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[ { "from": "system", "value": "Why is the foreskin becoming sore and irritated after the intercourse?" }, { "from": "human", "value": "I am 25 and recently after intercourse with my long term girl friend, my forskin becomes sore and irritated for up to 1-3 days, especially when my forskin is pulled back. It returns to normal after a few days but happens again after intercourse. Any idea what s happening?" }, { "from": "gpt", "value": "Hello Thanks for writing to usYou may be suffering from a surgical condition called as phimosis.You need proper clinical examination by a surgeon.You may need surgical removal of skin over glans penis (called as circumcision).Circumcision is necessary because forceful retraction of skin may lead to a condition called as paraphimosis. Paraphimosis is an emergency because it compromises blood supply of glans penis.You should consult your surgeon.Get well soon. Take Care Dr.Indu Bhushan" } ]

[ { "from": "system", "value": "Can I father a child if I masturbate regularly?" }, { "from": "human", "value": "I am masturbating from 3 years thrice a week and my penis size is 2 inch normal and 6 inches when erect and my age is 16 years. so my question is could i able to become father in future? Will masturbation in future could affect my relationship life." }, { "from": "gpt", "value": "HelloThanks for writing to HCMYou have absolutely normal findings.There shouldn't be any problem in becoming a father.Masturbation is normally practiced by many persons but its obsession is bad.You should concentrate in your activities.You should avoid provocative literature and videos and try to keep busy yourself in your job.You can also try yoga and meditation,this will help a lot.Hope i have answered your query.Take CareDr.Indu Bhushan" } ]

[ { "from": "system", "value": "Is it bad to masturbate once in two days ?" }, { "from": "human", "value": "HI... MY DOUBT IS AT MY AGE THAT IS 23....IS IT TOO BAD OR TOO MUCH TO MASTERBATE ONCE IN 2 DAYS??? WILL IT AFFECT ME...?? I WAS GOING THROUGH A TIME OF ONCE IN A DAY AND TWICE IN A DAY.....NOW TRYING TO CONTROL IT TO AN EXTEND, BUT NEED MORE GUIDANCE" }, { "from": "gpt", "value": "HelloThanks for writing to HCMMasturbation is normally practiced by many persons but its obsession is bad.Masturbation doesn't affect health of a person.You should concentrate in your activities.You should avoid provocative literature and videos and try to keep busy yourself in your job.You can also try yoga and meditation,this will help a lot.If you are still not able to control your self then you may need psychologist help.Hope i have answered your query.Take CareDr.Indu Bhushan" } ]

[ { "from": "system", "value": "Can azoospermia be treated?" }, { "from": "human", "value": "I tested My semen in Dec 2009 and found 5 Million Counts only (Too Low) and due to various reasons i couldn't under go treatment. But now i consulted the Sidha Doctor for this, Again he asked to take Fertility Profile and Semen Analysis. And Lab Results were showing Azoospermia. My friend also had this type of problem when he tested his semen in laboratory, Subsequently the Lab in charges asked him to give another sample (interval of 4 days) and tested and found 15 Million Counts. He advised me to have a one more test in this regard.His statement is correct or not, Please Clarify.Also requesting you is there treatment for Azoospermia. If so please let me know.Thanks/Regards" }, { "from": "gpt", "value": "Hi, The sperm count can be falsely low if semen analysis is done within 3-5 days of ejaculation. So repeat after three to five days of sexual abstinence if applicable to you. If again your sperm count low than serum prolactin, testosterone estimation and Ultrasound testis done for primary workup. The treatment for azzospermia available and done according to the underlying cause. Meanwhile hey forte like medicine can be prescribed for you. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Parth Goswami, General & Family Physician" } ]

[ { "from": "system", "value": "What causes tingling feeling under the head of the penis?" }, { "from": "human", "value": "For the past week I've had a constant tingling feeling under the head of my penis. The area has been very sensitive lately. The feeling is most noticeable when the area is touched, or when I urinate or ejaculate.It's not painful but I'm concerned it could be something much worse." }, { "from": "gpt", "value": "Hello. Above symptoms could be seen in case of excessive sexually active in the last period of time may cause tenderness and discomfort, if it is so give a break and see if the symptoms subside, pain in urination you have said in your question can cause due to less intake of fluids, please keep your hydration properly.this should help to resolve your problems. If symptoms persists you should see a doctor for local examination. Hope it helps you. Thank you." } ]

[ { "from": "system", "value": "What is the treatment for premature ejaculation?" }, { "from": "human", "value": "I have premature ejaculation problem. I release in less than a minute, in just 3-4 strokes... i cannot stay longer. Me & my girl friends had tried to do in many ways in relaxed conditions but still i am not able to do it. we have tried it again and again but still failed..... .please suggest me medicine OR healthy food to get rid of this problem.I am going to marry after a week please help me." }, { "from": "gpt", "value": "Hello ! Many things are there for this cause. little elobrated history could be better, how ever i will try to make it simple. One of the reason is mind related ( its depends upon your thinking and so) but as you said you tried in different conditions it could partially ruled-out.Other thing is due to the blood supply reduction to the organ, which could only find-out by the doppler evaluation.Another thing is Diabetic can cause this in the complications.So i would recommend to consult urologist for better evaluation. Hope it helps you. Thank you." } ]

[ { "from": "system", "value": "What causes itchiness between anus and testicles?" }, { "from": "human", "value": "I have sore itchy feeling between my Anus and Testicals, Its also sore in the folds of my legs near my Testicals. The area feels hot and i have a foul smell in the folds of my legs near my Testicals. Im 33 years old, Medium build with no medical History" }, { "from": "gpt", "value": "Hello dear,The symptoms as mentioned in your post suggest that you might be having fungal (Tinea) infection in the groin region. Management includes: 1. Keeping the area dry & avoid too much exposure to water or sweat formation. 2. Antihistamine preparations like cetirizine to reduce the itching sensation & provide symptomatic relief. 3. Application of topical antifungal cream like Clotrimazole to tackle the causative organism. If symptoms still persist or aggravate further, then it will be better to consult a Dermatologist & get a proper examination done to find out the actual cause. So that appropriate management steps could be taken. Also avoid wearing tight undergarments & trousers, as it will cause sweating & predispose to fungal infections. Wishing you a Good Health. Take care." } ]

[ { "from": "system", "value": "How to control masturbation?" }, { "from": "human", "value": "i am totally fine and my height is 5feet 3inchs and my problem is masturbation i am 13 years old and masturbate daily cant control it and the doctors says that you do it aging and again your height will not grow is there any way to control your mind stop masturbating? male" }, { "from": "gpt", "value": "Hello dear,First of all, I wish to tell you that Masturbation is common among young males in their teenage and it does not have any bad effects on health.Since you are feeling that masturbation is interfering with your normal functioning, you can try out the following measures:1. Improve your social life by spending more time with friends and relatives.2. Keep your mind active and busy at all times either through curricular or extra-curricular activities.3. Have a diet rich in fruits, vegetables, fish, nuts & honey.4. Avoid fast foods & lipid containing diet.5. Avoid smoking & alcohol.6. Keep away stress, think positive.7. Exercise regularly & practice meditationThese measures will be helpful in improving concentration & builds up the confidence level.Take care." } ]

[ { "from": "system", "value": "Could abdominal pain and weakness after arousal be related?" }, { "from": "human", "value": "hello sir...........i have sex prblm when i sit near a female whether she is girl or women i realise some water frm my pines ...also when i talk with girl on phone i faces same situation .....sometimes i feel abdomen pain because of this ....sir i feel very weak give me some useful suggestions what can i do??????" }, { "from": "gpt", "value": "Hello Thanks for writing to HCMYour problem is due to excessive sexual thoughts and over excitement.You should try to be normal while talking to women or sit near them.You should avoid provocative literature and videos and try to keep busy yourself in your job.Try to talk more to females,this will alleviate your anxiety towards opposite sex.Weakness of body is not related to sexual status.You should do exercise and take nutritious food.You will be alright.Hope i have answered your query.Take CareDr.Indu Bhushan" } ]

[ { "from": "system", "value": "How to improve semen count and motility ?" }, { "from": "human", "value": "hai. today I got semen analysis test done. report showing that actively motality 22%, sluggishly motality 20%, non motality 58%, pus cells 5-8, and total count is 80millians. is the report is normal or bad, if bad how to improve my semen? what is percentage of getting my partner pregnant?" }, { "from": "gpt", "value": "Hello Thanks for writing to usYour semen analysis report suggests infection with decreased sperm motility.Infection is indicated by the presence of pus cells in semen. Normally there shouldn't be any pus cells in semen.Infection may be due to prostatitis,UTI etc.You need antibiotics for infection.You need few more investigations like routine hemogram,RBS,Ultrasound of pelvis should be done.Trans rectal sonography of prostate can be done if needed.Proper antibiotics should be prescribed depending upon sensitivity report.You also have low sperm motility.Sperm motility should be at least 55 %.Fertility will definitely improve with control of infection.You should do exercise and take nutritious food.You should avoid tight underpants.Avoid cigarettes and alcohol if you take these things.If low sperm motility persists then you may need assisted fertilization techniques like IUI.Other factors like sperm count is normal.Get well soon. Take Care Dr.Indu Bhushan" } ]

[ { "from": "system", "value": "How to avoid the habit of masturbation?" }, { "from": "human", "value": "i am 28 year old, i didn't do sex with anyone girl, but i have a problem that's masterbating which i did from the age of 13, i want's to ask how can i prevent this habit. in coming feb i will get married and i scarred that doe's this habit affect my life or not." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have been indulged in masturbation since many years and now worried about sexual potency in future. First of all there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body.All the problems that you are facing now are mind related and due to anxiety.Following measure will help you to boost up your confidence and getting good erection.and enjoyable sexual life.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..Though it is harmless, excessive and frequent habitual masturbation does affect quality of erection and delays ejaculation.Please try to reduce the frequency of masturbation by keeping yourself busy in activities like sports,reading ,social work etc so that you will not get free time to masturbate. Dr.Patil." } ]

