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[ { "from": "system", "value": "What does the semen analysis report regarding sperm count indicate?" }, { "from": "human", "value": "hai sir my name is ramu see the my semen analysis report Time of collection: 7:05pmTime of examination: 30 minuetsQuantity: 2mlColour: whiteshSperm count: 95millionsMotility of sperms;70%Non motility of sperms: 15%Sluggeish sperms: 10%Dead sperms: 05%Pus cells: plentyRbc: 10-12Casts: 8-10How to my sperms halth" }, { "from": "gpt", "value": "Hi, Your sperm count and motility are absolutely normal. But there is presence of plenty of pus cells and red blood cells in the report. So I suggest you investigate with semen culture report, Ultrasonography of abdomen and pelvis with special focus on prostate and seminal vesicle and urine analysis report for further workup. You might have prostatitis or seminal vesiculitis. So it should be treated with an antibiotic course. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Parth Goswami, General & Family Physician" } ]

[ { "from": "system", "value": "Will excess masturbation lead to impotency?" }, { "from": "human", "value": "Does over mastubration cause torsion in testicles......!!!! and i ve been mastubrating since 14 and iam 23 now...!!! i feel weak and yet unable to stop mastibrating...!! will i become impotent ...!!! and my dull pain has increased ...!! hebce ive stopped mastubrating since two days...!!! i dont know what to do...!!!" }, { "from": "gpt", "value": "Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.I suggest you not to worry much. Masturbation is natural and a normal habit. Even animals masturbate. Every men start masturbating at the age of around 13. Masturbating once in a day is considered not unhealthy.Masturbation alone cannot give you any health related complaints. But anxiety, apprehension and worries can give you health and psychological problems. Therefore, the pain you are feeling now is due to your psychological anxiety.Concentrate on your studies and career and ignore sexual worries and apprehensions. For sexological and psychological counseling and for different psychotherapy treatments visit I have answered your query. Let me know if I can assist you further.Regards,Dr. K. V. Anand" } ]

[ { "from": "system", "value": "Why am I unable to think after masturbation?" }, { "from": "human", "value": "sir i am 22 years old and i have been masturbating for frequently for some days and after some my brain felt something like dizziness and now i cant think properly and my brain doesnt perform like before and there is leakage of semen .when i consulted the doctor he says that it is natural and you need to relax but my head doesnt work means i cant think especially my right and left nerve of the brain close to the ear distracts me while i think. i feel those nerves.so there is remedies for these problems" }, { "from": "gpt", "value": "Hi and . I think u are getting too conscious about masturbation, so u are disturbed. Masturbation is no where related to your brain performance and thinking process. Masturbation is a very common phenomenon among adults. I can suggest u to come out of thst habit gradually. First thing dont keep things that provoke u for masturbation like any porn material, Develop some new hobby and dont be alone for long time. Go out and involve yourself with other family members, go on outing with friends, Play some sports, keep yourself busy. Do remember masturbation is not be ashamed of or its not a crime. Neglect these thoughts that it is affecting your brain. Regards" } ]

[ { "from": "system", "value": "Masturbated a lot before puberty, now completely lost control over limbs, mouth and eyes. How to rectify?" }, { "from": "human", "value": "When I was 11 or 12(before puberty) I masturbate a lot, like 4 5 a day and I wasn t aware of its side effects ...now when I suddenly move or jump then I completely los control over my limbs, mouth, even I doest make my eyes to change there eyesight *aiming at something*" }, { "from": "gpt", "value": "DearWe understand your concernsI went through your details. I suggest you not to worry much. You are worrying too much. Masturbation is natural and it cannot deteriorate your health. Masturbation is normal if done in moderation. Once per day is healthy. In teen age period so many people masturbate twice or thrice daily.Masturbation cannot have side effects and cannot deteriorate your health. but anxiety associated with masturbation practice can harm your health and intellect. That is what, I feel, you are suffering from. Only remedy is concentrate on your studies and career. Ignore the worries about masturbation and live life normally.For sexological and psychological counseling and for different psychotherapy treatments visit this answers your query. Available for further clarifications.Good luck." } ]

[ { "from": "system", "value": "Can masturbation be the cause for some intermittent pain in chest ?" }, { "from": "human", "value": "I have some intermittent pain in my chest, I am anxious, the area feels warm, I am breathing lightly due to feel slightly apprehensive about it. it came on when I began to masterbate. I am 41, smoke but do lots of exercise with a good diet. I have eaten fairly late but no other sypmtoms." }, { "from": "gpt", "value": "DearWe understand your concernsI went through your details. I suggest you not to worry much. You are 41 and you must have known that masturbation is not the basic cause. Masturbation cannot devoid you of health even at this age. it is natural and a normal habit. Nothing to worry.But anxiety associated with masturbation habit can give you somatoform problems. Your chest pain could possibly due to the anxiety and the apprehension you mentioned. Not the other way around. Ignore it for the time being and you can see it disappearing. You can also have some garlic pieces for immediate relief.For sexological and psychological counseling and for psychotherapy treatment visit this answers your query. Available for further clarifications.Good luck." } ]

[ { "from": "system", "value": "Will masturbating affect my broken ankle?" }, { "from": "human", "value": "Hey, I m a 5th year medical student, so this might be a stupid question, but I broke my ankle about 6 days ago, oedema is gradually decreasing (might take another 4-5 days), I wanted to ask if it s ok if I masturbate? Would it affect wound healing in any way?" }, { "from": "gpt", "value": "DearWe understand your concernsI went through your details. I suggest you not to worry much. Such doubts could come to anyone. Nothing to worry. Masturbation is natural and habit is normal. Masturbation alone cannot deteriorate your health. But anxiety associated with masturbation can affect your health.Masturbation once a day when you are physically healthy is said to having no health issues. In your condition there is nothing wrong in masturbating if you are physically fit.For sexological and psychological counseling and for different psychotherapy treatments visit this answers your query. Available for further clarifications.Good luck." } ]

[ { "from": "system", "value": "What are the treatments for recovering from the side effects of masturbation?" }, { "from": "human", "value": "helo sir i am ranbir i have bad habbit of handpractice i think my eyesight go weak coz of this nd i fell also some weakness i am 18yrs old i have less stamina nd less sex timing i want to aviod this habbit nd want to regain my stamina. wht i have to do? plz help me" }, { "from": "gpt", "value": "DearWe understand your concernsI went through your details. I suggest you not to worry much. You must understand that masturbation is natural and normal. Masturbation alone cannot be the cause of general weakness and sexual problems. Also it cannot lessen your eyesight.Ideal masturbation habit could be up to once per day. Don't worry about the masturbation practice. You are unhealthy because of your food habits and because of the anxiety related to masturbation practice. Don't worry.Please concentrate in your studies and career. Forget about sex and masturbation or don't live for that. For sexological and psychological counseling and for different psychotherapy treatments visit this answers your query. Available for further clarifications.Good luck." } ]

[ { "from": "system", "value": "Does a vivid purple bruise on the shaft happen due to rough oral sex ?" }, { "from": "human", "value": "I have had oral with my partner this evening and noticed a vivid purple bruise on his shaft that wasn't there last night why is this? By the way I am suspicious he is seeking sex elsewhere. We have been together 15 yrs and never noticed this before however in the past 6 months this has now been apparent on 3-4 occasions, is this due to rough oral/ sex?" }, { "from": "gpt", "value": "HelloYes, the kind of bruise can be due to rough oral sex but you should try to find out why he needed to elsewhere? Try to improve your own so that his needs are met with you.DR SAATIISH JHUNTRRAA" } ]

[ { "from": "system", "value": "Noticed a small bruise at the right groin area . What it could be?" }, { "from": "human", "value": "I am a quality engineer on a lengthy audit at a plant (concrete floors, etc.), 12 hours per day over 4 days. Day 2 I had red skin on my inner upper thigh and my right groin area felt \"Bruised\". Today (day 3) in my right crotch area there is a definite \"bruise\" like color taking place and perhaps my lymph node in that area is swollen. Very light pain, feels like a small bruise but is beginning to look terrible." }, { "from": "gpt", "value": "Hi,I have gone through your query.From the history and type of lesion, it is suggestive of infection. Chances of fungal infection is more than bacterial. For the lesion, you can use triple action ointment like Lobate GM for local application. Maintain proper hygiene of the area and wear loose clothes.Do consider a positive feedback as a credit to my work. Let me know if you have any further questions.You can contact me on my page" } ]

[ { "from": "system", "value": "Is excessive mastrubation safe and can small penis size give sexual saisfaction to the partner?" }, { "from": "human", "value": "sir i mastrubate daily 3 times is this normal.now i feel like my penis nerve has become weak.and also erection is not so good as earlier. also the size of my penis has come down its only 3 inches when erected can i satisfy a women.what is the normal size of indian penis" }, { "from": "gpt", "value": "DearWe understand your concernsI went through your details. I suggest you not to worry much. Masturbation is natural and even animals do masturbate. You did not give your age. But masturbation thrice daily is a bit more than normal. That could be the reason you are being obsessed with it and anxious. Once a day should be enough.A size of 3 inch erect penis is OK for satisfying a woman. Woman have two inches of nerve endings which gives them pleasure from the vaginal mouth. An average Indian adult have an average erected penis length of around 3.5 inches. Therefore, you have nothing to worry. Reduce masturbation to once per day and you will be happy.For psychological and sexological counseling visit this answers your query. Available for further clarifications.Good luck." } ]

[ { "from": "system", "value": "What is the reason for watery semen and pain in testicles?" }, { "from": "human", "value": "I am a young man of 30 yrs. Lately I noticed my sperm is very watery. I have not had intercourse with my wife for over 2 weeks. I had some aches in my testis some weeks back and I was prescribed some antibiotics which I took judiciously. Need help badly as my wife is expecting us to have our next child." }, { "from": "gpt", "value": "DearWe understand your concernsI went through your details. I suggest you not to worry much. The viscosity of semen depends on so many matters like water intake, how much time you take before sex for fore play, your physical and mental state during the sexual intercourse etc. You must have noticed that the viscosity of semen is always more after masturbation than after sexual intercourse.You do not have to worry about anything for now. Conception depends on your sperm count and motility, not on semen viscosity. Don't get confused and anxious.For psychological and sexological counseling visit this answers your query. Available for further clarifications.Good luck." } ]

[ { "from": "system", "value": "Should I be concerned over my PSA levels?" }, { "from": "human", "value": "Hi, may I answer your health queries right now ? Please type your query here…49 years old psa level3.8 in june 2010, 4.5 in 0ct. 2010, and now 4.9 in march 2011. no free psa done. biopsy showed no Cand is very slightly enlarged. I do not get up at night for the bathroom. What concern level should I have?" }, { "from": "gpt", "value": "Hi, Your PSA level is mildly elevated and not significantly raised that need much concern. You can have benign prostate hyperplasia. You need to investigate with ultrasonography of pelvis, semen culture and histopathology of biopsy. Kindly attach the reports to comment further esp. Histopathology report that is done according to mentioned history. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Parth Goswami, General & Family Physician" } ]

[ { "from": "system", "value": "What could be the reason for having ejaculation while talking to a girl?" }, { "from": "human", "value": "I am 26 years old unmarried boy. I don t know why i always feel like my urine is coming again and again when i sit. and from last 20-30 days i don t now whats happening to me, i ejaculate when i just talk to a girl.... it is any major issue? If yes,Please suggest me what to do?" }, { "from": "gpt", "value": "DearWe understand your concernsI went through your details. I suggest you not to worry much. That is a normal process. If you talk to a girl whom you fantasize, you become horny and some pre-fluid (lubricant) escapes from the penis. This is not so when you speak to every girl but only to those ones whom you have a crunch. Just enjoy it and make sure that you are not overdoing the enjoyment.For psychological and sexological counseling visit this answers your query. Available for further clarifications.Good luck." } ]

