conversations
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[
{
"from": "system",
"value": "Is it safe to follow embolization for varicocele?"
},
{
"from": "human",
"value": "I have been suffering from varicocele since 5 years but didnt take up any treatment.My left testicle is much like a bag of worms and sometimes i feel pain in it.Now, if i plan an embolization, does the look of my testicle return to normal?since the treatment involves installing small coils inside scrotum, does that mean the size remains unaltered?or inturn does it add to the size?please respond."
},
{
"from": "gpt",
"value": "Hi, It is safer to embolize, your scrotum can be changed to its normal size. I hope I have answered your query. If you have further doubts, I would be happy to help you. Happy day.Regards,Dr. S. R. Raveendran, Sexologist"
}
] |
[
{
"from": "system",
"value": "What causes nocturnal emission?"
},
{
"from": "human",
"value": "Dear sir,this is anbarasu age 24 from india, I would like to clarify my doubt that is, while sleeping am getting sexual dream sperm comes out automatically! !! My friend says that dead sperms will come automatically if you are not doing masturbating? ? Please clear my doubt. Thank you..."
},
{
"from": "gpt",
"value": "HelloThanks for your query,based on the facts that you have posted it appears that you are facing problem of night emission.It is normal to have night emission at the age of adolescence and nothing to be worried about it,It does not need any treatment and gets cured of its own .Dr.Patil."
}
] |
[
{
"from": "system",
"value": "Is excess masturbation harmful?"
},
{
"from": "human",
"value": "hi...i masturbate 5 times a week...is it ok or excessive....please tell sincerely...will there be any side effect like i would loose my power to have sex with girl or will loose power to give a birth to child...???please tell sincerely...and any good way to quit masturbating...."
},
{
"from": "gpt",
"value": "HiThank you for asking HCM.I have gone through your query. It is not good to masterbate too much. It has a psycological impact that you might decrease interest over girl and prefer masterbation.And it also gives a prominent appearance of vein on penis. You can limit it by making you involve in activities like exercises or involve in games like volley ball batminton etc.Hope this may help youLet me know if you have any further query."
}
] |
[
{
"from": "system",
"value": "What causes burning sensation in penis after an intercourse?"
},
{
"from": "human",
"value": "My boyfriend just recently told me that after we have intercourse, his penis feels a stinging or slight burning sensation and for that night only it'll hurt a bit when he urinates. I am currently using the transplant for birth control and since I had issues, my doctor had to put me on the pills to regulate my period. around the time I started the pills was when he began to feel this weird sensation. What could be happening?"
},
{
"from": "gpt",
"value": "HiThank you for asking HCMThe burning sensation can be due to injury to mucosa which has happend while violent retraction of foreskin while intercourse. While urinating when urine get in contact with the part of injury burning can occur. It will get healed gradually with out any treatment usually. Use any lubricants if you have less lubrication while having sex which will decreases such events.You can select lubricants like KY jelly.Hope this may help you.Let me know if you have any further query."
}
] |
[
{
"from": "system",
"value": "How to heal catheter removal mediated penile and scrotal swelling?"
},
{
"from": "human",
"value": "i just had my lymph nodes removed from my abdomin a few days ago. after the cathider was removed my penis and scrotum swelled up with fluid. i was told this was normal, but it feels like the fluid is seeping out the skin because its like wet but i am not sweating. can this happen?"
},
{
"from": "gpt",
"value": "Hi. Was this a open or laparoscopic surgery? Cather causing swelling of the penis and scrotum and is not seen. It must be from the abdominal wall. You must already be on antibiotic cover and supportive medicines.. Just wait and watch is the policy as you must already be under the medicines. You may not need something else to be done unless there are signs of an active infection of the areas you mentioned : like redness, local raised temperature, tenderness and oozing of pus. This can happen and not very unusual finding."
}
] |
[
{
"from": "system",
"value": "How to treat constant burning in penis while urinating and erection?"
},
{
"from": "human",
"value": "I've been having a constant burning in my penis for the past few months now, but i've been only getting it when i have an erection, and at times urinating. The burning is not consistant during urination but it is when i get an erectionn it's around the middle of shaft and burning goes away after urinating"
},
{
"from": "gpt",
"value": "Hi. This looks to be due to a condition called Urethritis , meaning infection or inflammation or urethra. You have rightly mentioned about the condition and the timing. I would suggest such a patient to undergo blood and urine tests; recommend to undergo Urethro- cystoscopy to confirm or rule out the diagnosis.The treatment will contain an antibiotic suitable for urinary tract infection, Urinary alkalinizer ( a liquid to be taken with a glass of water usually after food), plenty of oral fluids to keep the urinary flow and dilution. Further treatment plan would be according to the reports and findings on reports"
}
] |
[
{
"from": "system",
"value": "What is the remedy for scrotum pain after the surgery for a painful varicocele?"
},
{
"from": "human",
"value": "My 20 year old son had surgery for a painful left varicocele on Jan. 1. While he was in surgery they discovered an inguinal hernia (they called an old man's hernia) that they corrected with mesh insert. Now 6-7 weeks post op, he continues to have a good deal of scrotal pain, taking an extra shirt with him everywhere he goes to sit on for support of scrotum. He had been diagnosed afterwards with epidymitis and given a course of cipro followed by a course of doxycycline. He is in school so other than walking to classes, riding the bus to get there, his activity is nil. His doctors keep saying it will get better, but there is no progressive improvement. Certainly the incisional pain is gone but scrotum continues to be very painful. Where should we look next?"
},
{
"from": "gpt",
"value": "Hi. First of all I would advise to go for an Ultrasound of the scrotum to ascertain the exact problem he has. This can be recurrence of varicocele, epididymitis or orchitis. Or just a referred pain from entrapped nerves in the scar tissues. This diagnosis will help him to get a better treatment."
}
] |
[
{
"from": "system",
"value": "Is it safe to use leo fucidin h cream on penis?"
},
{
"from": "human",
"value": "is it safe to use leo fucidin h cream on penis? I have small friction burns or what look like inflammation area just below the head and on the high portion of the shaft. It goes away on its own and then comes back after mild to highly intense (and rough) sex with my wife. I ve been tested and results come back negative for STD s. Researched online and found this is a common thing for guys."
},
{
"from": "gpt",
"value": "Hi,It seems that you might be having soreness on penis due to rough sex.You can apply leo-fucidin plane cream rather than hydrocortizone containing cream.There is no problem using this cream for short term.Ok and take care."
}
] |
[
{
"from": "system",
"value": "What causes leg pain after masturbation?"
},
{
"from": "human",
"value": "Hi doc I am hawk. I have pain in my legs after doing masturbation . Why is this ? I am doing masturbation some 5 to 6 years but now there is a pain in my legs after masturbation..... What should I do ?? And plz answer me quickly I need it immediately"
},
{
"from": "gpt",
"value": "Hi,There might be strain on leg muscles during hard masturbation giving rise leg pain.Nothing to worry, take high protein diet.Do regular exercise like running, swimming, jogging etc which will keep your body healthy and fit.Ok and take care."
}
] |
[
{
"from": "system",
"value": "What causes itching penis with dry red spots on skin?"
},
{
"from": "human",
"value": "Hello, this ptoblem has occured only today morning. Penis is very itching in the forehead and the skin is very dry with red spots. The forehead is itching inside and very annoying. Is itthe Candida? Do I need to see a doctor or it can be treated home? My wife has just finished her treatment in hospital three weeks ago, she toom a lot of medicine, is it possible she has Candida virus? Would appreciate any answers"
},
{
"from": "gpt",
"value": "Hi,From history it seems that you might be having fungal infection perhaps got this infection through your wife.Apply anti fungal cream locally.Go for one oral anti-fungal medicine course.Keep local part clean and hygienic.Ok and take care."
}
] |
[
{
"from": "system",
"value": "Why the perineum gets sore and swollen every time during sexual intercourse ?"
},
{
"from": "human",
"value": "I have a problem in which every time I go to have sexual intercourse my perineum gets sore and swollen. I cannot continue to have intercourse it is so painful. 2 years ago before I had my son this did not happen. Ever since I had my son it has been this way. i had him emergency c sectioned. What is the cause of this?"
},
{
"from": "gpt",
"value": "HIThank for asking to HCMI can understand your problem, if this start happening after the c section then the area of perineum must have swollen, right this can be treated symptomatically and for that I would suggest the following treatment,1) Tab Ibuprofen 400 mg tree times in day2) Tab Acetaminophen three times in day this will give good response if the pain remains as it is then this is to be examined clinically, hope this information helps you, bye."
}
] |
[
{
"from": "system",
"value": "Should surgery for varicocele be undergone for pain in testicles?"
},
{
"from": "human",
"value": "Sir i m diagnosed with varicocele with Grade 1. and my semen analysis are normal . Sperm count 260 Million. Morphology is 60% normal. Motility is 50% active and 15 % sluggish 35% immotile. Liquifactino is 20 minuts. but i feel pain sometime in my testicles bcz of varicocele. Do you think i should go for varicocele surgery or it is not required or will it damage my testicle or can lead to atrophy ??? and is surgery is safe any post surgery sexual complications ?"
},
{
"from": "gpt",
"value": "Hello,Varicocele might cause low sperm count and you also might encounter problems during sex. I suggest you to visit your urologist and have a proper checkup and let him decide whether to go for operation or not, however the definitive treatment is surgery.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Sameen Bin Naeem, General & Family Physician"
}
] |
[
{
"from": "system",
"value": "How to stop skin from getting scaly and darker after continuous masturbation?"
},
{
"from": "human",
"value": "I masturbate for 5-6 years now, my skin become more and more scale,it grew some brown spot, dry , become darker. It appear on side arm and leg, it happen where hair grow out. I cant stop masturbating and every time i do it , it seem to grow more more. Help me!!!"
},
{
"from": "gpt",
"value": "HIThank for asking to HCMJust control your thoughts, stop doing this, if you are facing such health problem then it is better to stop this act, your problem will rectify soon, hope this information helps you, take care and have good life."
}
] |
[
{
"from": "system",
"value": "Can bruise like area on shaft of penis be symptom of STD?"
},
{
"from": "human",
"value": "Hi i have a bruiselike area on the shaft of my penis and i am really scared its a std but it doesn't hurt or no discharge no pain at all and there is a small tiny bump with little pimples with a small white top and when i say small i mean its small. Please help me i am scared and is there any treatment or just it'll go away on its own"
},
{
"from": "gpt",
"value": "HIThank for asking to HCMThis is not the STD, this could be skin lesion due to some friction, and this will go away on its own no need to take any medicine and nothing to worry about it keep the area clean, hope this information helps you, take a good care bye."