[ { "from": "system", "value": "Suggest remedy for erection problmes" }, { "from": "human", "value": "Hii doc.I'm 30 yrs old..I used to have healthy sex life with my partner,, maybe 2-3 times I ejaculate within 2 hours.. Now I have a problem..I gets erected but during intercourse I lose the erection.. This happened few times..i started to get worried about that every time before intercourse...I really don't know what to do.Please help me" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have problem of secondary erectile dysfunction ,In absence of any major health issue cause of ED is due to performance anxiety.Following measure will help you to boost up your confidence and getting good erection.and delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..Taking Sildenafil Sidenafil (Viagra)as on demand will help to get good hard sustainable erection and to have enjoyable sex,Dr.Patil." } ]

[ { "from": "system", "value": "Suggest treatment to improve sexual drive" }, { "from": "human", "value": "I am 30 years old unmarried average health boy from india, I masterbate 2-3 times in a week but now from sometime I feel I am sexually weak as I think penis length is not upto the mark or what i had earlier. please suggest me to improve my sex life in future. thanks in advance.." }, { "from": "gpt", "value": "Hello dear,First of all remove all myths & misconceptions from your mind about masturbation.In fact, Masturbation is completely normal & doesn't have any bad effect to the body and mind.The size of penis is genetically determined and it does not increase after a certain limit.But one thing should be known that the size of penis does not determine the potency of an individual.You need to make certain modifications in your diet & lifestyle:1. Have a diet rich in fruits, vegetables, fish, nuts & honey.2. Avoid fast foods & lipid containing diet.3. Avoid smoking & alcohol.4. Keep away stress, think positive.5. Exercise regularly & practice meditationThese measures will be helpful in building your confidence & enjoy life after marriage.Take care." } ]

[ { "from": "system", "value": "Suggest effects of excessive masturbation" }, { "from": "human", "value": "Thanks alot to get this forum. Am a man of 27 years,254cm height & 65kg weight. I have been masturting for the last 11 years but with break of some month, but once i began, i do it twice a day. I feel desparate, isolated and humiliated. Now, 1,is it normal? 2,how can i do away with it? 3, can it affect my erection strength during intercourse with my spouse after the first ejaculation? I would like to stop it and get married? 4, is a sin?" }, { "from": "gpt", "value": "Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.First of all, shed off all myths and misconceptions from your mind about masturbation. In fact, masturbation is completely normal and doesn't have any bad effect on the body and mind unless you get addicted to it.Since you are feeling that your masturbation is interfering with your normal functioning, you can try out the following measures:1. Improve your social life by spending more time with friends and relatives.2. Keep your mind active and busy at all times either through curricular or extra-curricular activities.3. Have a diet rich in fruits, vegetables, fish, nuts and honey.4. Avoid fast foods and lipid containing diet.5. Avoid smoking and alcohol.6. Keep away stress, think positive.7. Exercise regularly and practice meditationThese measures will be helpful in improving concentration and building up the confidence level.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Polash Sannigrahi" } ]

[ { "from": "system", "value": "Does the sperm count and motility increase after the varicocele surgery?" }, { "from": "human", "value": "hi, i have left varicocele and epidymal cyst on the right side and i did a semen analysis. I have 42 million sperm count and 15% motility. I am still not married. Doctor adviced me to do a surgery to correct varicocele. If i do the surgery, will my sperm count and motility get increased?" }, { "from": "gpt", "value": "Hi, Yes, 80 percent if the time there will be improvement in semen parameters after varicocele surgery. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Manuel C. See IV, Urologist" } ]

[ { "from": "system", "value": "What causes coldness with sudden drop in body temperature?" }, { "from": "human", "value": "hello doctor i would like to ask this for my husband, some times he suddenly feels very cold and starts shivering that time his body temperature also very low, if we give him any hot liquid then he will be recover so could you please tell me the reason and advise us a treatment for this symptoms" }, { "from": "gpt", "value": "Hi, The excess cold feeling could be due to a low metabolic rate secondary to hypothyroidism. I suggests you investigate by CBC and serum TSH estimation for primary workup. If TSH high than treatment for hypothyroidism needs to be done. Kindly revert back with reports once done. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Parth Goswami, General & Family Physician" } ]

[ { "from": "system", "value": "Suggest remedy to cure erectile dysfunction" }, { "from": "human", "value": "Hi doctor i am facing problem of erectile dysfunction...................when i am with my wife my penis fail to erect but i have mastrubated many time thinking about naked man and watching their videos. How to get attracted to my wife and have normal sexual life." }, { "from": "gpt", "value": "Hello dear,Regarding the problem of Erectile dysfunction, it is due to decreased blood supply to the penis.Though medications like Cialis & Viagra increase blood flow to penis & maintains erection, it can be improved by having a diet rich in fruits, vegetables, fish, nuts & honey.Connections between erectile dysfunction & excess use of porn has been reported in many studies.For those affected, recovery takes place by 6-12 weeks & mainly involves avoiding the causative factor, that is watching porn.Avoid stress...practice meditation.Avoid smoking & alcohol.Despite these measures, if you experience difficulty, it will be better to rule out other causes like high blood pressure, blood sugar and other local causes that impair blood flow to the genital organ.Wishing you a Healthy Life.Take care." } ]

[ { "from": "system", "value": "Suggest treatment for erection problems" }, { "from": "human", "value": "HI, i am 33 year old male, we are planning for a baby, but when i try doing intercourse with my wife my pennins doesn't errect properly and hence unable to insert into the vegina. please guide us the suitable solution for us sothat it doesnt get further delay as i am already at the age of 33." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have problem of secondary Erectile Dysfunction As regards your ED ,In absence of any major health issue cause of Ed and premature ejaculation are due to performance anxiety.Following measure will help you to boost up your confidence and getting good erection.and delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..Taking Sildenafil Sidenafil (Viagra)as on demand will help to get good hard sustainable erection and to have enjoyable sex.Dr.Patil.." } ]

[ { "from": "system", "value": "Does superficial cut on penis lead to infection?" }, { "from": "human", "value": "Hello, I was trimming my pubic hair with scissors when I accidentally cut the skin at the lower end of the penis/start of the testicles - it s mainly superficial but am worried in case it gets infected. I washed it with warm water and put a plaster on it - is this ok/ will it heal properly? Many thanks Tom" }, { "from": "gpt", "value": "Hi,No issues,don't worry about it,normally many a times many have have sufercial cuts while shaving or trimming,Just keep the are clean and apply some antiseptic like savlon or dettol,Wash your genitals after every time you urinate,I think plaster is not needed for superficial cut instead keep it dryand clean,it will heal soon,Hope this information helps." } ]

[ { "from": "system", "value": "Suggest treatment for watery semen and to improve health" }, { "from": "human", "value": "My semen are like water and m very thin boy. i want to make good health and thick semen Sir, I am dev sharma 30 years old boy from Delhi. I have a very critical problem. My semen are like water it is not white it is transparent like water and always come out even i think about sex and it is embarrassing situation some time when i am among people and if i erect my semen will come out like water and it is shameful. plz help me it is a major problem m facing and due to this my health is also affecting am very thin weight 50kg and height 5feet 6inch plz guid me..... i want good health and solve this watery semen problem. plz plz. help" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have mucus discharge from .Please note that it not a semen but mucus secreted by glands located in urethra.This is due to stimulation of mucus glands in urethra which get stimulated by sexual thoughts producing more precum..There is nothing to be worried about it.,It will get resolved off its own without any treatment.Following measure will help you to boost up your confidence and help to improve your general health.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..Dr.Patil." } ]

[ { "from": "system", "value": "How to treat the condition of bilateral chryptorchism?" }, { "from": "human", "value": "hello,doctor,this is sudeshna...my husband is born with bilateral chryptorchism....tried to do surgery at 10 yrs of age but it was of no use....next he underwent surgery at dominican republic,at his 27 yrs of age ,but both testis dint descend...we have normal sexual life both reach orgasm also....but intercourse is not very frequent...because his hormones are very low...now his age is 36,ht is 5\"10 wt is 84kgs....so please let me know what are the treatment options for us ....am anxious to conceive.." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that your husband has bilateral Chryptorchism..which has failed to descend down even after surgery twice. You have not mentioned the present location of testicles whether they are in inguinal canal or higher up in scrotum.Please get his ultrasound scanning of abdomen done to locate the testicles ..Please note that testicles in abnormal position are prone to under go malignant changes (Cancer) 50 % more than normal positioned testis.Please consult qualified general surgeon for evaluation and further treatment.Dr.Patil." } ]

[ { "from": "system", "value": "Can excessive masturbation cause prickly texture on rim of penis?" }, { "from": "human", "value": "Hi, my name is Nick. I have an uncircumcised penis. I like to masturbate a lot :) But by doing so I believe that I have developed so sort of literally prickly texture on the rim of the head of my penis. How can I help aid the prickles on my penis? :?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have been indulged in frequent masturbation and have developed prickly texture at the coronal sulcus of your glans penis .This is mostly due to dry ,rough ,vigorous shaking of your penis while masturbating.Use lubricant like Xylocaine jelly while masturbating.Dr.Patil." } ]

[ { "from": "system", "value": "How to stop the habit of masturbating?" }, { "from": "human", "value": "hi im a 25 years young man,, when i was class eight from that time to until now i has habit masterbeting .. in a week like 3/4 time . but i want to stp this habit ,, so how can i stop it kindly help me,, ( im still unmarridge) my hight is 5'7\" and weight is 77 kg." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have been indulged in masturbation since many years and now facing problems related to sexual activities.First of all there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body.All the problems that you are facing now are mind related and due to anxiety.Though it is harmless, excessive and frequent habitual masturbation does affect quality of erection and delays ejaculation.Please try to reduce the frequency of masturbation by keeping yourself busy in activities like sports,reading ,social work etc so that you will not get free time to masturbate. Dr.Patil." } ]