[ { "from": "system", "value": "Can soreness in the male nipples and hardness behind them mean gynecomastia or something else and does it get worse?" }, { "from": "human", "value": "23 year old male, recently discovered both of my nipples were very sore to the touch and felt like there was a hard lump behind them. Didn't think much about it until i squeezed them and a clear like fluid came out. Naturally, I became nervous and researched causes. One of the major causes I found was Gynecomastia. I have not noticed any enlargement of the area around the nipple. The nipple is just semi swollen and still very tender to the touch. Another cause was male breast cancer but the symptoms do not match what I have going on. If it is gynecomastia does it progress and get worse? could it be something else?" }, { "from": "gpt", "value": "Increase in breast size at your age can be due to gynecomastia. You can forget about cancer as it can not affect both breast together at same time. I think you can show to a surgeon, who will prescribe you antibiotics and pain killers. How is your body profile I mean are you a little towards fatty side. This can contribute to big breast." } ]

[ { "from": "system", "value": "Can reduced penis size and impotency be caused due to over-masturbation" }, { "from": "human", "value": "hi doctor can the side affect of over masturbation can be cured completely, i am been practicing masturbation since 15 years, now i am suffering with its all side affects. mostly my penis size has become less that 1 inch . i think i became impotent , can all side affect of over masturbation be cured" }, { "from": "gpt", "value": "DearWe understand your concernsI went through your details. I suggest you not to worry much. You are being misguided by someone about masturbation. Masturbation is a natural act and even animals do masturbate. You cannot loose your health or become impotent because of masturbation. all these are misconception.You are anxious and could be obsessed about the masturbation thoughts and that is the reason why you are having all these problems. There is nothing to worry about. Lessen the frequency of masturbation and think normal. Be healthy and concentrate on your career to have a healthy life style.For psychological and sexological counseling visit this answers your query. Available for further clarifications.Good luck." } ]

[ { "from": "system", "value": "How to increase body fat,weight and healthy sperm in a 29 years old male?" }, { "from": "human", "value": "i am 29 years. My height is 5 6 feet and weight is 52 kg. I am slim one. It is need to mentioned here that i had lost huge sparm by using hand at the age of 15 to 20 years age. But after that i controlled it. Please give some suggestion to increase fat , weight and healthy sparm." }, { "from": "gpt", "value": "DearWe understand your concernsI went through your details. I suggest you not to worry much. You are misguided about the facts about masturbation. Masturbation is natural and is a normal activity. Semen is a waste product and is supposed to be ejected. You don't loose your strength by masturbation. it is a jinx.You are loosing your health not because of past masturbation but because of anxiety about it and obsession about it. Lead a healthy lifestyle, eat nutritious food and stop worrying and you will gain weight. Please do not worry.For psychological and sexological counseling visit this answers your query. Available for further clarifications.Good luck." } ]

[ { "from": "system", "value": "What to do for trouble in erection after having blood in penis due to Gentamicin overdose?" }, { "from": "human", "value": "i masturbated for quite a long time,i had blood in my penis when i got an injection gentamicin overdoes i think,i saw veins all over my penis.After then,i hardly sustain erection,but sometimes i have a good erection.My sperm comes out very slowly and i am married but cannot impregnate my wife after 10 month.am worried." }, { "from": "gpt", "value": "HiGentamycin overdose will give toxicity to kidney only.But most people recover after that also from kidney problems.It wont effect your reproductive system.So no need to worry about that.You will be gradually fine in that case.But if you regularly have erection problem or problem with ejaculation better to have a consultation with urologist to be on safe side.If you have a normal sperm count,normal forms and motility then it wont be a problem to concieve your wife.Let me know if you have any further query.thanks" } ]

[ { "from": "system", "value": "What could be the reason for having dry skin on my penis and cuts around the head of penis? How to overcome this?" }, { "from": "human", "value": "My husband is experiencing dry skin on his penis and cuts around the head of his penis. It s painful for him and it s getting worse. This has never happened to him. What could it be? I m pregnant and had a yeast infection but that was treated and shortly after he had these symptoms. He has no other signs of a yeast infection. No white discharge, no burning when urinating...nothing else. Just small cuts around the head and a dry shaft. What is this and how can we treat it?" }, { "from": "gpt", "value": "HiThanks for using healthcare magicIt can be due to dermatitis or eczema skin. Treatment depend upon the severity of symptoms. In severe case patients need a higher-potency steroid.But they are available under prescription and should be taken only after consulting a dermatologist. Symptoms can be exacerbated by dryness of the skin. Use good quality moisturizers to prevent moisture loss from the skin. Thanks" } ]

[ { "from": "system", "value": "What could be the reasons for having dark colored penis and darker ring around penis head for a person wearing diapers?" }, { "from": "human", "value": "So, while I was washing one of my clients this morning I noticed that his penis was really dark and there was a darker ring around the head. I'm just wondering if something could be wrong? It didn't look like that three days ago either. He isn't sexually active and never has been. He is non verbal and wears diapers 24/7. He is in his late forties." }, { "from": "gpt", "value": "HIThank for asking to HCMThis is not the indication of any problem or disease neither it is to be taken into account unless it is hurting to person very badly it is just nothing to worry, just have watch on it for anything wrong beside this, hope this answer would be helpful to you have good day." } ]

[ { "from": "system", "value": "Can lack of concentration, low attention and increased irritation caused due to excessive masturbation?" }, { "from": "human", "value": "i m 23 years male. i am musturbating since 2006. every day at least 3/4 times or more. i am musturbating every day. 7 years i am musturbating. now i feel, some kind of psychiatric problem. as for example,high level of irritation, low attention in study, low concentration in everthing, iq level is very poor, always forget many thing. this psychiatric problem appears from 2012. Now my psychiatric condition is very very serious. tell me, how i can solve my psychiatric problem? i am eagerly waiting for ur reply. how i can solve my psychiatric problem? tell me. i am eagerly waiting for ur advice." }, { "from": "gpt", "value": "Hi,Dear. Masturbation is a natural thing.It is only harmful when you have a guilt about it or you are always preoccupied with it. Both the conditions are psychological issues rather than physical issues.At a younger age people usually have more sex drive and their frequency of masturbation is maximum. You can indulge in this activity as long as it is pleasurable and you have the drive for it. It should not cause you any pain. If you are doing excessive masturbation, then you have to decrease the frequency. You cannot stop masturbation totally because it is not a permanent solution.consider following things:1.First of all find out the cause of excessive masturbation. It could be because you are bored, lonely, hurt, stressed, or it could be because of pains from the past. 2. Identify the time when you indulge in masturbation frequently. If supposing it is at night then exercise just before going to bed. Exercise will also help you to be more tired and fall asleep faster. 3.Try to do activities that make you feel better. Motivate yourself to do things for yourself. 4.enjoy good time with your friends and family and join a gym along with your friends so that you spend maximum time outside where you cannot indulge in masturbation.5.Doing exercise regularly and proper diet are essential to good health. Exercise is very important because it releases endorphins from the body. 6.Doing yoga and meditation will keep you calm and relaxedAnd a very important thing is doing masturbation never affect your fertility so don't be worried about that. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health." } ]

[ { "from": "system", "value": "How to treat itchy bumps on the testicles?" }, { "from": "human", "value": "Hi, I have had a very uncomfortable itching on my scrotum for over a month now. Bumps started appearing on my penis head and then moved down my shaft and onto my balls. I went to the doctor about it and took an std test. It came back negative, so she gave me a round of antibiotics. They made the bumps go down a bit, but they were still there. She then prescribed me another round of the same antibiotic. This still didn't work. I went to my family doctor and he gave me a steroid shot and a medicine called fluconisole. The bumps have gone away completely on my head and shaft, but I still have some on my ball sack and they itch like crazy! Also, I am itching on my inner thighs, knees, feet, and wrists. I asked my doctor if it was scabies, but he said that I would have extremely noticeable lines in the folds of my fingers, and I also bathe regularly and keep well groomed. Please any help you can provide would be a blessing! I am going crazy over this itch!!" }, { "from": "gpt", "value": "Hi, Itching over scrotum and bumps over penis. You can think of two possibilities1. Jock itch or seborrheic dermatitis with secondary bacterial infection leading to furuncles2. Genital Scabies For scabies, correct method of application of a good scabicidal drug is very important. It has to be applied overnight from neck to foot is necessary. All the contacts to be treated simultaneously. Oral scabicidal drugs are available. Antihistamines will control itching and appropriate antibiotics have to be started for secondary infection.Consult a Dermatologist for further help. Dr S.Murugan" } ]

[ { "from": "system", "value": "Suggest treatment for erectile dysfunction and premature ejaculation" }, { "from": "human", "value": "Hi Doctor, I have undergone urodynamics test a year back and and it was found i was having low bladder sensations. Subsequently , uroflow test was performed which showed a poor flow rate. I am having this problem for the past 3 years. Also, i am not getting early morning erections. When i masturbate i get an erection but ejaculate within a short time. I have undergone MRI of spine(3 times) and brain(1 time) which showed normal results. I also have undergone several blood tests which all showed normal results. i had Vitamin B12 and Vitamin D3 deficiency. I am 29 years old and am unable to take a decision on my marriage. Could you please provide your suggestion. Thanks XYZ" }, { "from": "gpt", "value": "Hi, If your MRI was done thrice and it was normal on all three occasions, you might have to get some other tests performed. There are neurologists who check for nerve conduction defects. Sometimes these are useful in such a clinical scenario. We should ideally not think of your two problems (poor erections and bladder muscle weakness) as separate entities and should check if one solution will help both problems. There are other investigations which can also be performed. These include a penile Doppler to test vascularity of your phallus. You can also be tried with medications like alpha-blockers to see if urine flow improves, and if required also add medication to improve bladder muscle tone which unfortunately is not very often successful. Hope I have been able to help you." } ]

[ { "from": "system", "value": "What does this semen analysis report indicate?" }, { "from": "human", "value": "hi, just now i had my semen test and got result that out of 2ml volume i got the following - Total count - 90 million, active motile - 80%, pus cells - 1-2HPF, RBC - Nil, Epithelial cells - Occasional - My question is my semen analysis is good or need to improve" }, { "from": "gpt", "value": "Hello, Your mentioned semen analysis report is absolutely normal. There is no need to worry about it. The sperm count and motility are absolutely within range, so your report is good. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Parth Goswami, General & Family Physician" } ]

[ { "from": "system", "value": "Causes for weakness,light groin pain and testicles pain after erection?" }, { "from": "human", "value": "Greeting, Here I am trying to mention everything for your consideration. Gender               :     Male Age                :     30 Years Married           :     Never Height/weight/type     :     5.65”/74kg/Athletic Living on rent out of home and eating outside mostly since last 8 years. I used to stomach’s warm from childhood. And always have digestion and constipation problem. As I was suffering from shivering & chilled ever in summer, one doctor gave me TB Treatment for 6 months from April 2012 to Aug 2012 as per his diagnosis. I attached his prescription Later on mostly doctors told me you should not. 3 months ago I had taken Vitamin D deficiency treatment. Reports & prescription attached here some points 26 Apr 2013 High Sensitivity C - REACTIVE PROTEIN (HSCRP) NEPHELOMETRY 0.22 mg/dl (0.20 - 0.38 -- High Risk) 25-OH VITAMIN D TOTAL           C.L.I.A           18.55     ng/ml ] (DEFICIENCY : <20 ng/ml) LIPOPROTEIN (A)                NEPHELOMETRY      40.3 mg/dl (Adults < 30.0 mg/dl) LYMPHOCYTE                     PERCENTAGE      45.8 % (M:20-40; F:20-40) PLATELET COUNT                121                X 10³ / μL      (150-400) PLATELET DISTRIBUTION WIDTH      17.3                %           (10.00) MEAN PLATELET VOLUME           13.6                fL           (6.5-12.0) May 2013 Treatment 1.     INJ ARACHITOL 6 L (each 15 days) * 2 months 2.     TAYO 60K 1 tab (Each week) * 3 months 3.     ZENTEL 400 mg tab (once) Presently I am suffering for following issues; 1. Randomly suddenly I feel stomach pain especially in morning sometime other times too and after few minutes its normal or after toilet (latrine). [From years ago] 2. I feel light pain lower right side underneath of stomach (groin) when bend toward toes. [Notice from year back] 3. After erection I have horrible pain in my testicles seems going to upper side on that time I have to take rest for ½ hrs to normal it. 4. These days weakness is major problem,I am noticing especially in morning, after urination, and when I gone through nightmare/masturbation (10-15 days interval), really feel I have no energy in my body. Sensation in thigh and pain in knee/joints Kindly help me out..." }, { "from": "gpt", "value": "hellothis problem is not actually because of masterbation. we could be more helpful if you had written your age.However you should do your CBC,LFTs and urine R/E first. This will guide you to the problem if any there.Regards" } ]