}
] |
[
{
"from": "system",
"value": "What causes lumps in scrotum area?"
},
{
"from": "human",
"value": "Ok I had 2 abscesses removed about 12 days ago 1 from inside my butt crack and the other from my scrotum but the issue I'm having now is that the area from where the removal of the scrotum the area has a lump that's tender to the touch n hurts some and it a little hard I took ally antibiotics and I clean the area very well what's going on"
},
{
"from": "gpt",
"value": "Hi,Continue with antibiotic and gradually it will be absorbed.If pus is not fully drained up or again there is pus formation, it should be drained again.Go for proper dressing with proper cleaning the wound.Ok and take care."
}
] |
[
{
"from": "system",
"value": "What do you suggest for a red and swollen penis?"
},
{
"from": "human",
"value": "Hi Doc! My penis and scrotum and the skin around my anus is very red and swollen: In fact all the skin on my penis dried and peeled off but the redness has come back. I have had no sexual contact with anyone besides my girlfriend of 3 years. First symptoms were after I masterbated using saliva but the lubrication was not enough and my penis was a little red after. from there is just got itchy then spread to other areas through scrating. I have had the problem for about 5 weeks now. thanks for your help"
},
{
"from": "gpt",
"value": "Hi,from history it seems that you might be having fungal infection on the part.due to itching there might be having some bacterial infection causing redness and swelling.Apply anti-fungal lotion or cream locally.If infection is more go for one course of antibiotic medicine course to control bacterial infection.Go for oral anti fungal medicine course like Flucanozole.Keep local hygiene proper.Ok and take care."
}
] |
[
{
"from": "system",
"value": "How to control masturbate addiction?"
},
{
"from": "human",
"value": "iam 19 years old ,iam shaking my penis two times a day.i have to control it ,after finishing the shaking of penis ,sperm will come out ,i go and wash it,by daily doing this center of my chest is getting like a hole. pls doctor you have to say a reason for that ,and also controling measures"
},
{
"from": "gpt",
"value": "Hi and . Masturbation is very common phenomenon in adolescnets and you no need to feel guilty and anxious about it. Here are few tios to control urge for masturbation. 1.Find another outlet for your time and energy. Fill your life with engaging activities.2. Enjoy some out door sports3. develop new hobby4. If you have problems before going to bed or in the shower, refrain from any temptation to masturbate. For instance, if it's a problem late at night, drop to the floor and do push-ups until you're too exhausted to do anything but fall asleep. If you find shower time too tempting, start using ice cold water only5.If you masturbate frequently because you feel lonely, find ways to be as socially engaged as possible, means avoid loneliness6. Stop watching porn on your computer or TV. Throw away all porn material from your room.7. Their are many myths involved about masturbation, your chest will not be affected due to masturbation If nothing helps you, consult a local doctor for help. All the bestRegardsDr Santosh"
}
] |
[
{
"from": "system",
"value": "What causes itching on tip of penis and herpes in partner?"
},
{
"from": "human",
"value": "Hey Dr Samuel.So i started dating someone last year and after couple months being together she said she got herpes and i am worried now and lately i got a itchy feeling on tip of my penis and i am really worried and i started dating someone else like a month ago."
},
{
"from": "gpt",
"value": "Hi,.If you got infected with Genital Herpes, by this time you would have symptoms other than itching. It will manifest as tiny, grouped vesicles containing clear fluid on the genitals or anus according to the site of inoculation and later these vesicles would rupture to give rise to tiny multiple ulceration and will heal with or without medicines after 2 weeks in a normal immuno-competent individual.Just itchy feeling on penis could be due to some other conditions like yeast infection etc.Only on examination, I can extend more opinion.Dr S.Murugan"
}
] |
[
{
"from": "system",
"value": "What do you suggest for the pain in right scrotum?"
},
{
"from": "human",
"value": "hello dr,i have done color doppler scanning the report says that the are no evidence of the presence of varicocele,but a neurologist says that the scanning report itself is wrong as i have pain in right scortum often,is there any other disease other than varicocele or if you can suggest me have any other scanning and my age is 50yrs i had the same problem in my 20th and 30th year also"
},
{
"from": "gpt",
"value": "Hello!Thank you for the query.Yes, there are few more issues which can give pain in the scrotum apart from varicocele. It may be epidydymis or testis inflammation, inguinal hernia (can be invisible if the ultrasound were done on the lying position) or even urinary tract infection/stones. Too tight underwear can compress the nerve in groin area and give numbness and pain in the scrotum.I suggest you to start your diagnostics from urine analysis and urologist consultation. Antibiotic might be beneficial at your case.Hope this will help.Regards."
}
] |
[
{
"from": "system",
"value": "What is the hard bump with white head on the shaft of penis?"
},
{
"from": "human",
"value": "Hey I got a weird bumb on the shaft of my penis and it's rather hard and swells up after masterbation it's got a little white on the to of it and it's not a std cause I'm still a virgin and when I touch it it doesn't hurt but it's real tender I guess I can say or like a little pinch but I would like if I could get a answer from this because I'm a little embarrassed to go to a doctor lol"
},
{
"from": "gpt",
"value": "Itis most probably a wart. Itshould be seen by your family phisician. If cofirm itcan be removed surgicaly. Itcan alsobe veneriall wart. Inthat case a VDRL test istobedone. If positive penicilin injection will cure it.This site is not for venerial wart. They generaly present in glans penis. Decide accordingly."
}
] |
[
{
"from": "system",
"value": "What do you suggest for a bleeding penis while erect?"
},
{
"from": "human",
"value": "after having sex with my wife few days ago i went to the washroom and notice blood Im also having burning when having a pee 2 : hrs ago I was romancing my wife I had an erection then I felt something running from my penis I check and it was blood I have a appointment for wed. Feb. 19th with a uroligist What should I do"
},
{
"from": "gpt",
"value": "himy first impression is do you had sex while your wife was in bleeding phase of menstruation?and secondly, i think your foreskin may be to tight to retract back leading to injury while errection.anyway come back and share what the clinical examination revealed.take care and feel free to contact anytime and manytime."
}
] |
[
{
"from": "system",
"value": "How to control masturbation?"
},
{
"from": "human",
"value": "Hello sir I am 19 years old I hv pain in my testicles during strong erection also I feel pain wen I go through gas trouble.... I went through scanning before 3 months doctor told I am going through anxiety...... plz help me!!! I was mastrubating a lot and now I hv controlled myself but not fully..... wt should I do control mastrubating"
},
{
"from": "gpt",
"value": "Hi, Thanks for posting your query..Masturbation is nt a bad activity bt in excess it really causes harm u probably lose ur energy everytime n u cudnt concentrate.If u realy want to stop it thn u shud b determinant to it try to engage urself in sum other activities more like reading or get engage with ur studies or carier.Try to make urself busy as much as possible tht is d only way to control it bcos being lonely makes u think in masturbation only.Take care"
}
] |
[
{
"from": "system",
"value": "Could red bumps on penis and sore throat be due to smoking?"
},
{
"from": "human",
"value": "Hi, I had small red bumps on my penis right under the head for about a week. there was no discomfort, itching or burning. They went away on there own and there are no scabs or crust, just a small red spot where it was bumpy. It was also mainly on the left side of the penis and occured after I had a tiny cut from friction during intercourse. now that it is completely healed up (seemingly) i have a slight pressure or tingling sensation in the penis that is barely even noticable. I also have a somewhat sore throat and cough ( I have been chain smoking because of the stress, possibly the cause?) I am uncircumsized and have recently changed body wash and used a new lube."
},
{
"from": "gpt",
"value": "Hello,Your sore throat might be due to smoking as it acts as an irritant to the throat and lungs and may provoke infection as well. Red bumps over penis has number of reasons ranging from irritation, infections and certain skin conditions like eczema and psoriasis. If these bumps are recovering itself with just good lubrication its fine, if not go and see your doctor you might have encountered some sort of infection.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Sameen Bin Naeem, General & Family Physician"
}
] |
[
{
"from": "system",
"value": "How long does it take to heal after frenuloplasty?"
},
{
"from": "human",
"value": "Hi,I believe I need to go through Frenuloplasty as I am not able to get complete erection due to inability of my foreskin to stretch back completely. I want to know how long will it take to heal completely and what will be the cost of the surgery.Thanks"
},
{
"from": "gpt",
"value": "HIThank for asking to HCMWhether you are qualified for this procedure this is the question and you need to confirm this first, better to have second opinion, this is very expensive procedure, the healing takes almost couple of weeks without the post op. events hope this information helps you, take care bye."
}
] |
[
{
"from": "system",
"value": "What do you suggest for painful urination after sex?"
},
{
"from": "human",
"value": "Hi doctor,it been a month i had sex and condom broke during sex.i am worried i might have hiv. What to do? I have painful urination and yellow urination.i had discharge white sperm twice or thrice. When i ejaculate.in my hand sperm looks white but when i put it in the wash basin it looks yellowish in colour.i have pain above penis in the belly part.have done endoscopy and urine culture test but nothing came out.thinking probably it is bec of acidity so using tablets for that. Have little relief. So suggest me what should i do now.?"
},
{
"from": "gpt",
"value": "HI Thank for asking to HCMYou became too much conscious these are the functional complain and not the sign of any disease not even the HIV, whatever you stated here are absolutely normal things, and no need to worry about this, keep your anxiety level low and be happy, hope this information helps you have good life."
}
] |
[
{
"from": "system",
"value": "What causes pain at base of penis during erection?"
},
{
"from": "human",
"value": "HiI have a pain at the base of the penis when it's erect. When I try to push or try to have sex it pains a lot. Have been experiencing this pain since last 3-4days. Recently Married for 10days. Have stopped having sex since the pain started. Have no other symptoms except for pain.pls advice."
},
{
"from": "gpt",
"value": "HIThank for asking to HCMBecause of the erection the tissue inside the penis fills with the blood that some time causes the pain, once this becomes use to then the pain will go away, no need to worry about this and no need to take the medicine too, take care and good bye."
}
] |
[
{
"from": "system",
"value": "What do you suggest for back pain considering i masturbate twice a day?"