[ { "from": "system", "value": "What causes odourless discharge from penis?" }, { "from": "human", "value": "Hi, i seem to have a clear odourless discharge from the tip of my penis. There s no smell, it s not sticky, and there isn t much of it, in fact I d say it s like urine. No pain, no other symptoms and it just happens randomly at times. I have had no sexual partners so it can t be an std. Could it be anything or am I just being paranoid?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have mucus discharge from tip of urethra This is due to stimulation of mucus glands in urethra which get stimulated by sexual thoughts producing more precum..There is nothing to be worried about it.,It will get resolved off its own without any treatment.Dr.Patil." } ]

[ { "from": "system", "value": "Is the semen analysis report normal enough to become father?" }, { "from": "human", "value": "I did a Simen Test and report was Vloume 302 Ml Iam 31 Years , Hight 175 CM , wEIGHT 130 kg perm Count 4.2 Milion/Ml Viscocity High Active 0% Sluggish 10% Dead 90% I have 2 Kids now and not able to make the 3rd one Can you advise me" }, { "from": "gpt", "value": "HIThank for asking to HCMI really appreciate your concern and looking to the report of semen given here I would say that this is incomplete report some parameters are missing like you have not mentioned the total count of sperm mistake in volume it may not be 302 MI this is not the valid figure, hope you could understand this, have a nice day." } ]

[ { "from": "system", "value": "Suggest remedy for itchy penis with puss discharge" }, { "from": "human", "value": "Hey, my penis is itchy, on the inside only, and I have a little bit of puss or something that will come out of the tip just a little... It is uncomfortably to pee every once in awhile but not usually and never a lot of pain or anything. it has been like this for about 5 days and sometimes is fine, i dont pee more then normal and dont notice any other symptoms" }, { "from": "gpt", "value": "HIThank for asking to HCMI really appreciate your concern and looking to the history given here I could say that the chances of infection is very likely, if I would be your doctor then I would treat this case with the following medicines, Tab Ofloxacine 600 mg twice in day for two days and Tab Levocetrizine 10 mg three times in day take care and have a nice day." } ]

[ { "from": "system", "value": "How can groin ringworm causing scrotum cracking and splitting be treated?" }, { "from": "human", "value": "I have recently returned from a business trip and stayed in a hotel. I have been known to have jock itch in the past but this time my scrotum is simply cracking or splitting in the skin folds. I recall one instance where the skin split in the past and an anti-fungal powder seemed to work. Any suggestions or comments?" }, { "from": "gpt", "value": "Hello, It can be fungal infection of superficial skin over scrotum. The antifungal cream or powder can be applied over that. If you post a photo of lesion than further comment will be easy. Wear loose cotton cloths and avoid tight clothing. If no improvement then consults nearby dermatologists for detailed evaluation. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Parth Goswami, General & Family Physician" } ]

[ { "from": "system", "value": "How to overcome the problem of drops of urine even after finishing?" }, { "from": "human", "value": "hii am 30 years old, height 6 ft, weight 80 kg. sometimes when i finish passing urine, i get few drops of urine. As i am muslim and we need to be neat and clean all the time. i dont want that a single drop of urine will come out after i finish passing urine." }, { "from": "gpt", "value": "HIThank for asking to HCMI really appreciate your concern looking to the history given here I would like to say you that if you are a male person then the chances of prostrate enlargement is likely and for that you need to confirm this, as such you have not mentioned your gender here, so if your are female person then urinary tract infection and other gynecological problem need to be differentiate, hope this information helps you, take care and have a nice day." } ]

[ { "from": "system", "value": "Can ejaculation time be increased?" }, { "from": "human", "value": "Hello doctor.am 21 years old and am doing masturbation .My penis is only 3\" long in normal condition and when in mood my penis is nearly 5\" longer.My masturbation time is max 10 mins.only.How to get longer time doctor..? weight-55 kg. Height-157cm. I was affected bu phnemonia when i was studying 8th standard." }, { "from": "gpt", "value": "Hello Thanks for writing to HCMYour problem is entirely psychological.Your ejaculation time is absolutely normal.You should avoid excessive masturbation and try to concentrate in your activities.You should avoid provocative literature and videos and try to keep busy yourself in your job.You should do exercise and take nutritious food.You are alright.Your problem is not related to history of pneumonia.Hope i have answered your query.Take CareDr.Indu Bhushan" } ]

[ { "from": "system", "value": "What does my semen analysis report indicate?" }, { "from": "human", "value": "Hi Doctor, I have my Semen Analysis Report with following results: Volume: 4 ml Colour: Opaque Grey Reaction: Alkaline PH: 8.0 Viscocity Liquefaction time: 45 min Fructose Test: Positive Total Sperm Count: 84 m/ml Active Motile: 50% Sluggish Motile: 20% Non Motile: 30% Pus Cells: 1-2% Macrophages: 0-2% RBC: Nil Yeast/Bacteria: Nil Abnormal forms: 5% Immature forms: 3% Agglutination: Nil Clumping: Present Kindly advice if anything to be noted or if you have any suggestions to improve upon. Thanks n regards, PP" }, { "from": "gpt", "value": "Hello Thanks for writing to usYour semen analysis report suggests infection.Infection is indicated by the presence of pus cells in semen. Normally there shouldn't be any pus cells in semen.Infection may be due to prostatitis,UTI etc.You need antibiotics for infection.You need few more investigations like routine hemogram,Semen culture and sensitivity,RBS,Ultrasound of pelvis should be done.Trans rectal sonography of prostate can be done if needed.Proper antibiotics should be prescribed after culture and sensitivity report.Rest of the factors like sperm count,motility and morphology are normal.Get well soon. Take Care Dr.Indu Bhushan" } ]

[ { "from": "system", "value": "Is uncontrolled sperm ejaculation normal?" }, { "from": "human", "value": "hi i m male 28 yrs of age and m un married , and going to be married in few months , i have a problem i dont know whether it is problem or not when ever i tok about sex some liquid type thing extricate out of my penis please guide me is it something serious or what? i did have any affair earlier" }, { "from": "gpt", "value": "Hello Thanks for writing to HCMYour problem is purely psychological.You should avoid excessive sexual thoughts and over excitement.Try to concentrate in your activities.You should avoid provocative literature and videos and try to keep busy yourself in your job.You should do exercise and take nutritious food.You are alright.Hope i have answered your query.Take CareDr.Indu Bhushan" } ]

[ { "from": "system", "value": "Suggest remedy for tight foreskin" }, { "from": "human", "value": "Hi Doctor, Im currently 26 years of age. I got adicted to mastrubation. Every day i do once some days twice. Please suggest me a way to come out of this problem. Will this create any problem to my future. im still im not married. My foreskin is very tight, will it create any problem after my marriage. If so please suggest solutions. Iam very upset bcos of this 2 reasons, even afraid to get married. Please reply with ur suggestion" }, { "from": "gpt", "value": "Hello Thanks for writing to usYou are suffering from a surgical condition called as phimosis.You need surgical removal of skin over glans penis (called as circumcision).Phimosis is necessary because forceful retraction of skin may lead to a condition called as paraphimosis. Paraphimosis is an emergency because it compromises blood supply of glans penis.You should try to get rid of excessive masturbation.You should avoid provocative literature and videos and try to keep busy yourself in your job.Masturbation will not lead to any problem in future.You should go for marriage.Get well soon. Take Care Dr.Indu Bhushan" } ]

[ { "from": "system", "value": "What causes erectile dysfuntion?" }, { "from": "human", "value": "Hello doctor i am nishanth, i Am 26year old my probleme is Past 6 obwards I Have Habit Of masturbate, Yesterday i got chance to make a fuck but i con t fuck her because my Penis Not Much harder(but 3week before i donet my blood) I don t have smoking & alcohol habits,what s my problem please help me" }, { "from": "gpt", "value": "hi i think you are suffering from erectile dysfunction.the most common cause for it is anxiety .then lesser causes like diabetes,alcoholism and smoking can be attributed.see for the nervous dysfunction.treat the condition of thrilpil tablet one hour before act and use of neurokind plus daily once can cure the condition" } ]

[ { "from": "system", "value": "Does ejaculating make you physically weaker?" }, { "from": "human", "value": "Hi, Age - 29, Height, 5\"11, Weight - 62.. No medical history Do you get weak if you mastrubitate? and if yes, what is it that you need to intake / eat, if you get weak...(pls guide preferably veg food)? any specific comments with the details mentioned above on height and weight" }, { "from": "gpt", "value": "Hi, Sperm are regularly produced in our body along with fluids secreted from glands like prostate seminal vesicle etc it becomes semen . So if it is produced regularly it should be discharged regularly from body by sexual intercourse and manually through masturbation otherwise it comes out during nightfall . Now masturbation does not causes weakness or defect in sexual organ ( energy lost is almost similar to doing other activity in muscle contraction n relaxation) . It give pleasure durin act of masturbation and later calmness which is thought as weakness . Your height and weight are normal.So in my opinion you don't require to supplement any diet if you are taking balanced diet .Hope this will help.For any queries feel free to ask.THANKS N REGARDS" } ]