[ { "from": "system", "value": "What could cause spot on the skin under the scrotum ?" }, { "from": "human", "value": "Hey, I have a spot on the skin just under the scrotum that is sometimes itchy. It looks like a circle with darker skin on the inside. It only itches on occasion and doesn't hurt. It's been there for a few months and hasn't gone away. I'm starting to think it's ringworm but it's only has a diameter of about 1cm and isn't red. The outline of the circle has a small ridge around the whole perimeter. I'm 21 years old, 173cm tall, 145lb. Healthy medical history. Never had sexual intercourse. Also, small bumps on the skin around the head of penis that don't itch or hurt. They're slightly brighter than normal skin color and blend in to the skin around them making them hard to see. Can you help me identify the two these things for me? Thanks." }, { "from": "gpt", "value": "Hai, Thanks for using health care magic. what you have under the scrotum might be a fungal infection(ring worm) as you suspect.You can try antifungal creams and try to avoid moisture in that area.Personal hygeine to be taken care.If it is not resolving, Dermatologist consultation will help. The other one you have on the penis is a normal skin condition, 1/3 of all males will have.Tiny bumps over the ridge of penis is a normal skin condition, for which you need not worry. no treatment is suggested for that usaully." } ]

[ { "from": "system", "value": "What could recurring, slightly painful bump in groin area oozing out pus when squeezed indicate?" }, { "from": "human", "value": "So one day randonmy a bump appeared in my groing area. It was small and then got bigger. I squeezed it and poked it and it kind of hurt and some puss came out. Then it got smaller but never went away. Then more showed up and same thing happened. Expcet this one right above my penis did end up going away completely. The first one to occur just recently got big again. I want so say its been there for 3 months. It usually only takes a couple of days for the bump to go down. Should i get it checked out?" }, { "from": "gpt", "value": "Hi,Skin infections sometimes end up in pus as boils or furuncles that will end up giving inflammatory signs. Once the infectious agent has not been removed the process over and over with extension to other parts of the body. So go diagnostic screening for which infectious agent is responsible is gold standard. Most often it is skin bacterial infection with hygiene as etiologic origin thus specific antibiotic for most skin germs is necessaryThanks" } ]

[ { "from": "system", "value": "How safe is taking alpendazole and syzam-m for itching ?" }, { "from": "human", "value": "actually few days back i got some itching on the top of the penis.after that i take some tablets like alpendazole and syzam-m now i am relaxed somehow form itching..but ma skin turned red. and i got some little itching also?i wanna know how it can be completely cured?" }, { "from": "gpt", "value": "Hi there,Thanks for your query.It is probably a fungal infection. Use of an anti-fungal ointment (containing co-trimazole and a steroid) thrice daily, for at least 2-3 weeks, will cure the infection.Consult your doctor and apprise him of my opinion. I am certain that he will agree with me and prescribe the advised ointment in appropriate dose.If you find my response helpful and informative, do not forget an “excellent” (5-star rating) to my answer, to ENCOURAGE ALL doctors- engaged in social service- to render sound advice to the FREE queries. Take careDr. Rakesh Karanwal" } ]

[ { "from": "system", "value": "Suggest medication for pain in clitoris after sex" }, { "from": "human", "value": "Hi. Can you rupture/tear your clitoris? It really hurts when I go to the toilet. But not only when I go to the toilet. There´s no bleeding. It hurts like infection but I think my clitoris looks different then it looked before (looks like its torn). I had sex but the pain only started 4 days after. Thank you for your hepl." }, { "from": "gpt", "value": "Hello,Thanks for posting on HCM,Infection is the most likely cause for pain found on your clitoris. Clitoral pain is a specific subset of vulvodynia produced by neuralgia of the anterior division of the pudendal nerve. It is manifested by pain localized to the clitoris with or without associated pain such as vulvar vestibulitis and pelvic floor myalgia. The symptoms may be constant or variable and may improve or worsen with movement or sexual activity. The cause may be metabolic (rarely), traumatic (likely), or idiopathic (i.e., unknown). Trauma from violent stimulation (which should occur shortly after sex and not only a couple of days after), tight clothing, or straddle injuries may produce these neuropathic changes. In other cases, clitoris pain may come from an infection that may develop slowly and persist or worsen over time. What to do now? I suggest you see medical attention as soon as possible. Usually, it is rarely a problem, but if persisting you will have to receive treatment. Hope this helps" } ]

[ { "from": "system", "value": "Could dark red spots on penis that slowly turned to softer colour indicate an STD?" }, { "from": "human", "value": "Hi Doc I had unprotected sex two weeks ago .It was not for long but it happened.I'm so stressed I think I'm losing my mind.I don't have any sores ,but i keep on thinking and looking at my penis.This morning after siting and watching tv I wend to the loo and noticed two red marks on my penis head,dark red but after a few min it wend from dark red to softer red color.Do you think its a STD or maby it was form sitting in a bad position ." }, { "from": "gpt", "value": "HelloI think having had unprotected sex has put you under a lot of stress. The red marks seem to be due to posture or some allergy. Going to toilet repeatedly can be due to anxiety. It doesn't seem to be STD.dr saatiish jhuntrraa" } ]

[ { "from": "system", "value": "Could masturbating and stopping just before orgasm cause thick, painful vein bulge on surface of penis?" }, { "from": "human", "value": "i had been masturbating a lot and pretty roughly for a week and also making myself get a boner and take myself to the point of almost ejaculating and then i would stop, keeping the boner going for a while.very shortly after this i had two thick veins bulge to the surface of my penis, one on the lower right and one on the upper left. they both hurt, like they're pinched or something(i can't really describe it, it's kind of like a throbbing) i have no pain or new veins in my testicles so i'm relatively sure i don't have vericoceles. my dad says it is because i must have irritated my penis and that the way the body reacts to inflammation is to increase blood flow to the afflicted areas, and that's why the veins are becoming more visible in those areas especially hurt.are these new veins because of my unsafe masturbation techniques and if so, if i abate from such will my pain and veins go away? please respond, as i am very uncomfortable and depressed about this" }, { "from": "gpt", "value": "HelloThe veins you see are trying to return the blood engorged in penis . they represent alternate routes to try to evacuate corpora cavernosa. what you are doing is extremely dangerous and may lead to permanent loss of potency and or even need amputation of penis. I suggest you to immediately stop this practice.DR SAATIISH JHUNTRRAA" } ]

[ { "from": "system", "value": "How can excess skin on penis be treated?" }, { "from": "human", "value": "Hello. I am a circumcised 18-year-old male. I got circumcised when I was 13. There is a small amount of my foreskin left behind, I remember the doctor saying it was in case of further penis growth. However, recently the remaining skin has become quite wrinkled, loose, thin and unsightly. The skin around my penis that s not foreskin is also noticably looser and snaps back to it s original position much slower than it used to. Sometimes throughout the day I get random pains in my penis. Usually it s because I masturbated the day before. In the middle of masturbation, sometimes my penis hurts, but I usually go on anyway. How do I solve the remaining excess skin s appearance problem? YYYY@YYYY" }, { "from": "gpt", "value": "HelloI think the only way is to get it removed by surgery. It is a day time very short procedure.DR SAATIISH JHUNTRRAA" } ]

[ { "from": "system", "value": "What is the treatment for swollen prostate ?" }, { "from": "human", "value": "hi, I m 30 years old will be 31 feb 18, high stress 2013 IE fatherhood marrage unexpectedly. a week or so before christmas I went to the doc and found I had a swollen prostate, tests showed no infections or stds. recently I ve generated a side stich .. feels just the same as when I would run but comes on with no running. curious to what the cause could be ? I m sure theres probably to many possibilites but based off what i ve given any idea ?" }, { "from": "gpt", "value": "HelloDepends on what are the difficulties you had to consult a doctor? If it was related to urine, it could be Benign Enlargement of Prostate ( if residual urine is significant)DR SAATIISH JHUNTRRAA" } ]

[ { "from": "system", "value": "What could sexual intercourse mediate small blister or sore on penis be?" }, { "from": "human", "value": "Hi Dr. sometimes during intercourse with my wife she gets dry and I can feel a pinch or a brush burn on my penis. After wards its slightly raw and sometimes (not always) the day after I develop a small blister or sore. The sore usually lasts 5-7 days and sometimes appears blistery and contains fluid. Is this a common happening or could it be the result of other medical problems?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you are frequently developing sores and blisters over glans penis after having dry sex with your wife.This is due to trivial injury to glans penis while having unprotected ,dry and rough sex .Please make a routine to use lubricants like Xylocaine jelly before attempting sex .If you have soreness and blisters now ,You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.along with topical antibiotic ointment like Neosporin twice daily.Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely.Dr.Patil." } ]

[ { "from": "system", "value": "What causes infection of streptococcus agalactiae in the prostate?" }, { "from": "human", "value": "Hello, I have been diagnosed with an infection of Streptococcus Agalactiae in my prostate, after a sperm test. I always use condoms but I get passive oral sex without it. I am in a very stressing stretch of my life. Please, what are the connections , if there are any between such bacteria and hiv and/or profound stress? Thank you. Raffaele Palumbo. Florence, Italy." }, { "from": "gpt", "value": "Hello, The prostate infection can acquire secondary to urinary tract infection as well. You need to take antibiotics according to culture reports. It is not related to HIV. If you have oral ulceration than there is little chance of Hiv spread if partner is infected with HIV. You can investigate with CMIA ELISA test if suspecting HIV. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Parth Goswami, General & Family Physician" } ]

[ { "from": "system", "value": "Any thoughts about sore, red and inflamed penis tip?" }, { "from": "human", "value": "Hi, the tip of my penis is sore, red and some what inflamed. I am not sure if there is a discharge, there was white in the area this morning, however I put bactorban around the area last night before bed, so it may have been a build up of that. I am married and in a monogamous relationship with her for years. Any thoughts?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have noticed soreness and inflammation of tip of your penis since few days.This is most likely to be due to inflammation of external urinary meatus secondary to unprotected sex with your wife who is likely to have vaginal infection.Please get her checked by a qualified Gynaecologist and treat her accordingly.You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.along with topical antibiotic ointment like Neosporin twice daily.Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely.Dr.Patil." } ]

[ { "from": "system", "value": "After leaving my masturbation habit, i used to get frequent night emissions. How to overcome this?" }, { "from": "human", "value": "hello doctor, i m a 23 year old boy . I started masturbating at the age of around 16 or 17 , but i left it when i was around 20. But after i left it , frequent night emissions became the problem. At first i thought it would reduce by time but it has not stopped untill now and i am very much upset due to this. i encounter nightfall atleast 2-3 times in a week and it has degraded my health . Please suggest me some measures or guidelines in this regard. Thank you" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have problem of night emission since 2-3 years.It is natural to have night emission at the age of adolescence and in majority of cases it gets cured of its own without any treatment over a period of few years.It has been proved scientifically that night emission does not have any negative effect on any systems or organ in body.Following measure will help you to resolve your problem1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking.. Dr.Patil." } ]