},
{
"from": "human",
"value": "sir please tell elp me out this problem me if i can masturbate twice in a day & iam in age of 30+ so and also iam unmarried so help me out of ths problem that if i had low back pain problem last 10 years is only due to mastrbration or some other factors because i did masturbrate of 10years when i was sudied in school"
},
{
"from": "gpt",
"value": "HIThank for asking to HCMThis is real myth that masturbate cause the bad backache, your backache could be because of muscular pain due to more stress, and mental tension, keep the stress level low and try the following medicines,1) Tab Ibuprofen 400 mg three times in day2) Tab Chlorzoxazone three times in day no need to worry about this your back pain will get alright soon, take care and have good time."
}
] |
[
{
"from": "system",
"value": "How to treat little bump on my penis and penile shaft?"
},
{
"from": "human",
"value": "I am 14 and I have this one little bump on my penis head and quite a few on the penis shaft. Iv'e looked up Pearly penile papules and that isn't what it is. I haven't made sexual contact with anyone. I am to embarrassed to tell my parents about this. Can you please help me?"
},
{
"from": "gpt",
"value": "HIThank for asking to HCMI really appreciate your concern looking to your age this is very likely that you are hesitating to show your problem but if you really have such problem then you should discus this with your parents, this could be warts most probably due to the viral infection, and this will come around for that you have to see the dermatologist, but first inform to your parents, hope this information helps you, take care, bye."
}
] |
[
{
"from": "system",
"value": "How to stop nocturnal emission?"
},
{
"from": "human",
"value": "Hi....doctor my age is 19. I loss my sporm during sleep weekly 3to4 times and sexual dreams also came. ..... Plz tell me the how to stop it and any madcine is there for qureing .......and I have Hand pumping not new days in befor 6 months.......doctor plz tell me or send the sugations plz..am secrd about my life...."
},
{
"from": "gpt",
"value": "Hi,Having night discharge at this age is common and nothing to worry.At this age hormone is at its maximum level causing sexual excitement.During day time thinking of sex, seeing some sex exciting things and seeing some porn or sex pertaining mobile talk will lead at night to night discharge.No medicine is available for this matter.Remain busy at your work or study during day time.Avoid thoughts of sex.During night wear loose clothes.Before going to bed read good books, see some entertaining TV serials, pray the god and go to sleep.Ok and take care."
}
] |
[
{
"from": "system",
"value": "What could cause chaffing on the upper groin area?"
},
{
"from": "human",
"value": "Husband is85 years old.has been complaining of chaffing inside of uppergoin. we had aclose look this evening, It was fire red , about 2 inches in diam., soft and very very painful to see. It has been hurting him for a couple of weeks, He showered, dried off well, then i applied a 3 x 4 tefla bandage. It has adhesive strips on 2 sides of gauze. We didnt put any thing else on the sore. Is there anything to do until he getsto a doctor? neosproran?t"
},
{
"from": "gpt",
"value": "Hello dear,The symptoms as mentioned in your post can be due to:1. Fungal infection2. Urticaria3. Contact dermatitisSymptomatic relief can be obtained with:1. Intake of antihistamine preparations like Allegra2. Application of topical steroid & antifungal ointment like Clotrimazole.3. Calamine lotion for symptomatic relief4. Antibiotics to prevent secondary bacterial infection.If symptoms still persist, kindly visit a Dermatologist & get a proper clinical examination done to find the exact cause.Wishing your husband a good health.Take care."
}
] |
[
{
"from": "system",
"value": "Suggest treatment for oligoaesthenospermia"
},
{
"from": "human",
"value": "hi. this is Mrs Khan. My husband has oligoaesthenospermia with the following figures:total sperm count 10 million per mlactively motile sperms 10sluggishly motile sperms 15dead non motile sperms 75spermatozoa showing abnormal morphology 30-40pus cells 3-4can this be cured any how? can i conceive normally or should we go for IUI or something ?"
},
{
"from": "gpt",
"value": "Hello and ,The normal semen analysis is as follows:1. Volume: 2ml/ejaculate2. Sperm concentration: 20 million/ml3. Motility: > 50% sperms should have forward progressive motion4. Morphology: > 50% sperms should have normal morphologyIn your husband's case all the parameters- sperm count, motility of sperms and morphology of sperms- all have sub-normal values.Presence of pus cells suggests presence of infection in the uro-genital tract.A repeat semen analysis is required after treatment of infection.A repeat semen analysis should be carried after an abstinence of atleast 3 days.Correct diagnosis can only be given only when infection is controlled.Management can only be done after treatment of infection.Thanks and take careDr Shailja P Wahal"
}
] |
[
{
"from": "system",
"value": "What causes tingling sensation in testicles and lower buttocks?"
},
{
"from": "human",
"value": "Hi Doctor. 9 months ago I had a vasectomy with minor inflammation that went away soon afterwards. Then, just recently I had strong pain in my testicles for a day, which was proceeded by minor inflammation, and finally an acute pain in my left testicle. I went to see the Doctor who performed the vasectomy and he prescribed me some antibiotics. The pain went away shortly after taking the antibiotics and everything seemed fine. But, A week after the antibiotics I began to feel a tingling/pins and needles in my testicles/lower buttocks region. I tried some inflammatory pills, which didn't work. Now, I just began the same antibiotics I previously was on, yet still no relief. Any suggestions?"
},
{
"from": "gpt",
"value": "HIThank for asking to HCMThe antibiotic will work in infection only but for the pain and tingling sensation you have to take the other medicine like analgesic and anti-inflammatory drug and the best choice would be \"Tab Diclofenac 50 mg once in day\" Tab Alpha chymotrypsin three times in day\" this will reduce the pain, this could be because of the never irritation, take care and have nice day."
}
] |
[
{
"from": "system",
"value": "Need suggestions to diagnose problem due to erection"
},
{
"from": "human",
"value": "hi,I have been having sex with my wife and it was going very good and suddenly i started losing erection although i finished myself in her and after that we try second night but no success at all. it was not getting erect at all.Now i cannot even feel any hardness even if i touch my penis.Please need your guidance. what could be the factor as i had no worrying issue at all during sex. and we had great sex life. what happens all of a sudden. i don't know.Please help me..."
},
{
"from": "gpt",
"value": "HIThank for asking to HCMThe erection comes from the stimuli that is generated in brain and this can be excited with the different stimulant factor, like touch, visual, talk, if non of these is present then erection would not comes as it should be anxiety and depression also plays bigger role this may disturb the mechanism erection ( You have not mentioned your age this is of great concern) hope this information helps you bye."
}
] |
[
{
"from": "system",
"value": "Suggest remedy for foreskin infection with cuts/wounds"
},
{
"from": "human",
"value": "my doctor pulled back my sons foreskin not fully but quite a bit it was a little red and he said an infesction was starting,to pull it back 3-4 times a day untill he pulls away to apply cream to it,this was yesterday i did it twice today and the last time i did it i notice 2 small cuts...what should i do???"
},
{
"from": "gpt",
"value": "Hello, I suggest that you continue pulling out the skin but be very careful not to aggravate the cuts and stop when it is becoming painful. Antibiotic ointment would really be helpful to prevent infection or to cure the infection that is already starting. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Manuel C See IV"
}
] |
[
{
"from": "system",
"value": "Could the dull pain in scrotum and groin with freckles be due to ageing?"
},
{
"from": "human",
"value": "I'm 29,male and I've recently noticed a somewhat increased number of freckles appearing on my body. I have also had some slight dull pains in my groin area, scrotum and lower back/abdominals, although the pain subsides often. Am I just getting older?"
},
{
"from": "gpt",
"value": "Hi,Sun exposure is the main cause of freckles and dark spots however dull ache in your groin area might be due to number of reasons. All you can do at home is don't wear tight under wears, avoid using tight clothing too and if you area having some sort of discharge with urine go and see your doctor, it might indicate some sort of infection.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Sameen Bin Naeem, General & Family Physician"
}
] |
[
{
"from": "system",
"value": "Is VV the correct procedure to clear blockage as opposed to VE?"
},
{
"from": "human",
"value": "Greetings, I have a question- I recently had a vasectomy reversal done (bilateral VV) after 8.5 years. I received the post op notes and it stated: semen was yellow and opaque, no granuloma formation, and no whole sperm on either side. The urologist did say he was able to clear the blockages on each side and went forward with a VV. Was a VV the proper procedure instead of a VE? Also, any concern about sperm returning to the ejaculate? Thank you, EW"
},
{
"from": "gpt",
"value": "Hi. Good question. Urologist knows better on-table what should best be done n the hope to give you the best results. VE is done for congenital blockages and VV for vasectomies, so He has done the right thing.Yes the sperms will return to the ejaculate. You must have discuss about the success ratio with your Urologist or either way. The sperm maturity is a long process and has a long route which your Urologist must have told you."
}
] |
[
{
"from": "system",
"value": "What does sperm count rapid linear 10 and slow linear 20 suggest?"
},
{
"from": "human",
"value": "Dear doctor,I checked my semen analysis last month. There mentioned my sperm count rapid linear 10 and slow linear 20. Can you please advise which medicine I should do and now I am in abudhabi. Fertilaid for men, motility boost, count boost are they good for these treatment?"
},
{
"from": "gpt",
"value": "Hi,I read your query and I understand your concerns.Following is my reply:1) Your sperm motility is slow.2) You can continue taking those medicines.3) Please get ultrasound scan done to rule out varicoceleLet me know if you have anymore questions.Regards,Dr. Mahesh Koregol"
}
] |
[
{
"from": "system",
"value": "Is there any benefit of doing massage to the penis?"
},
{
"from": "human",
"value": "Is there any benefit of doing massage to the penis? I know it is not made up of any muscles or bones, but still will doing massage improve the blood flow to that. There is not much information available on this topic, and all that available is not form medical sources. Thanks!"
},
{
"from": "gpt",
"value": "Hi,I read your query and I understand your concerns.Following is my reply:1) There is no use or need of penis massage.2) It is not going to improve blood supply on long term basisLet me know if you have anymore questions.Regards,Dr. Mahesh Koregol"
}
] |
[
{
"from": "system",
"value": "Tips to get rid of over masturbation"
},
{
"from": "human",
"value": "Hii.. with regards, sir i m suffering from the problem of overmasturbation, i m jst 19 n being unaware of the effects of this disease. I m doing a professional C.A. COURSE and it needs a lot of concentration, bt due to this problem i will nt be able to concentrate. It luks lyk hell ma lyf getting worse. I have a high hopes n lot of expectations. Plz plz suggest me some ways to get rid off frm these distractions."