[ { "from": "system", "value": "What are the causes for white spots and rashes on my penis?" }, { "from": "human", "value": "I have small white spots on the outer gland of my penis and sorta like a rash on half of the head of my penis . I have bin sextually active but I don t think it has anything to do with my problom, I m kinda freaked out. I hope you can give me an answer that can fix or help me out on this problom of mine." }, { "from": "gpt", "value": "HIThank for asking to HCMI really appreciate your concern looking to the history given here I could say that the spot that you have noticed on your penis may be nonspecific and this is nothing to do with the active sex life, no need to worry about this and just take it easy, hope this information helps you, have a nice day." } ]

[ { "from": "system", "value": "Is there any medicine to increase my sex drive?" }, { "from": "human", "value": "Sir my name is Muhammad Hasnain and Five years complete of my marriage but I have no child .my sex drive is also very week my semen is so thin . my age is 25year and my wife age is 38year .sir plz tell me what can I do? plz advise me a good medicine." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have problem of sexual potency and reduced libido.Following general measure will help you to boost up your confidence and getting good erection.and delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..Taking Sildenafil Sildenafil (Viagra)as on demand will help to get good hard sustainable erection and to have enjoyable sex.Get the prescription of medicines from your family Physician.Dr.Patil.Dr.Patil.." } ]

[ { "from": "system", "value": "What is the solution for chronic nightfall?" }, { "from": "human", "value": "i m suffering from chronic nightfall..in starting it was normal but know it coming three days in a week.... i dont do masturbation still it comes i am fed up stomach constipation stress all happening want to get permanent solution please suggest some remedies for thios" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have problem of night emission.Night emission is common at the age of adolescence and there is nothing abnormal.Following general measure will help you to boost up your confidence and getting good sleep and improve your health and there by reduce night emission.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..There are no medication that can reduce the night emission.It normally gets cured itself without any treatment.Dr.Patil" } ]

[ { "from": "system", "value": "What causes bleeding when retracting foreskin?" }, { "from": "human", "value": "Hi i was having a bath i retract ma foreskin and then i realise my penis began to bleed when i try to was away the blood it hurts, it bleed for about half an hour, then the bleedin kinda subcided.when i got to my room and put ma clothes on everthing was ok.then i went back to check if it had stop but then i realised that there was blood on ma shorts.But after this it stop completely. But from then whenever am having a shower i have to take ma little time to retract the foreskin because it hurts. please help me i need ur help." }, { "from": "gpt", "value": "Hi, You can have phimosis in which there is difficulty in retracting the foreskin over glans. The inflammation of the glans penis called balanitis is the cause of it. You can apply a topical steroid cream to help in phimosis. If no improvement than daycare surgery that is circumcision should be planned. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Parth Goswami, General & Family Physician" } ]

[ { "from": "system", "value": "How to test the risks involved after intercourse?" }, { "from": "human", "value": "Hello, I am male and I just had anonymous sex with a male stranger. I was the penetrative partner and I wore a condom. Afterwards I noticed there were some drops of blood on the condom. I don't think the condom was torn but I can't be sure. What is my risk?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you hadprotected anal sex with male partner and worried about acquiring STD.Though it was a protected sex the possibility of acquiring STD or HIV can not be ruled out .Please get your blood tests for STD and screening test HIV done and repeat the tests after 3 months to be rest assured about acquiring STD or HIV.Dr.Patil." } ]

[ { "from": "system", "value": "What could cause bruise on shaft of penis after having intercourse?" }, { "from": "human", "value": "i have this bruise that reoccurs eveytime i have intercourse with a female. it is on the shaft of my penis. it feels different where the bruise is compared to other parts of my shaft. the skin where the bruise occurs feels like something is under my skin." }, { "from": "gpt", "value": "HelloThanks for writing to HCMYour problem may be related to less lubrication during intercourse.You should take time before penetration.You should try to be calm and before penetration spend sufficient time in foreplay.This is very important in intercourse.Increased foreplay lead to more lubrication in female genital tract.You should also use lubricant over genitalia before penetration.If problem persists then you can consult dermatologist for proper evaluation.Hope i have answered your query.Take CareDr.Indu Bhushan" } ]

[ { "from": "system", "value": "What is the cure for erection problem after doing frequent masturbation?" }, { "from": "human", "value": "Hi, I am 26yr/165cm/72Kg , i am doing too much masturbation from 16yrs, still i am doing. when i was 18 yrs old my penie size 4 inch(faciad state) 6 inch (Erection state), but now i have 1.5in - facid state, 2.5 inch erection state, it is very soft erection. please guide me how to cure this?" }, { "from": "gpt", "value": "Hello. Thanks for posting your query. Too much masturbation can't cause any detrimental effects to your penis and doesn't really lead to a decrease in the size of the penis. However it can make you extremely fatigued and lead to a premature ejaculation. If you're healthy, without any chronic medical disorder, for example, diabetes, you don't have to be worried about the size. Its better you avoid any sexual activity or masturbation for couple of weeks and then look for improvement. If it is still not getting resolved, you need to get a health check up to find out if anything is wrong with you.Hope that answers your query.Regards" } ]

[ { "from": "system", "value": "Why do I have burning sensation when I pee and discharge?" }, { "from": "human", "value": "So I have a burning sensation when i pee, discharge and when i flex my penis sometimes it hurts all this start to happen 2 days ago. The girl has only been with one guy and i have been with many females the last one before this girl was a female i had sex like 3 weeks ago." }, { "from": "gpt", "value": "Hello Thanks for writing to HCMYou may be suffering from urinary tract infection(UTI).You need proper clinical examination and investigations.You need few more investigations like routine hemogram,Renal function test,Urine culture and sensitivity and Ultrasound of abdomen. Further investigations can be done if needed..At present you need proper antibiotics after culture and sensitivity report.You also need clinical correlation.You should drink plenty of water.Hope i have answered your query.Get well soon.Take CareDr.Indu BhushanHope i have answered your query.Take CareDr.Indu Bhushan" } ]

[ { "from": "system", "value": "How to cure premature ejaculation?" }, { "from": "human", "value": "sir i am suffering from premature ejaculation,ejaculation takes place in very short time in jst 2-3 seconds,some time ejaculation takes place during foreplay,age 28 some weakness in body also feel,i will get soon married in 3 months pls suggest me the permanent cure from this problem" }, { "from": "gpt", "value": "Hello Thanks for writing to HCMYour problem is due to excessive sexual thoughts and over excitement.You should avoid excessive masturbation and try to concentrate in your activities.You should avoid provocative literature and videos and try to keep busy yourself in your job.Weakness of body is not related to masturbation.You should do exercise and take nutritious food.You will be alright.Hope i have answered your query.Take CareDr.Indu Bhushan" } ]

[ { "from": "system", "value": "Will masturbation cause problems in sexual life?" }, { "from": "human", "value": "Dear Dr. I Have a habit of masturbation.... Due to that my penis is small..... Whether it will creat problem in my marriage life. If Masturbation is good means. How many time per day or week we have masturbate. I have this habit for the past 5 years. Pleease advice me.My Age is 24" }, { "from": "gpt", "value": "Masturbation cannot be a reason for small penis. Both are unrelated. Also number of times it should be done a day or week is totally dependent on you. You can continue doing it as long as it doesn't affect your routine life or cause any problems." } ]

[ { "from": "system", "value": "What does the sperm count on semenogram indicate?" }, { "from": "human", "value": "hiii Doc..I am Ali from India.. I get married 10 months ago..but could not impregnent my wife.. I tried Semenogram test. Results are as follows:Colour: Whitish, Volume: 1.3ml, Reaction: Alkaline, Viscosity: ThinTotal count:18mil/cum, Active:35%, Dead:60%, Slagish:05%Pus Cells:7-10/hpf, RBCs:5-7/hpf, Morphology:normalWhat does the resuls declare? can i become Father? My doctor prescribed me Fertyl-M for 3 months. Is it enough?Please advise." }, { "from": "gpt", "value": "HelloThanks for your query,based on the report of semen analysis that you have posted it appears that your semen report revealed low sperm count (Oligospermia) as per WHO standards and presence of 7-10 pus cells which suggest infection either Seminal Vesicle or Prostate.You need to take broad spectrum antibiotics like Doxicycline for 6-8 weeks along with medicines prescribed by your family physician.Repeat semen analysis after two months.Dr.Patil." } ]

[ { "from": "system", "value": "How to overcome premature ejaculation by excess masturbation?" }, { "from": "human", "value": "Hi I have problem of premature ejaculation by excess masturbation, due to excess masturbation I also suffer knee weakness and premature grey hair I m 28 years old and live in Germany. Kindly recommend me cure which is easily available here, I prefer natural cure. Thanks a lot" }, { "from": "gpt", "value": "Hello Thanks for writing to HCMYour problem is due to excessive sexual thoughts and over excitement.You should avoid excessive masturbation and try to concentrate in your activities.You should avoid provocative literature and videos and try to keep busy yourself in your job.Knee weakness and premature graying of hairs are not related to masturbation.You are wrongly informed.You can consult your orthopedician for kneed problem.You should do exercise and take nutritious food.You will be alright.Hope i have answered your query.Take CareDr.Indu Bhushan" } ]

[ { "from": "system", "value": "What causes premature ejaculation and erection for only short periods?" }, { "from": "human", "value": "mai apani bibi ke sath sax karta hu to hast methun ke karan mera sax kartesamey jaldi ho jata h aur mai aapni wife ka sax ka maja bi nai de pata huiskan mera ling bi jada samay tak tait nai rahta h aur mai aapni bibi ke sathsax bhi nai kar pata hu" }, { "from": "gpt", "value": "HelloThanks for writing to HCMYour problem may be due to stress or over excitement.You should take time before attempting repeated penetration.You should try to be calm and before penetration spend sufficient time in foreplay.This is very important in intercourse.You should avoid cigarettes completely.You shouldn't take alcohol.If problem persists then you can consult your doctor for proper evaluation.Hope i have answered your query.Take CareDr.Indu Bhushan" } ]

