Urologist Warns: What happens to the prostate of men who masturbate every day? Discover the changes!

Added: 2026-05-31

[00:00:00]If you are a man over 60, and you are still sexually active, what I am about to share with you in the next few minutes has the very real potential to add years to your life. Not as a figure of speech, not as a motivational phrase, literally. Because what is quietly unfolding inside your prostate right now, without a single obvious warning sign in many cases, is something that the majority of doctors never slow down long enough to explain to their patients properly. So, stay with me, because this conversation matters. And before anyone considers clicking away, I need you to understand something clearly. This is not a conversation built on shame. This is not a video designed to make you uncomfortable. This is a direct, honest, science-grounded conversation about your body, your health, and the future you still have ahead of you. You deserve to receive this information from someone who will give it to you without filtering it through social awkwardness or clinical distance. My name is Dr. Julia Rhodes. I am a men's sex therapist with over a decade of experience working with different couples and helping men reclaim their sexual health and strength. Now, let us get into the conversation you came here for.

[00:01:20]Let me paint you a picture that may feel uncomfortably familiar. You are 64 years old. You wake up at 2:00 in the morning needing to use the bathroom. You go back to sleep, and then you are up again at 4:00.

[00:01:35]The tiredness you carry is not the kind that a good night of rest resolves anymore.

[00:01:41]When you stand at the toilet, the stream is hesitant, weak. It takes longer to start than it used to, and when it does, it never feels fully complete. You stand there in the quiet of the early morning waiting, and somewhere beneath the surface of your daily life, a low hum of worry has taken up residence.

[00:02:03]Does any of that sound familiar?

[00:02:05]If it does, I need you to hear this clearly. You are not broken. You are not failing. You are not unusual. There are millions of men over 60 living with precisely this experience at this very moment. And the vast majority of them have never once sat across from a healthcare provider and had a genuinely open, honest conversation about what is actually driving it. Today, that changes for you. Because what I am going to walk you through is not just about the question suggested by the title of this video. It is about giving you a real, thorough understanding of your prostate.

[00:02:46]The gland that after the age of 60 has more direct influence over your daily quality of life, your comfort, your sexual function, and your long-term health than almost any other structure in your body. And exactly what you can do to protect it starting today.

[00:03:06]Understanding your prostate.

[00:03:08]Here is the honest reality about most men and their prostate. They do not think about it until it begins forcing them to. It is one of those organs that quietly does its work in the background for decades, asking nothing from you, drawing no attention to itself. And by the time it does begin demanding your attention, the internal changes that have been driving those symptoms have typically been accumulating for years, sometimes quietly, sometimes silently.

[00:03:38]Now, before I proceed, I want to pause for just a moment. Because if what I've shared so far is already starting to connect dots for you, if you're beginning to understand why certain experiences in the bedroom have played out the way they have, I want you to know that there is a complete guide available that takes everything I teach on this channel and builds it into a single structured road map. The complete guide pieces the entire puzzle of men's sexual health together from fixing erection and performance issues at the foundation to the specific techniques that make a man genuinely exceptional in bed after 60 to how to bring your partner to the same level of desire and engagement as you so that the connection between you is firing on every cylinder, not just some of them. It is not a collection of tips. It is a handheld beginning-to-end journey through everything a man over 60 needs to know to perform with confidence, connect with depth, and enjoy his sex life the way he deserves to. I made a full video walking through exactly what the program covers and who it is for. The link is pinned in the comments section and sitting in the video description right now. Go and watch it after this video. I think it is going to land with you in a significant way. Now, let's continue. So, let us start with the basics because clarity here is the foundation of everything else. Your prostate is a small, dense gland roughly comparable in size to a walnut positioned just beneath your bladder. It encircles the urethra, the tube responsible for carrying urine from your bladder out of your body. Its primary biological function is to manufacture and secrete a fluid that nourishes, protects, and helps transport sperm during ejaculation.

[00:05:32]That fluid constitutes a substantial portion of what makes up semen. Without a healthy, functioning prostate, the entire male reproductive system is operating under a significant disadvantage.

[00:05:45]Now, here's where the story becomes important for you specifically. Through your teens, 20s, and most of your 30s, your prostate is essentially stable. It performs its function, stays its size, and asks very little of you. But, somewhere in the vicinity of your 40th year, a biological shift begins. It is gradual at first, almost imperceptible.