[ { "from": "system", "value": "What is the cure for swelling of Parotid gland and papilla hard and swollen?" }, { "from": "human", "value": "Hi , I am 43, male, non-smoker. I have unilateral left sided swelling of the parotid gland of 6 days duration. The papilla are oedematous hard and swollen. No purulent discharge is present. The papilla have been mildly enlarged for one year when I had a painful attack while on vacation. my left cheek is swollen as well. I have had no fever." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have infection of the Parotid gland.(Parotiditis).Considering the long duration you need to consult qualified General Surgeon for clinical examination and get following basic tests done to rule out presence of stone in the Parotid duct. 1) Plain X -Ray of the face 2) Sialography of the Parotid gland.In the mean while You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.Ensure to have ave mouth wash twice daily with microbial lotion like Betadine or Chlorhexidine twice daily.Dr.Patil." } ]

[ { "from": "system", "value": "Does the Oestrogen levels be abnormally high at the age of puberty and is diagnosed for autism?" }, { "from": "human", "value": "My 10 year old son has autism and had blood work recently. His blood work revealed an abnormally high level of estrogen, I believe 195 and his testosterone was in the normal range. Is this what happens in puberty for boys? I couldn t really find anything that would say so for boys." }, { "from": "gpt", "value": "Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.No. Such rise in estrogen levels is unlikely with boys at 10 years even if he is autistic. He will need a peroper abdominal scan to visualize his adrenals and also a CT scan brain to scan the pituitary gland. Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy" } ]

[ { "from": "system", "value": "What to do for burning sensation during sex after hernia was repaired?" }, { "from": "human", "value": "are you here? I need some help I had an inquinal open hernia 7 months ago. This hernia was repaired total three times over the period of 10 years. When I masterbate or have sex it burns in the stiched area. There is no bulge in there. I have been seen by a doctor she said there is no hernia. My sergeon said it s a scar pain. I am worried it s been 7 months and the burning did not go away. Thruout the day I feel discomfort in there but I am worried about the burning sensation" }, { "from": "gpt", "value": "Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.Yes, it is probably a scar pain. Its unfortunate that you have landed up with such a problem. It occurs cause during sex there is an increased abdominal pressure and this increased pressure can lead to stretch on the earlier sutured area. You may take paracetamol for the mild pains. You may also take carbamazepine or amitriptyline for modifying the pain. Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy" } ]

[ { "from": "system", "value": "What could hard ball like lump be in between testes and anus?" }, { "from": "human", "value": "hello my boyfriend recently got this hard ball like lump between his testes and his anus. I told him it is probably nothing but its been there for almost a month now and i'm starting to get worried.....He said that when it first appeared that it had some pain but it has gone away then today he said it has gotten bigger i think it just swelled up...Could t be an abscess or tumor? Hemorrhoid?" }, { "from": "gpt", "value": "Hello and ,A lump between testes and anus could be a growth or abscess.Abscess is usually associated with fever and pain.Hemorrhoids are limited to the anal canal.They do not extent upto the region between testes and anal canal.You need to consult your doctor preferably surgeon for clinical examination, relevant investigations and thus management.Thanks and take careDr Shailja P Wahal" } ]

[ { "from": "system", "value": "How to get rid of fordyce spots on internal foreskin of penis?" }, { "from": "human", "value": "hi i m 30 years old , and few week back only i noticed this spot on my internal foreskin of penis , its small and red . i got myself checked up with skin specialist . he told me that its a fordyce spots and cannot be treated and will not harm me or my partner.But i have a query that is it going to increase or spread . what are the solution or medicine to get rid of this fordyce spots its looking bad i want to get rid of this. plz advice" }, { "from": "gpt", "value": "Hello and ,Fordyce spots are harmless skin structures caused by obstruction of sebaceous glands in the foreskin.As mentioned by your treating doctor, they are harmless and require no treatment.Infact there is no treatment for the condition.Besides cosmetic implication, its presence will not harm you in any way.You need to consult a cosmetologist for the lesion.You can also consult a dermatologist if you do not find a cosmetologist.Thanks and take careDr Shailja P Wahal" } ]

[ { "from": "system", "value": "What is the remedy for spreading white spots around urethral orifice after taking antibiotics for presence of rare bacteria?" }, { "from": "human", "value": "5 weeks ago, I began experiencing discharge from my penis that, at first, was clear and showed up off and on throughout the day. 4 weeks ago, the discharge showed as a milky white, almost yellow pus-like substance. The discharge, clear or white, has been tacky / sticky. I got tested for Chlamydia, Gonorrhea, Syphilis, UTI, PSA, and all results were negative. I went back because the symptoms have worsened and even changed. I have been through three batteries of testing in the last 4 weeks and all but one test has come back negative. My last test, conducted Tuesday, showed presence of rare bacteria, so the doctor prescribed Cipro. I began taking the antibiotic Wednesday night and this morning I began to see small white spots around my urethral orifice. They have been growing in number all day." }, { "from": "gpt", "value": "Hi,As your all tests for STD are normal, there might having some bacterial infection in your urethra and urinary tract.Continue with antibiotic.Take plenty of water.Ok and take care." } ]

[ { "from": "system", "value": "How to get rid of PSA levels over 1.6 and 1.9 after prostrate removal?" }, { "from": "human", "value": "My husband had his prostrate removed a year ago. They watched the level on PSA. It was always over 1.6 and 1.9. Now it is outside the wall, they did not get it all in surgery. We are going to radiation for 39 treatments. Mon. thru Friday , everyday for 10 minutes. Does this mean they will get rid of it. The Dr said is was small micro cells. Do you personally think this will get rid of it?" }, { "from": "gpt", "value": "Hi,Welcome to Health care magic forum. It appears that there are metastasis,in the nearby tissues.Hence the report of the PSA is high.The radiation possibly clear all the metastasis,so you may get the normal values. give him more of green leafy vegetables, pulses, sprouts, and protein rich foods to have blood, good health and resistance against the infections.Tese may improve the recovery well. If the values are still high,of course it may not happen,he may need to have chemotherapy. Wishing for a quick and complete recovery. Thank you." } ]

[ { "from": "system", "value": "What could be the reason for having unbearable pain and swelling in my vein after the circumcision?" }, { "from": "human", "value": "HiI was circumcised 6 days ago and I'm feeling an unbearable pain which makes it hard for me to walk. I'm coming out pus just below the muscle or vein that comes out after circumcision and my vein is also swollen. My doctor gave me painamol, gen payne and Betamox as from day one but they seem not to help. The pus and smell started immediately after he removed the bandages, he only bandaged my penis for 3 days then told me to go wash it off with water that has salt but it's getting worse." }, { "from": "gpt", "value": "HIThank for asking to HCMAlthough the healing process is bit fast in the circumcised wound, if it became septic then this need to be treated with proper antibiotic, if I would be your doctor then I would treat your wound with the following medicine,1) Tab Amoxicillin with clavulanic acid (You have to adjust the dose according to your age and wait as such you have not gave this information here)2) Povidone Iodine ointment apply this on your wound frequently keep the wound clean this will come around within a week and no need to worry, take care and have nice day." } ]

[ { "from": "system", "value": "How to improve penile size?" }, { "from": "human", "value": "Hi, i'm 16 years old and I am at Tanner stage 4.9. My voice has broken, I have lots of pubic and underarm hair. However I have not noticed much growth in my penis in years. It is still how i remember it to be when I was a child. Will it stay like this, or will it eventually grow. If so, when and can I speed it up? Thank you" }, { "from": "gpt", "value": "Hello, Your penis and body growth will occur up to age 21-22. You can take a more nutritious diet and more protein diet for growth. Kindly mention the size of your penis in the flaccid and Erection stage to comment further. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Parth Goswami, General & Family Physician" } ]

[ { "from": "system", "value": "How can i get rid from masturbation?" }, { "from": "human", "value": "dear sir i continuously masturbated from last 15 years, so my semen have thin and now when i masturbated i feel pain in my lest testis with pain feel on left side heap(thigh). kindly solve my problem. how i increased sperm, how i get rid from masturbation. thanking you" }, { "from": "gpt", "value": "Hello,,Masturbation is normal after puberty. It is one type of sexual function. But if person has to masturbate frequently and/or causing any troubles then it is a matter of concern. Frequent masturbation is reflection of deep seated tension, stress, or high sexual desire. Homeopathy is very much helpful in this type of cases.Homeopathic treatment is based on total understanding of patient on physical and mental level. And that's why detail history of patient is needed for proper homeopathic treatment. Your problem can be cured permanently with homeopathy.So consult to good classical homeopath nearby you or contact us.Have a better health." } ]

[ { "from": "system", "value": "How to treat leakage of stingy fluid from penis?" }, { "from": "human", "value": "I had oral from a girl three days later had the discharge and burning but three weeks later after a lot of anti biotics I only have a slight sting in the head and when that happens I squeeze a few times and a tiny amount of clear stringy fluid will appear" }, { "from": "gpt", "value": "DearWe understand your concernsI went through your details. Isuggest you not to worry much. Your penis was burning after a mouth job due to the rashes you had during that. You cannot blame that incident alone, your hygiene is also questionable. Three days antibiotic treatment may not be enough.Take a five day course under a competent physician. Why do you want to squeeze your penis? The liquid escaping on squeezing could well be semen mixed with urine. Do not take self medication. Please consult a physician.Hope this answers your query. Available for further clarification.Good luck." } ]

[ { "from": "system", "value": "How to increase rapid motility sperm rate with history of left varicosile surgery?" }, { "from": "human", "value": "Sir,My sperm motility is just 29% and the Rapid motility sperm is 0. Normal form sperm is just 2%. slow progressive rate is just 20%. I have undergone left varicosile operative before one and a half year. Still the rapid motility sperm rate doesnot increased. How to increase it. Please tel me the answer. is it can be improved through diet.Please answer me in detail. my contact number is 0000" }, { "from": "gpt", "value": "Hi,.It will take a minimum period of 3-6 months after the varicocele operation to get an improvement with the seminal parameters. Presence of varicocele for a very long term would have spoiled the spermatogenic cells near totally, then you can not expect very good results. If the varicocele operation had not been done adequately, that may be another reason. You had this operation on left side. There is a possibility of minimal varicocele on right side, which also should be corrected. Usually it had been done on both sides together even if it is minimal on one side.There is no separate food recommendation for to improve the quality of semen. Co Q 10, Lycopene, L Carnitin and other vitamins and minerals have been recommended to improve the quality of Semen.Wish you a speedy recovery. DR S.Murugan" } ]

[ { "from": "system", "value": "Is there any connection between dripping urine after urination and premature ejaculation?" }, { "from": "human", "value": "Hello. i am 26 years old i have 2 problems. one is the urine drops come every time after using toilet from last 10 years. i never used ALCOHAL not smoking . second is... when i do sex i eject in 1 minute after inserting. this is sad for me and my partner.... kindly tell me is there any relation between these 2 problems.... waiting for your kind answer... saif" }, { "from": "gpt", "value": "Hi,Welcome to health care magic forum. As you describe the reason for dribbling and ejaculation,may be the anemia,infection of the urinary tract,or prostate,or benign prostatic enlargement. I advise you to consult an urologist for diagnosis and treatment.you may need to have MRI,and culture and sensitivity of urine for diagnosis. I usually prescribe to my patient with such symptoms fluconazole, cifixime, ornidazole, and diclofenac sodium,till the investigations are completed. Take more of green leafy vegetables, pulses, sprouts, and protein rich foods to have blood, good health and resistance against the infections. Wishing for a quick and complete recovery. Thank you." } ]

[ { "from": "system", "value": "What is the cause for itching and redness under my penis skin?" }, { "from": "human", "value": "I am having itching under my penis skin and redness.I wash it twice a day and it give me relief for 3-4 hours after after then again starts itching.Please suggest what to do,what may be reason.Is it a serious problem or may become serious like penis cancer in future I am very much afraid and also please let me know which doctor to consult in such cases??" }, { "from": "gpt", "value": "Hi. Just to ask you few questions in the beginning. Are you diabetic? Are you married / have sex partner? The condition which you described is called balano-posthitis and simply an infection of the area and need a simple remedy. So do not worry. It will NEVER become cancer in future. It needs an antibiotic,, meronidazole, an antifungal tables ( to be taken by both if you have a sexual partner) , no sex till you get OK. Visit a Dermatologist." } ]

