: For example, eating more fiber, drinking more fluids, and taking certain medications can make bowel movements easier.
  • Laxatives: Taking a daily laxative may help people with pelvic floor dysfunction pass stool, but it is important to consult a healthcare provider first because not all laxatives are equally effective.
  • Pain relief: Some people require injections of pain relief or anti-inflammatory medication to relieve their symptoms.
  • Biofeedback: This involves electrical stimulation, ultrasound therapy, or massage of the pelvic floor muscles to help improve rectal sensation and muscle contraction.
  • Pessary: A doctor or nurse inserts a pessary into the vagina to support prolapsed organs. This type of device can help treat various symptoms of pelvic floor dysfunction, either as an alternative to surgery or while a person awaits surgery.
  • Surgery: When prolapse interferes with daily activities, a doctor may recommend surgery. Large rectoceles also require surgery if the person experiences symptoms.

Stem cell therapies

Researchers behind a 2016 study investigated whether a stem cell-based therapy could resolve pelvic floor dysfunction in rats.

The researchers engineered the stem cells to produce and release elastin and collagen into the pelvic floor and injected them into rats with pelvic floor dysfunction.

The elastin and collagen promoted the repair of pelvic floor structures and decreased signs of stress urinary incontinence.

In a final component of the study, the researchers developed stem cells that blocked a factor that stops the production of elastin. This promoted increased production and release of elastin into the pelvic floor.

With further studies, researchers may find that similar therapies are effective in humans.

When to see a doctor

Anyone who experiences painful bowel movements, difficulty urinating or passing stool, pelvic pain, or pain during sexual intercourse should speak with a doctor.

An unusual bulge in the lower pelvic region may also be a reason to see a doctor, though a bulge alone may not be a cause for concern.

People with pelvic floor dysfunction have plenty of treatment options. While the topic may be uncomfortable to bring up with a doctor, it is important to seek professional advice about these symptoms.

While some family doctors may not be familiar with pelvic floor dysfunction, specialists such as colorectal doctors, urologists, and gynecologists can help diagnose the issue and recommend the best course of action.

Summary

Pelvic floor dysfunction can affect anyone, but pregnant women have the highest risk.

The various types of pelvic floor dysfunction stem from different causes, and a doctor must identify the underlying issue before developing a treatment plan.

Exercises can help some people with pelvic floor dysfunction. Depending on the cause, a doctor may also recommend dietary changes, medication, a pessary, biofeedback, or surgery.

Regular vaginal discharge is a sign of a healthy female reproductive system. Normal vaginal discharge contains a mixture of cervical mucus, vaginal fluid, dead cells, and bacteria.

Females may experience heavy vaginal discharge from arousal or during ovulation. However, excessive vaginal discharge that smells bad or looks unusual can indicate an underlying condition.

This articles discusses why someone may have heavy vaginal discharge and what they can do about it.

1. Arousal

Sexual arousal triggers several physical responses in the body. Arousal increases blood flow in the genitals. As a result, the blood vessels enlarge, which pushes fluid to the surface of the vaginal walls.

Arousal fluid is clear and watery with a slippery texture. This fluid helps lubricate the vagina during sex.

Other signs of female arousal include:

  • increased heart rate and breathing
  • flushing of the face, neck, and chest
  • swelling of the breasts
  • erect nipples

2. Ovulation

Cervical fluid is a gel-like liquid that contains proteins, carbohydrates, and amino acids. The texture and amount of cervical fluid both change throughout a female’s menstrual cycle.

For example, after menstruation, cervical fluid has a thick, mucus-like texture. It can be cloudy, white, or yellow.

Estrogen levels increase closer to ovulation. This causes the cervical fluid to become clear and slippery, similar to that of raw egg whites.

Cervical fluid discharge increases during the days leading up to ovulation and decreases after ovulation. Females may have no discharge for a few days after their period.

3. Hormonal imbalances

Hormonal imbalances related to stress, diet, or underlying medical conditions can cause heavier vaginal discharge.

Polycystic ovary syndrome (PCOS), for example, refers to a set of symptoms that occur as a result of hormonal imbalances. According to the Centers for Disease Control and Prevention (CDC), PCOS affects up to 5 million females in the United States.

Those with PCOS have higher levels of male hormones called androgens. Increased androgen levels can:

  • change the amount or texture of cervical fluid
  • cause irregular periods
  • prevent ovulation

Not everyone with PCOS will have increased vaginal discharge. Paying attention to other PCOS symptoms may help someone identify and seek treatment for the condition faster.

