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Here’s the Sexual Health Self-Exam You Should Be Doing

A step-by-step guide for what to check, how to do it, and when to see your doctor.

By Elizabeth Millard  Published: Aug 30, 2022

This article is a repost which originally appeared on Men’s Health.

Edited for content. The opinions expressed in this article may not reflect the opinions of this site’s editors, staff or members.

Our Takeaways:

· Testicular cancer is most common among men 20-40 years of age.

· Testicular exams during a shower are optimal.

· Men should also examine their chests to ensure there’s no development of breast cancer.

Two-thirds of sexually active men agree it’s important to regularly perform below-the-belt self-exams—but 47 percent have no clue how to do one, according to a survey by Men’s Health parent company Hearst Media. No need to count yourself in the clueless half; below is your instruction manual on how to perform a sexual health exam in the privacy of your home—and why doing so is crucial for your health.

Step 1: Start as early as possible

Because testicular cancer skews young—the disease is seen mainly in men between the ages of 20 and 40—self-exams should start as early as possible. Ideally, that would be in your teenage years, says Adam Ramin, MD, urologist and medical director of Urology Cancer Specialists in Los Angeles. Begin self-exams when there doesn’t seem to be a problem, so you can establish a baseline of what’s normal for you.

Step 2: Take a shower or bath

Doing a self-check while showering or bathing is easier because it relaxes the skin of your scrotum, says Boback Berookhim, MD, director of male fertility and microsurgery at Lenox Hill Hospital in New York. Plus, you’re already naked, so why not?

Step 3: Examine one testicle at a time

Move your penis out of the way and assess each testicle individually. Dr. Ramin says it should feel firm, similar to the webbing on your hand between the forefinger and thumb. Press gently to feel all parts of the testicle. As you feel behind the testicle, there may be a pea-sized lump; these are often benign, since cysts are common in that area, but if you find one, take note of its size and check with your doc if it’s painful or starts getting larger.

Step 4: Compare them to each other

It’s common for one testicle to be slightly different in size or shape than the other. If you’re noticing a change in what constitutes normal for you, that should prompt a checkup.

Step 5: Examine the scrotal sac

The upper part of the testicles may have veins that look like a “bag of worms,” says Dr. Berookhim. Called “varicose seals,” these veins aren’t usually cause for concern, but if they start to enlarge or harden, get checked because that could affect fertility.

Step 6: Do a visual check of the penis

Look for skin changes, pimples, pustules, painful warts, or sores, all of which could be associated with a sexually transmitted infection.

Step 7: If you’re uncircumcised, pull foreskin back

If bringing the foreskin back causes pain or is difficult, see your doctor. This could be an indication of diabetes, says Dr. Ramin.

Step 8: Assess for sensitivity or change in shape

Your penis should be straight, so if there’s a slight bend that’s more pronounced during an erection it could be Peyronie’s disease. According to Dr. Ramin, this condition could occur when excess calcium forms plaque in your penile blood vessels, or be caused by scar tissue caused from an injury. If your penis is painful to touch, it’s best to get it checked.

Step 9: Do a chest check, too

Yes, men have breast tissue and can get breast cancer, so whenever you do a self-exam, check your chest as well. Gently but firmly press in a circular pattern around each nipple and outward, feeling for any small lumps. If you feel one, don’t put off getting checked; men have a higher mortality rate for breast cancer than women, which experts link to delayed diagnosis and treatment.

Step 10: Grab a hand mirror

Once you step out of the shower, use a small mirror to inspect the underside of your penis and the inside of your thighs for sores or moles. Melanoma in the genital region is very rare, says Dr. Berookhim, but it does happen.

Now, repeat every six months

If you’re not detecting an issue, do a self-check every six months, suggests Dr. Ramin. But if you’ve had a problem or there’s an area you’re keeping an eye on, check more often.

Dealing with Premature Ejaculation & Causes of Premature Ejaculation (from The Ultimate Guide To Male Enhancement)

Dealing with Premature Ejaculation & Causes of Premature Ejaculation

The following are two chapters taken from the book: The Ultimate Guide To Male Enhancement.

