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Enjoy sex like you used to
Abstinence is wrapped up in a lot of social and cultural stigma. If you’ve been reading about the benefits of semen retention, the dangers of so-called “blue balls,” or the purported health benefits of not ejaculating for seven days, odds are you’re struggling to separate science from hearsay.
Abstaining from sex for a week isn’t going to cure any diseases, give you superheroic mental clarity, or recharge your life force. But some evidence suggests it could offer benefits for sexual and mental wellness.
Below, we’ll cover what happens if you stop ejaculating for seven days, the benefits and risks of ejaculatory abstinence, and what experts generally recommend.
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What happens when you don’t ejaculate for seven days? Scientific evidence would say “not much.”
Some alleged benefits of abstaining from sex and masturbation for a week come from a 2002 study conducted in China of just 28 men.
Researchers examined the men’s serum testosterone levels during a week of abstinence. From days two to five, changes in serum testosterone concentrations varied little throughout the group. But at the seven-day mark, those levels climbed to nearly 150 percent of baseline levels.
In other words, the study found that ejaculation (or a lack thereof) had a substantial effect on serum testosterone after seven days of abstaining.
It’s possible that people who suddenly see a spike in testosterone after the seven-day mark could experience some supposed benefits of not ejaculating. But questions about original testosterone levels and other issues related to testosterone would need to be assessed on an individual basis to confirm that theory.
So, what are the positive effects of not ejaculating for a week? Will not ejaculating for seven days offer physical benefits?
The so-called “NoFap” community on Reddit might argue that the ancient practice of abstinence leads to better self-control, more happiness, and improved overall health in men who participate. However, there’s virtually no evidence to substantiate claims about mental health, energy levels, focus, and productivity benefits of not masturbating.
Finding comprehensive research to clarify the confusion is also difficult. There are relatively few peer-reviewed studies about the potential benefits of abstinence, and most available data isn’t conclusive.
Here’s what we know about the so-called benefits of not ejaculating for multiple days in a row.
Some research suggests that abstaining from ejaculating may increase testosterone, which plays a key role in mental health.
For example, research on testosterone replacement therapy (TRT) shows that the treatment increases mood, energy, and sense of well-being. TRT can also reduce anger and irritability.
So if abstinence does increase testosterone, it may lead to improved mental health. Still, more research is needed to confirm if these improvements are as efficient as TRT.
In an older 2001 study, three weeks of sexual abstinence led to increased testosterone levels — but the study group was small, with just 10 men.
A person who ejaculates too frequently could risk problems like friction burn.
If frequent ejaculation is associated with porn addiction or risky sexual behavior, not ejaculating for a period and examining your relationship to sex could lead to more sexual pleasure and improved mental health.
Some research shows that abstaining from ejaculation for five to eight days may improve semen volume and sperm count.
However, earlier studies show that abstinence can lead to decreases in sperm motility (how well sperm moves) and sperm morphology (the shape and structure of sperm) after just seven days of abstinence.
More research is needed to understand how abstinence affects sperm quality.
If you’re struggling with infertility, ask your provider to run a semen analysis as a first step.
Some sources suggest an abstinence break may have benefits for sexual function — specifically for issues like premature ejaculation (PE) and erectile dysfunction (ED). To date, we’ve yet to see any evidence.
Research hasn’t uncovered a link between erectile dysfunction and masturbation, ejaculation, porn, or any of the other of the NoFap community’s central theories about sexual health.
That’s not to say future studies won’t identify some link between excessive porn consumption and erectile dysfunction. But both pornography usage and sexual dysfunction can be linked to already-defined psychological risk factors like social isolation, depression, and low self-esteem.
Generally, ejaculation frequency isn’t associated with health benefits or risks, except in the extremes. (A person who stops ejaculating entirely could have an increased risk of prostate cancer and lose out on the feel-good and sleep-well benefits of oxytocin and other chemicals released in the brain during orgasm.)
And the risks of abstaining too often — side effects like epididymal hypertension (you know this as “blue balls”) — are real but overall not serious.
As for excessive masturbation, the data is a little fuzzy on the risks of too much masturbation. But any habit affecting your relationships, quality of life, or ability to tackle daily responsibilities is probably something you need to cut back on.