Some other symptoms of PCOS to look out for include:

  • fewer than eight periods in 1 year, or periods that occur every roughly 21 days
  • excess facial and body hair
  • thinning hair or hair loss
  • acne on the face and body
  • weight gain
  • darkening of the skin on the neck, groin, or breasts
  • skin tags on the armpits or neck

Hormonal birth control, such as birth control pills and intrauterine devices, can also cause increased vaginal discharge, especially during the first few months of use.

Excess vaginal discharge and other symptoms, such as spotting and cramping, usually resolve once the body adjusts to the hormonal birth control.

4. Vaginitis

Vaginitis refers to inflammation of the vagina, which can occur from an infection or irritation due to factors such as douches, lubricants, and ill-fitting clothing.

Vaginitis can cause thick vaginal discharge that may be white, gray, yellow, or green.

Other symptoms of vaginitis include:

  • foul vaginal odor
  • an itching or burning sensation in the genital area
  • redness or inflammation of the vagina
  • pain or discomfort when urinating
  • pain during sexual intercourse

5. Bacterial vaginosis

Bacterial vaginosis is a condition that results from an overgrowth of bacteria in the vagina. This vaginal infection is the most common among females aged 15–44 years.

The exact cause of bacterial vaginosis remains unclear. Females can develop bacterial vaginosis after sexual intercourse. However, this condition is not a sexually transmitted infection (STI).

According to the Office on Women’s Health, those who have bacterial vaginosis may notice a milky or gray-colored vaginal discharge. Some also report a strong, fishy vaginal odor, especially after sexual intercourse.

Bacterial vaginosis can also cause:

  • discomfort when urinating
  • painful burning or itching in the vagina
  • irritation of the skin around the vagina

6. Yeast infection

Vaginal yeast infections result from an overgrowth of the Candida fungus. Females of all ages can develop a vaginal yeast infection, and nearly 70% will have a yeast infection at some point in their lives.

The most common symptom of a vaginal yeast infection is an intense itching in the vagina and vulva.

Vaginal yeast infections can also cause an odorless vaginal discharge that looks similar to cottage cheese.

Vaginal yeast infections are treatable at home using over-the-counter antifungal ointments. Symptoms should improve within a few days. However, severe infections can last longer and may require medical treatment.

7. Trichomoniasis

Trichomoniasis is an STI caused by a parasite. Females can develop trichomoniasis after having sex with someone who has the parasite.

Although most people who have trichomoniasis do not experience symptoms, some may have an itching or burning sensation in the genital area.

Trichomoniasis infections can also cause excess vaginal discharge that has a foul or fishy odor and a white, yellow, or green color. It may also be thinner than usual.

What is healthy discharge?

Healthy vaginal discharge varies from person to person. It also changes throughout their menstrual cycle.

In general, healthy vaginal discharge can appear thin and watery or thick and cloudy. Clear, white, or off-white vaginal discharge is also perfectly normal.

Some females may have brown, red, or black vaginal discharge at the end of their menstrual periods if their vaginal discharge still contains blood from the uterus.

Natural hormonal changes during ovulation can cause an increase in vaginal discharge, which should return to normal after ovulation.

When to see a doctor

It is not always necessary to see a doctor about excessive vaginal discharge. However, a female may want to consider seeing their doctor if their vaginal discharge has an abnormal appearance.

Yellow, green, gray, or foul-smelling vaginal discharge could indicate an infection. Other reasons to see a doctor include:

  • itching or burning near the genitals
  • discomfort or pain when urinating
  • discomfort or pain during sexual intercourse

Possible treatment options

Treating excess vaginal discharge depends on the underlying cause.

People can reduce symptoms of vaginitis by avoiding the source of irritation. Doctors can treat bacterial vaginosis and yeast infections using antibiotics or antifungals.

Doctors can also treat trichomoniasis using antibiotics. The CDC recommend that females wait 7–10 days after receiving treatment before having sex.

Treatment for PCOS varies depending on the individual. A doctor may recommend a combination of lifestyle changes and medications to help people manage their symptoms and regulate their hormone levels.

Maintaining a healthy body weight and eating a varied diet low in added sugars may also help improve some symptoms of PCOS. Birth control pills that contain estrogen or progestin can help balance out excess levels of androgens.

