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Friday, 10/4/2026 | 00:07 GMT+7

Does having sex three to four times a night cause erectile dysfunction later?

A 26-year-old man, recently married for over one month, asks if having sex three to four times a night is abnormal and could impact his sexual health and fertility in the long term. (Huy, TP HCM)

Many worry that frequent intercourse depletes vitality. In reality, there is no "standard limit" for all men. Some recover quickly, while others need more time. The key is not the number of times, but the feeling afterward. If you feel healthy, comfortable, without pain or exhaustion, it is usually not a concern. Conversely, if you are utterly exhausted, in pain, have difficulty with subsequent erections, or feel distinctly drained the next day, attention is warranted.

Having sex multiple times in one night is not necessarily abnormal. After ejaculation, there is a "refractory period," when the body needs to recover before achieving another erection and orgasm. This time varies for each person and typically lengthens with age. Research in The Journal of Sexual Medicine indicates this is a normal phenomenon, varying greatly among individuals, from several tens of minutes to 3-4 hours. Thus, some people have sex multiple times in one night, while others only one time.

To date, there is no evidence that this, if within one's tolerance, causes long-term erectile dysfunction. What is more likely is temporary fatigue, leading to reduced arousal for subsequent attempts because the body has not fully recovered. It is normal for the second or third time to be more challenging than the first, and this does not mean sexual function is declining.

The concern is not "many times" but "overdoing it." If you experience pain, burning, swelling, testicular pain, painful urination, prolonged inability to get an erection, or extreme fatigue, you should consult a urologist. These symptoms could indicate an injury, inflammation, or erectile dysfunction. Individuals with cardiovascular disease or uncontrolled high blood pressure should also be cautious about repeated intercourse in a short period.

Frequent ejaculation does not deplete sperm or reduce the ability to conceive. Research published in Basic and Clinical Andrology suggests that frequent ejaculation can temporarily reduce some semen parameters, such as total sperm count, in the short term, but it does not mean a loss of fertility.

Dr. Tra Anh Duy

Men's Health Center

By VnExpress: https://vnexpress.net/quan-he-3-4-lan-moi-dem-co-gay-yeu-sinh-ly-ve-sau-5059170.html
Tags: sexual intercourse frequency of intercourse frequent intercourse

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