[ { "from": "system", "value": "Does my semen analysis report indicate any infertility problem?" }, { "from": "human", "value": "Hello Sir, I am 33 year old and i have no child, I have done semen test and my sperm count is 52 mil/ml. with 55% motile, sluggishly motile 5% & non motile 40%, quantity 5.5 ml. , Auto agglutination is present , What is reason for no child? kindly reply..." }, { "from": "gpt", "value": "Hello Thanks for writing to usAccording to reports your findings are absolutely fine.Total sperm count is within normal limit.You have 60 % motility and this is also normal.At least 55 % sperms should be motile.Your partner also need proper evaluation and examination.There may be some problem in her which may need treatment.Hope i have answered your query.Take Care Dr.Indu Bhushan" } ]

[ { "from": "system", "value": "What causes rashes on penis post mastrubation?" }, { "from": "human", "value": "it seems like my penis gets irritated after sex or masturbation, a rash occurs and sometimes a few red spots, they come and go. i have one red spot at the bottom of my penis, it recently appeared and i don't know what it is. i haven't had sex in 8 months and the rash still appears after i masturbate , idk what it could be or what to do." }, { "from": "gpt", "value": "Hi, Your symptoms suggestive of irritation dermatitis-like cause according to mentioned history. You can apply topical steroid cream over that. There is no need to worry as it doesn't seem to be a sexually transmitted illness. Wear loose cotton cloths and avoid tight clothes or underwear. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Parth Goswami, General & Family Physician" } ]

[ { "from": "system", "value": "What does abnormal heads mean in the semen analysis test?" }, { "from": "human", "value": "I got Recently Semen Test.. My Report Analysis is.Volume:- 1.1 ml Ph 09 Appearance whitishSprem Count 56 Million Liq. Time 20 minMottility Active Sluggish DeadAfter 30 min 60% 20% 20%Morphology Abnormal Heads 10% Abnormal Necks 03% Abnormal Tails 07%Pus Cells 2-3/HPF RBCs NIL/HPFKindly Sir i woorled Please Reply me on my E-mail or on Forum. YYYY@YYYY" }, { "from": "gpt", "value": "Hello Thanks for writing to HCMAbnormal head means sperms with abnormal morphology.Normally at least 16 % sperms should have normal morphology for successful fertilization.You have sufficient number of sperm with normal morphology,so you shouldn't be worried.But your semen analysis report suggests infection .Infection is indicated by the presence of pus cells in semen. Normally there shouldn't be any pus cells in semen.Infection may be due to prostatitis,UTI etc.You need antibiotics for infection.You need few more investigations like routine hemogram,Semen culture and sensitivity,RBS,Ultrasound of pelvis should be done.Trans rectal sonography of prostate can be done if needed.Proper antibiotics should be prescribed after culture and sensitivity report.Other factors like count and motility are within normal limit.Get well soon.Hope I have answered your question.Take CareDr.Indu Bhushan" } ]

[ { "from": "system", "value": "What causes blood in urine after masturbation?" }, { "from": "human", "value": "Fifty five year old man. Six two. @15 lbs. Very fit. Take coumadin for AFIB. Embarassed to say that I masterbated yesterday and right after that had blood in urine. Almost twenty four hours later, urine is still a little pink. Generally good health." }, { "from": "gpt", "value": "vigorous masturbation can cause the muscle to bleed from the trauma.Please rate 5 Stars! I strive to provide the best answers to your questions." } ]

[ { "from": "system", "value": "What causes boils in the pubic area?" }, { "from": "human", "value": "I'm 32 male and 5 ft 6 150 lbs. Healthy except for Cerebral Palsy since birth, and IBS and GERD since age 21. Over the past 6 weeks, I have fought with about 6-10 boils on my pubic area/thigh and lower abdomen. It was said to have stemmed from a bad shaving episode in that region. I have been on clindamycin, dicloxocilin, cefalexin, and trimethoprim intermittently over that time. Everything seems to respond to antibiotics and fade significantly but never fully disappear. Everytime one seems to fade a new one appears nearby. I have been to a GP, and an infectious disease specialist. My labs are said to be fine, and the only things diagnosed have been Folliculitis, Cellulitis, and staph. I can't seem to shake this or gain piece of mind. What do I do now?" }, { "from": "gpt", "value": "This could be recurrent cellulitis.You should have an MRI to see if there is anything under the skin that is causing these to come back.Please rate 5 Stars! I strive to provide the best answers to your questions." } ]

[ { "from": "system", "value": "What does big mass in left scrotum indicate?" }, { "from": "human", "value": "I have just discovered that I have in my left scrotum a mass that is just as big as my testicle. It now appears that I have 3 testicles in my scrotum. My last memorable check was 27 years ago and i discover a liquid sac and was told that it was not a problem." }, { "from": "gpt", "value": "could be fluid collection, could be hernia, could be a tumor.you need to get a scrotal ultrasound asapPlease rate 5 Stars! I strive to provide the best answers to your questions." } ]

[ { "from": "system", "value": "What causes constant clear discharge from my penis?" }, { "from": "human", "value": "For a few years now, I have had a clear discharge from my penis. It is only a small amount, but is constant throughout the day. The tip of my penis is frequently cold but not always, but seems as though the clear discharge is always cold. I am 27 and I also began to notice a larger amount of dicharge when I have an erection that I never had in the past. As I read these boards it seems to me it may be pre-ejaculation, but it worries me that something is coming out all the time and it is constantly on my mind. My sex life has suffered dramatically because of this and my self-consciousness. Also, I have been to the doctor regarding this many times including urologists, std tests and all and no answers. Antibiotics have not helped. My urologist says the next step is a systoscopy but he does not sound confident the results will be beneficial to me or my health. I am NOT having that procedure done unless I am assured it will improve my situation. Please help me shed some light on my situation. THANKS!" }, { "from": "gpt", "value": "could be inflammation or infection.I think you need the discharge cultured and acystoscopy because it can help.Please rate 5 Stars! I strive to provide the best answers to your questions." } ]

[ { "from": "system", "value": "Suggest treatment for severe pain at time of ejaculation" }, { "from": "human", "value": "Dr. Iam 42 yrs old. Maried 12 years ago and having two children. While contact with my wife Iam having severe pain at the time of ejaculation on the tip of my penis. The pain is coming only at the time of ejaculation and after then I could not tolerate for single move. Even during the nomal time also when I touched and slightly rubbed my penis I feel the pain. This is my long term problem. I have already investigated with the doctor and got the report that no infection in urine and prostate. Kindly give your suggestions and medicines to solve this problem.i" }, { "from": "gpt", "value": "you should try flomax.it is a muscle relaxant for thisPlease rate 5 Stars! I strive to provide the best answers to your questions." } ]

[ { "from": "system", "value": "Suggest treatment for itching in the tip of the penis" }, { "from": "human", "value": "My 10 year old son complains of itchiness on the tip of his penis which causes him to feel like urinating every time after a swim. After the itchiness stop he will complain of pain when the tip swell. This will usually go off after 2 days when the skin will be very dry and start peeling. How can I prevent this?" }, { "from": "gpt", "value": "you need betamethasone cream 1%. It will help with the itching.Please rate 5 Stars! I strive to provide the best answers to your questions." } ]

[ { "from": "system", "value": "What causes clear blisters under the penis?" }, { "from": "human", "value": "hello?i noticed some small clear blisters on the underside of my penis last night in a small cluster they were filled with clear liquid and they popped extremely easily. do you know what this could be.? i was tested for std's 2 weeks ago and everything came back negative.." }, { "from": "gpt", "value": "it could be trauma . refrain from vigorous masturbation or intercourse for one week.Please rate 5 Stars! I strive to provide the best answers to your questions." } ]

[ { "from": "system", "value": "What causes pain and soreness on frenulum during sex?" }, { "from": "human", "value": "My boyfriend has recently shared with me that due to the fact that he is uncircumcised when not erect, he experiences pain and raw sores on the Frenulum when having sex or masturbating because of the skin rubbing against it. Is this a true problem in men being uncircumcised? What can I do to help him?" }, { "from": "gpt", "value": "there could be tear in the frenulum. he needs neosporin and avoidance of sex or masturbation for 2 weeks.Please rate 5 Stars! I strive to provide the best answers to your questions." } ]

[ { "from": "system", "value": "What causes red spot in the pubic region with unprotected sex?" }, { "from": "human", "value": "I had unprotected sex and have since found a red spot in my pubic region, it has a white almost scab like ring around it. It doesnt itch or hurt and there is no symptoms anywhere on my penis or gentinals. Im quite concered however i was told it could just be an ingorwing hair. Should i be worried?" }, { "from": "gpt", "value": "it could be herpes or std infectionI would get it checked out.Please rate 5 Stars! I strive to provide the best answers to your questions." } ]

[ { "from": "system", "value": "Suggest treatment for erectile dysfunction" }, { "from": "human", "value": "Hi there, I have ED and have been on viagra for 10+ years. From time to time , once in a blue moon I will take one and not able to maintain an erection. this evening be one of those times, when my partner and I was going to sex and I could not maintain an erection even after taking a viagra pill 30-45minutes prior. Now he thinks I have been cheating on him. I dont know where to turn or what more I can do so he understands more. Scott" }, { "from": "gpt", "value": "Hi,Need to check Doppler Penis, USG Pelvis and scrotum, Blood Pressure , RBS, Free T3, T4 and TSH.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist" } ]

[ { "from": "system", "value": "How to avoid random erections?" }, { "from": "human", "value": "Dear Ask The Doctor: I have to get my physical but I'm afraid to get it because I dont want to get an erection in front of my new doctor. I feel a little more comfortable now because he is a male doctor and he has a penis and understands that teens get erections all the time. My question is, do I tell him I will get one randomly or if he checks or touches me there, and if I tell him how do I go about it and what do I do when I get An erection?" }, { "from": "gpt", "value": "doctors are aware that examination can cause an erection that is not sexual.you don't need to worryPlease rate 5 Stars! I strive to provide the best answers to your questions." } ]