Tips for managing heavy vaginal discharge

Even healthy vaginal discharge can cause discomfort at times. Here are some tips for managing heavy vaginal discharge:

  • Wear panty liners. However, be sure not to let them become too moist, as this can increase the risk of urinary tract infections and vaginitis.
  • Choose breathable underwear made from natural fibers such as cotton.
  • Avoid wearing tight pants.
  • Avoid using hygiene products that contain added fragrances, coloring agents, or other harsh chemicals.
  • Keep the genital area clean and dry.
  • Wipe from the front to the back when using the bathroom.

Outlook

Excess vaginal discharge can occur as a result of arousal, ovulation, or infections. Normal vaginal discharge ranges in color from clear or milky to white.

The consistency of vaginal discharge also varies from thin and watery to thick and sticky. Generally, healthy vaginal discharge should be relatively odorless.

A female can speak with a healthcare professional if they notice any symptoms of an infection. Some symptoms to look out for include:

  • yellow, green, or gray vaginal discharge
  • foul-smelling vaginal discharge
  • discharge that looks similar to cottage cheese
  • itching or burning in or near the genitals

Doctors can easily treat most vaginal infections using antimicrobial medications. Depending on the severity of the infection, people may see their symptoms improving within a few days to weeks.

Some people believe that masturbation can cause erectile dysfunction, but this is a myth. Masturbation is a common and beneficial activity.

While most men have trouble getting or keeping an erection at some point in their lives, frequent difficulties getting an erection is called erectile dysfunction (ED).

Learn more about ED and masturbation, if watching porn affects sexual function, and when to see a doctor.

Can masturbation cause ED?

No, masturbation cannot cause ED — it is a myth.

Masturbation is natural and does not affect the quality or frequency of erections.

Research shows that masturbation is very common across all ages. Approximately 74 percent of males reported masturbating, compared to 48.1 percent of females.

Masturbation even has health benefits. According to Planned Parenthood, masturbation can help release tension, reduce stress, and aid sleep.

A person may not be able to get an erection soon after masturbating. This is called the male refractory period and is not the same as ED. A male refractory period is the recovery time before a man will be able to get an erection again after ejaculating.

What does the research say?

Universally, researchers are confident that masturbation does not cause ED. However, difficulty getting and keeping an erection either while masturbating or while having sex may be a sign of other conditions.

Age is the most significant predictor of ED. Erectile dysfunction is common in men over 40 years old, with approximately 40 percent being affected to some degree.

Rates of complete ED, or the inability to get an erection, increase from 5 percent in men aged 40 to about 15 percent at age 70.

Other risk factors for ED include:

  • diabetes
  • being overweight
  • heart disease
  • lower urinary tract symptoms (bladder, prostate, or urethra issues)
  • alcohol and cigarette use

ED in younger men

Although ED generally affects older men, a 2013 study found that as many as a quarter of men under 40 years old received a new ED diagnosis.

In younger men, ED is more likely to be caused by psychological or emotional factors. Younger men also have higher levels of testosterone in their bodies and are less likely to have other risk factors for ED.

Anxiety about sexual performance or erection quality can lead to further stress, sometimes creating a “vicious circle.”

Factors that can contribute to ED in younger men include:

  • stress
  • anxiety
  • depression, post-traumatic stress disorder, bipolar disorder, or medications for these illnesses
  • being overweight
  • insomnia or lack of sleep
  • urinary tract problems
  • a spinal cord injury, multiple sclerosis, or spina bifida
  • having a high-stress job
  • relationship stress
  • performance anxiety

Porn and ED

There is no evidence to suggest that watching porn causes ED.

Internet porn usage rose at the same time that the rate of ED diagnoses increased in men under 40 years old.

This led some researchers to believe that porn might affect male viewers’ ability to get and maintain erections.

While it is true that internet porn access and diagnoses of ED in younger men increased at about the same time and rate, this does not prove a link between the two.

Until recently, there was little research into ED in young men, making numbers difficult to interpret. Also, due to stigmas and reluctance to speak to a doctor about sexual health, ED may be underreported in both younger and older men.

It is also difficult to separate the psychological effect of watching porn from other psychological factors, such as performance anxiety.

When to speak to a doctor

ED is sometimes a sign of underlying conditions, such as heart disease or anxiety.

Telling a doctor about ED can prevent potential problems that these conditions might cause, and also provide solutions to ED.