Like sex, masturbation has been linked to reduced stress and anxiety symptoms. That is, as long as you don’t feel any moralistic guilt about the practice — and you shouldn’t since it’s perfectly normal.
In short, if you want to address a problem like premature ejaculation or erectile dysfunction, you’ll need to go about it in a different way and look into proven treatments with a trained healthcare provider.
What are the benefits of not ejaculating for 30 days or seven days? Right now, there’s not enough evidence that reduced ejaculation frequency is linked to any real health benefits.
But if you’re noticing negative effects on your sex life due to excessive masturbation or porn addiction, it may be worth exploring. Cutting back on frequent ejaculations may be something that works for you, even if there’s not a lot of evidence to support your choice.
If you’re considering abstinence for health reasons, explore these treatment options first:
Medication and other therapies. Health conditions like low testosterone, infertility, low sperm count, or sexual dysfunction can often be treated with medication and other therapies. See your healthcare provider or a sexual medicine specialist to address any sexual problems you’re experiencing.
Psychotherapy. Addiction, performance anxiety, and low self-esteem may be better addressed with talk therapy than abstinence.
Lifestyle changes. Making small lifestyle tweaks can have a positive effect on your sexual, mental, and physical health. Before you stop ejaculating for days or weeks at a time, consider if there’s any room for improvement when it comes to diet, sleep, exercise, or other habits.
Ready to solve some problems? To improve your erections or other men’s health issues like premature ejaculation, low desire for sexual activity, or low T, reach out to a healthcare provider to get medical advice.
Hims & Hers has strict sourcing guidelines to ensure our content is accurate and current. We rely on peer-reviewed studies, academic research institutions, and medical associations. We strive to use primary sources and refrain from using tertiary references. See a mistake? Let us know at [email protected]!
This article is for informational purposes only and does not constitute medical advice. The information contained herein is not a substitute for and should never be relied upon for professional medical advice. Always talk to your doctor about the risks and benefits of any treatment. Learn more about our editorial standards here.
Dr. Mike Bohl is a licensed physician, the Director of Medical Content & Authority at Hims & Hers, and a member of the Obesity Medicine Association. Prior to joining Hims & Hers, Dr. Bohl worked in digital health at Ro, focusing on patient education, and as the Director of Scientific & Medical Content at a stealth biotech PBC, working on pharmaceutical drug development. He has also worked in medical journalism for The Dr. Oz Show (receiving recognition for contributions from the National Academy of Television Arts and Sciences when the show won Outstanding Informative Talk Show at the 2016–2017 Daytime Emmy® Awards) and at Sharecare, and he is a Medical Expert Board Member at Eat This, Not That!.
Dr. Bohl obtained his Bachelor of Arts and Doctor of Medicine from Brown University, his Master of Business Administration and Master of Science in Healthcare Leadership from Cornell University, his Master of Public Health from Columbia University, and his Master of Liberal Arts in Extension Studies—Journalism from Harvard University. Dr. Bohl trained in internal medicine with a focus on community health at NYU Langone Health, and he has earned a Certificate of Advanced Education in Obesity Medicine from the Obesity Medicine Association.
Dr. Bohl is Certified in Public Health by the National Board of Public Health Examiners, Medical Writer Certified by the American Medical Writers Association, a certified Editor in the Life Sciences by the Board of Editors in the Life Sciences, a Certified Personal Trainer and Certified Nutrition Coach by the National Academy of Sports Medicine, and a Board Certified Medical Affairs Specialist by the Accreditation Council for Medical Affairs. He has graduate certificates in Digital Storytelling and Marketing Management & Digital Strategy from Harvard Extension School and certificates in Business Law and Corporate Governance from Cornell Law School.
In addition to his written work, Dr. Bohl has experience creating medical segments for radio and producing patient education videos. He has also spent time conducting orthopaedic and biomaterial research at Case Western Reserve University and University Hospitals of Cleveland and practicing clinically as a general practitioner on international medical aid projects with Medical Ministry International.
Dr. Bohl lives in Manhattan and enjoys biking, resistance training, sailing, scuba diving, skiing, tennis, and traveling. You can find Dr. Bohl on LinkedIn for more information.
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