},
{
"from": "gpt",
"value": "Hello Thanks for writing to HCMOver masturbation may be due to excessive sexual thoughts.Masturbation is practiced by most of the males but its obsession is bad.You should try to keep yourself busy in your job.You should avoid provocating literature,videos etc.You should also try meditation and yoga.This will help you a lot.You are very young and you should try to make your carrier.If problem still persists then you may need psychological help.Proper counselling can be done by psychologist.Hope i have answered your query.Take CareDr.Indu Bhushan"
}
] |
[
{
"from": "system",
"value": "What causes burning sensation in the scrotum?"
},
{
"from": "human",
"value": "I have a hydrocele condition. I am 68 years old. I wake up some mornings with burning in my scrotum. What causes this and is it a dangerous condition. I find that I can get some relief by gently patting my scrotum. What are my options? I had a heart attack in 1996. I've had no problems since. No surgery just diet and medication."
},
{
"from": "gpt",
"value": "Hi,Welcome to Health care magic forum. It appears that you have a simultaneous hernia also, besides the hydrocele. I advise you to consult a surgeon for diagnosis and treatment. You may need to have an MRI,for excluding any concomitant hernia. If there is hernia, you may need to have a surgery, to clear the hernia, and simultaneous reduction of hydrocele. Wishing for a quick and complete recovery. Thank you."
}
] |
[
{
"from": "system",
"value": "What could cause a hard bulge on the lower left side of the abdomen?"
},
{
"from": "human",
"value": "i am a 47 year i had had a hard bulge in my lower left side of my abdomen about 2 inches to the left of the base of my penis. it is not painful and only gets soft after i urinate, it is only on the left side as the right side of my lower abdomen is normal no lumps there what is it???"
},
{
"from": "gpt",
"value": "Hi,Welcome to Health care magic forum. As you describe it appears to be the hernia,so the bulge softens, after the urination, etc. I advise you to consult a surgeon for diagnosis and treatment. You may need to have a surgery, for correction of hernia. Take more of green leafy vegetables,pulses,sprouts,and protein rich foods to have blood,general health and resistance against infections. Wishing for a quick and complete recovery. Thank you."
}
] |
[
{
"from": "system",
"value": "How to cure tight and cracked foreskin which is causing pain while retracting?"
},
{
"from": "human",
"value": "I have a very tight and and dry/cracked forskin and this is causing me some pain when retracting my forskin. Its has cracked to the point of bleedin. I have tryed many thing auch as timodie, dakacort, caniston. And vassiline, non have worked atall and at times made thia problem much worse"
},
{
"from": "gpt",
"value": "Hi,Presence of a tight foreskin which is difficult to retract is called phimosis. Although steroid creams help in mild cases, in others, it needs to be surgically removed to prevent future complications. Do not forcibly retract the foreskin as it can lead to paraphimosis, in which the glans becomes swollen and painful and the foreskin cannot be retracted back. Please consult a doctor and do not hesitate in getting it operated as the surgery is a minor one with excellent results.Best wishes."
}
] |
[
{
"from": "system",
"value": "Can i have a baby with total sperm count of 75 million/cmm?"
},
{
"from": "human",
"value": "I did semen analysis test, and the results is as follows: Volume 4.1ML, Color gray, Viscosity Thick, Liquification time 30 minutes, total sperm count 75 million/cmm, active 40%, Sluggish 25%, Dead 35%, Normal 50% abnormal 50%, PUS cells 03----04HPF. is this normal? may I have baby with this quantity? and or what I should do.I did two times varicose surgery on my left testicle.Thanks in advance."
},
{
"from": "gpt",
"value": "With this seman result you should be able to have a baby. Your wife's check up is equaly important. With both of your result, doctor can be consulted. Now treatment can be planed."
}
] |
[
{
"from": "system",
"value": "Can 4.5\" penis size cause short erection?"
},
{
"from": "human",
"value": "ok this is embarrassing but I had sex for the first time with my girlfriend for the first time and 5 min. in I couldn't keep my erection. We tried again a couple days later and it happened again. now im worried that i wont be able to get an erection. could it have anything to do with my penis size im 4.5 in"
},
{
"from": "gpt",
"value": "HIThank for asking to HCMerection and the size are nothing to do any thing with each other, you have take the sixe of your penis seriously that might be causing erection problem, you have to forget it size is not the matter in intercourse, again I am advising you that you have to forget it, stop paying attention, otherwise this will create more panic, hope this information helps you, take care and have nice time."
}
] |
[
{
"from": "system",
"value": "What is causing scrotum to get bigger and causing discomfort?"
},
{
"from": "human",
"value": "About two years ago I noticed my scrotum getting bigger. I didn t have any pain, but about two months ago, i ve noticed that it has gotten bigger and I can no longer fill my right testicle. The scrotum was hard and became discomfort when i sit down. This morning I noticed that it was no loner hard and the scrotum looked and felt like a ballon, but now my penis looks funny."
},
{
"from": "gpt",
"value": "Hi,From history it seems that you might be having either Hydrocele or indirect inguinal hernia giving rise this problem.Consult surgeon and get examined.Ok and take care."
}
] |
[
{
"from": "system",
"value": "Suggest treatment for hernia in groin and enlarged prostate"
},
{
"from": "human",
"value": "Sir, I have been facing Hernia problem for the last 20 months in the left groin area.. For the last six months I have been using hernia belt. Yesterday I consulted a Urologist. He diagnosed me with enlarged prostate also and adivsed me to undergo surgery for prostate first and thereafter hernia. Pl. suggest me what to do."
},
{
"from": "gpt",
"value": "Hello,I suggest you to go with your doctors advice. I would like to see your Ultrasound of prostrate and how much this is causing trouble to you. If you undergo hernia surgery first, while straining for micturation it is going to hurt you more. First get rid of prostrate then go for hernia surgery.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Sameen Bin Naeem, General & Family Physician"
}
] |
[
{
"from": "system",
"value": "Reason for tight foreskin with dryness along with clear bumps"
},
{
"from": "human",
"value": "Hi i recently noticed that my foreskin was geting tighter and like scabbing dry skin was developing around it. Also i have clear bumps that have developed in a small area on my foreskin and its a lil painful. My girlfriend has recently been checked for all std s and was diagnosed with a clean bill of health. I also had been checked for herpes in the month of september and was clean. Any suggestions on what this could be??"
},
{
"from": "gpt",
"value": "Hi,from history it seems that you might be having belanoprostitis due to collection of smegma under fore skin leading to developing scabbing and sticking of fore skin on glans.This might be due to not cleaning smegma regularly.Make a habit of cleaning the glans by averting fore skin while taking bath.Now apply antibiotic cream after proper cleaning.Gradually fore skin will be loose.Ok and take care."
}
] |
[
{
"from": "system",
"value": "What could be the reason for having pain in groin, lower abdomen and lower back?"
},
{
"from": "human",
"value": "My husband has a swollen right ball, it stings to urinate and he is having thigh joint pain, lower back and lower abdomen pain. His leg and knee are vey achy. He also has an achy groin. It has been going on for about a week now. What could this be?"
},
{
"from": "gpt",
"value": "Good day! Thank you for asking. Pain ful scrotum, with foul smell urine and itchy groin and associated thigh pain makes the odds for UTI and epididymitis and orchitis more likely. it needs a clinical examination to assess the situation and sort ot for sure what it is. So seek a doctor and let your husband be examined for this trouble.Meanwhile taking good hygiene measures and coital and toilet habits would help.Regards"
}
] |
[
{
"from": "system",
"value": "Noticed spots and rashes on inner thigh and around penis"
},
{
"from": "human",
"value": "About 6 months ago i woke up in the morning and my groin area and underwear was soaking wet...i had thought i had had a bad or wet dream??? During that time I had worn an old bathing suit to the beach with a pair of underwear with it and had been doing a lot of activities outside in hot weather...Shortly after that i developed a rash on my inner thighs around my penis...it was sore and itched for a short time and even turned to a dark leathery color... A period of time went by and it went away...About a week ago i woke up again with wet underwear and now in same spots on inner thigh it is starting to turn a little sore and red again...Im going to be getting tested for STD's... Am I over reacting and is this just a case of jock itch? a rash? or bad size underwear?"
},
{
"from": "gpt",
"value": "HiThank you for asking HCMI have gone through your query. Your problem is most likely tenia corporis, a fungal infection. For such condition i treat with clotrimazole or miconazole ointment for local application for 1 to 2 weeks and Fluconazole tablet weekly once for 4 weeks for stopping recurrance.I also advice them to wear dry and loose underwear and not to wear sweaty or wet cloths for long time. Anyhow its better to confirm your problem by a doctor preferably a dermatologist.Hope this may help you.Let me know if you have any further query."
}
] |
[
{
"from": "system",
"value": "What is the cure for wounds on tip of penis?"
},
{
"from": "human",
"value": "Hi, i have 3 wounds (rounded) on the tip, which is under the foreskin (tip of my penis). This area always seems to be moist which is making the healing process difficult, the wounds have now turned white in colour. What do you suggest in my case? And what treatment do you recommend?"
},
{
"from": "gpt",
"value": "Hello,,As this area is very moist and the micro organisms are easily sustain in this area, it will delays any injury to this area.You have to keep this area dry and you need to apply moisture absorbent like zinc oxide, which will reduces the moisture and helps to heal your condition.You may require a course of antibiotics and local antibiotic cream to reduce the infection and fasten the healing process.Maintaining the good hygiene is very important in avoiding these infection in the genital area.Thank you."
}
] |
[
{
"from": "system",
"value": "What are the treatments for erection and ejaculation problems?"
},
{
"from": "human",
"value": "Me and my girlfriend have had sex Atleast 5 days a week for last couple of months . Recently I have had a problem staying hard , and being able to ejaculate. Also, by the second round im able to stay hard but I m dmaller and takes way longer to ejaculate."
},
{
"from": "gpt",
"value": "Hello,What you are experiencing is a normal physiological phenomenon and nothing to worry about this.As you are having sex 5 days in a week definitely the amount of semen production will be less that doesn't mean your sexual desire has come down.When ever you are trying for the second round of sex normally ejaculation will be delayed due to the sympathetic activity.As per the history you are not having any problem with regard to your sexual activity.Thank you."