For example, doctors may recommend that men with ED who are overweight lose some weight. This is because maintaining a healthy weight can increase testosterone levels, making it easier to get an erection.

A doctor may also recommend stress-relief techniques or cognitive behavioral therapy for those dealing with ED due to emotional or psychological issues.

Summary

Masturbation does not cause ED, but many underlying health problems, including heart disease, urinary tract symptoms, alcohol use, depression, and anxiety, can.

Research does not suggest that masturbation using internet porn could cause ED. Some people who watch porn may also experience performance anxiety, resulting in difficulties with erections, but performance anxiety is common without porn use.

Anyone experiencing problems getting or maintaining an erection should speak to a doctor, as ED is often treatable.

The testicles, or balls, are oval-shaped glands that form part of the male anatomy. They sit inside a thin sack of skin called the scrotum. As a person ages, the scrotum loses elasticity, and the skin starts to sag. Certain medical conditions can also cause the skin to appear saggy.

Skin loses its elasticity over time as a person gets older, and the effects of gravity start to become more noticeable everywhere on the body, including the testicles.

Some treatments can help keep the scrotum from sagging too much, although there is no way to prevent or treat the issue completely. Sagging testicles, which people often refer to as saggy balls, are usually not a cause for concern. However, if they appear with other symptoms, such as pain on one side of the balls or in the prostate, a person should see a doctor.

In this article, we look at the possible causes of sagging testicles, as well as treatment options and when to see a doctor.

What is normal?

The testicles hang inside the scrotum, or scrotal sac. The looseness of the skin around the testicles varies among individuals, and in many people, it is naturally fairly loose. The scrotum helps protect the testicles and provides some impact resistance.

The scrotum also moves in response to heat to protect the delicate testicles and sperm inside. In doing so, it helps keep the sperm viable by preventing them from becoming too warm or too cold.

In cold weather, the skin tightens up as the cremaster muscle pulls the testicles toward the body to keep them warm. In hot conditions, the skin loosens to prevent the testicles from overheating. The looser skin allows the balls to hang away from the warm body and encourages airflow around the scrotum to keep the area cool.

As such, even in younger people, the testicles will typically sag a bit. A person will generally notice this once they start producing sperm during puberty.

As a person ages, the testicles will generally sag much more. The process may not be noticeable at first, but by the age of 50 years, most people will notice a drastic difference in how much their balls sag.

Causes

Sagging testicles are a completely normal part of the aging process. A study from 2014 verifies the decrease in skin mechanical properties with aging. The skin loses collagen with age, causing the layers of the skin to stretch more.

While this applies to the skin everywhere on the body, it may be more noticeable in certain areas, such as the face and testicles. The scrotum and testicles already hang away from the body, so more stretchy skin and the efforts of gravity can lead to the effect appearing more drastic.

Other times, sagging testicles may be the result of an underlying issue, such as a varicocele. A varicocele occurs when a vein near the testicles swells up. This swelling can cause an increased blood flow to the testicles, which heats them. The body then responds by dropping the testicles lower to prevent them from getting too hot.

According to a study in the Asian Journal of Andrology, varicoceles appear in up to 15% of males and may have an association with infertility.

Varicoceles may make a person feel as though their testicles are moving or squirming, and they may also notice pain in the area. Anyone experiencing these symptoms alongside sagging testicles should see a doctor. Sometimes, a person will not experience any other symptoms and will not notice that they have the issue.

Treatments

Although age-related sagging in the scrotum is normal, some people may be uncomfortable with its appearance or find that it gets in the way of their daily life — for example, by making it easy to sit accidentally on the testicles. Surgery is the only sure way to resolve the issue, but people can also try a range of nonsurgical methods, including those below.

Exercises

There are several different exercises that people claim can prevent or treat sagging testicles, although there is no scientific evidence to prove that they work. Still, many people perform exercises to help them work out the muscles in this area of the body.

Some people say that they feel better when doing these exercises, perhaps because they feel as though they are being proactive. Even if they are ineffective, testicle exercises are unlikely to harm the testicles or make the sagging any worse.

Two exercises that some people use are Kegels and testicular holding:

Kegel exercises

Doing basic Kegels, by finding and activating the pubococcygeal (PC) muscles, may help some people support their penis and testicle health in general. The PC muscles are the muscles that a person uses to hold back their urine stream.

