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Prostate Massage 101: Everything You Need to Know

Updated: Sep 14, 2023

Warning!!! Do not start doing prostate massage until you have checked with your doctor to ensure it is safe. If there is any chance that you have prostate cancer, prostate massage could cause it to spread.

Introduction

Full disclosure, I am one of the few men who, at age 60, have not experienced any prostate issues. I have tried prostate massage to see if it would help my problems with erectile dysfunction. In my case, it had no noticeable effect. So I am not speaking from personal experience, but I know men who have benefitted from prostate massage. I'm just not one of them.


Prostate massage is a scary subject for a lot of men. There are cultural taboos, and some straight men associate it with homosexuality. It is still commonly used therapeutically worldwide and was widely used in the United States until a few decades ago. If you are absolutely against internal prostate massage, consider external prostate massage.


Many men, but not all, will have better erections by doing prostate massage, and many men with prostate problems will respond well to prostate massage. Here are the reported therapeutic benefits.

Benefits

Prostate massage, also known as prostate milking, is a practice that has been used in different cultures for centuries. Although research on the benefits of prostate massage is still in the early stages, anecdotal evidence suggests several potential therapeutic effects.


Improved Urinary Flow: Prostate massage can help alleviate symptoms related to urinary health. Many men experience urinary issues as a result of an enlarged prostate. Regular prostate massage may help alleviate these symptoms by reducing the size of the prostate and improving urine flow.


Prostatitis Relief: Prostatitis is a condition that involves inflammation of the prostate gland, often causing painful urination and other symptoms. Some studies suggest that prostate massage may relieve prostatitis symptoms by reducing swelling and improving blood flow.


Sexual Health: Prostate massage is often associated with better sexual health. It's believed to increase the intensity of the male orgasm and may even contribute to improved erectile function. The prostate gland plays a key role in the male sexual response, including producing seminal fluid.


Reducing the Risk of Prostate Cancer: Although more research is needed, some practitioners believe that regular prostate massage may help reduce prostate cancer risk. The theory is that massage promotes better circulation in the prostate, which can help to flush out carcinogenic toxins.

Finding the Prostate

The prostate is a small, walnut-shaped gland in men located just below the bladder and surrounds the urethra. It produces a significant portion of the fluid that makes up semen.


To locate the prostate for self-massage purposes, here's how to do it:


Cleanliness: First, ensure your hands and fingernails are clean and trimmed.


Preparation: Wear medical gloves and apply a generous amount of lubricant to your index finger.


Position: Get in a comfortable position. You could try squatting, bending over, or lying on your side with your knees drawn up towards your chest.


Insertion: Gently and slowly insert your lubricated index finger into your rectum, aiming towards the belly button.


Locating the Prostate: About 2 to 3 inches inside the rectum, you should be able to feel the prostate. It should feel like a small, round bulge towards the front of your body. The prostate is often compared to a walnut due to its size and texture.


Remember that this should be done with utmost care. Too much pressure can cause damage, and it should never be painful. Always stop if you feel any discomfort.



Prostate Massage 101: Everything You Need to Know
Cross Sectional Diagram of the Male Sexual Organs

How To Do A Prostate Massage

If possible, you can try to find people who perform therapeutic prostate massages. If you live in the United States, that can be difficult. Be careful when asking any medical professional about the procedure and for referrals. Make sure they understand you are looking for a therapeutic prostate massage. You will probably have to do it yourself. Below I discuss how.

Internal prostate massage without a device

Cleanliness: First, ensure your hands are clean, and your fingernails are trimmed. Using the restroom and ensuring your bowels are empty before starting.


Preparation: Use medical gloves and a water-based lubricant to prevent any possible damage or infection.


Position: Get in a comfortable position. This might be kneeling and leaning forward, lying face down, or on your side with knees bent towards the chest.


Massage: Gently insert your lubricated finger or prostate massager into the anus and slowly slide it in until you feel the prostate. The prostate should feel like a small, round bulge about 3-4 inches inside the anus, towards the front of the body. Apply gentle pressure and massage with a motion often described as "come hither."


Relaxation: It's crucial to stay relaxed during the procedure. Deep breathing can help. If you feel pain at any point, stop.


Time: Generally 5 to 10 minutes. Start with short periods, then gradually increase the time to see how your body responds.


Frequency: Generally, 1 to 3 times per week. Again you start with one time per week and gradually increase the number of days. You will have to see how your body responds.


Stop and seek medical advice if you experience pain during the massage or any adverse symptoms afterward.

External prostate massage without a device

External prostate massage is a safer alternative to the internal method. It does not involve penetration and is typically performed by applying pressure to the perineum, the area between the testicles and the anus. Here's how to do it:


Cleanliness: First, ensure your hands are clean.


Comfortable Position: Find a comfortable place where you can relax. You can do this lying down, standing up, or sitting, depending on what is most comfortable for you.


Find the Spot: The perineum is the area to focus on. It's located between the anus and the testicles.


Apply Pressure: Using your fingers, gently but firmly press on the perineum. This might feel somewhat uncomfortable at first, but it should not hurt.


Massage: You can then begin to massage the area gently. You can experiment with different motions, such as circular or back-and-forth. It's crucial to stay relaxed during the procedure. Deep breathing can help.


Time: Generally 5 to 10 minutes. Start with short periods, then gradually increase the time to see how your body responds.


Frequency: Generally, 1 to 3 times per week. Again you start with one time per week and gradually increase the number of days. You will have to see how your body responds.

Stop and seek medical advice if you experience pain during the massage or any adverse symptoms afterward.

Prostate massage using a device.

There are many devices available for internal and external prostate massage. I can't describe how to each of them here. In my experience, they do make prostate massage easier. If you buy a device, ensure detailed instructions are available.

I want to emphasize a few things if you use a device for internal prostate massage.

  • Use generous amounts of water-based lubrication for internal massage.

  • Cover the part you insert into your anus with a condom to help keep the device clean.

  • Generally, go for 5 to 10 minutes. Start with short periods, then gradually increase the time to see how your body responds.

  • Generally, do it 1 to 3 times per week. Again you start with one time per week and gradually increase the number of days. You will have to see how your body responds.

Conclusion


I want to say again. Check with your doctor before starting prostate massage. If you try it and do not find that it's beneficial, then you can always stop, as I did. However, many men do see improvements in their erections. Finally, be careful, be gentile, and use lots of lube for internal prostate massage.


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