}
] |
[
{
"from": "system",
"value": "What could be the reasons for lump and soreness under penis head after having sex?"
},
{
"from": "human",
"value": "last week i had sex with this girl who was really tight and afterwards my penis was really sore and it hurt pretty bad. its been a week and there is still a lump under the skin on the head of my penis near the pee hole. if I squeeze it some white puss like stuff comes out and it is a little bit painful. any idea what this could be?"
},
{
"from": "gpt",
"value": "Hello,,Following unprotected sex there is always a chance of getting sexually transmitted infections (STIs).The lump and the soreness may be due to friction of your mucosa with the genitals of your partner that could have causing all these symptoms.To make the proper diagnosis you require physical examination to make proper diagnosis and then we can decide on further course of treatment.Thank you."
}
] |
[
{
"from": "system",
"value": "How to cure bumps on scrotum and leg filled with blood and pus?"
},
{
"from": "human",
"value": "I have 2 bumps one is on my scrotum it goes from where my testicles end and goes About a finger length up towards my testicles. The other one it right where my leg meets my thigh it's not quite as big.I squeezed these two and white pus came out but after it ran out of pus it started bleeding.Please help me I am very scared and embarrassed to tell anyone is there anything I can do to get it to go away"
},
{
"from": "gpt",
"value": "HIThank for asking to HCMI can understand your problem this might not be pus but could be sebaceous material medicine has got no role if this are the sebaceous cyst, you have to excised this surgically, but this is not emergency, you can go and get it confirm whether this is sebaceous cyst or something else because clinical examination can clear the picture hope this information helps you take care and have nice day. ( Do not try to squeeze the lesion)"
}
] |
[
{
"from": "system",
"value": "What could cause a burning rash around the genitals?"
},
{
"from": "human",
"value": "Hi I recently had a rash around my genital area(male) and it's threw the top of my legs and pubes. And it also burns sometimes when I ejaculate after the rash showed up. I recently had unprotected sex. I'm wondering if this could possibly be a std? Or if it's just irritating rash etc."
},
{
"from": "gpt",
"value": "HIThank for asking to HCMI can understand your problem, this is not the STD, this could be allergic condition If I would be your doctor then I would treat your condition with the following treatment,1) Tab Levocetrizine 10 mg three time in daythis will come around soon, hope this information helps you, have nice day."
}
] |
[
{
"from": "system",
"value": "Suggest medication for itchiness and patch on scrotum"
},
{
"from": "human",
"value": "Hello, I have a dry, itchy patch on scrotum. I also have intense itching, which mainly occurs at night, in my genital area. I also have moist patch of skin on top of penile shaft and red puffy foreskin. The itching is very intense at times. I was wondering what the issue could be and what I can do to treat this."
},
{
"from": "gpt",
"value": "Hi,Welcome to Health care magic forum. It appears that you are suffering with the fungal infection,and needs to be treated to the end. I advise you to consult a dermatologist for diagnosis and treatment. I usually prescribe to my patient with such symptoms grisofulvin, multivitamin tablets,and mixed steroid ointment. Wishing for a quick and complete recovery. Thank you."
}
] |
[
{
"from": "system",
"value": "Is masturbation good for health?"
},
{
"from": "human",
"value": "Kinda a odd question, but I'm 17 years old and I constantly feel the urge to have sex. I recently heard that if you master bait too much that you start having pre ejaculation.If I stop doing this so much will everything start functioning normally again?"
},
{
"from": "gpt",
"value": "hellothanks for your questionmasturbation now is regarded as a normal, healthy sexual activity that is pleasant, fulfilling, acceptable, and safe. It is a good way to experience sexual pleasure and can be done throughout life.Masturbation is only considered a problem when it inhibits sexual activity with a partner, is done in public, or causes significant distress to the person. It may cause distress if it is done compulsively and/or interferes with daily life and activities.thanks"
}
] |
[
{
"from": "system",
"value": "What causes weakness with bloated stomach with a normal blood test?"
},
{
"from": "human",
"value": "hello doctor im a 21 year old male about 135 lbs and ive been feeling weak and tire for the past three days. my stomache feels bloated and full of gas but i havent eaten anything i went to the er and got a cat scan and some blood work and the doctor said i was fine. i need a second opinion."
},
{
"from": "gpt",
"value": "Hello,Some times you just have acid peptic disease or acid reflux disease and these can cause all your symptoms. Its not necessary to have abnormal tests with these illnesses however, i would like to see you lab results what your doctor has ordered and what not. I suggest to take pro-kinetic drugs along with proton pump inhibitors to alleviate your symptoms. If they persist go and see your doctor again to have a detailed examination and treatment if needed.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Sameen Bin Naeem, General & Family Physician"
}
] |
[
{
"from": "system",
"value": "What is the remedy for a wart like growth under the scrotum?"
},
{
"from": "human",
"value": "I have had a wart like growth underneath scrotum for more than ten years. It's soft and fleshy. It's the size of a pea and singular. I've never had another. I have hpv (assumed, my wife has it). I've used over the counter wart meds on it with no effect. What could this be?"
},
{
"from": "gpt",
"value": "Hi,Welcome to Health care magic forum. It appears that you must be having,a cyst in the scrotum, and needs to be excised. I advise you to consult a surgeon for diagnosis and treatment. You may need to have Take more of green leafy vegetables,pulses,sprouts,and protein rich foods to have blood,general health and resistance against infections. Wishing for a quick and complete recovery. Thank you."
}
] |
[
{
"from": "system",
"value": "Will there be semen in the precum?"
},
{
"from": "human",
"value": "Hello I have been having sex with my girlfriend for quite sometime and she is on the pill and i usually don't wear a condom, but pull out. I was wondering about pre cum though i know that all men do it but is there actual seeman in the precum or is just that the precum may push out any seeman left in the penis canal. Thank you"
},
{
"from": "gpt",
"value": "Hello,Yes.Sperm may be present in the pre cum.How ever Pre-cum is made in the Cowper’s gland and sperm is made in the testicles.Pre-cum itself does not contain sperm, however sperm left behind from a previous ejaculation might be an eager stow-away on the pre-ejaculate cargo ship.If you passed urine just before sex, then it would wash the sperms from previous ejaculate and there by free of sperms.Thus both are the possibilities.It is better to have intercourse with protective methods like condom.Hope this helps.Please write back for further queries.Wishing you good health."
}
] |
[
{
"from": "system",
"value": "Are gnital warts contegeous in HBSAg non-reactive person?"
},
{
"from": "human",
"value": "Hi Doc, I m just a worried wife with HBSAg non-reactive result. My husband,28 got warts on his genitals just recently.I m just concern if transmission of said genital warts would be possible to me due to contact. What s the cure for it. Pls. help me. I m worried."
},
{
"from": "gpt",
"value": "Genital warts are due to a different viral infection known as HPV(human papilloma virus). They have nothing to do with your Hepatitis B status. You can still get them as they are also transmitted sexually."
}
] |
[
{
"from": "system",
"value": "How to get rid of left sided testicular dull ache?"
},
{
"from": "human",
"value": "I have an uncomfortable left testicle, i went to a urologist and he said it can be caused by an std or urine infection. he prescribed anti-biotics and im almost done with the last few pill which took about a month and two weeks. im still feeling a dull-ache in my left testicle. how can i get rid of it for good?"
},
{
"from": "gpt",
"value": "Since your testicular pain is persisting for more than a month,to be on the safer side ,i suggest an ultrasound examination of the testicle to rule out malignant tumor. if there is no evidence of malignancy,then you may be treated for filariasis of scrotum"
}
] |
[
{
"from": "system",
"value": "What is the remedy for the tightness in the foreskin?"
},
{
"from": "human",
"value": "I m 25 turning 26 I ve never had a problem with my foreskin on ny penis till now. It all of a sudden shrunk and the skin is very tight I m used to pulling it back several inches and cleaning it and in intercourse it goes back automatically. Recently the tip is small that my gland struggles to come about. What is going on or what medications can,I use?"
},
{
"from": "gpt",
"value": "DearWe understand your concernsI went through your details. I suggest you not to worry much. Your foreskin is tight and you never had this problem before. I don't think that is the case. You are probably getting anxious and over doing this. If you are correct, please see a surgeon and he can surgically correct the condition. That surgical procedure is called circumcision. Your penis foreskin movement should be normal after that surgery. Visit this answers your query.Available for further clarifications.Good luck."
}
] |
[
{
"from": "system",
"value": "Could intense vasocongestion (\"blue balls\") after bowels mean prostrate or colon cancer ?"
},
{
"from": "human",
"value": "Recently I have been getting intense vasocongestion (\"blue balls\") after bowel movements. Other than straining too hard or wiping too forcefully, are there known causes for this? Could it be pathogneumonic for prostate or colon cancer? Anything else? Thank you in advance."
},
{
"from": "gpt",
"value": "Hello!Thank you for the query.Most likely this issue is caused by increased venous pressure due to pushing on the stool.It can be a symptom of impeded blood flow in the pelvis area. Any tumor which compresses main vessels in the pelvis area can give such symptom. But I`m pretty sure other symptoms like bowels obstruction, pain, blood in stool, weakness wound be present much earlier. Sometimes such symptoms can appear due to varicocele. You may also have pain or discomfort in the testis and noodles like structures palpable.Hope this will help.Regards."
}
] |
[
{
"from": "system",
"value": "Any suggestion for penis not standing properly during sex?"
},
{
"from": "human",
"value": "Hello , I am 18 old unmarried guy. Today I went to have sex with call girl and it was first time for me. At bed room, first she removed her clothes, she became nude and later I have also removed my all clothes. After seeing her, my penis was not standing properly. It stood up for 2secound after my penis and again it doesn't standup down and my penis (Have used condom) no into her vagina.After out my peins metal.I have no sex with her. how to solve this problem. please answer me?Please help me."
},
{
"from": "gpt",
"value": "HelloThis is pretty normal and common. I call it first timer anxiety. There could be some dilemma or anxiety while preparing to have sex. Next time you go, use condom, take a tab. of viagra, don't focus on penis but on pleasure and hope for the best. If still same, tell me, I shall guide to find out the problem. You can read further on wwwonlinesexsolutions.comDR SAATIISH JHUNTRRAA"
}
] |
[
{
"from": "system",
"value": "What is the cause for wrinkles on my penis after masturbation?"