The basic Kegel exercise involves contracting the muscles as though trying to cut off the urine stream. As this exercise activates the PC muscles, it may improve the strength of the pelvic floor and help with some issues in the testicles, prostate, and penis.

Testicular holding

Testicular holding is similar to weight training the testicles. Holding the testicles in one hand and pulling downward activates the PC muscles. Doing this for 5 minutes each day may activate the PC muscles more strongly than simple Kegels.

Keeping the skin healthy

As much of the sagging in the testicles is due to aging skin, it may help to keep the skin as youthful as possible.

The American Academy of Dermatology recommend several ways to protect and care for the skin, including:

  • avoiding sun exposure
  • quitting smoking
  • drinking less alcohol
  • maintaining a healthy weight
  • eating a balanced diet

These tips may help improve skin health in general, which may slow the progress of saggy testicles.

Surgery

Some surgical options are available to treat overly sagging testicles. These are largely for people who dislike how their testicles look. These treatments may also help in cases where the person has problems that arise from their saggy testicles, such as accidentally sitting on their testicles too often.

In these cases, a procedure called a scrotoplasty may help keep the scrotum from hanging down as far. During a scrotoplasty, the surgeon will carefully remove extra skin from the scrotum to let the testicles rest higher up toward the body.

Surgery works to treat saggy balls, but the results are not permanent. The effect is likely to wear off over time as the skin continues to stretch with age.

In the case of a varicocele, a surgical procedure called a varicocelectomy treats the underlying issue by tying off the swollen veins. The symptoms should go away as the area heals, and this may have a positive effect on the sperm.

Other methods

There is no miracle cure for sagging testicles. People may come across other methods — such as only wearing tight briefs and avoiding sex or masturbation — on internet forums and by word of mouth, but these are not effective methods.

Other sources claim that lotions, creams, hormones, or supplements can help. Although they are probably harmless to most people, there is no evidence that these methods will work.

When to see a doctor

People who notice troubling symptoms, such as pain in their groin or prostate, should see a doctor. Anyone who wants to discuss cosmetic surgery should talk to a doctor about a referral to a trusted cosmetic surgeon.

Summary

The majority of the time, sagging testicles are a normal part of the aging process. The testicles naturally sag, even at a young age, to protect the sperm inside and keep them viable.

Anyone worried about saggy balls or other associated symptoms should contact a doctor for a diagnosis. In some cases, there may be an underlying issue to treat. In others, cosmetic surgery may help a person feel better.

There are many misconceptions about masturbation. A lack of research into its long-term effects may contribute to some of these misapprehensions. Both masturbation and acne relate to hormonal changes, but is there a link between the two?

It is a common myth that masturbation causes acne. While both are common during puberty, this is the only real link between them.

Keep reading to learn more about the relationship between masturbation and acne, the causes of acne, and how to treat it.

Does masturbation cause acne?

Hormonal changes occur during puberty. These hormonal changes cause the body to produce more oil, which may contribute to the development of acne. Many people also start masturbating during puberty, which also has a small effect on hormone levels.

Because acne and masturbation tend to occur around the same time, this could explain the common misconception that masturbation causes acne. However, it is a myth — both masturbation and acne relate to hormonal changes.

Masturbation and hormones

Although masturbation can cause changes in hormone levels, these changes are minimal.

Testosterone levels rise during masturbation and return to normal after ejaculation. The effect is temporary and does not appear to have any long-term health implications.

One study looked at hormonal changes after masturbation following a period of abstinence. The findings indicate that any hormonal changes following masturbation are temporary and minimal. This, however, only looks at the short term effects.

There has been little research into the long-term effects of masturbation on hormone levels.

Causes of acne

Acne is a skin condition that causes whiteheads, blackheads, and pimples to develop.

Pores under the skin connect to glands that produce sebum, which is n oily substance. These glands can become blocked by a buildup of sebum, dead skin, or other debris. Bacteria can accumulate and cause inflammation. This leads to the visible symptoms of acne, such as pimples.

Acne can develop anywhere on the body. It is most common on:

  • the face
  • shoulders
  • back
  • chest
  • arms

While acne can develop at any age, it usually occurs and is most prominent during puberty.

The exact causes of acne are unclear but may relate to:

  • hormonal changes
  • medicines
  • cosmetic use
  • genetics

Poor hygiene does not cause acne, but it can make the symptoms worse in people who already have it.

Acne treatment

There are many different treatments for acne. Choosing the right one will depend on the severity of the condition.