Edited for content

Chapter 12: Dealing with Premature Ejaculation

What is Premature Ejaculation?

The definition of what constitutes premature ejaculation may vary depending on the source, but it’s commonly accepted as a scenario where the length of time for sexual performance on the part of the male is unsatisfactory, by either the man or his partner. That being said, what constitutes premature ejaculation can be arbitrary. There is no set time that if you orgasm before it then you have premature ejaculation.

Consider this – the average time between arousal and ejaculation is typically three minutes for a man. Considering the
average time for a woman to orgasm is typically 13 minutes after arousal it can be seen how many men may think they have premature ejaculation, but really they are simply normal. With this in mind, you can see why foreplay is so important to satisfying a woman.


Phases of Ejaculation

There are two phases of ejaculation.

● The Emission Phase and

● The Ejaculatory Phase


Emission Phase:

Here are the physical processes which occur during the emission phase of ejaculation:

● The vas deferens begins to contract to move sperm from the testes toward the urethra and prostate gland.

● The seminal vesicles secrete fluids into the urethra

● Chemical messages activate the sympathetic nervous system and begin what’s known as the ‘point of no return’
(PONR). Ejaculation is inevitable at this point.


Ejaculatory Phase:


During the ejaculatory phase, the posterior portion of the urethra senses the sperm and secretions and sends a signal
to the spinal cord. This then sends messages to the muscles at the base of your penis. This causes said muscles to contract, which results in ejaculation.

Chapter 13: Causes of Premature Ejaculation

Premature ejaculation can be caused by any number of factors. These can be separated into two categories:


● Physical (which can include chemical side effects) and

● Mental (or psychological) causes.


It’s not uncommon for both some mental component to be present in physical cases of premature ejaculation. Worry
about the experience of premature ejaculation often compounds any physical components.


Physical Premature Ejaculation

The most common form of premature ejaculation is due to physical causes. The most common among these is negative conditioning. This is usually because most men masturbate in a hurried and furtive manner. Doing this repeatedly trains the body into ejaculating quickly, so it shouldn’t be surprising to understand how this can lead to issues.

If added stimuli like porn is used, it can further skew what you can expect from real sexual encounters. This then adds to anxiety, which further increases the possibility of premature ejaculation. The easiest way to correct this is to train in a manner contrary to negative conditioning. This will be discussed in detail further in the section.


Hormonal Issues

If you have low testosterone or abnormal levels of catabolic hormones this can have a drastic effect on your ability to maintain an erection. This can turn into premature ejaculation if you have to strive to get erect. It can be further compounded if your hormone imbalances induce negative emotions like anxiety. Diet and exercise is often recommended as a treatment for issues related to hormone imbalances; however, if do-it-yourself treatments aren’t effective, then a full blood work up is necessary to determine the cause of these imbalances.

Chronic and/or acute stress can lower levels of dopamine in the system. This can create a scenario where you can find it difficult just to get aroused even in the absence of anxiety. Stress management is key to helping treat this issue. The amino acid L-Tyrosine has been shown to be effective at helping to restore natural dopamine levels.


Infections

It’s been shown infections of the prostate and urethra may contribute to premature ejaculation. Infections usually require medical attention and antibiotics for treatment.

Pelvic Floor Issues


Pelvic floor spasms may contribute to premature ejaculation. If these symptoms are minor, rest and targeted stretching of the area should help to alleviate the issue. If the problem is more severe, this might require the services of a physical therapist for relief.


A strain in the pelvic floor may cause pain upon Kegeling and symptoms such as “hard flaccid”. Certain muscles like the ischiocavernosus can become perpetually strained. This leads to a difficult to resolve issue, as these muscles are involved in many different bodily functions. Due to this, it’s not easy to allow them to recover as you would if you immobilized an arm or even a leg. A strain may require targeted massage and heat. Specific yoga poses which specifically target the pelvic floor may help to speed healing as well.


