Datasets:

jeiku

/

Nitral_Medical_Dialog_Fixed

like 0

[ { "from": "system", "value": "Semen analyses done. What precautions should be taken to prevent the pus cells?" }, { "from": "human", "value": "hi i am 32 years old and i got married last September 2011. last month i tested my semen analyses .the result is 50% active motility and there are 8 to 10 pus cells. i want know the problems that rises due to the pus cells, precautions to prevent the pus cells in my semen, and what should i do for my batter sexual, physical, and mental health" }, { "from": "gpt", "value": "Hello Thanks for writing to HCMYour semen analysis report suggests infection.Infection is indicated by the presence of pus cells in semen. Normally there shouldn't be any pus cells in semen.Infection may be due to prostatitis,UTI etc.You need antibiotics for infection.You need few more investigation like routine hemogram,Semen culture and sensitivity,RBS,Ultrasound of pelvis should be done.Trans rectal sonography of prostate can be done if needed.Proper antibiotics should be prescribed after culture and sensitivity report.Motility is acceptable.Get well soon.Hope I have answered your question.Take CareDr.Indu Bhushan" } ]

[ { "from": "system", "value": "Could proteinuria with testicular and abdominal pain be indication of cancer?" }, { "from": "human", "value": "Hi, I have brown urine that has been confirmed to have blood and high protein in it. I also have testicular and abdominal pain. I am awaiting the results of a CT Scan, but do not believe there to be kidney stones. I am concerned over possible cancers, etc. Any ideas?" }, { "from": "gpt", "value": "Brown urine and protein should be evaluated further. You have not mentioned your age else I could have help you better.Frank blood in urine is mostly due to stone in urinary tract and infection but there are other causes as well.Testicular pain may be because of orchitis or epididymo orchitis. But if there is any swelling over testes or in scrotum then it is to be evaluated by ultra sonography (USG).You should also undergo USG abdomen to find the cause of abdominal pain. As you have already undergone CT Scan (abdomen+pelvis presumably) you should wait for the report to come as it wont take much time. Consult with CT report again here." } ]

[ { "from": "system", "value": "Will the position of testes affect fertility?" }, { "from": "human", "value": "sir my right testicle is slightly bigger than the left one, while the skin becomes loose my right testicle is hangging below the left one . i can produse sprem . no pain some times it pains slightly is it normal will it affect my fertility? pl help me out?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have observed that your Rt Testicle is at slightly lower level than left one and have a doubt that it may affect your fertility.Please note that fertility does not depend upon the level of testicle and both the testicles are never at the same levels in every person ,one is always slightly lower than the other one.Dr.Patil." } ]

[ { "from": "system", "value": "Does tear in frenulum heal naturally or requires treatment?" }, { "from": "human", "value": "I recently (4 days ago) have received an inury during fellatio. my frenulum was completely torn, it bled quite a bit but was not very sore. Now it seems to be healing up fine. i have not yet consulted a doctor, will it heal naturally or should i seek medical help even though a little late? it is giving me no problems" }, { "from": "gpt", "value": "Hi, It can be healed naturally, you just have to wash that area thrice a day. Local antibiotics can also help you., if scar is appearing during healing, surgery can be done.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Loss of erection while on bath salt. Is it because of dehydration or lack of nutrition?" }, { "from": "human", "value": "What causes you to lose your erection while being on bath salts? Is it dehydration or lack of food...both? Ive been up two days.n c weird thing was I was barely doing anything and I ejaculated like with no problems...well except I was only at about 50 percentile. Is there anything in the short term I can do to fix this and make it up to my sweetheart tonight?" }, { "from": "gpt", "value": "yes dehyradation and inadequate rest can have stress and stress is bad for performance. kindly take rest,eat fruits,salads,drink water sufficient and enjoy to night with a relaxed mind." } ]