},
{
"from": "human",
"value": "Im a 16 yr old guy. I masturbated too hard last night for 1 hour. I woke up 6 hours later around 7:30am and saw that the shaft of my penis was swollen. It was the same colour as normal, just swollen. Then after a few hours at 2:00 it decreased in swelling, it is still a tiny bit swollen however. But now the shaft is much softer and has more wrinkles, why is this? My penis is also ever so slightly bent to the right a little, but when I hold it for a few secs it becomes straight. (This is all in flaccid state). What has happened and what do I do? Will it heal and return to how it was 5 days ago (normal)?"
},
{
"from": "gpt",
"value": "HelloIt was swollen due to over exertion. Swelling takes 3-4 days to subside. Handle your penis with care, don't be cruel to it. It will be ok just like beforeDR SAATIISH JHUNTRRAA"
}
] |
[
{
"from": "system",
"value": "How to reduce pain in pelvic, crotch area and abdomen?"
},
{
"from": "human",
"value": "I slipped twice back in December. Both resulted in a split type motion of my legs. It hurt in my crotch area but I didn't think much of it...Now its been over a month and the pain is still as intense. There is a pulling feeling in my pelvic area..and it feels like it is pulling on my penis. If I have to be on my feet a lot, like yesterday, I feel it in my lower abdomen too. Its a tugging feeling. Hurts on both sides of my genitle area. I am 5 feet 8 and weigh 375. I golf and am fairly active but I know I am severly obese."
},
{
"from": "gpt",
"value": "Hi, As mentioned you have pain persisting even 1month after fall upon gluteal region. You need to rule out any bony injury and ligamentous injury . For that you need proper evaluation and investigations like X Ray ,MRI .... under a orthopaedics guidance . You must change your lifestyle for your weight reduction . Join gym for weight reduction exercises, avoid bing eating and fatty foods, try having more raphage , inceease fruits vege n salads in ur diet ...... There are many aggressive treatment but start with these it ll def help .Thanks n regards"
}
] |
[
{
"from": "system",
"value": "Slightly inflamed and itching on right side of glans"
},
{
"from": "human",
"value": "41-year-old circumcised male, one sex partner for past 15 years. The last few months i've had slight itching on the right side of my glans, which now appears slightly inflamed. It's on the corona, the inflammation probably about 10 mm long. My dermatologist briefly looked at it and said it was caused by friction. he prescribed a cortisone cream and said it could take up to two weeks for relief.it's been several days and the inflammation seems to be only worse. I am highly stressed about it and wonder if i'm making it worse. I read online that irritation and itching are commonly present near the onset of penile cancer, which of course makes me even more anxious and is perhaps making the problem worse. Is there any way to tell for sure what this is or, more importantly, is not? I think mental relief would go a long way toward resolution."
},
{
"from": "gpt",
"value": "HelloThanks for the query Since there is no swelling or growth and the main complaint is only inflammation and itching it is least likely to be cancer I recommend you revisit the Dermat for oral anti inflammatory agents, wear loose inner wear and avoid intercourse until you are better I hope I was of helpRegards"
}
] |
[
{
"from": "system",
"value": "Suggest remedy for penis and testis problem"
},
{
"from": "human",
"value": "HI, I AM KULDEEP 23YRS OLD FROM FARIDKOT (PUNJAB), DUE TO CHILDHOOD MISTAKES, I FEEL SO MUCH WEAKNESS REGARDING SEXUALLY, MY TESTIS HAS BEEN MOVE FROM ITS ORIGINAL PLACE TO UPPER SIDE, AND MY PENIS DO WET ALWAYS, ITS SIZE IS ALSO HAS BEEN SHORT LIKE A CHILD PLS GIVE ME ANY ADVISE I WOULD BE VERY THANK FUL TO YOU,, MY EMAIL ID IS YYYY@YYYY"
},
{
"from": "gpt",
"value": "Hello, Please let us know what childhood mistakes you did so that you suspect now. The position or size of your testis is never a concern unless you have pain, burning or swelling on your testicles. Your penis ejaculate the semen may be because you are not masturbating or having sex. The penis size in erect condition on an average is 4.5 inches and in flaccid condition around 1.5 inches. Therefore do not worry unnecessarily. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr K. V. Anand, Psychologist"
}
] |
[
{
"from": "system",
"value": "What causes bumps in the base of penis?"
},
{
"from": "human",
"value": "My boyfriend said that he is itchy around the base of the head area. I looked at it and he has a few bumps on the base of his penis. He told me when he squeezed one puss came out. This started a few weeks ago. I am worried for him and he wants to see a doc but also wants to know more first hand before he goes. What is wrong? Is it my fault that he is this way? We have been sexually active since last year, so why is this happening now? Can i do anything to help treat it?"
},
{
"from": "gpt",
"value": "HelloThanks for writing to HCMI think pus discharge is due to urinary tract infection.He need few investigations like routine hemogram,RBS,RFT,urine RE/ME,urine culture and sensitivity,Ultrasound of abdomen can also be done.There are number of causes for red itchy spots on the penis depending on the size,number,distribution,any pain or itching.Red sores may be due to many reasons.It may be due to infection,allergy etc. Infection is usually due to fungus whereas allergy may be due to sweating,lubricants etc.In these cases itching should be treated with antibiotic, antifungal,antiallergic or steroid cream. If they still persist than it's perhaps a condition which needs to be further investigated.He should try to keep the area dry.It is important to wear clean and dry underpants to prevent further infection.He should regularly clean the collection(smegma)present undersuface of prepuce.He shouldn't scratch the area.Hope i have answered your query.Take CareDr.Indu Bhushan"
}
] |
[
{
"from": "system",
"value": "Can lower back pain & pain in the groin when lifting weight indicate hernia?"
},
{
"from": "human",
"value": "I m having pain in my groin for a year when i jump down from something, and last week i started having pain in my groin when i pick up 50lbs or more. Mainly i was picking up my daughter. Having pain in my lower back also today. Thinking it may be a hernia???"
},
{
"from": "gpt",
"value": "HelloThanks for writing to HCMLower back pain & pain in the groin may be due to many reasons.For confirming hernia you need clinical examination by a surgeon.Back pain may also be due to muscle spasm.At present you should take rest.Take muscle relaxants and analgesics for short duration.Proper treatment depend upon clinical examination and investigation reports.Investigations include routine hemogram,RBS,RFT,LFT,urine RE/ME,ultrasound of abdomen,X-ray L/S Spine (AP/Lateral view).MRI L/S Spine can be done if needed.Hope i have answered your query.Take CareDr.Indu Bhushan"
}
] |
[
{
"from": "system",
"value": "Is the yellow clumpy seminal discharge is of concern?"
},
{
"from": "human",
"value": "I am 45, had a vasectomy 6 years ago, 6 1 300 lbs, and had an extremely low T level in May 2013 (120), have periodic bouts of ED. My doctor has me on testosterone injections every 2 weeks 1ML. I take Lisinopril 20 mg 2X daily, Atenolol 100 mg 2X daily, and Amlodipine 5 mg 2 X Daily, for hypertension. Other than that, no other meds. I have noticed that from time to time my seminal discharge is yellow and clumpy (similar to gelatin). Is this normal, or is there something I need to be concerned about. This most often occurs during prostate stimulation not normal ejaculation."
},
{
"from": "gpt",
"value": "HelloThanks for writing to HCMYellow colour of semen may be due to infection.It may be due to prostatitis,UTI etc.You may need antibiotics if there is infection.Other investigation like routine hemoram,RBS,Ultrasound of pelvis should be done.Trans rectal sonography of prostate can be done if needed.You should consult your doctor.Hope i have answered your query.Take CareDr.Indu Bhushan"
}
] |
[
{
"from": "system",
"value": "Does lawn fertilizer exposure reduce testosterone levels ?"
},
{
"from": "human",
"value": "i had a fifty pound bag of lawn fertilizer in the back seat of my car for two years it was completlll helpholes or tears to it i believe i read an article about fertilizer that it can lower your testosterone i am a fifty nine year old man i had ablood test my reading was twohundredten i have no energy every day and i have diabetes for over twelve years please help me"
},
{
"from": "gpt",
"value": "diabetes particularly if not well controlled, depression, and anemia are more likely to cause low testosterone than a bag of fertilizer. I would recommend meeting with your primary care doctor and discuss your symptoms."
}
] |
[
{
"from": "system",
"value": "What could be the black, flat spots on tip of penis that appeared after sexual contact?"
},
{
"from": "human",
"value": "Hi, im a teen and ive recently had sexual contact. Soon after I have noticed little black and dim flat spots that become more noticable when I have an erection, these spots are located all around the tip of my penis mainly near the hole and on the top. I am almost certain my partner is free of STDs. Is this something I have to be worried about and if so what must I do."
},
{
"from": "gpt",
"value": "Hi,Welcome to Health care magic forum. It appears that you must be having these spots, even before the intercourse.They would have been unnoticed, so for. The spots may be due to the fungal infection. I advise you to consult a dermatologist for diagnosis and treatment. I usually prescribe to my patient with such symptoms grisofulvin, and mixed steroid ointment for local application. Wishing for a quick and complete recovery. Thank you."
}
] |
[
{
"from": "system",
"value": "What do you suggest for a white lump on my penis shaft?"
},
{
"from": "human",
"value": "i have a very tiny white pearl looking thing about 1/3 way up my penis shaft. im embarrased to go to the doctors and i have had these in my ear lobes before..... took long time to go away. should i be worried about the one on my penis? what can i do to get rid of it?"
},
{
"from": "gpt",
"value": "Hi. This white pearly looking small lump can be due to very small cyst as you already had it on ear lobes too. There is nothing to worry about and just forget about this. You can not do anything to get rid of this. It may go away on its own."
}
] |
[
{
"from": "system",
"value": "What do you suggest for the fat in testes?"
},
{
"from": "human",
"value": "sir my brother aged 48 years feel pain while urinating, earlier it was suspected that it is due to stone, but on ultrsound report doctors said that fat has been accumulated in testes and this can be removed by operation. pls suggest should he go for operation or medicines are availalble for this problem. can this problem lead to any other sever problem in future."
},
{
"from": "gpt",
"value": "Hi. This is unheard of fat in testes. Please post a Sonography report. There may be something else for which your Doctor has tried to convince you in a different way or you have inferred differently. Please be sure about the diagnosis."
}
] |
[
{
"from": "system",
"value": "What could be the yellowish liquid discharge from penis?"