[00:06:08]But, by the time a man reaches his 60s, that shift has usually progressed to a point where the consequences are no longer invisible. The prostate begins to enlarge. As it grows, it progressively presses inward against the urethra.

[00:06:23]Imagine a hand slowly, steadily tightening around a garden hose.

[00:06:28]The effect on urinary flow is predictable. The stream weakens, urgency increases, nighttime bathroom trips multiply. Comfort, which you once took completely for granted, gradually disappears.

[00:06:43]But, here is the single most important thing I want you to hold on to as we move through everything in this video.

[00:06:50]These changes are not simply inevitable facts of aging that you must passively accept. You are not a bystander in the story of your own body. You have significantly more influence over your prostate health and how this chapter of your life unfolds physically and sexually than you have likely ever been told. The real science behind ejaculation and prostate health.

[00:07:16]Now, we are going to step into the part of this conversation that most people avoid. What does frequent ejaculation, whether through sexual activity with a partner or through masturbation, actually do to the prostate over time?

[00:07:31]Before we go a single step further, I want to establish something clearly.

[00:07:36]This is a medical and clinical conversation. Everything I am about to share with you is grounded in peer-reviewed science. There is no room here for shame, for embarrassment, or for social discomfort. Biology is not embarrassing. Your body is not something to be ashamed of. What matters is the evidence, and the evidence on this particular topic is both robust and genuinely important. Let me take you to one of the most significant pieces of research on this subject, a landmark study published in the journal European Urology. This was not a small-scale study. Researchers tracked tens of thousands of men over a period of nearly two decades. That is a large sample and a long timeline, which means the findings carry real statistical weight.

[00:08:28]What those researchers discovered was striking enough that it deserves to be stated plainly. Men who ejaculated more frequently, specifically those averaging 21 or more times per month, had a measurably and significantly lower risk of developing prostate cancer compared to men who ejaculated only four to seven times per month.

[00:08:53]Read that again. 21 or more times per month versus four to seven times per month. And the reduction in prostate cancer risk was not a marginal difference. It was statistically meaningful. So, what is the biological explanation? Researchers have pointed to what is known as the prostate flushing hypothesis.

[00:09:16]Every time ejaculation occurs, the prostate gland contracts and actively expels the fluids it has been storing.

[00:09:24]This regular cycle of contraction and release functions as a kind of internal housekeeping, clearing out accumulated cellular waste, old prostatic fluid, and substances that, when allowed to build up over time may contribute to cellular damage and increased cancer risk. Think of it this way. Picture a water pipe that rarely has water flowing through it. Over time, residue accumulates on the inner walls. The passage narrows.

[00:09:54]Eventually, blockages form. Now, picture that same pipe with water flowing through it regularly and consistently.

[00:10:02]It stays clear. It functions properly.

[00:10:05]It lasts longer.

[00:10:06]Your prostate operates on a remarkably similar biological principle. Now, I need to be absolutely direct with you about one thing because I never want to leave room for misunderstanding in matters of health. Frequent ejaculation is not a cure for prostate cancer. It is not a guarantee against prostate disease. It does not replace annual screening, medical monitoring, healthy nutrition, or regular physical activity.

[00:10:35]It is one important and evidence-supported piece of a much larger picture of prostate health.

[00:10:41]And for men over 60, that picture has several additional dimensions we need to move through carefully.

[00:10:47]The three major prostate changes every man over 60 needs to understand.

[00:10:53]We have established what your prostate is and how ejaculation frequency relates to its health. Now, let us talk about the three primary biological changes that occur in the prostate after 60.

[00:11:05]Because understanding what is happening inside your body is the first step toward doing something meaningful about it.

[00:11:12]The third change is the one that most healthcare providers either rush through or soften to the point of ineffectiveness.

[00:11:19]I am going to give it to you directly.

[00:11:21]Change one. Benign prostatic hyperplasia, BPH. Benign prostatic hyperplasia is the clinical term for prostate enlargement, and it is extraordinarily prevalent among men in this age group.

[00:11:36]Conservative estimates suggest that by age 60, more than half of all men have some measurable degree of BPH. By the time men reach their 80s, that figure approaches 90%.