[ { "from": "system", "value": "What is the remedy for difficulty in erection during intercourse?" }, { "from": "human", "value": "I am 41 years old married person. I do not have any intercoursein 8 years married life. My penis have normal erection but when Itry to intercourse, the hardness of the penis is fall or sometimes not.I use Penegra 50 sometimes but result is same. Sometimes I could notconcentrate in sex. Lubrication of my partner is not enough." }, { "from": "gpt", "value": "Hello dear,Regarding the problem of Erectile dysfunction, it is due to decreased blood supply to the penis.Though medications like Cialis & Viagra increase blood flow to penis & maintains erection, it can be improved by having a diet rich in fruits, vegetables, fish, nuts & honey.Connections between erectile dysfunction & excess use of porn has been reported in many studies.For those affected, recovery takes place by 6-12 weeks & mainly involves avoiding the causative factor, that is watching porn.Avoid stress...practice meditation..this helps in improving concentration & builds up the confidence level.Avoid smoking & alcohol.Despite these measures, if you experience difficulty, it will be better to rule out other causes like high blood pressure, blood sugar and other local causes that impair blood flow to the genital organ.One more thing...avoid consuming any over the counter medication which claim to increase the size of penis or improve performance...it may be harmful.Wishing you a Healthy Life.Take care." } ]

[ { "from": "system", "value": "How to treat constant itching at the tip of penis?" }, { "from": "human", "value": "Hi doc..my son has been itching the tip of his penis for the past few days..He was constantly itching yesterday night...he couldn t sleep properly......he has no fever.he has been urinating almost normally but the number of times were more...pls look into the matter..doctor." }, { "from": "gpt", "value": "Hi,From history it seems that there might be having some irritation on penis due to not cleaning local part properly.Clean the part by averting foreskin with worm water.If there is soreness on the part, apply antibiotic cream locally.give him plenty of water.Ok and take care." } ]

[ { "from": "system", "value": "How to heal molluscum warts on genital area since 3 years?" }, { "from": "human", "value": "I have molluscum warts on my genital area ive had it for over 3 years now if that's what it still is I think I just keep passing it back and forth to my partner and the tip of my dick looks scaly and very dry or it will be red and ruff and it looks wrinkly or it will have big read spots that feel like sand paper the doctor said my molluscum warts was gone over 3 years ago and it looked like it but everytime I would have sex my tip would get really read and with read blotches and little read dots on it but then it would go away the next day so I didn't think nothing about but it keeps happening but its getting worst I don't have insurance but I think its still molluscum warts cuz I have 2 lil read bumps in my pubic area that looks like it ust to but the tip of my dick I don't know cuz when I had it befor it was only in my pubic area but when I had it befor it itched and hurt really bad all the time and they never whent away but it gose away with in a week till I have sex agen or jack off but now its not going away idk what to do doc plz help me plz" }, { "from": "gpt", "value": "Hello,,mollescum. warts are curable with homeopathy without any side effect. Mollescum are usually infectious. It can spread infection to other. So avoid physical relation till it treated or try to cover mollescum during sex.Homeopathic treatment is based on total understanding of patient on physical and mental level. And that's why detail history of patient is needed for proper homeopathic treatment. Your problem can be cured permanently with homeopathy.So consult to good classical homeopath nearby you or contact us.Have a better health." } ]

[ { "from": "system", "value": "Can I take tazzle for longer erection?" }, { "from": "human", "value": "Hello Doctor, I am 30 years old techi. I have been having sex with my girl friend since 4 months on weekends. From past 2 to 3 weeks, I am unable to get erections on time when its needed. I get frustated when it doesn't get erect. But I calm myself by doing long breathings. I have been using viagra, suhagra since I started having sex. Viagra works, but suhagra 100mg sometime works effectively and sometimes doesn't. And it also gives headache. Last week I have taken Megalis 10mg. With this drug I dint get longer erection within 1 to 4 hours, but it starts it effects after 8 hrs when it is actually not needed. Now I am thinking of taking Tazzle 10 mg. Doctor I am calm and confident person, dont have much stress but this not getting longer erections is really causing me stress. Will tazzle 10 mg work for me? Can I take it daily?" }, { "from": "gpt", "value": "Hello,,Viagra and other medication for erection is not safe to take for long time or frequently. They have many side effects and may make person to habituated to it. You are taking these medication, so you have experience that which medicine work satisfactory before sometime, now the same medicine is not working in same dose. So it is gradually weakening your sexual function.I had treated many patient with same problem, and even who are addicted to Viagra. Most of them are very well benefited with homeopathy and have not needed any sexual medicines.Homeopathic treatment is based on total understanding of patient on physical and mental level. And that's why detail history of patient is needed for proper homeopathic treatment. Your problem can be cured permanently with homeopathy.So consult to good classical homeopath nearby you or contact us.Have a better health." } ]

[ { "from": "system", "value": "Is Lyco-Q 100 tablet appropriate for improving sperm count and motility?" }, { "from": "human", "value": "hi dr i am 33 year old my sperm count low 1 ml =7 million and motility 10% how can increase count and motility how to work lyco-q 100 tablet this tablet in crease count please tell me thank you . my email id : YYYY@YYYY" }, { "from": "gpt", "value": "Hi.Thanks for writing on HCM.Lyco Q 100 contains antioxidants (lycopene, ubidecarenone) which boost your sperm health, increases sperm count and motility.These supplements take 3 to 4months to work.Hope this answers your query." } ]

[ { "from": "system", "value": "Can masturbation cause small red bumps on tip of penis?" }, { "from": "human", "value": "Hi, may I answer your health queries right Almost a decade ago when I was in the 7th grade, I masturbated for the first time using lotion. The next day I woke up and noticed that the skin was darker around the tip of the penis (still on the shaft) and that there was a line of darker skin along the middle underside of the shaft (aligned with the urethra). The darker skin was also noticeably looser. I didn't do anything then, and it still hasn't improved over the past 10 years. I noticed recently that small red bumps under the tip of the penis have appeared, although they do not hurt. I tried to pop them, but it's not possible - they are like warts or something. I have never had sex or had sexual contact with anyone, although I have masturbated several times a week (on average) for the last ten years now ? Please type your query here..." }, { "from": "gpt", "value": "Hello, Masturbation is normal, natural and never unhealthy. But the friction associated with hard masturbation could cause some rashes or pain. You need to understand this. Therefore I suggest consulting a skin specialist for physical examination, diagnosis and treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. K. V. Anand" } ]

[ { "from": "system", "value": "What can be done to quit habit of masturbation?" }, { "from": "human", "value": "i am 15 now.....i have the habbit of masturbating..but now i think it has gained control over my mind and body.. i usually masturbate 5to 6 times a day, which i myself consider as an unhealthy habbit.....but i cant help it...i have become an addict..(I THINK SO).please take up the issue seriously and provide me with apt solutins." }, { "from": "gpt", "value": "Hi, You are having excess masturbation habit. You can restrict masturbation frequency two to three times a day to prevent fatigue and groin discomfort like side effects. I suggest you practice yoga and meditation. You can make short term and long term goals in life and try to fulfill it. Don't stay alone in a room for a prolonged duration and meet with friends and relatives. Try to restrict porn watch as well. You can consult psychiatrist for counseling. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Parth Goswami, General & Family Physician" } ]

[ { "from": "system", "value": "What could be the reddish spots on penis which is covered by whitish substance?" }, { "from": "human", "value": "for about 5 months I ve noticed a few reddish spots on my penis head, sometimes there is also a whitish substance that covers the red spots. There are times when it would vanish by itself and then return. I m really embarrass to have sex because of this problem. Oh yea, I m male 24." }, { "from": "gpt", "value": "Hi.Thanks for writing on HCM.Redness with white spots are commonly seen due to yeast/candida infection.I suggest you to consult a dermatologist so that they can be further evaluated and treated with both topical and systemic antifungal drugs.Don not try to peal or rub the white substance patches.Hope this answers your question." } ]

[ { "from": "system", "value": "What is the remedy for a painful cyst on my right scrotum?" }, { "from": "human", "value": "hello, i need a urologist i believe. i have a cyst i think on my right scrotum and it is painful. i am not sure how to explain it well. its not puss inside and its not releasing blood. its slighlty red and a bit darker now because i've been trying to squeeze it to pop it thinking it would be puss. i'm a 22 year old male who is fit and healthy but it has caused problems with my running its very hard and almost like a quarter of an inch protruding from my skin. its about a quarter inch in diameter. i've never seen this before but its definitely right underneath the skin or has molded into the epidermis. any recommendations to deal with it cleanly would be of a great help. :)" }, { "from": "gpt", "value": "Hello,I have gone through your query and understand your concern.It is nothing but a Sebeceous cyst.because you have mentioned that it is underneath the skin and molded into epidermis.Thus it is not a testicular or epididymal cyst.Luckily this is a harmless cyst and also benign.Probably the cyst might get infected now. That is why you have redness and pain over the cyst.You need the antibiotics like flucloxacillin and metronidazole ( as it in genital area, anaerobic infections are common) and pain killers like Ibuprofen.A course of antibiotics will usually clear an infection if it occurs.Once the infection is cleared, you may consult surgeon and completely excise the cyst.Hope this helps.Please write back for further queries.Wishing you good health." } ]

[ { "from": "system", "value": "How to get rid off masturbation addiction?" }, { "from": "human", "value": "i am addicted to masturbation. i have this addiction since 6 years. i want to get rid of this problem. not i am feeling that my memory has reduced. i had a very sharp memory but now it is very very poor. i am just 18. i want to regain it. pls help me. suggest me some indian diet." }, { "from": "gpt", "value": "Hi,Remove false fear and anxiety due having any bad effects on body by masturbation.This habit is nomal and has no bad side effects.Avoid seeing porn or sex videos.Keep your self busy with work through out the day which will bring good sleep.Do not think of sex much.Take high protein nourishing food.Ok and take care." } ]

[ { "from": "system", "value": "How to cure sore penis skin, peels off, itches?" }, { "from": "human", "value": "hi iam haveing trouble with the foreskin on my penis with irration and being sore and some of the skin peels off then heals and it itchs some times some times it gets irratated after sex even when lubracated is there some kind of treatment i can use" }, { "from": "gpt", "value": "Hi,From history it seems that you might be having fungal infection or collection of smegma under foreskin giving rise this problem.Keep local part clean by averting foreskin while taking bath.Keep local hygiene proper.Apply anti-fungal cream locally.Ok and take care." } ]

[ { "from": "system", "value": "What is the meaning of \"Oligospermia with impaired motility\" mentioned in semen analysis report?" }, { "from": "human", "value": "Hi Doctor,My name is Murali, iam 31 year old and i was married two years before still no children. Please find the below my recent semen analysis report and please tell me the problem what i have and also give me the proper guidance.Report:Color : grey whiteValume: 02.0mlReaction: AlkalineViscocity: NormalActive Motile: 20%Sluggish Motile: 60%Non Motile: 20%Normal Forms: 70%Abnormal Forms: 30%Pus Cells: 02-03 hpfEpitheliel Cells: 01-02 hpfRBC : NilTotal Count: 10 million/mlImpression: Oligospermia with impaired motility.Thanks in AdvanceMurali." }, { "from": "gpt", "value": "Hello,Oligospermia implies low sperm count in the seminal fluid. The normal count values range is from 20 million onward. The volume is near normal. Active motility implies those sperms that have the capacity to fertilize an egg and this value is low. Forward progression is more important. Liquefaction also is important. If this is the first time you have had the analysis, you should get the test repeated in proper way after 2-3 months to see if there is any change. No conclusion should be drawn based on one single sample. You can repeat it, if you wish a second opinion, after 3 days. Please see an andrologist for further help. Take care." } ]