},
{
"from": "human",
"value": "I am 18 and male, I have a whiteish, yellowish slimy leakage coming from the tip of my penis and I haven't had sex or oral in months and this just started a few days ago. Slight sting when I urinate but only from time to time and I just need to know what's going on."
},
{
"from": "gpt",
"value": "HiThank you for asking HCMIt can be due to bacterial infection.But STDs like gonorhea gives same picture.You should have a routine urine test to rule out a urinary infection also.Swab culture and microscopy of the discharge also might be needed for diagnosis.With proper antibiotic therapy you will be fine.Consult your doctor immediately as the infection can cause complications like infertility.Let me know if you have any further query."
}
] |
[
{
"from": "system",
"value": "How to treat painful epididymal cysts?"
},
{
"from": "human",
"value": "Help I have been diagnosed with a very painful Epididymal cysts, can I relive it buy ejaculation? I was not given antibiotics I think it's infected it hurts they gave me some really strong drug like morphine buy it's not working should I go back to the hospital and demand an operation"
},
{
"from": "gpt",
"value": "HIThank for asking to HCMYou can try analgesic medicine If I would be your doctor then I would treat you with the following medicine,1) Tab Ibuprofen 400 mg three times in day 1) Tab Alphachemotrypsin three times in dayI hope this may helps you, take care and have nice day."
}
] |
[
{
"from": "system",
"value": "Why am i having itchy feeling in tip of penis after masturbation?"
},
{
"from": "human",
"value": "Hi. After i masturbate. I sometimes have an itchy feelling on the tip of my penis. It only occurs like 2 minutes after that and it doesnt appear when peeing or anythin like that. Its been happening for a few weeks now. And since i mostly do it before i go to bed. It drives me crazy x("
},
{
"from": "gpt",
"value": "Hello,,Itching after masturbating is due to the organisms which already present in this area.The genitals will harbor many organism as normal comensals, Following the masturbation there will be release of fructose which will be utilized by the bacteria and this will produces the symptoms.Keeping dry and maintain good hygiene if key in avoiding these type of itching.Thank you."
}
] |
[
{
"from": "system",
"value": "What causes uncomfortable urination after intercourse?"
},
{
"from": "human",
"value": "After sex realised condom was broken,went to toilet and it felt uncomfortable peeing, not stinging or burning STI's are generally ment to take about two days to start showing symptoms if at all, Would you consider it a sign of STI or simply strain from sex - she said she got tested month ago and is in all clear sti wise"
},
{
"from": "gpt",
"value": "Hello. Uncomfortable urination immediately after sexual intercourse where condom break, simply signifies inflammation of your ureter. That is an immediate effect and it should die down within 24 hours. Your case may be different. I suggest you consult a doctor for physical investigation. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr K. V. Anand, Psychologist"
}
] |
[
{
"from": "system",
"value": "What causes lump under my testicles when suffering from lower back pain?"
},
{
"from": "human",
"value": "Hi, I have recently been having some lower back pains that seem to be more towards my left lower back. The pains shoot down my left leg and make it somewhat difficult to walk. Consequently, ever since this started, I have notice sort of an uncomfortable feeling around my left testicle. This morning in the shower, I was feeling around down there and felt a lump under my testicles maybe the size of a dime or so. I don t truly know if these pains are linked or not... but our work is in the process of changing insurance carriers, so I have put off going to a doctor. Any clue what it might be? Are these pains linked or just a coincidence? Thank you in advance for your help/advice."
},
{
"from": "gpt",
"value": "helloThe pain doesn't seem to be related to the issue below testicle. The lump in left testicle could be a Varicocele , generally a harmless dilatation of testicular veins . If it start giving trouble like infertility or slight pain, surgical correction is the only remedy.DR SAATIISH JHUNTRRAA"
}
] |
[
{
"from": "system",
"value": "Noticed tingling sensation during urination"
},
{
"from": "human",
"value": "when I pee I have a tingling sensation inside my penis but dont birn nor hurt I ty s not at the tip its only on the inside during my urinating and when I erect it feels like razor blades other than that I have no problems this just occured three days ago"
},
{
"from": "gpt",
"value": "Hello,,The symptoms are suggesting me that there is a underlying infection in the genitals.Most common reasons for this condition is UrethritisSexually transmitted infectionsProstatitisNerve damage to the penisBlockages in the ejaculatory ductPsychological problemsYou need to undergo physical examination to find out the cause, I would suggest you to consult urologist for further management.Thank you."
}
] |
[
{
"from": "system",
"value": "What does mild hepatomaglea and spleenomagle of abdomen and pelvis suggest?"
},
{
"from": "human",
"value": "dear doctor, my widal test report shows o antigen - negative, h antigen 1:80 (positive) and ah antigen 1:80 (positive) i have some back pain and knee paint. is it i am affected by typhoid??y because my abdomen scan and pelvis shows mild hepatomaglae and spleenomagle . ESR is 34mm. plc help me"
},
{
"from": "gpt",
"value": "Hello,,WIDAL test is not a diagnostic test in typhoid but during the 2nd week of fever raising titre of antigen from 1:80 to 1:160 to 1:320 helps to make the diagnosis.Blood culture in the 1 st week is more valid to make the diagnosis. There are many conditions which can lead to mild spleenomegaly and hepatomegaly, typhoid fever may also causes mild spleenomegaly but hepatomegaly is very rare in typhoid. ESR will be raised whenever there ia active infection in the body.You require physical examination to confirm the the USG report.Thank you."
}
] |
[
{
"from": "system",
"value": "Will inserted paper into urethra cause infection?"
},
{
"from": "human",
"value": "Hi once in a while I have trouble with urine leaking out while I am working on my computer or sitting on my bed. I have not visited a doctor regarding this as it does not always happen. However I usually put paper towel in the urethra to stop it up. It eventually goes away and it s usually right after I use the restroom. Last night, I put a small piece of paper towel inthere again and it apparently went in too deep and got Lost . I seem to be able to use the restroom fine, but today, I feel kind of sick?/weak and I didn t sleep well last night. Is there a danger of infection if it stays in there? Will it eventually dissolve? There is no immediate pain and I can pee just fine but I am worried about the fact that is still in my penis. I have tried to find it with a womans hair bobby pin but I have yet to locate it. I can t see how it could have gone in so deep, but What should I do? Any help would be appreciated."
},
{
"from": "gpt",
"value": "Hi,Thanks for writing to health care magic.I can understand your concern.Please do not try such things. It is very hazardous. Yes a foreign body in the urethra may cause infection. If you have some problem you should consult your doctor. Putting foreign objects or a pin will result in further worsening of problem. There is a definite danger of infection if a foreign body stays in the urethra. Please get yourself examined by your doctor. He may order further investigations like urine examination and urine culture and sensitivity.Continue to ask further queries as required.Hope this helps.Take care.Dr Y V Siva Sankara MurtyM.D.(Pediatrics)Associate Professor of Pediatrics"
}
] |
[
{
"from": "system",
"value": "What could cause mild pain in the groin area?"
},
{
"from": "human",
"value": "I having a dull aching pain in my groin area just to the right of my pubic bone. I have been feeling this as just more of an annoyance for the past couple of weeks but today it is feeling more steady. I am also having back issues on my right side so I am wondering if it related"
},
{
"from": "gpt",
"value": "Hi,This could be a sign of an inguinal hernia. This is a bulging of the tissues in the groin area. it is not serious and can be cured by a minor operation. I suggest you see your doctor for an examination. Regards,Dr K A Pottinger,MBChB. FRCA"
}
] |
[
{
"from": "system",
"value": "What causes penis swelling after sex?"
},
{
"from": "human",
"value": "Hello doctor ...My name is vinay jain . I am having a problem of penis swelling . After i have dosne sex with my partner my penis get swell very badly . We have continued sex for almost 2-3 hours . And there is a problem of dryness too . Please help me out doctor . I am veryuch tensed about it . Is it common with all ?"
},
{
"from": "gpt",
"value": ".According to your history you have a dryness during sex,it can cause some abrasions on the glans and foreskin.There are always chances of development of infection after it.Take proper local care.spend some more time in foreplay to avoid dryness otherwise you can use good moisturizer during sex.Get examined by your family physician for proper diagnosis and medical management."
}
] |
[
{
"from": "system",
"value": "What causes scabs on the shaft of penis?"
},
{
"from": "human",
"value": "ive had a tiny scab on the shaft of my penis for years, seriously years. ive had it checked out and the doc told me it was just an abrasion and not to worry. Can it be treated? its always there no bigger then the head of a pencil. Once in the shower i washed the scab off and it began to bleed quite a bit. Ive been tested and have had the same partner of years without her contracting any std? any ideas?"
},
{
"from": "gpt",
"value": "Hi. If the scab is for years and causing no problems , do not worry and leave it alone. If it is causing any problems or is causing you tensions, it can be excised under local anesthetic and subjected to biopsy. The best part it will be removed"
}
] |
[
{
"from": "system",
"value": "What causes itching under the shaft?"
},
{
"from": "human",
"value": "recentlly the bottom of my shaft started itching terribly. so i put lotion on it and ice to cool it off wasnt sure what the deal was. in the shower i squeezed a little and it turned red rashy like so i then put peroxide on it and it turned white on the ends.... peroxide helps alleviate the itch tho. havent had sexual contact recently is why its rather confusing... any ideas?"
},
{
"from": "gpt",
"value": "Hi,I have gone through your query.Itch over the mentioned area is usually fungal or bacterial infection. Applying peroxide will not subside the lesion, but only the itch for sometime.I advise you to apply triple action ( contains antifungal, antibacterial and steroid) ointment over the area. For the itch antihistamine like levocetrizine can be taken.Maintain proper hygiene of the area.Let me know if you have any further questions.You can contact me on my page you a good health."
}
] |
[
{
"from": "system",
"value": "Noticed pain during ejaculation"
},
{
"from": "human",
"value": "I am an 18 year old male and im experiencing a clear liquid coming from my anus when i masterbate,Nd alot of time when i ejaculate nothing comes out but when sperm does come out (which happens rarely) the inside of my penis hurts,what could this mean?"
},
{
"from": "gpt",
"value": "Hi, Welcome to Health care magic forum. As you describe you must be having a problem called, the hypospadias,or urethro rectal fistula. But in that case you must have the passage of the urine also through the rectum,but with the urge to defecate. Any how the query is misleading,so I advise you to consult an urologist for diagnosis and treatment. You may need to have an M.R.I. for diagnosis. Wishing for a quick and complete recovery. Thank you."