[ { "from": "system", "value": "What causes painful, sore tight foreskin?" }, { "from": "human", "value": "im 25 and my foreskin is sore and painful, it seems to be getting tighter. it is very painful to pull back when erect and very painful during and after sex. i never used to have any problems, this has only occured in the last 2 months or so. my wife and i are trying to have a baby and i cant seem to have sex pain free so its not making things easy. if you have any ideas what could be causing this please help." }, { "from": "gpt", "value": "inflammation or poor hygiene.you may have need for a circumcisionPlease rate 5 Stars! I strive to provide the best answers to your questions." } ]

[ { "from": "system", "value": "Is it necessary to continue with biopsies for enlarged prostate?" }, { "from": "human", "value": "My age is 66, height 6'2\", weight 215. I have two health issues high blood pressure and an enlarge prostate. Prostate treatment to date has been a PSA test every year for the past 8 or 10 years and 2 biopsies. The biopsies have been negative. Should I continue with biopsies, they do cause some uncomfortable recovery situations." }, { "from": "gpt", "value": "only if your psa jumps a full 3 points higher than it has been.Please rate 5 Stars! I strive to provide the best answers to your questions." } ]

[ { "from": "system", "value": "What are the chances of leading a happy life with undescended testicles?" }, { "from": "human", "value": "hi am frm india my son has undescended testicles since birth , even aftr operating him at the age of 2 yrs he is still same .both his tetis hv been removed as they were not developed .now he is 21yrs n am planng to get him married .wht r his chances of a succesful married life. he is on testoviron depot 250mg once a mnth" }, { "from": "gpt", "value": "he will perform normally sexually but will not have sperm for childbirth.Please rate 5 Stars! I strive to provide the best answers to your questions." } ]

[ { "from": "system", "value": "Suggest remedy for genital warts" }, { "from": "human", "value": "hi.am 44 years.my husband had one genital warts between his thigh and g.area since 2 years.he cut it when shaving..then a new brown spot apears on penis..and we are living normaly..untill it became like a warts and 2 small pimples near it..we had sex and oral..his dr freez them..iam so worried and panic..i went to my dr he said i have nothing.the question is it possible that i dont catch this warts..or is it possible these warts are not venearal....thank you" }, { "from": "gpt", "value": "surgery can cause these to go awayC02 laser therapyPlease rate 5 Stars! I strive to provide the best answers to your questions." } ]

[ { "from": "system", "value": "Suggest treatment for erection problems" }, { "from": "human", "value": "Hello, Previously I used to get erection by looking at women instantly. Now I cant get erection even by watching porn. However, when I kiss my wife I get semi erection which is enough to penetrate her and I only get a full erection seconds before I ejaculate." }, { "from": "gpt", "value": "viagra will help you last longeryour doc will prescribePlease rate 5 Stars! I strive to provide the best answers to your questions." } ]

[ { "from": "system", "value": "What is the small, white, gritty kind of stuff after sex ?" }, { "from": "human", "value": "After sex, my partner noticed a small, white, gritty kind of stuff all over the bed under the area we had just had sex. He wondered if it was all just some sort of dirt, not at all from after having sex. But since it was white, odor-free and gritty/soft, I don't know what it is. I just explained as though my secretions of wetness (from being aroused) mustve \"balled-up\" and came out in small gritty for as he was thrusting.Am I right? What could that be? I'm a little embarrassed too.Thanks!" }, { "from": "gpt", "value": "it is shed skin cells caused by the vibration of sexPlease rate 5 Stars! I strive to provide the best answers to your questions." } ]

[ { "from": "system", "value": "What causes rashes and itching on the penis after wearing a condom?" }, { "from": "human", "value": "Hi, me and my boyfriend has sex three nights ago, with a condom, and now we have a red rash (Not raised) and are both itchy and it feels raw when you itch it. He has it at the top of his penis and his balls, and mine is at the top of my vagina. My pee is also cloudy, although I'm not sure about his. What could it be?" }, { "from": "gpt", "value": "irritation and allergy to the lubricantuse lambskin condomPlease rate 5 Stars! I strive to provide the best answers to your questions." } ]

[ { "from": "system", "value": "Suggest treatment for nightfall problem" }, { "from": "human", "value": "gud evening doctor, i suffer from a serious problem, i dont know its reason. what happens whenever i fall asleep my brain never does so and it is accompanied by the erection of sexual organ causing many a time nightfall. my age is 26 years and weight 59 kg." }, { "from": "gpt", "value": "that is normal.when you sleep the body increases blood flow to keep the penis healthy. that is why you are having erection. it is normal.Please rate 5 Stars! I strive to provide the best answers to your questions." } ]

[ { "from": "system", "value": "Suggest treatment for poor bowel and bladder control with pain in rectum" }, { "from": "human", "value": "I am a 42 yr old male. when the sensation of wanting a number one or two come I cannot hold it long at all, i have put that down to me now getting on a bit in life. However over the last few months if i need to urinate my rectum really aches and i get pains in my stomach. I am not passing blood nor is my urine a heavy colour and i do drink water regular ( couple of glasses a day)" }, { "from": "gpt", "value": "neruostimulation can be done. this is a surgery that a colorectal surgeon can perform.Please rate 5 Stars! I strive to provide the best answers to your questions." } ]

[ { "from": "system", "value": "What causes deposition of white substance between foreskin and glans?" }, { "from": "human", "value": "there is white deposition between foreskin n glans penis....its bit sticky.....white deposition is there when i skip bath for even one day otherwise its only sticky....it smells when i skip bath....i m taking alcohol regularly for 2years n i m 30yrs old....i took 4 fluconozol tablets n even applied hcl cream but its has only reduced the problem but did not altogether finished it.....i have no sexual contact for last 13 months.....n i got this problem 4 months back....is this any thing to do with HIV...." }, { "from": "gpt", "value": "Hi, The white normal deposition is smegma which is normal, if it is excessively deposited, it can be due to bacterial or fungal infection. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist" } ]

[ { "from": "system", "value": "What causes brownish and watery semen?" }, { "from": "human", "value": "My semen is a brownish color and watery. I am wondering what this is caused by and how alarmed I should be. Also, what can I do to cure the problem I am a 42 year old male with liver disease. I am currently on treatment for Hepatitis C. could this have anything to do with the problem?" }, { "from": "gpt", "value": "inflammation in the prostateyou need antiinflammatory medicine for on eweek.Please rate 5 Stars! I strive to provide the best answers to your questions." } ]

[ { "from": "system", "value": "Could below average height be the side effect of masturbation?" }, { "from": "human", "value": "age: 22, Height: 172cm, Weight: 78, Never had any major deseases. If you could please tell me, then i wanted to know that whether my below average height is a result of excessive masturbation since the age of 17 (like 2 times a day), my father is 5'7, so did the above mentioned problem also play its part?" }, { "from": "gpt", "value": "no not at all. puberty takes it course in everyone. some will be tall, some will be short. masturbation has no effect on itPlease rate 5 Stars! I strive to provide the best answers to your questions." } ]

[ { "from": "system", "value": "What causes erectile dysfunction?" }, { "from": "human", "value": "Hi, I have been doing masturbation since I was 11 years old. I experienced erection problem after once I pressed the shaft of penis during ejaculation at the age of 21. After that I have been experiencing erection problem even after using many Alopathy, homeopathy and ayurbedi.....the symptoms persist again after few months.....plz help...." }, { "from": "gpt", "value": "it could be diabetes or apathy.you should get a full panel of tests to make sure its not something we can treatPlease rate 5 Stars! I strive to provide the best answers to your questions." } ]

[ { "from": "system", "value": "What causes the leakage of the penis?" }, { "from": "human", "value": "After doing some research I have come to the conclusion that my boyfriend has penis leakage. We wake up and the bed sheets are soaked under him and it isn't easy for him to keep an erection and sex is very messy. I want to know if there is anything I can do to help this? He is in his late 40's, he is taking meds for high blood pressure, but only takes it when he's working. About 200lbs and 5'9" }, { "from": "gpt", "value": "he may have issues with bladder empthyinghe needs a urodynamic studyPlease rate 5 Stars! I strive to provide the best answers to your questions." } ]

[ { "from": "system", "value": "Why unable to discharge sperm after having roliflo for urine problem?" }, { "from": "human", "value": "Dear Doctor, I am 38 years, 178cm , 74 kgs, I have been having urine problem for past more than a month, i have urge of passing urine but urine is not coming, i have 3 mm kidney stone on right side, but no pain at all, i went to see a doctor for urine problem, he gave roliflo 2 for 15 days to be taken, it is been 3 days i have started this medicine, but past 3 days i can not discharge my sperm, is that the side of medicine?" }, { "from": "gpt", "value": "because the medicine relaxes the opening for sperm to come out, so your problem is a medicine side effectPlease rate 5 Stars! I strive to provide the best answers to your questions." } ]

[ { "from": "system", "value": "Suggest treatment for burns and red spots on penis after intercourse" }, { "from": "human", "value": "I've had some rough sex a few years ago and I got some burns and red spots on my penis. After a few months it kinda went away but now it's come back after my gf and I had some rough sex. It won't go away to save my life. I've tried going without sex or masterbating and yet it still won't go away. It gets a clear scab over it that cracks and peels of when I get hard, it's also sensitive when it peels off and after sex it's really red. What do I need to put on it to get rid of it?! Thanks" }, { "from": "gpt", "value": "vaseline jelly on the spots and avoidance of vigorous intercourse or masturbationPlease rate 5 Stars! I strive to provide the best answers to your questions." } ]

