How to get a doctor to give a manual stim to my penis

1. What patients usually mean and the legitimate medical procedures available

When people ask to have a doctor “manually stimulate” their penis in a clinical setting they most commonly mean penile vibratory stimulation (PVS) or, less commonly, electroejaculation—procedures intended to induce erection and/or ejaculation for diagnostic, therapeutic, or fertility purposes, especially in men with spinal cord injury or severe ejaculatory disorders ^{[1] [5]}. PVS is described in major centers as an office-based, typically painless procedure requiring no anesthesia, using a vibrator applied to the glans or shaft to trigger ejaculatory reflexes; electroejaculation is a separate technique used when PVS fails ^{[1] [4] [5]}.

2. Who performs these procedures and where they are done

PVS is usually performed by urologists, fertility specialists, or rehabilitation teams experienced with male sexual dysfunction; institutions and published educational programs report clinicians demonstrating the technique and then training partners or patients to continue at home when appropriate ^{[3] [6]}. The literature and clinic guides recommend first-line PVS for anejaculatory men with SCI and describe it as a standard offering in specialized clinics and research programs focused on male fertility after neurologic injury ^{[6] [7]}.

3. What the procedure looks like and what to expect

Clinical protocols place an FDA‑cleared vibratory device against the glans, dorsal shaft, or frenulum in timed bursts—typically 2–3 minutes on with rest periods—and the whole attempt can take 30–45 minutes; samples are collected in sterile cups and bladder management for retrograde ejaculation is addressed when needed ^{[4] [3]}. High‑amplitude devices such as Viberect have been developed and used clinically; device selection, settings, and adjuncts (abdominal electrical stimulation in some cases) are tailored by the treating team ^{[2] [8]}.

4. Effectiveness and realistic outcomes

PVS has strong evidence of success in the populations it’s studied in: for men with SCI, success rates are high when the injury level is favorable (e.g., T10 or rostral), and studies report PVS as the recommended first‑line conservative method for semen retrieval in these patients ^{[3] [6] [7]}. For other diagnoses—premature ejaculation, retarded orgasm—emerging and case‑series evidence suggests nerve or transcutaneous stimulation can affect ejaculatory control, but results vary and are less definitive than in the SCI/fertility literature ^{[9] [10]}.

5. Practical steps to obtain medically indicated stimulation and limits of the evidence

The clinical path is to present the problem to a urologist, sexual medicine or fertility clinic and request evaluation for ejaculatory dysfunction or fertility assessment; if PVS or electroejaculation is clinically indicated the specialist can schedule the procedure, describe the device and protocol, explain collection and follow‑up, and obtain informed consent ^{[1] [3]}. The sources do not provide a scripted patient approach for persuading a clinician or detail on medico‑legal boundaries when a request is purely sexual rather than medical; therefore it is not possible from these documents to advise on how to obtain stimulation for non‑medical reasons or to predict a given physician’s willingness outside established clinical indications (limitation: no source).

6. Alternatives, ethics and provider roles

When PVS is inappropriate or unsuccessful, electroejaculation or surgical sperm retrieval are established alternatives that specialists may recommend ^{[1] [5]}; many programs also train partners to perform stimulation in non‑clinical settings when clinically acceptable, preserving dignity and privacy ^{[3] [11]}. The reviewed literature frames these interventions as medical treatments for dysfunction or fertility, not as a service provided for non‑medical sexual gratification, and lacks guidance on physician behavior outside therapeutic contexts ^{[5] [11]}.