A common cause of pelvic floor issues is due to abusing the Kegel. This includes the Reverse Kegel (contractile) exercise. It’s vital you start Kegeling by using only as much contractile force as is needed during any of the Kegel type movements. A limited number of reps should be performed as well and then slowly increased each session.


Prescription Medications

Some prescription drugs may cause premature ejaculation as one of their side effects. If this is the case, contact your physician or pharmacist to see if there are alternative medications.

Mental Premature Ejaculation

Premature ejaculation may be placed on the spectrum of erectile dysfunction, especially if the case is so severe that penetration becomes difficult or impossible. This is often the case if performance anxiety is involve. A common scenario will involve difficulty in obtaining an erection, with almost immediate ejaculation upon or even before penetration. This stage most commonly precedes impotence.

Anxiety, depression and stress are three of the leading mental causes of premature ejaculation. Sometimes, it’s a matter
of which came first though – the chicken or the egg – the premature ejaculation or the anxiety/depression/stress. It’s
not uncommon for men to suffer from these three common challenges without even realizing. It’s even more common for these challenges to surface, when there’s a concern about premature ejaculation.

The Ultimate Guide to Male Enhancement

Bodyweight Only Training Exercises for Mass and Strength

Bodyweight Only Training Exercises for Mass and Strength

Courtesy of Ultimate Male Enhancement

Here’s a list below of some bodyweight and calisthenic exercises below which can be used in lieu of weight training exercises. These are good for alternative training as well as for those times you may not have access to free weights.

Having a fit overall body is the best way to maximize your sexual health. Overall muscle strength and physical stamina are key to a great sex life! Following are bodyweight only exercises you can do, most without any special equipment. Plus, you can do most of them almost anywhere, which makes them perfect for busy schedules.

As always, be sure to get clearance from your medical professional before starting any new exercise routine.

Bodyweight Only Training Exercises for Mass and Strength

Female Sexual Anatomy Basics: AKA Where is the Clitoris?

female sexual anatomy

female sexual anatomyLet’s be honest guys, the female sexual anatomy is a weird (and awesome!) mystery. Male sexual anatomy is so much more straight forward (at least externally).  You have the penis and the testicles – maybe some foreskin. Everything’s just out there in front – easy to access – easy to see – usually easy to please.

But, women… we tuck our fun bits underneath. We have weird inner labia and outer labia, and that oh-so-elusive…

CLITORIS!

Even if you’ve had lots of sexual partners, that little nub of pleasure can be as hard to find sometimes as a unicorn in a field of 4-leaf clovers! So, let’s take a look at some basic outer female sexual anatomy, and specifically talk about the clitoris.

Female Sexual Anatomy Overview

Female sexual anatomy usually includes the vulva (the outer “fun parts”) and the reproductive system (the inner “working parts”). The inner working parts, like the ovaries, the Fallopian tubes, and more are all very important to sexual health, but in this post, let’s focus on the vulva.

The Vulva (and NO “Vulva” is not the fancy term for the Vagina)

First, let’s clear up one really common misconception. That whole outer female sex area down there… NOT the vagina. It’s actually called the vulva.

The vagina is the flattened tube that connects the outer world with the cervix, which leads to the uterus. So, when someone is talking about the vagina, they (shouldn’t) don’t mean the whole funland area down there – they (should be) are talking about specifically that tube inside the body.

OK, with that straightened out, let’s look at the parts of the vulva. (the outer sexual anatomy bits). The vulva includes:

