Puberty male health mainly refers to the correct treatment and handling of reproductive organ hygiene as well as phenomena such as nocturnal emission, phimosis, paraphimosis, and cryptorchidism.
During childhood, the foreskin of the penis will cover the glans. With the onset of puberty, the foreskin gradually retracts upwards, exposing the glans. During this process, the coronal sulcus of the glans is prone to accumulate smegma, which can appear as white or even dark-colored "smegma". Smegma provides a good breeding ground for bacteria and can easily lead to inflammation of the foreskin and glans. Therefore, it is important to develop the habit of regularly cleaning the penis and genital area. When cleaning, retract the foreskin to expose the glans, and then gently clean with soapy water using your fingers. To maintain the cleanliness of the external genitalia, it is recommended to regularly change underwear made of breathable fabric. The underwear should be slightly loose.
It is also important to protect the testicles during physical activities. The testicles are delicate and vulnerable organs that are exposed and easily susceptible to injury. Therefore, during play and sports, it is important to always protect the genital organs and avoid kicking or hitting others in the groin.
The normal position of the testicles is within the scrotum. If one or both testicles are missing from the scrotum, it is called "cryptorchidism". Cryptorchidism is a congenital malformation in boys. Early treatment is necessary for patients to ensure healthy development similar to their peers.
Nocturnal emission is a normal phenomenon of "overflowing with semen". It often occurs during dreams at night, hence it is also called "wet dreams". Nocturnal emission that occurs while awake is called "pollution dreams". There is no essential difference between the two. Some adolescents may misunderstand the nocturnal emission phenomenon and worry that it will affect their health, but this anxiety is completely unnecessary.
If nocturnal emission occurs frequently, such as once every one or two days or multiple times a day, it may indicate an abnormality. The main reasons are: exposure to inappropriate or explicit sexual information in society, immersion in sexual fantasies; local stimulation of the genital organs due to conditions such as phimosis, urethritis, or prostatitis; friction stimulation from tight underwear or thick blankets during sleep; or self-exploration of the genital organs. By correcting these undesirable behaviors or seeking medical treatment for related conditions, frequent nocturnal emissions can generally be resolved.
Phimosis and paraphimosis: Phimosis refers to the foreskin covering the entire glans in any state. Paraphimosis refers to a tight foreskin with a small opening and no elasticity, making it impossible to retract the foreskin and expose the glans using any method. It is normal for the foreskin to cover the glans in boys before puberty. With the onset of development, the penis gradually increases in size and the foreskin slowly retracts, partially or completely exposing the glans. This process takes a long time, usually until the age of 18-25 for boys to fully develop. During this period, as long as the penis is regularly cleaned and the cleanliness of the foreskin sac is maintained to prevent the accumulation of smegma in the coronal sulcus, there is no need to worry about having a longer foreskin.
As for paraphimosis, most cases of paraphimosis in adolescents are pseudo-paraphimosis, mainly due to never retracting the foreskin and washing the glans, resulting in adhesion between the foreskin and glans, or due to smegma blocking the foreskin from being pulled up. The treatment method is to develop the habit of regularly cleaning the penis, and when cleaning, pull the foreskin upwards, gradually making the foreskin opening looser. If it is true paraphimosis, medical treatment should be sought.
