10 Common Questions Men Ask About Sex, Alcohol, and Ejaculation Disorders—Answered by Experts

10 Common Questions Men Ask About Sex, Alcohol, and Ejaculation Disorders—Answered by Experts

Talking about sex can sometimes feel uncomfortable—even for adults. However, understanding sexual health is essential for overall well-being. Here, we address ten frequently asked questions men have about sex, alcohol, and ejaculation disorders, providing expert-backed insights.

1. Do Different Sex Positions Affect Pregnancy Chances?

No. Regardless of the sexual position used, vaginal intercourse can result in pregnancy. Sperm only needs to reach the egg for conception to occur, making position irrelevant in determining pregnancy risk.

2. Can I Drink Alcohol While Taking Viagra or Cialis?

Yes, alcohol does not directly interact with Viagra or Cialis. However, drinking alcohol can affect your ability to achieve or maintain an erection, potentially reducing the medication’s effectiveness. Moderation is key to ensuring optimal results.

3. Is There a Surgery to Increase Penis Size?

Currently, no medically approved surgery can permanently increase penis size. Even penile implants are designed for function rather than enhancement. If you are overweight, losing weight may help restore some of the perceived lost length.

Many men inquire about procedures like fat injections for girth enhancement or suspensory ligament division to increase length. However, the American Urological Association (AUA) deems these methods unsafe and ineffective.

4. Is My Penis Size Normal Compared to Other Men?

This is a common concern, but penis size varies widely. Factors such as measuring techniques and erection changes make it difficult to establish a universal standard.

Some medical conditions and surgeries can impact penis length, and in some cases, lost length cannot be fully restored. Maintaining a healthy weight and addressing any concerns about erectile function with a healthcare provider is recommended.

5. How Long Should an Erection Last During Sex?

Erection duration differs for every man. The goal is to achieve and maintain an erection firm enough for satisfying intercourse.

If an erection lasts longer than three to four hours and becomes painful, seek immediate medical attention. This condition, known as priapism, can cause serious complications if left untreated.

6. What Is Considered Premature Ejaculation?

The AUA defines premature ejaculation as "ejaculation that occurs sooner than desired, either before or shortly after penetration, causing distress to one or both partners."

There is no specific time threshold for diagnosis, as it varies by individual. If this issue affects your sexual health and relationships, consult a healthcare provider for evaluation and treatment options.

7. Why Don’t I Ejaculate After an Orgasm?

A condition called anejaculation—the inability to ejaculate—can result from medical conditions or certain medications. Sometimes, semen flows backward into the bladder instead of exiting through the urethra, a condition known as retrograde ejaculation.

Common causes include:

• Prostate surgeries such as prostatectomy or TURP (transurethral resection of the prostate)
• Medications like Flomax (Tamsulosin)
• Diabetes
• Nerve injuries

If you experience anejaculation, consult a specialist to determine the cause and explore treatment options.

8. Are Orgasms and Ejaculation the Same?

No, they are distinct but often occur together. Orgasm is the pleasurable sensation experienced during climax, while ejaculation is the release of semen.

Some men can have an orgasm without ejaculating, while others may ejaculate before reaching orgasm. Additionally, some may have an orgasm without an erection firm enough for intercourse. These issues can have various causes, some of which are treatable.

9. How Much Ejaculate Is Normal?

On average, men produce at least 1.5 mL of ejaculate (roughly 0.3 teaspoons). Volume tends to decrease with age, which is typically normal.

However, if you notice a sudden, significant reduction—especially when trying to conceive—consult a urologist to rule out underlying issues.

10. Is a Curved Penis Normal?

A slight penile curvature that has been present for years and does not cause pain is usually normal. However, if the curve is new, painful, or affects sexual performance, you should see a men’s health specialist.

A sudden curvature may indicate Peyronie’s disease, a condition where scar tissue affects penile shape and function. This can be evaluated and treated by a doctor.

In Summary

Sexual health is an important aspect of overall well-being. If you have concerns about erection quality, ejaculation, or other aspects of sexual function, seeking medical advice is the best course of action. Knowledge empowers you to make informed decisions about your health.

For personalized guidance, consult a urologist or men's health specialist. You can check your sexual health at PULSE Clinic and be more of a man than you can be.