[ { "from": "system", "value": "What could cause a lump with pus in it at the scrotum area?" }, { "from": "human", "value": "Hi, my boyfriend has been having a fluid filled cyst on the underneath of his scrotum for about six months , does not complain of pain or fever or and ill feeling..what happens he squeezes it and a yellow puss then white watery discharge and then alot of blood comes from it when he does squeeze it...its about the size of a quarter and hard...we are both std free and it hasnt effected his fertility were haven our second child...its not painful during intercourse...any advice what he should do or can we treat this at home??" }, { "from": "gpt", "value": "Hi ! Good morning. I am Dr Shareef answering your query. From the history, it seems that your boyfriend has got a benign cyst most probably a sebaceous cyst in the scrotal skin. This is not an uncommon occurrence, and though not a dangerous situation, might give rise to recurrent infection of the cyst which may exude pus and foul smelling paste like material at times. If I were his doctor, I would refer him to a general surgeon for a possible excision biopsy of the cyst, which would cure him of the condition.I hope this information would help you in discussing with your family physician/treating doctor in planning your treatment. Thanks for using the health care magic forum for your query on health. Wishing you an early recovery. Dr Shareef." } ]

[ { "from": "system", "value": "What could cause pain in lower part of penis after masturbation with urge for frequent urination?" }, { "from": "human", "value": "Hi, My age is 35. I am feeling pain in the lower part of my penis (not on the penis heador skin) after masturbation.I also have to frequently go for urination. It has started 3 weeks before.Sometimes without masturbation,i am having urination problem and have to urinate after every 40 to 50 mins.Sometimes i cannot sleep because of this and feel pain in my penis. I started going gym and after that this urination problem started. At the same time whenever i masturbate i feel pain in the lower part of my penis and have to go for urination most prequestly." }, { "from": "gpt", "value": "Hi,Welcome to Health care magic forum. It appears to be the urinary tract infection, prostatitis,or an S.T.D. I advise you to consult an urologist for diagnosis and treatment. You may need to have an M.R.I. besides other tests for confirmation. I usually prescribe to my patient with such symptoms ofloxacin, ornidazole, and diclofenac sodium. Wishing for a quick and complete recovery. Thank you." } ]

[ { "from": "system", "value": "How to treat penile erection dysfunction in a 45 years male?" }, { "from": "human", "value": "i am 45. not getting errectioin at all. i started mastebation at 18. during interciurse ejaculationn didi not occur in the vagina. after foreplay when i insert my pennis the srength loses within minutes. this has been the case from the beginning of married life. i used to sheke the pennis and at the time of ejaculation inserted it into the vagina. now i wanted to do sex properly. i am really worried" }, { "from": "gpt", "value": "Hello dear,Regarding the problem of Erectile dysfunction, it is due to decreased blood supply to the penis.Though medications like Cialis & Viagra increase blood flow to penis & maintains erection, it can be improved by having a diet rich in fruits, vegetables, fish, nuts & honey.Connections between erectile dysfunction & excess use of porn has been reported in many studies.For those affected, recovery takes place by 6-12 weeks & mainly involves avoiding the causative factor, that is watching porn.Avoid stress...practice meditation..this helps in improving concentration & builds up the confidence level.Avoid smoking & alcohol.Despite these measures, if you experience difficulty, it will be better to rule out other causes like high blood pressure, blood sugar and other local causes that impair blood flow to the genital organ.One more thing...avoid consuming any over the counter medication which claim to increase the size of penis or improve performance...it may be harmful.Wishing you a Healthy Life.Take care." } ]

[ { "from": "system", "value": "Can the diagnosed pityriasis rosia spread to penis as well?" }, { "from": "human", "value": "Hello about 3 days ago I was diagnosed with pityrasis rosea(apologize if spelt wrong). I ve had it for about a month and a half all over my inner thighs and a good amount of bumps on my arms and lower stomach. Where im concerned is my penis. There is 3 big bumps on the top of it and about 5 in my pubic hair area. All the bumps are bigger than the ones around my hips stomach and arms.I thought pityasis rosea didn t spread to the penis. I dont know if its scabies or what please help." }, { "from": "gpt", "value": "Hi,Pityriasis rosea is uncommon on penis and glans. And you said bumps are there on penis and pubic area. So, it may not be pityriasis rosea. It may be scabies.Ivermectol 12 mg tab may be taken once a week, antihistaminics and antibiotics may improve the disease. Permethrin cream application may be helpful. Improve hygiene. You might get relief from the bumps on genital areas. I hope you got my answer.Thanks.Dr.Ilyas Patel MD" } ]

[ { "from": "system", "value": "What is the problem having lack of erection?" }, { "from": "human", "value": "hiiii....i have a problem or not i dont know bt when i was done my first sexual interaction wth my girlfriend..my penis was not stand up n aftr some time my sperms come out....well if i see blue films then my penis will grow harder and stronger but it was nt happnd wth me in real time...what is the problem behind this ????" }, { "from": "gpt", "value": "Hi,It seems that you may be having erectile dysfunction. Most probable cause may be psychological. It may be due to performance anxiety. Relax, it may be alright after few days. You may take anxiolytic like fluoxetin 20 mg daily till you get benefit. Taldanafil 20 mg may be taken 2 hours before sexual act. You might get good result. After improvement in your confidance, you may have sex without any medicines. You consult physician or sexologist. I hope you got my answer.Thanks.Dr.Ilyas Patel MD" } ]

[ { "from": "system", "value": "Does masturbation cause any health problems?" }, { "from": "human", "value": "Hi, may I answer your health queries right now ? Please type your query here... hi, im 14 and i dont know why but everyday i want to masterbaith although without anything evept some vaseline i masterbaith and cum. I was wondering if i soul quit for aom health reason or stop for another health reason" }, { "from": "gpt", "value": "Hello, The masturbation usually doesn't cause much harm on health. It is a pleasure giving the procedure. But it should not be compulsive act and it should remain a method for fulfill sexual desire. The masturbation frequency is advisable to kept up to three times a week to avoid groin discomfort, fatigue like side effects. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Parth Goswami, General & Family Physician" } ]

[ { "from": "system", "value": "Is it normal to have pus-filled bump on penis that is itchy?" }, { "from": "human", "value": "Hi for the past few days I began to notice a small bump on my foreskin a little behind the head of the penis. Then after a few days it began to itch a little so I scratched it until the itching sensation would go away. After time it swelled a little almost like a pimple or zit. I tried to pop it like you would on anywhere else on the body and I notice a little white pus come out of the tiny bump. A couple of days later, the tiny bump reappeared with a little pus. Is this an infection or is it normal?" }, { "from": "gpt", "value": "Hello!Thank you for the query.No it is not a normal thing. Bump filled with pus is usually a sign of local skin infection. If its close to the hair, follicle inflammation is most possible. It may happen to every person and usually does not cause any further problems. However if after draining it, no improvement, please consult dermatologist with it. Sometimes hard healing bumps can be a symptom of elevated blood sugar level.In a meanwhile please keep it clean.Hope this will help.Regards." } ]

[ { "from": "system", "value": "Any recommendations for problems in motility after liquefaction in semen examination?" }, { "from": "human", "value": "Good day doctor.My semen examination report shows that i have some problem in motility after liquefaction as following.Sperm count : 38 millionsVolume:5.0 mlLiquefaction : 30 minAbnormal forms : 25 per centPus cell : 2/3Fast progressive : 5 /Slow progressive : 20 /Non progressive : 40 /Immotile : 35 /Aglutinatin +What would you please recommend about it doctor. Thanks" }, { "from": "gpt", "value": "hithanks for using healthcare magicThe liquefaction is the process when the gel formed by proteins from the seminal vesicles is broken up and the semen becomes more liquid. It normally takes less than 20 minutes for the sample to change from a thick gel into a liquid. In the NICE guidelines, a liquefaction time within 60 minutes is regarded as within normal ranges. That's mean in ur case liquefactionn is normal. now according to WHO has motility factor should be 50% and this must be measured within 60 minutes of collection. In ur case motility factor is around 65%. there is nothing to worry in ur reportthanks" } ]

[ { "from": "system", "value": "How to improve height and how to wean off the habitual masturbation?" }, { "from": "human", "value": "Hi I am arbaz tareen and I m 16 my bday was at 4 january so my problem is I m not gaining height my dad has good height and other 4 brothers have also good but I m shorty . And I started doing handjob in the mid ov last year and I try to cobtroll alot but now days I did toomuch from three days doing regular I want to know dat will I gain height ? Or my height has been stopped? Doing handjob effwcts on heiht ?? And how to overcome this bad habit .?" }, { "from": "gpt", "value": "hithanks for using healthcare magicfirst i want to say that there is no harm in masturbation. It is the safest way to get sexual pleasure. So there is no need to criticized urself on masturbation. second, ur height depend upon ur genes. If ur parent are of short height, u would get height according to them. May be ur genes would be on ur mother and sh has shorter height. To get good height and weight, just do exercise and eat proper protein rich meal.thanks" } ]

[ { "from": "system", "value": "Is dried out semen discharge while urinating after masturbation normal?" }, { "from": "human", "value": "Hi am urinating dried out semen that comes out normally and as fast as urine, I can also make it come out of my penis after masturbating and ejaculating if I squeeze and contract my penis very hard, it comes out in urine the day after I have masturbated and also when I haven t, how so I get rid of it, by the way It causes me no pain what so ever." }, { "from": "gpt", "value": "Hello,I have gone through your query and understand your concern.I suspect it is due to either retrograde ejaculation or swollen prostate.Because usually semen drops out immediately after masturbation and left over semen is usually dropped some time in inner wear due to gravity.1. Retrograde ejaculation In this, While masturbating, some semen may enters into urinary tract instead of urethra. This may stay there and pass out as thick semen on urination of next time.2. swollen Prostate- if your prostate is swollen, then more seminal fluids are secreted and mixed with urine and pass out as thick viscous liquid.Swollen prostate is usually due to infection in young age.Thus rule out any infection or retrograde ejaculation by examining urine and physical examination.If there is a retrograde ejaculation, you may need surgery to get corrected.In case if you have prostatitis, then you should need antibiotics to clear infection.Hope this helps.Please write back for further queries.Wishing you good health." } ]

[ { "from": "system", "value": "What is the analysis for the attached semen report?" }, { "from": "human", "value": "hi, simens analysis done , below are the observationsvolume 2mlcolour: Greyish whiteviscosity: normalliquefaction time : 25 minutespH : 7.2sperm count: 17million per mlTotal sperm count: 34 millionprogressive (grade A): 6%nonprogressive (gradeB): 18%Immotile (grade c): 76%% of forms: 13%% of abnormal forms: 87%% of head defects: 34%% of neck or mid piece defect: 21%% of tail defects: 18%% of multiple defect: 14%% of excess residual cytoplasm: 6%incubation swip up results: moderate swip up with grade I 35% motilityDoctor is saying big problem, please advice. I wanted to have a second opinion." }, { "from": "gpt", "value": "HIThank for asking to HCMThis is not the normal report the volume is low the motility also not good, but I think this is nothing to worry, this is just one time report but for the next time it would not be same as it is now, you have to go for the test with abstinent period of at least 10 days, possibly you could get the good result at least satisfactory result, have good luck." } ]

[ { "from": "system", "value": "What's causing burning rash near the penis and scrotum soon after unprotected sex even after treatment for thrush?" }, { "from": "human", "value": "Whenever my partner and I have unprotected sex he ends up with irritation and a stinging burning rash around the base of his penis and his scrotum almost instantly after or at least half an hour after. We have both been treated for thrush and he has been using soap free body wash. I am currently taking Femme-Tab ED and Altven. He has never had this reaction before, and I have never had any other partners that have had this reaction. I have only been taking the Femme-Tab a month after we started seeing each other as the rod in my arm snapped." }, { "from": "gpt", "value": "HIThank for asking to HCMI can understand this problem this may be happening to the frictions, and may forming the lesion you have to use some soothing agent to reduce the friction, now for the lesion right now you can use any steroid containing cream, this will heal the lesion soon and take care, have nice day." } ]