}
] |
[
{
"from": "system",
"value": "What causes red urethra with pain in penis?"
},
{
"from": "human",
"value": "Hi I have been on accutane for almost five months, I have ten days left in my prescribed dose and I noticed my urethra was red. My penis hurts when touching my pants and when I tried to pee this morning my urethra was closed but after three seconds enough pressure built up to release the urine. I am pretty scared so can you please tell me what to do, and if it means anything I am not sexually active so it's not an std."
},
{
"from": "gpt",
"value": "Dear Friend.Hi , I am Dr Anshul Varshney , I have read your query in detail , I understand your concern.This can occur due to one of the following reasons :1. Acute Urethritis2. Prostatitis3. Ureteric Stone4. Urinary Tract Infection.5. Insect BiteSince you are not sexually active , chances of STD are not there.It would be difficult to comment upon further without examination.So , you should get yourself checked by a Urologist. And get an Ultrasound Abdomen with KUB.This is my personal opinion based on details available here. If you want to discuss your issues further, you may please ask usStay Healthy. Dr Anshul Varshney , MD"
}
] |
[
{
"from": "system",
"value": "Sugget solution to reduce male chest fat"
},
{
"from": "human",
"value": "dear doctor i am having a male chest fat when i was 10 year old and now i am 20 and i am going to gym for pst 2 year .i have seen progress in my chest ,my chest is in gud shape and my upper chestit is hard but when it comes to lower chest it is really soft and fatty plz really suggest me d best"
},
{
"from": "gpt",
"value": "Hello, Don't worry. As you are already having gymnasium exercises, the tightening of chest muscles is just a matter of time. Talk to your fitness trainer regarding this. You may have to do the chest muscle exercises more so that you get the result. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr K. V. Anand, Psychologist"
}
] |
[
{
"from": "system",
"value": "What causes less hardness during erection?"
},
{
"from": "human",
"value": "hi , i am Azhar and i am 28 year old, i have been masturbating from 13 year old. in age of 20 i face the erection problum , and i took some rest then after some days i was ok, but i am not erected as hard as in teen age. kindly give me advice and recommend me medicene, fitness, what else be better"
},
{
"from": "gpt",
"value": "Hello and welcome to Healthcare Magic. Thanks for your query.I can see that you are quite distressed by your erection problem, which you think could be a result of your masturbation. Firstly, let me reassure you that masturbation is not harmful to your health and does not cause any sexual problems. If you are having erection problems, then I would advise you to consult a doctor, preferably a sexologist, to have a detailed evaluation. There can be a number of causes - physical as well as psychological - for erection problems and a proper evaluation is necessary in order to advise further management. Also, avoid smoking and alcohol and maintain a healthy lifestyle with a nutritional diet and regular exercise.Wish you all the best.Regards,Dr. Jonas SundarakumarConsultant Psychiatrist"
}
] |
[
{
"from": "system",
"value": "How to treat erection problem?"
},
{
"from": "human",
"value": "hello sir i m a virgin.. i used to masturbate everyday.. nw whn i was planning for sex with my gf.. m facing erection problem.. it dsnt get hard as while doing masturbate... i feel ashamed ... m nt taking any medication .. no pills .. hope dere s nthng serious wid dis.."
},
{
"from": "gpt",
"value": "Hi,I have read your problem.You have not mentioned your age. You area saying that you are virgin, I am assuming you in below 25 yrs of age.My friend you at this age need no medication but you need positive confidence provided you have no systemic disease e.g blood pressure, diabetes etc.You should take balance diet and do morning walk daily. Avoid alochol and smoking as much as you can.Stop masturbating for 3 days and you will be ok.I hope you have got your answer.In future if you wish to contact me directly, you can use the below mentioned link: Let me know if you have any concerns. Thanks."
}
] |
[
{
"from": "system",
"value": "Experiencing burning sensation on penis and anus"
},
{
"from": "human",
"value": "Hello Sir / Madam,I have burning sensation on the top of the penis and the anus i.e • 24 hours burning sensation of the Meatus top peripheral part of the Glans and the upper part of the Corona • 24 hours burning sensation of the peripheral regions of the Anus and the upper part of the Rectum"
},
{
"from": "gpt",
"value": "HiThank you for asking HCMI have gone through your query.Burning sensation can be due infection like Sexually transmitted.Usually genital herpes gives such symptoms. But if you dont have any sexual history or exposure then we can exclude that.Other possibility is urinary tract infections.That you can rule out by doing a urine routine test.If its urinary infection then it can be treated by antibiotics.For STDs according to infected agent treatment may vary. For herpes antiviral treatment like acyclovir or valacyclovir is given.Hope this may help you.Let me know if you have any further query."
}
] |
[
{
"from": "system",
"value": "Will hemeroids have an affect on ejaculation?"
},
{
"from": "human",
"value": "Can hemeroids have an affect on ejaculation in men? \"OR\" can it be that i am 55 years old and semen is becoming thicker because of age? (First pulse of ejaculation is fine but after that, semen is hard to PUSH out of penis. Semen seems thick and looks more like mucus rather than whitish color semen use to be)"
},
{
"from": "gpt",
"value": "Hello,Thanks for posting on HCM,Hemorrhoids will not influence ejaculation but a urogenital condition can influence semens. A urogenital condition such as a prostate diseases can influence semens. Normally your seems quality should decrease with age given that your prostate becomes less productive. If you seem to have developed a thickened mucus-like discharge after sex, then it will be advisable to get that checked for an STD. I would not want us to jump into conclusion without running a semens analysis. Ones we are sure there is no infection, we might start looking at other possible causes of difficult discharge and thickened semens.I suggest you see a urologist who can further assist you.Hope this helps"
}
] |
[
{
"from": "system",
"value": "What is the remedy for the lack of erection?"
},
{
"from": "human",
"value": "sir I am 54 working men last 20 year enjoy with wife sex life now erection not getting proper strength one doctor advise thrippil tablet and andriol testocaps blood tested and urine also I am good health no sugar pressuer under 90-146 using one tab covance last 9 months. sir what is my problem what is my solution or continue these medicine life time?"
},
{
"from": "gpt",
"value": "HIThank for asking to HCMNo need to take any medicine unless you have some pathological problem which causes erectile dysfunctions, otherwise do not take any medicine for erection, the impulses of erection in fact comes from the cerebral cortex and this area depends upon the stimuli like visual, hearing , touch, more over age also plays the greater role, hope this information helps you, take care and enjoy the life."
}
] |
[
{
"from": "system",
"value": "What causes premature ejaculation?"
},
{
"from": "human",
"value": "this is not a prank text, I have a real concern, I have been taking dextramphetamine for about 6 months 30mg, I have a hard time keeping ereection during intercourse and then premature ejacaulation way to early without even being fully erected is this an ongoing problem with medicine if so what can I do about it...\\"
},
{
"from": "gpt",
"value": "hi, Thank you for posting your query in Health Care Magic, i understand your concern. The drug Dextramphetamine could have a few side effects amonsgt which premature ejaculation is one, though it is just about 1 in 1000 possibility it could still be a uncommon cause.If you are taking the drug for psychological causes like depression, anxiety or insomnia these conditions itself may be the cause of your premature ejaculation.Its good if you consult with a physician who can ask a few details of your sex-history and do a relevant physical examination to confirm the cause of premature ejaculation.Also stop smoking and alcohol if you are on it.A few drugs like fluoxetine/ paroxetine called as SSRI's can be of help, but take them only after you consult your doctor.Hope this helps and answers your query satisfactorily.Write back to me if you have further queries.Take care and wish you good health."
}
] |
[
{
"from": "system",
"value": "What causes excruciating pain in groin and erectile dysfunction?"
},
{
"from": "human",
"value": "I have had pain in my groin area for several years. I was first treated for prostatitis, then told I had seminal vasiculitis, but I am 58 years old, had a hernia operation at the age of 16. When I become aroused now, I often have excruciating pain in the groin area. I was recently told I have pelvic floor pain. What do I do? I recently had a second opinion and was told this. I also had a major dye enhanced scan of the area and was told nothing appears to be wrong structurally. I am also experiencing erectile dysfunction with this pain."
},
{
"from": "gpt",
"value": "Get prostate related test like PSA, prostate smear microscopicaly tested. Get blood sugar tested. Ultrasound of lower abdomen to record prostate size and bladder evacuation status."
}
] |
[
{
"from": "system",
"value": "How to wash of shampoo entered in penis?"
},
{
"from": "human",
"value": "Im scared please help im only 12 i accidentaly put shamppo in my penis are on i dont know but it was on the hole bit and i washed the shampoo of with ater then it started to sting i went to take a pee to take it the shampoo out or something but it stung while peeing"
},
{
"from": "gpt",
"value": "DearWe understand your concernsI went through your details. I suggest you not to worry much. The incident you are quoting is quite normal. Shampoo and soap entering into genital mucous area is quite common. They do irritate a bit because of the chemicals involved. But they don't harm. The get washed away with water and urine. You did was the area thoroughly and therefore stop worrying. The irrittion might be there for one or two hours. Thats all. Don't worry.Hope this answers your query. Available for further clarifications.Good luck."
}
] |
[
{
"from": "system",
"value": "Why am i not getting proper erection after masturbating frequently?"
},
{
"from": "human",
"value": "Hi, I usually masturbate around 5-6 times a week and suddenly this week I noticed that I can't get a proper erection and my penis won't get hard anymore. I'm worried that something has happened. I am only 15, and I'm worried that when I'm older, I won't be able to have intercourse with my partner, girlfriend etc. Is this a major problem, doctor? I decided to stop masturbating for 2 weeks and see how it goes. Start drinking more water and take iron pills."
},
{
"from": "gpt",
"value": "Hi,Nothing to worry, this is pure psychological and happens many a time.You will get full erection so remove false fear of having any problem in future.Ok and take care."
}
] |
[
{
"from": "system",
"value": "What's the cause of frequent swelling of the scrotum?"
},
{
"from": "human",
"value": "What could be the cause of swelling of the srotum, on the right side of the base and top left side of the penis. No pain involved and sex or masterbation has not occured in over a week. This id the third time in about 6 months. Last two times have ben within about 3 months"
},
{
"from": "gpt",
"value": "HI. The recurrent swelling as described by you can be due to hernia or swelling of the spermatic cord. I would advise you to see a Surgeon for clinical check up to see exact problem and further management."
}
] |