### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi, when I was in 5 th grade I started master-bating    I strted very young even before I hit puberty. And I was addicted to it. .. At an excessive amount.  I was in love with masterbating when I was young right through puberty. I feel like I never gave my body enough time to reload I would literally jerk off 4-5 time a day.  I have a small penis. My testicles are very lifeless. (saggy). Did I limit my penis growth with the excess masterbating at an early age ? I feel this way because my other brothers are bigger then me. There also younger by 5 years. Im 19. I. Really feel like my childhood took a toll

### output:

Degree understand your concerns went through your details. Please understand masturbation is normal, natural and never unhealthy. Masturbation cannot lead to impotency or any other sexual problems. Your masturbation habit cannot adversely affect your child bearing ability. Also, your masturbation habit cannot reduce the size of your penis or shrinkage of your testicles. Therefore, don't worry about that aspect. But I suggest you to reduce the masturbation frequency to three or four times a week because masturbation is energy consuming. If you masturbate at the present rate, your energy will be very low, you will not be able to do other day-to-day duties like studying, exercise etc. As a result you will be anxious, as you are feeling now. If you reduce your masturbation to three or four times a wee, it will never affect your sexual life. It cannot cause any dermatological problems. It cannot cause any health issues except anxiety. No other side effects. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care.