When is Male Masturbation Harmful

When is Male Masturbation Harmful?

The Traumatic Masturbatory Syndrome.

Woody Allen is accredited with saying about sexual self-pleasuring: “Don’t knock masturbation – its sex with someone I love”. While George Carlin remarked: “If God intended us not to masturbate, He would have made our arms shorter!” Even so, for a sexual practise, often learnedly referred as “universal”, male masturbation still has the power to engender a huge amount of guilt and even foreboding around the globe. A day scarcely goes by but that I do not have some young man seeking reassurance that his pornography watching and self pleasuring are not going to impart some irreparable damage to his potential sexual function.

Young men in particular, despite all they would have surely read about and learned in today’s information saturated world, still seem extraordinarily willing to accredit masturbation with almost mystical powers to cause anything from erectile dysfunction to premature ejaculation even to, most feared of all, infertility itself. In my enthusiasm to expunge these often irrational fears it used to be my habit to universally dismiss all concerns about masturbation. Nowadays however, my reassurances about the safety of all masturbation, is not quite so total. Now I realise that there is at least one exception to the rule that all male masturbatory practises are innocence and safe and of no real consequence.        

I refer to the practise of prone or face down masturbation where a pillow or cushion or mattress, are used to basically hump against. This is a minority practise. Kinsey, studying this subject as far back as 1948, discovered that the majority of men masturbate in the sitting up position using their hand to stroke their penis up and down. When asked, only about 12% of Kinsey’s volunteers said that they masturbated in anyway other than in the sitting up position as their majority practise. In fact when this figure is further finessed the real figure is closer to 5 to 10%. Prone masturbation as an exclusive practise is therefore rare.

This is probably just as well. It is only in the last decade or less that the dangers of developing what is today we call the Traumatic Masturbatory Syndrome is known to be directly related to the practise of using prone masturbation as an exclusive or near exclusive masturbatory technique. This syndrome often only comes to light as the boy grows into man and starts to engage in couple sexual activity. It is manifested occasionally by erectile dysfunction but more typically by delayed or absence of ejaculation from intercourse alone or a condition sometimes referred to as ejaculatory incompetence.

The reason why prone or face down masturbatory practises give rise to these unique dysfunction may be multifaceted but are probably as follows. Young men who practise prone masturbation tend to start doing so at a younger age that do those who practise sitting up masturbation. They also tend to do it more often. In the face down position the young practitioner does no ever rely on pornography simply because to do so in that position would be impracticable. Instead, he looses himself inside of  his own head and relies on the physical pleasure experienced from friction of whatever it is that’s underneath him to bring him to orgasm. These circumstances do not prevail during sitting up masturbation or intercourse and therefore failure to climax is to be almost expected in later live when couple sex becomes a feature of his life.

There are perhaps a number of points to be taken from this recent research into the Traumatic Masturbatory Syndrome. and they are:

(1)   When a man complains about ejaculatory incompetence it is now a wise practise to enquire into his ejaculatory practise history. The chances are that this will include predominately or near predominately prone masturbation.

(2)   This information arms the therapist with a scientific explanation for this sexual dysfunction and a road map for its resolution.

(3)    In advising young men about the normality of masturbation, a caveat needs to be attached to this to the effect that the position in which a man predominately masturbates is important and has at least potential implications for future sexual function. Where this is predominately practised in the prone position then the man needs to be advised that such a practise is neither safe nor sensible.       

Dr Andrew Rynne.

www.doctorrynne.com

Sexual Health Treatment - Is online the way to go ?

Is Online Counselling the Next Wave?
 
