reproductive health male form

There is no standardized morphological template that applies to all men in the field of reproductive health. As long as there are no organic diseases, normal physiological functions, and no impact on sexual life and reproductive needs, all individual differences are within the normal range. There is no need to be anxious about non-professional standards on the Internet.

I just met a 22-year-old young man in the clinic last week. He was sitting across from the consultation table holding a screenshot of an adult video saved on his mobile phone. His face was red from suppressing it. He said that he "didn't look right" and had saved up two months of living expenses to undergo lengthening and plastic surgery. I prescribed six hormones, erectile function monitoring, and a complete set of routine semen tests for him. The results were all within the normal range. It took me a long time to persuade him to give up the idea of ​​surgery. I encounter at least 3 cases of this kind every week. They are all brainwashed by the messy information on the Internet and create reproductive anxiety.

The judgment logic of traditional urology is actually very simple. They are all quantifiable hard indicators: the development of secondary sexual characteristics meets the age-related standards, the testicular volume and hormone levels are within the normal range, the erectile function is normal, the semen parameters meet the WHO fifth edition standards, there are no organic diseases such as cryptorchidism and hypospadias, and there are no recurring inflammations of the reproductive system. If these are met, it is considered a completely healthy state, and it has nothing to do with size or appearance details.

In the past two years, the perspective in the field of sexual medicine is actually more humanistic. Many researchers feel that we cannot just look at cold report cards, but must take individual feelings into account. To put it bluntly, even if your indicators have just crossed the passing line, but you have never felt uncomfortable, and your sex life with your partner is also harmonious, then you do not need any intervention at all. This view is now becoming more and more accepted in the industry. After all, the ultimate destination of reproductive health is an individual’s quality of life. You can’t suffer for nothing just to meet the so-called “standards,” right?

Speaking of the size issue that everyone is most confused about, I have to repeat it to the people who consult me ​​every time: as long as the length after erection is in the range of 7-15cm, it is completely sufficient. The sensitive zone of the female vagina is concentrated in the first third. Those content that advocates "18cm is normal" are either aphrodisiacs selling aphrodisiacs, or exaggerated interpretations of adult movies. If you really believe it, you will lose. After the end of male puberty, the corpus cavernosum has stopped developing. Oral medicines and massage creams that can "secondary development" are all IQ taxes. Don't pay this unjustly.

As for the most frequently asked question of whether to circumcise the foreskin, there is indeed no unified conclusion in the industry. One group of people thinks that as long as the foreskin can be turned up normally to expose the glans, and it is properly cleaned and will not cause repeated inflammation, there is no need to cut it. After all, the foreskin itself has the physiological function of protecting the glans and reducing sensitivity. ； The other school of thought believes that if it is phimosis, or recurrent balanitis, or even has caused repeated gynecological inflammation in the partner, then it must be cured early, and the benefits outweigh the risks. My personal clinical experience for so many years is that as long as there are no symptoms of discomfort, there is really no need to undergo this surgery. Many private hospitals use the rhetoric that "excessive foreskin affects sexual function" to deceive people into undergoing surgery, so don't be fooled.

Another point that is easily misunderstood is morning erection. Last month, a young man who worked in game development came to see a doctor. He said that he had not had morning erections for a month in a row and thought he was impotent. When he asked, he found out that he had just finished working on the version and had stayed up late for more than 20 days in a row, sleeping less than 4 hours a day on average. I didn't prescribe any medicine for him, so I asked him to adjust his sleep schedule, sleep 7 hours a day, and drink less ice cream. Two weeks later, he sent me a message saying that his morning erection had returned a long time ago. In fact, morning erections are greatly affected by sleep, stress, and emotions. It is normal for them to disappear occasionally. As long as you can have normal erections during sex, there will be no problem. There is no need to regard morning erections as a golden barometer of health.

Oh, by the way, there is also the "sperm deformity rate" in the semen report. Every time a patient gets the report, his face turns pale on the spot, saying that 95% of his sperm are deformed. Does that mean he cannot give birth to a healthy child? In fact, the fifth edition of the WHO standard is that if the proportion of normal-shaped sperm is ≥4%, it is considered qualified. Those so-called "abnormal sperm" are originally eliminated during the development process and cannot combine with the egg at all, so there is no need to worry.

After all, there is really no need to compare with others when it comes to reproductive health. Everyone’s body is different, just like some people are taller and some are short, some have single eyelids and some have double eyelids. Is there any unified standard? If you really feel uncomfortable, go to the men's department or urology department of a regular tertiary hospital and register for a basic check-up. It is more reliable than reading a hundred self-media posts or checking Baidu a hundred times. Don't scare yourself, and don't buy those three-no supplements. Most of the time, your anxiety is just an oolong caused by a lack of information.