    • Labia (Majora – outer lips & Minora – inner lips) –
      • The labia (lips) are the folds of skin that go around the vaginal opening. As the names imply – the inner lips (minora) are the folds closer to the opening inside the outer (majora) lips.
      • Labia are as different and unique as thumbprints. No two are alike. Some are plump and tight and short. Some are long and wrinkly.
      • Just like men typically have one testicle that hangs lower than the other – most women have one labia that hangs lower than the other.
      • Again, just like a man’s penis tissue coloration can vary significantly from man-to-man and can even be significantly different from the skin color on the rest of their body, the labia can be light pink to a dark brown. FUN FACT: The color of many women’s labia changes as they get older!
      • Like the skin of the testicles, the labia can be very sensitive. They typically swell (some women more than others) when sexually stimulated with increased blood flow.
      • Urban slang – fish lips, taco, bearded clam, and SO many more!
        .
    • Urethra Opening –
      • The tiny hole the woman urinates out of. It’s located toward the top of the vulva, right below the clit.
        .
    • .Vaginal Opening – 
      • The vaginal opening is located below the urethra opening. This is the gateway to fun town.
      • The vaginal opening, although an “opening”, is not naturally in an open state, because the vagina itself is a flattened tube to prevent entry of bacteria and unwanted objects.
        .
    • The Anus – 
      • Whether or not your partner considers this part of the female anatomy to be part of her “sexual” anatomy is up to her. Always discuss (and get approval) any anal activity with your partner before trying anything.
      • This opening to the rectum has a lot of very sensitive nerve endings in it. For this reason, many women and men alike get sexual pleasure when this area is stimulated.
        .
    • Mons Pubis – 
      • The mons pubis is the fleshy portion of skin above the vulva. It’s designed to cushion the pubic bone of the woman, so includes a fat pad that expands and contracts with overall bodyweight.
      • Men also have this same fat pad to cushion their pubic bone and, in fact, overweight men can see measurable increase in penis length (both flaccid and erect) simply by losing weight and decreasing this fat pad.
        .
    • Clitoris –
      • The clitoris is protected by a fold of skin, where the inner labia meet, known as the clitoral hood.
      • The tip of the clit is located at the top of the vulva, right where those labia minor come together.
      • Like penises, the tip of clitorises (clitori? – hmm… what is the plural) come in a lot of different sizes. Some are small, even smaller than the size of a pea. Some are rather large – like thumb size. All are beautiful!
      • The clit continues into the body and runs along both sides of the vagina (the canal we talked about earlier).
      • When turned on, the clitoris typically swells with blood – like a little mini penis.
      • FUN FACT: There are more nerve endings per square inch than any other part of the body in the clitoris. AND, it has no other purpose than to feel good! The ultimate hedonistic body part!

How Do You Find the Clitoris? And, Why is it So Elusive?

So, if this little tiny body part is so pleasurable why in the world is it so hard for men to find? You’d think God (or whatever method of creation you believe in) would’ve put a big arrow on this thing. TOUCH HERE! That way men would be able to find it easier and women would want to have sex more often, since 75% of women need clitoral stimulation to orgasm!

Read that again guys… 75% of women need clitoral stimulation to orgasm!

Needless to say – finding and successfully stimulating the clit should be PRIORITY #1 (or at least at the top of your sexual to do list). Check out these drawings below, to start to “see” where you should begin your clitoral treasure hunt.

where is the clitoris

vulva anatomy

Step-By-Step Instructions on Finding the Clit

  1. Have your partner lie down on their back.
  2. Gently separate the labia.
  3. Locate the vagina opening. If the vaginal opening were a 6 on the face of a clock, the clitoris is going to be at 12.
  4. Slowly move your hand up the vulva from the vaginal opening. Follow the inner lips up and where they meet – that’s the clitoral hood.
  5. Gently stimulate the clitoral hood. Circular motions are usually good. Start softly and increase intensity slowly. Tongue, fingers, nose, vibrator – whatever.
  6. If you’re not sure you’re in the right spot, make those circles wide by using the whole pad of your finger, rather than the tip – or the flat of your tongue, rather than the tip.
  7. Once stimulated, the clitoris will typically fill with blood and become more prominent. Some of them get pretty big; other stay small but are engorged. Even if you can’t see it (maybe the lights are off, or you’re not at the right viewing angle), you should be able to feel the clit once your partner is sexually excited.
  8. Back of the pressure and very gently rub your fingertip or tongue around the area until you feel the hard little excited nub and VOILA!
  9. Go get ’em! But, again, start softly and build pressure slowly.

If you’re looking for more information on the female body, be sure to check out the posts below. An educated lover is a better lover! 😀

A Little Bit About Female Anatomy: AKA How Big is the Vagina?

More About the Vagina

Where is the G-Spot?