So you have a problem and you need to discuss it with a professional? Your marriage is on the rocks, you have become phobic, you are getting panic attacks, you are worried about one of your children's sexuality, you have just lost a loved one, or you have suddenly developed erectile dysfunction. What exactly your problem is does not really matter. The point here is, you need to discuss it with a professional that you trust and you need to find some resolution. There is a degree of urgency to all of this.
So what do you do next? Well, traditionally you would 'shop around'. You would ask a trusted friend if they could recommend someone or you'd ask your GP for a referral, or you would simply go through the Golden Pages and see if you could find the service you are looking for. Then you would ring up and make an appointment and wait for the day to come along.
Eventually you take a half day off work, assuming your boss allows it, and off you go and sit in a waiting room for half a hour before going in to discuss your intimate problems with a perfect stranger. It is not easy now is it?
But wait a minute! Is there not now another way - what about the Internet? The idea that the Internet could be used as a conduit for Counsellor/Client sessions still meets with considerable resistance from the professionals. As if they feel threatened by the very idea, they immediately start raising all sorts of objections. How does the Client know whom they are dealing with? Internet Consultation does not allow for the therapist to pick up on the subtleties of body language or the nuances in speech. And what about confidentiality they will ask?
While some of these objections may have validity, others are somewhat spurious and are common for all forms of counselling be they over the phone, head to head on through the internet. One way or the other, it is my firm belief that, whether you like it or not, the Internet is going to play a major role in delivering quality-counselling services in the coming years.
Take Erectile Dysfunction as a model for online consultation if you will. Here I can immediately see that there are some distinct advantages to this way of doing business over the more conservative traditional head-to-head model. Chief among these I would list:
(a) Men do not like talking live to another about their erectile dysfunction. So, if they can't get help through the internet they may never get it elsewhere.
(b) Completing a detailed medical questionnaire online allows the client, maybe for the very first time in their life, to focus in on their problem. This of itself can be therapeutic.
(c) Research has shown that people are more likely to be truthful and accurate when alone and away from head to head encounters.
(d) In receiving a diagnosis and advice online, the client has a better chance of absorbing all the details of the consultation than he would if it were being delivered to him verbally.
No doubt, this topic will remain a controversial one for some time yet. I agree that the Internet can often be a den or rouges and thieves. Nevertheless, equally it can be an extremely useful and powerful tool. It is up to all of us to make it an honest and safe place to do business. One area that has hardly been touched yet is in the realms of psychotherapy. Watch this space.


Please visit http://www.doctorrynne.com/ for more information

Excessive Pre-ejaculation Discharge or Too Much Precum.

Excessive Pre-ejaculation Discharge or Too Much Precum.

It is very difficult to come up with good solid scientific information on this subject. In the many articles and journals that I have been perusing, Excessive Pre-ejaculate is invariably described as a “rare” condition. Yet from my perspective, as an Online Sexual Medicine Consultant, there is nothing at all rare about Excessive Pre-ejaculate. In fact, hardly a week goes by that I do not fine myself helping some other young man come to terms with this common problem.

Some small amounts of pre-ejaculation secretion are common to most young men during the early phase of sexual arousal. It is a clear, sticky mucous liquid produced by Cowper’s glands along the urethra. The function of this normal secretion is to create a friendly environment for the passage of sperm and to facilitate intercourse. Amounts can vary from a few minuscule drops to as much as 5ml and more.


The problem though is this: Who defines what is “excessive” pre-ejaculate or pre-ejaculation discharge? At the moment it is the customer who decides this question. Hence we have a situation where one young man may perceive his 3ml of pre-ejaculate as a “problem” while another young man, with the exact same volume of discharge, may perceive it as a joy! Is it any wonder then that this subject makes such a sparse appearance in the medical literature!

From my work as an Internet Medical Consultant I have noticed enormous geographical and cultural variations in the reported incidence of “problems” of too much Pre-ejaculate or Pre-cum to use the vernacular. From this remove, it is difficult to say if the difference is in the reality of “too much Pre-cum” or in the acceptability of what is an equal distribution of a common phenomena. That be as it may, Asia would appear to be in a league of its own when it comes to “excessive Pre-cum.” In this department anyway, young Asian men would appear to have an unassailable lead.

This is not to say that this complaint should not be taken seriously. If it is upsetting the young man in question sufficiently for him to take the trouble to write to me seeking my advise, then of course it needs to be taken seriously. In the absence of a better solution I normally advise as follows:
(1)    Try, if at all possible, to look on this “excessive Pre-cum” as normal, healthy and pleasurable – not as something dirty or shameful.
(2)    Understand that as you get older, within the next very few years in fact, amounts of Pre-ejaculate are likely to decline quite dramatically.
(3)    Absorbent towels are all that are usually required.
(4)    There is a medical treatment if all normal reassurance fails. But there is a strong element of using “a sledgehammer to crack a nut” about this approach to management.

For more information about causes and treatment for men who have problems with too much pre-cum or excessive pre sex ejaculation please do visit my website at http://www.doctorrynne.com