[ { "from": "system", "value": "How to treat vdrl?" }, { "from": "human", "value": "hi my name is khan i m basiclly from pakistan but now i m in uk . in 2007 i want 2 go saudia but when my medical reports come there is my vdrl is posstive then i contect with docter . he advise me injection . i inject 13 days regularlly then i test again but it is still positive my docter say its finish but it appear in ur blood now i don,t no what can i do and plz tell me that its finish or no and i have no problem any problem" }, { "from": "gpt", "value": "you may need penicillin G treatment for syphillus.See what your doctor tells youPlease rate 5 Stars! I strive to provide the best answers to your questions." } ]

[ { "from": "system", "value": "What does presence of fructose,pus cells:5-6hpf and epithelial cells:2-3hpf suggest?" }, { "from": "human", "value": "I am 26 years old. I had a semen analysis done. The report says,Volume : 3.0 mlColor : Gery WhiteAppearance : CloudyViscosity : NormalReaction : pH-8.0Liquefaction Time : 40 MinsFructose : PresentSperm count : 80 mill/cummActively Motile : 35%Sluggishly Motile : 25%NON Motile / Dead : 40%Abnormal Forms : 10%Pus cells : 5-6/ hpfEpithelial cells : 2-3/ hpfWe are trying for a baby for the last 5 months and have had no success. Am I infertile? Please advise." }, { "from": "gpt", "value": "Hello Thanks for writing to HCMYour semen analysis report suggests infection.You are not infertile.Fertility will definitely improve with control of infection.Infection is indicated by the presence of pus cells in semen. Normally there shouldn't be any pus cells in semen.Infection may be due to prostatitis,UTI etc.You need antibiotics for infection.You need few more investigations like routine hemogram,Semen culture and sensitivity,RBS,Ultrasound of pelvis should be done.Trans rectal sonography of prostate can be done if needed.Proper antibiotics should be prescribed after culture and sensitivity report.Other factors like sperm count,motility and morphology are within normal limit.Get well soon.Hope I have answered your question.Take CareDr.Indu Bhushan" } ]

[ { "from": "system", "value": "Is my spermiogram test with count: 110 million/ML normal?" }, { "from": "human", "value": "Hi, I am 27 years old , I made varicocele operation 3 years ago on both sides , just made a spermogram test and the results were:Count: 110 million/ML, volume is 6 ml35 % active after 30 min , 20 % active after 3 hrs, and 8 % active after 6 hrsDo you consider these results good for acheiving pregnancy? and what do you suggest?" }, { "from": "gpt", "value": "Hello Thanks for writing to HCMYou are suffering from low sperm count.At least 55 % sperms should be motile.You should do exercise and take nutritious food.You shouldn't wear tight underpants.Even if low motility persists then you may need assisted fertilization techniques like IUI.Sperm count is within normal limit.Hope i have answered your query.Get well soon.Take CareDr.Indu Bhushan" } ]

[ { "from": "system", "value": "Suggest remedy for erection problems" }, { "from": "human", "value": "hi, i am a male, 29 years old, having one kid. i meet with my wife on the weekend due to my job. but i am not able to have sex second time in a night as my penis does not erect even within one hour. i smoke occasionally, dont drink, pure vegeatarian. what should i do??? please help me out." }, { "from": "gpt", "value": "HelloThanks for writing to HCMTrue erectile dysfunction is unlikely in your age.Your problem may be due to stress or over excitement.You should take time before attempting repeated penetration.You should try to be calm and before penetration spend sufficient time in foreplay.This is very important in intercourse.You should avoid cigarettes completely.It is good that you don't take alcohol.Hope i have answered your query.Take CareDr.Indu Bhushan" } ]

[ { "from": "system", "value": "Can masturbation cause pain in testicle and dark coloured urine?" }, { "from": "human", "value": "hi iam 26 years old male , i have dark color urine if i not drink plenty of water means , if i drink plenty of water it ll going normally . Also pain in my left testicle around after i mastrubate , would i meet doctor ? wats d problem with me ? pls help me...." }, { "from": "gpt", "value": "Hi, Masturbation doesn't cause these effects. the pain can be due to any infection caused and the dark coloured urine can be due to UTI.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist" } ]

[ { "from": "system", "value": "What are the side effects of masturbation?" }, { "from": "human", "value": "hi i am sridhar. i am 22 years old. i have no problem. my friend has one habit which he is also 22 years old he is regularly wasting his sperm in a month 2 to 4 times. what is the side effect? could you please explain me. I need to recover my friend from this problem." }, { "from": "gpt", "value": "Hello Thanks for writing to HCMIt is good that you are so concerned about your friend.Masturbation is normally practiced by many persons but its obsession is bad.I don't think your friend is masturbating excessively.It can be taken as normal.There are no side effects associated with occasional masturbation.Hope i have answered your query.Take CareDr.Indu Bhushan" } ]

[ { "from": "system", "value": "Suggest treatment for erection problems" }, { "from": "human", "value": "age 27 year, height 5'1'' ,weight 42.5 kg no medical history... i am trying to conceive for last 10 months. but did not.. my husband has some time erection problem.. and some time after intercourse he do not have ejaculation.. i want to conceive but how??" }, { "from": "gpt", "value": "HelloThanks for writing to HCMTrue erectile dysfunction is unlikely in your husband's age.His problem may be due to stress or psychological causes.He should try to be calm and before penetration spend sufficient time in foreplay.This is very important in intercourse.He should avoid stressful situation.Don't take alcohol or cigarettes if he take these things.Last but not the least,he need your support and confidence.He should take nutritious food and do exercise.If symptoms persists then he need proper evaluation and investigations.Investigation include routine hemogram,RBS,lipid profile,urine RE/ME,semen examination,penile doppler,hormone estimation,ultrasound of scrotum etc.Hope i have answered your query.Take CareDr.Indu Bhushan" } ]

[ { "from": "system", "value": "Suggest treatment to harden penis" }, { "from": "human", "value": "My age is 24, height is 5ft 3inch,weight is 88.Sir my name is salman, i am very weak my penis is not getting hard,my penis is always been small i always been involved in masterbuiting, and my feets paining every time, my full body is week, no power in my muscles. sir kindlly help me please" }, { "from": "gpt", "value": "HelloThanks for writing to HCMTrue erectile dysfunction is unlikely in your age.Your problem may be due to stress or psychological causes.You should avoid stressful situation.Don't take alcohol or cigarettes if you take these things and try to lose your weight.Masturbation is normally practiced by many persons but its obsession is bad.You should concentrate in your activities.You should avoid provocative literature and videos and try to keep busy yourself in your job.You can also try yoga and meditation,this will help a lot.Hope i have answered your query.Take CareDr.Indu Bhushan" } ]

[ { "from": "system", "value": "Suggest treatment for erectile dysfunction" }, { "from": "human", "value": "Hi, I am 29 years old and married 6 months back. I've been good in sex till day, but for the last 4 days i am not able to do sex as my penis is not coming up... any problem? I used to do exercise occasionally but now i have been exercising for the last 1 week..." }, { "from": "gpt", "value": "HelloThanks for writing to HCMTrue erectile dysfunction is unlikely in your age.Your problem may be due to stress or psychological causes.You should try to be calm and before penetration spend sufficient time in foreplay.This is very important in intercourse.You should avoid stressful situation.Don't take alcohol or cigarettes if you take these things.Hope i have answered your query.Take CareDr.Indu Bhushan" } ]

[ { "from": "system", "value": "Suggest treatment for abnormal semen test parameters" }, { "from": "human", "value": "I have semen test, can you analyze it doc if its normal.. if its abnormal what will i do to make it normal, like motility is 20 only, non progressive is 50 and 30 non motile, PUS is 1-3, RBC is 0-2, Spermatogenic cell is 2-3 and morphology is normal 70 and abnormal is 30." }, { "from": "gpt", "value": "Hello Thanks for writing to HCMYou are suffering from semen infection and low sperm motility.Infection is indicated by the presence of pus cells and occasional RBC in semen. Normally there shouldn't be any pus cells in semen.Infection may be due to prostatitis,UTI etc.You need antibiotics for infection.You need few more investigations like routine hemogram,Semen culture and sensitivity,RBS,Ultrasound of pelvis should be done.Trans rectal sonography of prostate can be done if needed.Proper antibiotics should be prescribed after culture and sensitivity report.Normal sperm motility should be at least 55%.You should do exercise and take nutritious food.You shouldn't wear tight underpants.Even if low sperm motility persists then you may need assisted fertilization techniques like IUI.Hope i have answered your query.Get well soon.Take CareDr.Indu Bhushan" } ]

[ { "from": "system", "value": "Suggest treatment for erection problmes" }, { "from": "human", "value": "sir iam from kuwait for the past 12 years iam here but iam from kerala my marriage did on 2009 december my wife recently came in kuwait for 3 month visit visa when i was trying to sex with her my penis is not errecting we are very worry my age is 35 wife age is 25 sir we need one baby please advice me" }, { "from": "gpt", "value": "HelloThanks for writing to HCMTrue erectile dysfunction is unlikely in your age.Your problem may be due to stress or over excited stage.You should try to be calm and before penetration spend sufficient time in foreplay.This is very important in intercourse.You should avoid stressful situation.Don't take alcohol or cigarettes if you take these things.If symptoms persists then you need proper evaluation.Hope i have answered your query.Take CareDr.Indu Bhushan" } ]