[ { "from": "system", "value": "Does taking testosterone booster causes pain in the mid scortum and anal area ?" }, { "from": "human", "value": "hi, a few days ago i was doing some wide stance squats. everything was fine until later that night when i began to feel a dull pain, or a numbing sensation between my scrotum and anus. i want to think that i pulled something during the workout but i cant help to think that it could possibly be a prostate problem. however, i do not experience any problems urinating nor do i see anything unusual down there ( lumps or swelling). i dont have any trouble with erections or ejaculating. pain is not present when i wake up and starts back up about an hour or two into my day. i am 21 year old male who is very active and overall healthy. also, i was taking a testosterone booster for about 18 days prior to this happening and have since stopped taking it. i have never felt a pain or had any problems with this area of my body and am very concerned. any help would be highly appreciated. thanks.." }, { "from": "gpt", "value": "HIThank for asking to HCMThis is absolutely normal phenomenon does not seems any thing wrong such nonspecific pain and numbness does not indicate any disease, and this will go away soon stop paying attention, this is nothing to worry, every thing is fine, have nice day." } ]

[ { "from": "system", "value": "What causes blood traces in semen after mastrubation?" }, { "from": "human", "value": "Hi last night i mastubrated and blood came out with the semen i am worried as ut happened with me first time in my life. I am having a fever aswell from last two days please help me what may be the reason . As i am going for urine its coming smoothly." }, { "from": "gpt", "value": "Hi,I have gone through your query.Blood in semen is known as hematospermia. It is common for a men to experience blood in semen in life time. It usually goes away of its own. Since you are having fever along with it, infection can be suspected like prostatitis , epididymitis or urethritis and prostate cancer in men above 40 years.I advise you to see a doctor for prostate examination and investigations like semen analysis and urine test for the source of blood.Do consider a positive feedback as a credit to my work. Let me know if you have any further questions.You can contact me on my page" } ]

[ { "from": "system", "value": "Is semen discharge in urine with weak urine flow due to excessive masturbation?" }, { "from": "human", "value": "dear doctor i have a problem of sperms or semen but i dont no it comes out urine every time it causing from over masturabation but my urine flow is very weak my whole body is weak my face is loseing its colour but i am becomming weak plz give me advise" }, { "from": "gpt", "value": "Hello!Thanks for your query.Masturbation is a healthy sexual behavior. Like other behaviors, when over practiced or addicted it can lead to both psychological and physiological imbalances.The side effects of such changes to the body include:Fatigue. Feeling tired all the timeLower back painThinning hair / Hair LossSoft / Weak ErectionPremature EjaculationEye floaters or fuzzy visionGroin / Testicular PainPain or cramp in the pelvic cavity or/and tail bone Over Masturbation can pose serious threat to sexual and over all health, curing these effects with herbal supplements is safe as herbs do not have side effects and are quick to alleviate the problem .Take care of your self" } ]

[ { "from": "system", "value": "Why has the composition of semen changed following the UTI ?" }, { "from": "human", "value": "Ever since I caught a urinary treat infection and treated it with antibiotic my semen has changed. It's become thicker and very very sticky. Even after I've cleaned up after masturbation the post cum sticks the tip of my penis to my underwear making it very painful to separate. Why has the composition of my seamen changed following the UTI?I've since tested clear of the UTI. But this sticky seamen problem persists! Please help?" }, { "from": "gpt", "value": "HIThank for asking to HCMThis is not the problem this is normal and nothing to take with the urinary infection or antibiotic, you are un-necessarily worry about this, nothing to worry about this, have nice day." } ]

[ { "from": "system", "value": "What causes blood discharge during urination?" }, { "from": "human", "value": "HI i am a male. I had sex for the first time with my wife. The third time in the same night when i ejaculated and just 5 minutes after that i went to pee. I saw a pinch of blodd in my urine. THough after that it was not there. The next time again jsut after intercourse i peed i saw the same. THis just happens after intercourse. Please Advise." }, { "from": "gpt", "value": "Hello. I have reviewed your query and here is my advice. Hematuria has many causes, including vigorous exercise, sexual activity, viral illness, trauma/injury, or infection such as a urinary tract infection (UTI). In the given conditions, it can be almost made certain that the blood content should be due to sexual activity. This is normal because you had sex three times which could be too much. Still, if the symptom persist, you should consult a doctor for physical investigation.Hope I have answered your query. You can contact me for treatment options. Let me know if I can assist you further. Regards, Dr. K. V. Anand" } ]

[ { "from": "system", "value": "Could severe pain in groin and testicle, metallic taste in mouth with history of having prostate surgery and hernia indicate another hernia?" }, { "from": "human", "value": "hi i have severe pain down in my groin & right testicle, I have had prostate surgery, then had amassive surgical hernia following that , i had an advanced sling for incontinance. On top of this i have ankylosy spondyilitesI in my lower back. I have just spent the night in E.D my bp was 235/115. I thought i may hav had another hernia as i can only go outside for approx i hr , then the pain comes on & i have to lay down, usually takes about 20mins to get relief.As well i have a strong mettalic ( like poison ) taste in my mouth" }, { "from": "gpt", "value": "Hello,I have gone through your query and understand your concern.As you thing the pain in the scrotum and testicle may be due to hernia in another site.But hernia usually do not cause severe groin or testicle pain with out any strangulation.Further we have to suspect any testicular torsion, epididymitis or testicular cancer.This can be identified by simple physical examination and ultrasound abdomen and pelvis with scrotum.I suspect the metallic taste may be due to medications you are taking, as you have recent history of Hypertensive crisis. Some anti hypertensive medications are potential to cause dysguesia ( Change in taste). it can be normal with in few days. If the dysguesia persists and disgusting, then you can switch over to other anti anti hypertensives with your treating doctor advice.As you pain is severe, it is better to go right now and get examined by your treating physician and get proper treatment.Hope this helps.Please write back for further queries.Wishing you good health." } ]

[ { "from": "system", "value": "What could cause darker color in the penis along with bumps?" }, { "from": "human", "value": "Hey doc I ve notice that my penis has changed in color and is darker then usually and I feel a burning and pain in my rectom and penis and the top. When I look at the shaft of my penis I see little red spots and like 1 month ago I shaved my pubic hairs but not all of them and the part that got shaved the most Iswhere bumps filled with puss. Doctor said they were just ingrown hairs and didn t look like herpes but they came back a few times and now has stopped ive gotten them on my shaft of my penis before too never on rectom.I was test for H.I.V, and chlamedia and ghonerea and came back negative. I ve been trying to figure out what is wrong with me and why I have to go through this I want kids of my own and it just worries me please doc tell me what to at least do and help me" }, { "from": "gpt", "value": "Hello,It is my pleasure to help you,Darkness of skin of the penis is the physiological phenomenon, deposition of melanin pigments on the skin of the penis increases as the age advances.Nothing to bother regarding the darkness of the skin.The rashes on the skin of the genitals is may be due to irritation of the skin on the genitals.The skin in this region are soft and sensitive that may be leading to the rashes.These rashes will come down by itself as all the tests for STI as turns negative for infection.I would suggest you to apply some moisturizing cream on this area.Hope I have answered your query.Thank you." } ]

[ { "from": "system", "value": "What could cause extreme dryness and scaly head of penis with history of being sexually inactive?" }, { "from": "human", "value": "Hello! For about two months now I have been noticing that the head of my penis is becoming more and more scaly and dry. It s not flaking or bleeding but it s is extremely sensitive. I have tried jock itch cream but that doesn t seem to help. I have never had sexual intercourse so I don t think it would be an STD. What do you think it is?" }, { "from": "gpt", "value": "Hi,Welcome to Health care magic forum. It appears that you are a teen aged boy, mastrubating, and exerting more pressure on the glans. Take more of green leafy vegetables, pulses, sprouts, and protein rich foods,to have good health resistance against the infections. I advise you to consult a dermatologist for diagnosis and treatment. I usually prescribe to my patient with such symptoms cifixime, multivitmins and anti oxidants. Wishing for a quick and complete recovery. thank you." } ]

[ { "from": "system", "value": "What does the semen analysis indicate?" }, { "from": "human", "value": "hi please check whether it is normal or not. semen analysis quantity 1.5 ml,color greyish white sperm count.28ml/ML live count 15MILL/ML Soerm per ejaculate 41MIL MOTILITY percentage motile sperm 54% rapid linear progression 4% non lin progression 56% non progressive 40% sperm morphology normal form .40% head abnormality large oval 20% tapering 20% amorphous 20%" }, { "from": "gpt", "value": "hiii,.Your Semen Analysis Report interpretation as follows:1) Semen volume 1.5 ml>>Normal (Normal value-1 to 6 ml)2) Color-Greyish white>> normal3) Total sperm count 28 million/ml >> Normal (N value 20-150 million/ml)4)Sperm per Ejaculate 41 million>> Normal (as ejaculate volume 1.5 ml)5)Sperm viability 15 million/ml>> ABNORMAL (As more than 75% viable sperm is normal)6)Sperm morphology 40% normal shape >> BORDERLINE to ABNORMAL ( Ideally 70 % morphologically normal sperm is good for fertility, But WHO describes at least 30% sperm should be in normal shape and form)7) Sperm motility 54%,linear progression 4%,Non-linear 56%, non progressive 40%>> overall BORDERLINE to NORMAL (At least 50-60% forward motility is ideal)You should repeat the test after 1 month and check your semen report for any progression. In the mean time, you take vit- E supplements with other nutrients.All the best" } ]

[ { "from": "system", "value": "Can any online doctor advise on semen analysis report?" }, { "from": "human", "value": "Dear sir, How are you now? This is Mahbubur Rahman from Bangladesh. I have collected my semen analysis report and it is Sperm count:53.2 Million/ml Motility: Incubation Active motile: 50% Sluggishly motile: 20% Non motile: 30% Pus cells: 1-2/hpf RBC:1-3/hpf Morphology Normal: 80% Abnormal: 20% Chemical Examination: Fructose: Present May I know some thing about it?" }, { "from": "gpt", "value": "hiiii,.Your semen analysis report interpretation as follows>>1) Sperm count 53.2 million/ml>> NORMAL (Normal value 20-150 million/ml)2) Sperm motility active 50%,sluggish 20%,Non motile 30% >> BORDERLINE to NORMAL (50-60% forward motile sperm is ideal)3) Morphology 80% normal>> NORMAL (At least 70% normal morphological sperm is ideal)4) Pus cell 1-2/hpf and RBC 1-3/hpf>> within NORMAL limit.Your overall semen analysis report is normal. Take healthy diet and avoid stress.All the best." } ]

[ { "from": "system", "value": "What is your advice for urethral discomfort when urinating and blood clot discharge?" }, { "from": "human", "value": "Hi. I have some discomfort in my urethra, specifically in the upper part (near head of penis). Discomfort manifests itself when urinating, and is most felt during the initial stream flow. It also feels like the flow of urine is scraping my urethra. The sensation is reduced if I reduce the rate of flow of the urine. Have been tested for bladder infection which came negative. Also tested for STDs like HSV1, HSV2, Cyclamida, and Gonnorea, but also negative. On rare occasions, I also noted that a blob of what looks like congealed dark blood is pushed out of the urethra (head of penis) as soon as the urine flow starts, but the rest of the urine flow looks normal, albeit lightly pink. This clears up after a few hours and plenty of water. I am not sure if the 2 are related. I ve also had a cystoscopy and everything was said to be normal. Prostate was also ok. Your advice would be greatly appreciated. Thanks. James" }, { "from": "gpt", "value": "Hello!Thank you for the query.I`m not sure if after so many test you will be able to find answer here. Your diagnostics seems to be done fine (so the bladder cancer has been ruled out). But the symptoms clearly indicate an infection. It can be urethra infection. In such case urine analysis will be negative.I suggest you to have urethra swab test and urine culture test.Please also start cranberries supplementation.Hope this will help.regards." } ]

[ { "from": "system", "value": "What could be the reason for having a rash on the head of my penis?" }, { "from": "human", "value": "Hello and thanks. I have what looks like a rash on the head of my penis and down a little on the foreskin . There has never been any pain or itchiness. What could that be? My girl did have a bladder sling put in and then had a snip of the tie off creating a sharp edge in her that will sometimes cut me. Any thoughts?" }, { "from": "gpt", "value": "Hello!Thank you for the query.Its hard to give exact answer not being able to see it. Such rash usually indicates some kind of local infection. Usually fungal infection appears in this location but other type of infection are also possible.I suggest you to visit dermatologist. In case of fungal infection, antifungal agent will be necessary. If you have also burning while urinating, urine analysis should be done.In a meanwhile try to keep affected area clean and dry.Hope this will help.Regards." } ]