[ { "from": "system", "value": "Itchy pinkish red bumps on the penis, mild burning on urination post unprotected sex. Partner negative for STD. Should I still go for a test?" }, { "from": "human", "value": "I am 17 and two days ago I had unprotected sex. I did not take a shower after and instead waited until the next morning. That night I noticed I had pinkish red bumps or a rash on the head of my penis . The girl I had sex with has been checked and has no STDs. I am uncircumcised I don t know if that matters of not. I have only experinced mild to no itching and a very slight burning sensation while I urinate. For the most part the almost feel as if they are not there. I am a little worried and wonder if I should consult a doctor or visit a STD clinic. I am asking here first to try and avoid an awkward conversation and visit. Thanks for your help, x" }, { "from": "gpt", "value": "i think you need to visit, your partner being negative for STD doesnot mean any infection cant happen to you. it may be a simple fungal or bacterial infection. oral sex or not proper cleaning of the area might have caused. dont worry visit a dermatologist." } ]

[ { "from": "system", "value": "Lack of sleep, body pain, yellow urine, body heat, red spots on penis, chest, boils on face, body pain. Treatment?" }, { "from": "human", "value": "Hey, am 25 year old male, from last allmost 2 years i am having some problm in my body, am not feeling sleepy and when i sleep my body pains after waking up and i feel like not to get up from the bed , i am having yellow urine and pain most off the time but when i drink loads of water it disapr , body is burning like hell , red color mark on my penis and chest , and its started with loads off boiles on my face and body pain , i use to eat so much off egg mixed with milk with out cooking nad alcohol , can u please advise wat to do" }, { "from": "gpt", "value": "i think you are having some connective tissue disorder. kindly visit a rheumatologist for more and better treatment. do you have oral ulcers too. you may be suffering from some autoimmune disease. kindly visit and do full range of all tests blood and biochemistry done." } ]

[ { "from": "system", "value": "Abdominal pain, frequent urination after masturbation. What should be done?" }, { "from": "human", "value": "hii I M ROONAk I am 23 years old I hv watchec FEMDOME ,ballbusting porn& I tried to do it on my self thats why my balls become little smaller perhaps,an my penis not get straight for more then 3-5 minutes But at the same time my penis is not as hard as it was ,,what should I do AND ya their is pain often in my right side near stomach may be in kidney since it is fromfront to back of my right side AND I m having URINE in every One and Half Hour then getting thirty again PLEASE HELP me doctor I DONT KNOW wht should i do..... :( :(" }, { "from": "gpt", "value": "i think you have been experimenting on yourself a lot over porn. regarding frequent urination, you may be having urinary tract infection nothng to worry do a urine routine test done if pus cells found then take antibiotics. next is the issue of pain , yes if you do sexual activities in abnormal posture it will hurt you with backache and bodyache. refrain from these." } ]

[ { "from": "system", "value": "Recurring blisters on penis glans. Applied quadiderm cream, subsided. Herpes test, kube ultrasound normal except thickness of Urinary tract. Treatment?" }, { "from": "human", "value": "Male 32. I have recurring blisters, size of around 0.1 inch diameter on my penis glans for last 7 years. i apply quadiderm cream and they go in 2 days. last year i consulted a skin -vd specialist in XXXX. he prescribed herps test and Kube U/S. The herpes test was negative and the U/S has everything normal except thicknes of U/T. Can you tell me what this condition may be and which is best doctor to treat it in XXXXXX. Thanks a lot." }, { "from": "gpt", "value": "i think you should get tested for HPV . it is a viral infection . kindly ask your doctor to do this test. check out for diabetes too, as it can cause frequent infection." } ]

[ { "from": "system", "value": "Puffy eyelids on waking from sleep, have considerable weight gain, bloating, fluid filled scrotum when active that normalizes on resting. What could this be?" }, { "from": "human", "value": "Hi, my son has been having puffy eyelids whenever he awakes from sleeping. We were told it could be an allergic reaction . However, we ve noticed that he put on considerable weight and his stomach appears to be very bloated over the last week. Additionally, his scrotum is filling with fluid whenever he is active and goes back normal when he is at rest/asleep. Can you please help me?" }, { "from": "gpt", "value": "i think your son has hydrocoele that is water filled up in scrotum at rest. but overall picture and nature of problems appears your son to be suffering from some kidney problem. kindly visit a physician or pediatrician as soon as possible." } ]