[ { "from": "system", "value": "What causes poor sperm count?" }, { "from": "human", "value": "my semen analysis shows - sperm count <1 millions/ml, fructose - present, liquifaction 10min, normal greywhite, few immotile, few sluggish, Excess Pus cells 15-20hpf, rbc Nil, epithelial 2-3 hpf, absent immature germ cells. Very worried, is the Poor Sperm count due to Pus cells? i am 34 yrs, 5.8 ht, 65 kg, no history, no habits." }, { "from": "gpt", "value": "Hello Thanks for writing to HCMYou are suffering from semen infection and low sperm count.Infection is indicated by the presence of excess pus cells in semen. Normally there shouldn't be any pus cells in semen.Infection may be due to prostatitis,UTI etc.You need antibiotics for infection.You need few more investigations like routine hemogram,Semen culture and sensitivity,RBS,Ultrasound of pelvis should be done.Trans rectal sonography of prostate can be done if needed.Proper antibiotics should be prescribed after culture and sensitivity report.Normal sperm county should be at least 20 millions /ml.You should do exercise and take nutritious food.You shouldn't wear tight underpants.Even if low sperm count persists then you may need assisted fertilization techniques like IUI.Hope i have answered your query.Get well soon.Take CareDr.Indu Bhushan" } ]

[ { "from": "system", "value": "Suggest treatment for prostate enlargement" }, { "from": "human", "value": "i am 55 yrs old, my prostate size is 30cc as given by ultra sound report with healed prostatitis. my post void residual volume is 70cc. what medicine should i take? can a-blocker help? can anything be done to bring back the prostate to its normal size?" }, { "from": "gpt", "value": "Hello Thanks for writing to HCMYour prostate is mildly enlarged and you are suffering from benign hyperplasia of prostate.It is age related disease.Your situation can be managed by alpha blockers.You should take medicines regularly.It causes regression in size of prostate.Surgery is required in cases not responding to medical management.PSA (Prostate specific antigen)should also be evaluated to exclude malignant causes.Hope i have answered your query.Get well soon.Take CareDr.Indu Bhushan" } ]

[ { "from": "system", "value": "What are the side effects of masturbation?" }, { "from": "human", "value": "hiim a 22 year old boyi did masturbation for about 3 years, Severe! maybe sometimes 4 times a day.i heard that it cause Psoriasis and maybe other skin sensations.my skin some times have white spots that sometimes they Disappeared and some times are about red.cat this be Because masturbation؟" }, { "from": "gpt", "value": "Hello Thanks for writing to HCMYou are wrongly informed.Masturbation doesn't lead to psoriasis.White and red spots over penis skin may be due to irritation resulting from excessive masturbation.You may need antibiotic and steroid ointment to be applied locally.You should avoid excessive masturbation and try to concentrate in your activities.You should avoid provocative literature and videos and try to keep busy yourself in your job.Hope i have answered your query.Take CareDr.Indu Bhushan" } ]

[ { "from": "system", "value": "Suggest remedy for semen leakage" }, { "from": "human", "value": "hi im 16 years old , my weight is 54kgs. i have been having a problem of semen leakage which i think is because of masturbation. my semen sometimes leaks when i urinate and also when i wake up in the morning. it also leaks as soon as i get a sexual thought. i have stopped masturbation for a week now and i am planning to abstain from masturbation totally. i would like to know if this problem will go away by itself. if it wont, then please advise me what steps i could take to cure myself without taking any medications.please advise me how i should change my diet to fight semen leakage and any other things (maybe exercises) i could do to stop this problem." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have problem leakage of secretion of urethral glands while you are sexually aroused.(Please note that it is not a semen ) This is common at the age of adolescence and nothing abnormal in it and that can not be due to excessive masturbation Following measure will help you to boost up your confidence and improve your health .1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..The problem of emission will get resolved of its own over a period of time.Dr,Patil." } ]

[ { "from": "system", "value": "Suggest treatment for sperm discharge with urine" }, { "from": "human", "value": "I am 35 and unmarried. probably in next 3-4 months I will marry but for last one year I get sperm in urine and some time without urinate, it comes out. I am very much worried about my sexual life because I never had physical relation with any girl. please help me out with some home remedies. thanks." }, { "from": "gpt", "value": "Hi, It can due to urinary tract infection, diabetes, retrograde ejaculation and prostate infection. you can conform by taking urine complete test. Based on the diagnosis only the treatment can be given.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Suggest treatment for erectile dysfunction" }, { "from": "human", "value": "Hi, My boyfriend has a problem with erection. he got hurt once while playing cricket and then later when we were making out he started bleeding. After that, whenever he gets a hard one, it hurts him. We are getting married in Jan. I am scared that we might not have sex, as it hurts him wen he is hard. Can you please suggest what we should do?" }, { "from": "gpt", "value": "HelloThanks for your query.Your boy friend has painful erection after he sustained injury to his genitals while playing cricket.Please consult qualified Urologist for clinical examination and get Ultrasound scanning of his penis done to rule out any injury to Tunica Albugenia a sheath that covers erectile tissue.In the mean while give hi pain killers like Brufen twice daily.Hope he will recover completely within a week.Dr.Patil." } ]

[ { "from": "system", "value": "What does normozoospermia mean?" }, { "from": "human", "value": "Volume 2.0ml Color : Grayish White Viscosity : Normal Self Liquefaction Time : 30 minutes Reaction : Alkaline Fructose : ---- Active Forward Motility : 20% Linear Motility : 10% Slugish : 20% Inactive : 50% Sperm Count : 22.60 millions Morphology: Normal 90% , Abnormal : 10% Pus Cells : 3-6\\hpf Impression : Normozoospermia Please help me out with this report?" }, { "from": "gpt", "value": "HelloThanks for query.Based on the report of semen analysis that you have posted I can state that your semen report is normal as compared to WHO standards except presence of 3-6 pus cells which suggests infection either in Seminal Vesicle or Prostate .Please take antibiotics like Doxicycline twice daily for one month and repeat semen analysis after one month.Dr.Patil." } ]

[ { "from": "system", "value": "What causes pain while retracting foreskin?" }, { "from": "human", "value": "Hi, I'm 14 years old and need help in retracting my foreskin. I recently realised that at this age I should be able to fully retract my foreskin. I tried retracting it and I managed to retract it until I could see a bit of my penis. Afterwards, it was painful to retract further. Please help!!" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have what is called as Phimosis.Please consult qualified General Surgeon or Urologist for clinical examination to confirm th diagnosis.If positive you may need to get circumcised .This is a simple surgery done under local anaesthesia as a outpatient procedure and offers permanent cure.Dr.Patil." } ]

[ { "from": "system", "value": "Will the sperm count of 20 million and motility 20% be sufficient to impregnate?" }, { "from": "human", "value": "Hi, may I answer your health queries right now ? Please type your query here... Dr I am saravanan age 31 and height 5.8ft , wt 67 kg and just married 6 months before . I have a question for you my wife not conceived yet my sperm count 20 million and active motile sperm 20 % that would be enough to conceive my wife." }, { "from": "gpt", "value": "HelloThanks for query.The report of semen analysis that you have posted is incomplete .You have not mentioned whether sperm count which you have stated to be 20 millions is a total count or count per ml of semen ejaculated.If the count that you have posted is total count then it is lower(Oligospermia) than what is required by WHO standards for conception.The percentage of motile sperms (20%) is considered to be normal for effective fertilization but since the total sperm count is low total no of motile sperms available for effective fertilization will be lower than what is considered to be normal .Please repeat your semen analysis and consult qualified infertility specialist for guidance.Dr Patil." } ]

[ { "from": "system", "value": "What causes severe pain in the left testicle?" }, { "from": "human", "value": "My partner has great pain comming from his left testicle going up his groin adnomen. He sufferes erectile difficulties and his ejaculation is much less. His left testicle had shrunk dramatically, almost half the size of the right. there is no blood in his urine but does have difficulty in uriniating at times." }, { "from": "gpt", "value": "hai,As from your complaint it seems to be an abnormality in testis and other related organ(epdidymis,prostate etc)pain radiating from testis to groin and difficulty in urinating indicates some problem in the urethral path.left testis got shrunk in size possibly it got atrophied. in condition like viral infection,injury to the groin area,blood flow interruption to the testis can cause atrophy. I advise to do ultrasound and kindly consult an urologist for further management.thank youhope i answered your query." } ]

[ { "from": "system", "value": "What is the treatment for the fungal infection on the head of the penis?" }, { "from": "human", "value": "Hello Sir, I am Satveer Singh and my age is 23. My height is 5\"10\". My weight is 80 kg. I have a BALANITIS deseise due to fungal infection on the head of my penis. It also has redness on it. The size of my penis is also not normal. Its about 4 inches. I never had sex with girl. Please give me the solution.." }, { "from": "gpt", "value": "hai,First clean your genital area with some antiseptic soap or solution.do retract your skin above your glans penis and wash it clearly.i advise to apply anti fungal cream in and around the penis area for 4 to5 days.keep changing your inner wears and do wash it in a sterile way to avoid transmission of infection.no need to worry about your size of penis.follow a hygienic way to keep away from infection.thank youhope i answered your query." } ]

[ { "from": "system", "value": "What is the analysis for the semen report attached?" }, { "from": "human", "value": "hisir my semen analyses shows result volume 3.0mlcolour greyish whiteviscosity non-viscouse (li.upon receipt)liquefaction 00minodour seminalreaction alkaline sperm count 0mil.mlabonormel form o h..p.fpus cells 25-30 h.p.fr.b.c 18-20 h.p.fspermatogenic cells (active selgish dead)plz help me me so woried" }, { "from": "gpt", "value": "HelloThanks for your query,based on the report of semen analysis that you have posted it appears that you have what is called as Azospermia meaning there by that your semen semen does not contain sperm at all.Presence of puss cells and RBC strongly suggest infection of either Seminal Vesicle or Prostate .Please consult qualified Urologist for clinical evaluation and get following basic tests done .1) Routine urine and urine culture .2) Ultrasound scanning of abdomen 3) Semen culture .You need to take appropriate antibiotics as per culture report for 6-8 weeks ..Dr.Patil." } ]