There is a variety of over-the-counter (OTC) medications that are suitable for most types of acne. They are available as gels, creams, soaps, or lotions.

In mild cases, suitable OTC products should contain active ingredients such as:

  • benzoyl peroxide
  • salicylic acid

Some products will contain more than one of these substances.

Doctors recommend that people try combinations of these products when one does not work. Acne can have different causes that require different treatments. Start with one type of treatment and add a second if there is no improvement within 4 to 6 weeks.

In moderate cases, a doctor may prescribe antibiotics to treat the acne if it is due to a bacterial infection. The antibiotics, which can be a cream or a pill, will help fight the bacteria that are causing the inflammation. This may be in addition to OTC medications, such as benzoyl peroxide. Antibiotics may include the following:

  • clindamycin
  • erythromycin

In severe cases, such as cystic acne (nodular acne), a doctor may suggest isotretinoin. This drug comes as a capsule and is highly effective for treating acne. However, isotretinoin can have serious side effects, including:

  • dry skin
  • dry eyes
  • sore throat
  • skin rashes
  • headaches
  • anxiety
  • severe stomach pain
  • bloody diarrhea
  • yellowing skin
  • difficulty urinating

Doctors will only use isotretinoin in the most severe cases because of all these side effects. Anyone taking this medication should keep an eye out for any of these side effects and report them to a doctor if they experience any of them.

While it is difficult to prevent acne from developing, some tips for people who are prone to acne include:

  • avoiding washing more than twice a day
  • washing sweat off the face
  • avoiding scrubbing areas of skin prone to acne
  • using cosmetic products that do not clog pores
  • trying not to touch or pick at the acne
  • keeping bedding and clothing clean
  • spreading acne medication on all acne-prone areas, not just where outbreaks occur

When to see a doctor

Acne is a widespread condition and rarely has any serious health implications.

Most cases of acne do not require a doctor. OTC medications should clear away symptoms without the need for stronger medicine.

If the acne does not improve after 4 to 6 weeks of home treatment, consider seeing a doctor.

Summary

Masturbation does not cause acne.

Hormonal changes may contribute to the development of acne, and masturbation can also cause changes in hormone levels, but these disappear after ejaculation. Furthermore, these hormonal changes are minimal and do not contribute to the development of acne.

People tend to start masturbating and develop acne at around the same time, typically during puberty. This is likely a source of the confusion and the myth that masturbating causes acne.

The exact cause of acne remains unclear.

Acne is a widespread condition with many different treatments. Most cases of acne are mild and do not require a doctor. In more severe cases, a doctor may prescribe antibiotics or stronger forms of medication.

People can contract and transmit sexually transmitted diseases (STDs) through several types of sexual contact. Doctors more commonly use the term sexually transmitted infections (STIs).

Although vaginal-penile sex is one of the most common means of STI transmission, people can contract them through anal sex, oral sex, and, in rare cases, heavy petting.

STIs are very common. The Centers for Disease Control and Prevention (CDC) estimate that in 2018, there were more than 2 million casesTrusted Source of STIs.

Some people may not experience more than mild symptomsTrusted Source. They may not even know that they have an STI.

Sexually active adults should undergo regular testing for STIs to prevent spreading them. The more a person knows about STIs, the better prepared they are for prevention.

In this article, learn more about some common STIs, including transmission, testing procedures, and treatment options.

Common STDs

Unlike some other conditions, a person’s sex, ethnicity, or age do not affect the likelihood that they will contract an STI. Since STIs occur due to sexual contact with others, anyone who is sexually active is at risk of contracting an STI.

Some common STIs include:

  • gonorrhoea
  • human papillomavirus (HPV)
  • chlamydia
  • syphilis
  • herpes
  • hepatitis B
  • pelvic inflammatory disease (PID)
  • HIV
  • crabs (pubic lice)
  • molluscum contagiosum
  • scabies
  • trichomoniasis

Different STIs have different symptoms, causes, risk factors, and treatments.

Transmission

STIs can spread as a result of:

  • coming into direct contact with a lesion or sore
  • coming into close personal contact (in the case of crabs)
  • being exposed to infected blood
  • coming into contact with vaginal fluid or semen
  • sharing needles

STIs come in three categories:

  • bacterial
  • viral
  • parasitic

Bacterial and viral STIs hide in various bodily fluids, such as vaginal secretions, semen, saliva, and blood. In some cases, coming into direct contact with a partner’s fluid is enough to spread an STI.