[00:11:50]If you are experiencing any of the following: a weakened urinary stream, frequent and urgent trips to the bathroom, waking multiple times during the night to urinate, difficulty initiating urination, or the persistent feeling that your bladder never fully empties, there is a very real and clinically significant probability that BPH is at least partially responsible.

[00:12:14]What I want to make absolutely clear is this: BPH is not cancer.

[00:12:21]It is a benign, non-malignant condition, but the impact it has on a man's daily quality of life, his sleep, his comfort, his confidence, his sexual function, is entirely real and tends to worsen meaningfully when it goes unaddressed rather than managed.

[00:12:40]The genuinely encouraging news is that BPH is highly manageable with the right combination of medical oversight and lifestyle adjustments.

[00:12:50]I am going to give you a concrete, actionable plan for exactly that.

[00:12:55]Change two: hormonal shifts and DHT accumulation.

[00:13:00]Most men are generally aware that testosterone levels decline with age.

[00:13:05]What far fewer men understand is what the body does with a portion of that declining testosterone.

[00:13:11]Through a process involving a specific enzyme, the body converts some of that testosterone into a considerably more potent hormone called dihydrotestosterone, commonly referred to as DHT.

[00:13:25]DHT has a particularly significant and problematic relationship with prostate tissue.

[00:13:31]It actively stimulates prostate cells to divide and multiply. The higher DHT levels rise relative to the overall hormonal environment, the more aggressively prostate growth tends to occur. This is why conversations about hormonal balance in men over 60 cannot be limited to discussions about libido or energy levels. Hormonal balance is a prostate conversation. It is a conversation that every man in this age group should be having openly and regularly with a qualified healthcare provider.

[00:14:04]Change three, cellular vulnerability and cancer risk. This is the change that I refuse to minimize or soften because doing so would be a disservice to you and to every man watching this. Every day, without interruption, your body is replacing old cells with new ones. This is a completely normal, healthy, and necessary biological process. But here is the clinical reality. Across decades of continuous cell division, billions upon billions of replications, the statistical probability of a copying error occurring increases. A single cell divides incorrectly. That cell divides again. And under the right internal conditions, chronic inflammation, hormonal imbalance, accumulated cellular damage over years, those errors can progress toward malignancy.

[00:14:58]Prostate cancer is among the most frequently diagnosed cancers in men over 60 globally. And what makes it particularly dangerous is the profound silence with which it can develop. A large number of men with early-stage prostate cancer experience no symptoms whatsoever. None. Which is precisely why what I'm about to say is not a suggestion. It is a clinical imperative.

[00:15:24]Screening is not optional. Screening is essential.

[00:15:28]I want every single man watching this video to let those words settle.

[00:15:33]Early detection of prostate cancer is associated with survival rates that are genuinely remarkable. Delayed detection after years of avoided screenings and dismissed symptoms leads to a conversation with a very different character. Please do not let that be your story. Part four, the four lifestyle factors that are silently accelerating prostate damage.

[00:15:58]Here's what I have not addressed yet, and it is critical. There is a specific pattern of daily habits, one that is extraordinarily common among men over 60, that simultaneously all three of the prostate changes we just discussed.

[00:16:15]Most men are engaged in at least some version of this pattern without any awareness of the damage it is quietly accumulating.

[00:16:24]The four factors are chronic inflammation, physical inactivity, dehydration, and avoidance.

[00:16:32]When these four elements combine and compound over time, they create an internal biological environment in which prostate enlargement accelerates, hormonal imbalance deepens, and cellular vulnerability increases. Let me walk through each one.

[00:16:48]Chronic inflammation.

[00:16:50]>> [clears throat] >> Inflammation is a natural and necessary biological defense mechanism.

[00:16:56]In its acute short-term form, it is protective and healthy, but chronic low-grade inflammation, the kind that quietly smolders inside the body year after year without ever producing obvious symptoms, is among the most consistently destructive forces that human health faces. And the dietary patterns that many men over 60 grew up with, heavy in red meat, processed foods, fried foods, and foods with high added sugar content, are primary drivers of exactly this kind of chronic systemic inflammation.

[00:17:32]Your prostate does not exist in biological isolation. It is embedded in the same internal environment as every other tissue and organ in your body.