[ { "from": "system", "value": "What could it be if had small bump, intermittent itching in perineum area?" }, { "from": "human", "value": "I am a 49 year old male. I have a red, zit like, small bump in perinium area. Can be very itchy at times especially at night. Have tried over the counter anti-fungal (jock itch) cream with no effect. No discharge, or pain. Itching is intermittant. What might this be and what is the recommended course of action?" }, { "from": "gpt", "value": "Hello!Thank you for the query.If this lump comes from the anus or is attached to the verge of it, hemorrhoid is most possible reason. Itching is quite characteristic for hemorrhoids. It usually appears after a stool.Lump in perineum area can be also a sign of fistula between the skin and the rectum. In such case, lump gets painful and some discharge can appear.Other benign skin lesions like cyst or hair follicle inflammation are also possible.Please consult your doctor with this lump and the treatment depends of the diagnosis.Hope this will help.Regards." } ]

[ { "from": "system", "value": "What is the cause for dry and red foreskin?" }, { "from": "human", "value": "white male 22 years old, I have a dry foreskin that is red without touching it and after play time it turns a darker red. two brown spots on the tip of my penis. and my tip after play time turns a dark color like when you cut off blood flow to your finger. Help please." }, { "from": "gpt", "value": "Hello!Thank you for the query.Such dry and reddish foreskin can be a sign of fungal infection. If so, it can get itchy. Blisters can appear. Other possible reason is skin irritation due to kind of trauma (which can be intense masturbation or intercourse). I suggest you to visit dermatologist with your problem. Some antifungal cream might be necessary. In a meanwhile please keep this area clean.Hope this will help.Regards." } ]

[ { "from": "system", "value": "How to improve sperm count with history of HLAB27?" }, { "from": "human", "value": "Sir I am suffering from HLAB27.It was detected in the year 2005.Since then I am having Saaz DS tablet.On 11/08/13 I got married.We had tried for last two months for pregnancy but was not successful. After that I have test my semen and found that my sperm count is low (12 million/ml).When I was fifteen i suffered from Mumps also. Now I want to know that can I improve my sperm count to be a father in near future?" }, { "from": "gpt", "value": "Hi. Saaz DS can itself cause low sperm count. Plus there is a history of Mumps. Te Urologist and Hematologist only can you guide you very perfectly. Your wife too must be tested for HLAB27." } ]

[ { "from": "system", "value": "Does masturbation prior to jogging have any problems?" }, { "from": "human", "value": "hello sir, i m 17 and i want to lose weight so I jog at least 5 days of a week and I masturbate almost 3 days a week but only one time in a day....so i want to ask is there any problem of masturbating in the morning or afternoon and jogging in evening.....i feel energy less i know but is there any other problem" }, { "from": "gpt", "value": "Hello. I have reviewed your query and here is my advice. Masturbation is normal, natural and not unhealthy. Masturbation consumes your energy. Masturbation can consume around 150 calories for a 20 minute long session. Thereby you could feel tired. In that sense, masturbation before physical exercise may cause tiredness during the exercises. But if you are healthy enough and if you have good stamina, there is nothing to worry about. But My advise will be to avoid masturbation before physical exercise. Hope I have answered your query. You can contact me for treatment options. Let me know if I can assist you further. Regards, Dr. K. V. Anand" } ]

[ { "from": "system", "value": "What should be done for bumps on penis?" }, { "from": "human", "value": "i have 2 shiny bumps on head of penis. one very small and the other is slightly bigger. it is also very uncomfertable at times as well. Pluss after sex the bumps get worse, i got an s.t.d. tests and h.i.v. aids test and they all came back negative. what should i do?" }, { "from": "gpt", "value": "Hi,As your test for STD is negative then you might be having some bacterial infection on the part.Apply antibiotic cream locally.Go for one antibiotic medicine course for 3-5 days.Ok and take care." } ]

[ { "from": "system", "value": "Is uncontrolled erection normal in mature male?" }, { "from": "human", "value": "Hello,I am a 52 year old male and my when my female doctor check a skin tag I had between my legs, I started to get an erection and become wet. I was so embarrassed and I apologized to her immediately, is this something I should feel bad about? I have that this happens to teenage boys, but wasn't sure about a mature male. Thank you" }, { "from": "gpt", "value": "DearWe understand your concernsI went through your details. I suggest you not to worry much. Answer to your question is - Yes, it is possible. But it cannot happen suddenly and when you are worried about your problem. Before going to the female doctor you must have thought about it and were a bit embarrassed. possibly you fantasized. That could be possible explanation. Even if that is not the case, don't be anxious about the incident. That is over. In future such things could never happen.Hope this answers your query. Available for further clarifications.good luck." } ]

[ { "from": "system", "value": "Does over circumcised foreskin cause pain when erected?" }, { "from": "human", "value": "My grandson was circumcised at age two. His foreskin was to tight and would not retract was the reason for the surgery. It has been six months since the surgery. Now we have noticed that when he has an erection he is in great pain and cries saying that it hurts. It seems that possibly to much skin was removed...can this be rectified?" }, { "from": "gpt", "value": "Hi and thanks for the query,It is possible depending on how the circumcision was done. It also depends on the age at which circumcision is done. generelly, when well done in children. the complications are generally very few. In adults, with recommended techniques used, they are rare but more frequent than compared to children.In your case, i think there should a complete urological/surgical review to remedy the situation. Kind regards" } ]

[ { "from": "system", "value": "What could a recurring, rapidly growing lump in groin that fills with puss indicate, tests are inconclusive?" }, { "from": "human", "value": "hi I have a recurring swelling lump on/ around my groin. I have gone to 5 different doctors of which all said different things could be the cause. I was given antibiotics and the swollen bump would go away. It would reoccur months after. When it reoccurs it grows at a rapid pace and when it gets very big sometimes I experience a burning sensation that feels like trickling into my inner thigh. The last doctor I visited drained it and did a CBC and said there were no signs of infection in my blood. However when she made the incision the room had a foul sour smell. It only occurs on the right side in the same spot. It feels rubbery and is shaped like a lima bean. I don't know what to do can u help give me advice. I have never had it biopsied." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you are getting boil over groin repeatedly.This is most likely to be due to infection of the hair follicle caused by organisms called Pseudomonas or Klibsiella .This needs to be confirmed by doing culture and sensitivity test of the pus from lesion so that you can treat with appropriate antibiotic to combat infection.Please consult qualified General Surgeon for assessment and further treatment.In the mean while take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.Dr.Patil." } ]

[ { "from": "system", "value": "Can weakness during erection be a result of excessive maturbation?" }, { "from": "human", "value": "Hi doctor. I am 20 year old boy. i am having a habit of hand practicing. I had married before year. i am really week while having sex with my partner. i discharge in 3-5 min. I am really worried. since the age of 14 i am doing hand practicing. Please help me. I am staying n UAE. I want to quote hand practicing but cant do it as it had become my habit. please let me know what should i do." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you are facing problems related to your sexual potency and think it to be due to masturbation that you have been doing since last 6 years.First of all there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body.All the problems that you are facing now are mind related and due to anxiety.Following measure will help you to boost up your confidence and getting good erection.and delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..5) Get yourself involved in some activities like reading ,listening to music or sports so that you will not get free time to masturbate.Do not worry with this treatment this issue will get resolved within 4-5 months .Dr.Patil." } ]

[ { "from": "system", "value": "Any suggestion for having tight foreskin, loss of erection before penetration?" }, { "from": "human", "value": "I have a tight foreskin because of which I masturbate in the prone position. Recently I tried to have intercourse for the first time. The foreplay hurt because of the tight foreskin and there was a loss of erection just before penetration. Is it because of the tight foreskin or the prone masturbation or both? Please help as this is becoming a problem in my relationship.Anonymous" }, { "from": "gpt", "value": "DearWe understand your concernsI went through your details. I suggest you not to worry much. The problem of tight foreskin is very normal and is found very common now a days. But the masturbation and its position has nothing to do with lack of erection. Tight foreskin could be a disturbing factor while intercourse because it is suppose to move back and forth along with the pumping motions. If it doesnot move, there is reason to be intercourse being painful.I suggest you to consult a general surgeon and get circumcision done. The procedure is very easy and it could give you a pleasurable intercourse experience.For sexological and psychological counseling, visit this answers your query. Available for further clarifications.Good luck." } ]

[ { "from": "system", "value": "How to heal ruptured cyst with visible hole and constant drainage on left side of scrotum?" }, { "from": "human", "value": "I have what started as a cyst on the left side of my scrotum along the crease of my scrotum and inner thigh. it burst and now there appears to be an open wound with a very visible hole in the center of it. Drainage is constantly coming out of it without pressure. I went to a urologist and he prescribed an antibiotic. It is now worse." }, { "from": "gpt", "value": "Good Day and than you for being with Healthcare Magic! It is important to get a culture of the fluid because depending on your location it might be tuberculosis of the scrotum. Culture will also help us with the antibiotic to use. If a trial of the antibiotic is not working an ultrasound might be helpful because there might be an abscess formation inside and a drainage procedure might be needed for your lesion to heal properly and completely. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: I would gladly help you. Best wishes.Regards, Manuel C. See IV, M.D. DPBU FPUA" } ]

[ { "from": "system", "value": "How to treat erectile dysfunction and rapid ejaculation?" }, { "from": "human", "value": "Hii doctor..i was married recently..my problem is i am ejaculating fast..when i ejakulate fast...i feel bad..then i usually trying to next but this time my erection is half only but continues long...means now i trying to ejakulate first time fast and second time it will take long time but half erection only..please give me a suggession" }, { "from": "gpt", "value": "hithanks for using healthcare magicPremature ejaculation is most common sexual dysfunction. For this u can take Tab Paroxetine 12.5mg and with time gradullay increase dose up to 25mg after two week. It would help u get longer duration and decrease ur anxiety while sex. may be u r not getting sufficient erection due to underline anxiety. This drug would cover both of it. take and in case u need our help, connect us.Thanks" } ]

[ { "from": "system", "value": "What is the cause for burning sensations when i pull back my foreskin?" }, { "from": "human", "value": "Hello, recently I have been having trouble with the he's of my penis, basically I keep getting a build up of smeg daily and when I pull back the foreskin I get a burning sensations and the doeskin looks really tight, the excess foreskin when pulled back around the bottom of the headI have regular sex with my girlfriend bu have stopped for now as for obvious reasons, I'm confident she hasn't got an Sti" }, { "from": "gpt", "value": ".There might be some inflammation or cut injury inside your foreskin.It is better to avoid sex till get complete cure.Take proper local care.Wash that area with antiseptic liquid and start to apply antibiotic cream regularly.Avoid tight undergarment.Oral nsaid will be helpful to subside pain and and inflammation.If it is persistent after complete healing then use good moisturizer during sex. Get examined by your family physician for proper diagnosis and medications." } ]

[ { "from": "system", "value": "What could it be if having small bumps on penis, swollen urethra after having sex?" }, { "from": "human", "value": "I will make this short and simple. I had sex the other night. Girlfriend turned dry in the vagina and we still kept having sex using water and ice as a lube (dumb I know) 2 days later it started to hurt to pee only when I started. And I have 3 dots on the head of my penis, they look like small mosquito bites that have been scratched to much and scabbed up but they don t hurt. My urethra appeared to be alittle swollen 2 days ago but it has since subsided. Any idea what s going on?? I just started taking the drug azo for a urinary track infection. Should I continue? Please help" }, { "from": "gpt", "value": "Hi,From history it seems that your problem might be due to constant friction in dry vagina there might be having soreness on penis.there might be irritation in urethral opening as well.Continue with antibiotic, you are taking.ok and take care." } ]