A person should avoid coming into contact with another person’s bodily fluid when having oral, anal, or vaginal sex. To do this, a person should practice safe sex using condoms or dental dams. These can help block contact with potentially contaminated fluids.

Other STIs, such as herpes, can spread through direct skin-to-skin contact. A person can pass herpes to their partner through oral, anal, and vaginal sex. It can also spread from a partner’s mouth to the genitals of their partner through oral sex.

STIs such as HIV and hepatitis can spread through coming into contact with infected blood. Both of these infections can spread through sex when both partners have open sores or through sharing needles.

Parasitic STIs such as pubic lice can spread through close personal contact. Lice can pass from one person’s pubic hair to that of another. A person may also contract pubic lice after coming into contact with sheets or clothing that has been in close proximity to a person’s pubic hairs.

Risk factors and prevention

There are several potential risk factors for contracting an STI. People should take steps to avoid risks when engaging in sexual activity.

Some steps a person can take to prevent transmitting or contracting an STI include:

  • Avoiding unprotected sex: Using a latex condom or dental dam can greatly reduce the risk of coming into direct contact with a lesion or infected fluid.
  • Using water-based lubricants: Oil-based lubricants can cause condoms to break.
  • Finding an exclusive sexual partner: The more people a person has sex with, the greater their risk of contracting an STI. Likewise, finding a partner who is not having sex with other people can lower the risk of spreading STIs.
  • Undergoing STI tests: A person should undergo an STI test before engaging in sexual activity with a new partner.
  • Getting vaccinations: Getting vaccinations for conditions such as hepatitis and HPV is a good idea.
  • Avoiding drug and alcohol use: These substances may increase the likelihood of engaging in risky behavior during sex.
  • Avoiding sex with people who use injected drugs: People who use injected drugs may be more likely to have STIs such as HIV or hepatitis.

Taking these precautions should reduce the risk of spreading STIs, but they cannot guarantee prevention.

People should have a conversation with their partner about their sexual history before engaging in any kind of sex. If in doubt, ask them to undergo an STI test before engaging in sexual activity with them.

Testing

Undergoing testing for STIs is a good idea for anyone who:

  • has a new sexual partner
  • has had sex with multiple partners
  • shows symptoms of an STI

Testing can help determine if a person has an STI. However, it is important to remember that no STI test is completely accurate.

In part, this is because there are no tests available for certain STIs, while other signs of infection may not show up for some time after a person contracts the STI.

If a person suspects that they have an STI, they should have a test. However, even if the results are negative, it is a good idea to retest soon after.

Some potential STI tests a doctor may use include:

  • blood tests
  • urine tests
  • fluid tests

Treatment

Treatment options for STIs depend largely on the type of STI a person has.

Treatments focus on providing relief for the symptoms, preventing flares, or curing the infection. It is important to remember that even during treatment, it is possible to spread an STI to a partner.

Some common treatments include:

  • Antibiotics: These treat STIs such as chlamydia, gonorrhea, syphilis, and trichomoniasis. People with these infections should complete all courses of antibiotics and avoid having sex until treatment is complete.
  • Antiviral medication: These treat infections such as herpes and HIV. Antiviral medications help prevent future outbreaks of herpes and can keep HIV suppressed for years. However, it is still possible to transmit them to a partner, so people should be careful when engaging in sexual activities.
  • Lotions and creams: These can treat pubic lice and help provide relief to sores on the genitals.

A person should talk to their doctor if they suspect that they have contracted an STI. Most STIs require prescription medications. It is important to follow all recommended treatments to prevent further complications and spreading the infection.

Complications

There are several potential complications from not treating an STI. These complications might include:

  • complications with pregnancy
  • PID
  • pelvic pain
  • heart disease
  • inflammation of the eye
  • arthritis
  • infertility
  • certain cancers
  • death

The best way to prevent complications is to seek screening and treatment as early as possible. People who are sexually active with multiple partners and those who are not sure of their partner’s sexual history should undergo regular testing.

Summary

STIs spread through bodily fluids, skin-to-skin contact, and, in cases of pubic lice, coming into close personal contact with a person who has the infection.

People who are sexually active should undergo regular screening. Early detection can prevent the spread STIs and prevent complications through treatment.

People should follow all treatment recommendations their doctor gives. In many cases, proper treatment can either suppress or cure the infection.