[00:17:42]When that environment is chronically inflamed, prostate tissue is directly affected. Cells divide at a faster rate.

[00:17:51]Tissue becomes persistently irritated.

[00:17:54]The conditions under which abnormal cellular changes develop and progress become significantly more favorable.

[00:18:02]The dietary response is not complicated, but it does require genuine commitment.

[00:18:07]Shift your nutritional foundation toward foods that actively combat inflammation.

[00:18:13]A wide variety of vegetables, colorful fruits, and healthy fats sourced from avocado, extra virgin olive oil, and walnuts.

[00:18:21]Simultaneously, reduce your intake of the foods that sustain the inflammatory cycle.

[00:18:27]One specific food I want to highlight, tomatoes.

[00:18:31]Ordinary everyday tomatoes, they are among the richest natural dietary sources of a compound called lycopene, a powerful antioxidant that has been demonstrated across multiple peer-reviewed studies to have a measurably protective effect on prostate tissue.

[00:18:48]And here is the detail that most people miss entirely. Lycopene becomes significantly more bioavailable to the body when tomatoes are cooked. Tomato sauce, tomato paste, tomato-based soups, for your prostate, these are not merely comfort foods. They are functional, evidence-based nutritional medicine.

[00:19:09]Physical inactivity, something I observe consistently in my clinical work is the pattern by which men over 60 gradually, almost invisibly, become less and less physically active. It does not happen all at once. A knee begins to ache, a lower back stiffens. Life shifts toward more sedentary rhythms, and before long, sustained physical movement has nearly disappeared from the daily routine. Not through any deliberate decision, but through the slow accumulation of small accommodations.

[00:19:44]This matters profoundly for your prostate health. Regular physical activity simultaneously accomplishes several things that directly benefit the prostate. It helps regulate the hormonal environment, including the testosterone to DHT ratio we discussed.

[00:20:01]It measurably reduces systemic inflammation throughout the body.

[00:20:06]It improves blood circulation to the pelvic region, which directly supports the health of prostate tissue. And it supports the maintenance of a healthy body weight, which research consistently links to lower prostate cancer risk.

[00:20:20]You do not need to train like an athlete. You do not need an expensive gym membership or a complex exercise program.

[00:20:28]What you need above everything else is consistency.

[00:20:32]30 minutes of brisk walking on most days of the week represents genuinely powerful, clinically supported medicine for a man over 60.

[00:20:42]Supplementing that with two or three sessions of light resistance training each week gives your body an additional significant advantage. I also want to draw your attention specifically to Kegel exercises.

[00:20:56]Most men associate these with women's health, but they are equally, and in some contexts more, valuable for men.

[00:21:04]Kegel exercises strengthen the pelvic floor musculature, which provides direct structural support to both bladder and prostate function, improves urinary control, and has well-documented positive effects on sexual performance and satisfaction.

[00:21:22]They require no equipment. They can be performed anywhere.

[00:21:26]Take the time to learn the correct technique and incorporate them into your daily routine.

[00:21:33]Dehydration.

[00:21:35]This one can sound deceptively simple, but I am asking you not to underestimate it because in my clinical experience, it is one of the most consistently overlooked factors in men's urinary and prostate health.

[00:21:50]When the body is chronically under hydrated, urine becomes increasingly concentrated.

[00:21:56]Concentrated urine is significantly more chemically irritating to both the bladder lining and the prostate. It raises the risk of urinary tract infections, and it impairs the body's capacity to flush metabolic waste products and potentially harmful substances from the urinary system.

[00:22:15]Essentially, the same flushing and clearing mechanism we discussed earlier in the context of ejaculation frequency.

[00:22:23]The target is 2 to 3 L of plain water every day. Not coffee, not tea as a substitute, not sparkling beverages.

[00:22:32]Water. It is the simplest, most accessible, and most frequently neglected intervention available for urinary and prostate health. Start there. Avoidance. The fourth factor is, in many ways, the most consequential of all. Men, and particularly men of the generation currently in their 60s and beyond, were raised with a very specific and deeply embedded message. Push through pain. Handle things privately.

[00:23:01]Do not complain, and do not seek medical attention unless something is impossible to ignore. I understand that value system. I respect the discipline embedded in it, but when it is applied to prostate health, avoidance is not an expression of strength. It is a risk that carries consequences too serious to rationalize away. Prostate cancer detected in its early stages is one of the most treatable forms of cancer that medicine currently knows how to manage.

[00:23:32]The survival outcomes for men with early stage prostate cancer are genuinely encouraging, but prostate cancer that has been allowed to progress silently for years while screenings were delayed and symptoms were minimized presents a fundamentally different clinical reality. The conversation changes completely. I am asking you directly as someone whose professional life is dedicated to the health and well-being of men like you, do not let avoidance be the reason your story takes a harder turn than it needed to.

[00:24:05]Part five, your four-pillar prostate protection plan.

[00:24:09]Everything we have covered leads to this. Let us bring it together into a clear, actionable framework that you can begin implementing immediately.

[00:24:20]Pillar one, annual screening, non-negotiable.

[00:24:24]Beginning at age 60, and ideally from age 40 if your family history includes prostate cancer, annual prostate screening must become a fixed and non-negotiable part of your health care routine. This means a PSA blood test, which measures a specific protein produced by prostate tissue, and a digital rectal examination.

[00:24:48]I hear the discomfort around that second one every week in my clinical work. So, let me say this plainly, a 15-second physical examination that has the potential to detect cancer before it becomes life-threatening is not something you can afford to avoid because it feels awkward. Your life has value that exceeds momentary discomfort.

[00:25:10]The people who love you need you to make that appointment.

[00:25:15]Pillar two, anti-inflammatory nutrition.

[00:25:18]Rebuild the foundation of your diet around foods that are known to actively support prostate and cellular health.

[00:25:25]Cooked tomatoes for their lycopene content, cruciferous vegetables, broccoli, cauliflower, Brussels sprouts, kale, fatty fish high in omega-3 fatty acids, green tea, pomegranate, berries of all varieties. These are not wellness trends. They are foods with genuine replicated scientific evidence behind their protective roles in prostate health.

[00:25:51]Simultaneously, work toward meaningfully reducing or eliminating the foods that sustain chronic inflammation, processed meats, fried foods, heavily processed packaged foods, and foods with significant added sugar content. These are not moral positions. They are biological realities with clinical consequences.

[00:26:12]Pillar three, daily movement and pelvic floor work.

[00:26:16]30 minutes of brisk walking most days of the week. Two to three sessions of light resistance exercise per week. Daily Kegel exercises. These three commitments maintained consistently over time will regulate your hormonal environment, reduce your systemic inflammatory burden, improve circulatory health throughout the pelvic region, and provide meaningful support to both bladder and prostate function. Benefits that no supplement on the market can fully substitute for.

[00:26:49]Pillar four, hydration and regular sexual activity.

[00:26:54]Two to three liters of plain water daily and maintain a regular, healthy, and fulfilling sexual life that is appropriate to your health and your circumstances.

[00:27:05]Both of these habits directly support the biological flushing processes that help keep prostate tissue cleaner and healthier over time.

[00:27:14]Together, they work to create an internal environment that is measurably less hospitable to the abnormal cellular changes that lead to serious prostate disease.

[00:27:25]What I need you to leave here understanding, you are not powerless over what happens to your prostate. You never were.

[00:27:34]The biology is real, the risks are real, the changes are real, but so is your capacity to meet them with knowledge, with consistent action, and with the kind of courage it actually takes to prioritize your own health. Not just for yourself, but for everyone in your life who is counting on you to be present and strong.

[00:27:56]The men I have worked with who carry the best prostate health outcomes into their late 60s, 70s, and beyond are not men who were simply born fortunate. They are men who at some point made a clear decision to stop treating their bodies as something to be endured and started treating them as something worth caring for deliberately and proactively.

[00:28:19]That decision is available to you right now, in this moment, today.

[00:28:24]Choosing to have this conversation, choosing to stay and listen rather than scroll past, is already an act of that courage. Now, carry it forward into action.

[00:28:37]Breaking the silence around men's sexual and prostate health is not weakness. It is, without any exaggeration, one of the most powerful things a man can do for himself and for every person who loves him and wants him in their life for as long as possible.

[00:28:55]I am Dr. Julia Rhodes. Your health is worth every effort. Do not allow anyone, including the voice inside your own head, to convince you otherwise. I will see you in the next one.