[ { "from": "system", "value": "What to do if skin is peeling off on the sides of the scrotum?" }, { "from": "human", "value": "Hai , doctor .It's this peeling off dry skin on my scrotum both sides , as well as the sides , exactly where the scrotum touched the inner sides of the tigh .it's just peeling off literally every day and then this red lines that shows tge tearing of skin . That's really painfull ." }, { "from": "gpt", "value": "HIThank for asking to the HCMI really appreciate your concern, looking to the history given here I could say that this could be dry type of allergic condition and no need to worry about this it can be well treated with \"Diphenhydramine lotion\" apply this lotion three times in day keep the area clean, take good care of hygiene it would come around soon hope this information helps you, have a nice day." } ]

[ { "from": "system", "value": "Is this true that hair loss treatment may lead to male infertility?" }, { "from": "human", "value": "Hi,Am 28 years old male. I am suffering severe hair loss for the past two years. My doctor asked me to use Morr-f solution. Thought I did not get hair growth, hair loss is under control somehow.Some of my friends say that hair loss treatment may lead to male infertility. Is this true?" }, { "from": "gpt", "value": "Welcome to the forum.One of the 2 components is finasteride, which blocks the formation of active formation of male hormone.Its known side effects are decrease male sexual function and loss of desire.Male infertility is not described as a side effect, but in theory it can cause.Hope this helps,sincerely" } ]

[ { "from": "system", "value": "Had intercourse. Non raised but flat rash on lower abdomen and 2 red spots on shaft appeared, no pain. Reason?" }, { "from": "human", "value": "Hey, I recently starting have sex with my boyfriend he hasnt have sex for over 9months and the first night we has sex the next day he wake up with non raised but flat rash on his lower abdomen and 2 red spots on his shaft, he isnt feeling any pain for having and discharge and I have no rash on my lower bottom although I do have my period right now and we were just wondering what this might be" }, { "from": "gpt", "value": "It can be a fungal infection or trichomonial infection. Usually sexually transmitted. Visit a dermatologist or medicine doctor near by for treatment even if its not painful." } ]

[ { "from": "system", "value": "Burning sensation on penis tip, irritation on right side. Cysts, STD or HPV?" }, { "from": "human", "value": "Ive been having a slight burning sensation on the bottom tip of my penis . Everytime I have sex it is with a condom. Any clue what it could be? I also have irritation at times on the right side of my penis. I have been diognosed with HPV , but in the area it is irritated the doc told me that there are penile cysts and not HPV warts . I do masterbate or have sex quite often and am wondering if I have contracted something, or if it is irritation." }, { "from": "gpt", "value": "Kindly take a full course treatment of HPV with antivirals drugs. Also get your Hiv status detected by card tests. Dont get into sex very often for few weeks" } ]

[ { "from": "system", "value": "Suggest treatment for burning sensation in penis while ejaculating" }, { "from": "human", "value": "Following a lengthy stay in hospoital where for a while I had a catheter inserted I have had the following symptoms; Strong smell of sperm in stools, urine or passing wind Trouble passing urine if the bladder is very full Night sweating Low pressure on passing urine Burning sensation in penis for a while on ejeculation I am 55, straight & married with long history of degenerative disc disease and acute low back pain. I have a dry cough on and off for a couple of years which was investigated but treated with steroid inhaler which hasnt worked. So what now?" }, { "from": "gpt", "value": "Hi, It can be due to renal calculi, urinary tract infection and the sweating can be due to hypothyroidism. For UTI antibiotics can help.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Overweight. Why do I sweat profusely? Due to smoking? Why do arms go numb?" }, { "from": "human", "value": "I m a 26 year old male. A tad bit (20ish pounds) overweight but I do work out and walk miles every day. My family has a history of hyperthyroidism and heart disease. The only medications I take are 20mg Adderall XR 2x a day, once when I wake up, the other at noon. Around midnight I go to bed and take 2x Benadryl to help me breathe better. Issue #1: For the last 2 years any tiny bit of bending over or walking when theres no airflow in the room causes me to sweat super heavy from my head. I mean heavy heavy. I use my sleave to wipe it off and its soaked. This is really embarrassing at work. Issue #2: I keep waking up with my face swelling up slowly and then all of a sudden I feel like im being choked and for about 2-3 minutes I have to struggle to breathe and then it goes away. I smoke about a half pack a day but I dont think this is smoking related, it feels more like an alergic reaction but the thing is this has been going on every few days or so for awhile now. It doesnt get 911 serious but its still pretty scary Issue #3: I get itchy at night. Horribly itchy. I scratch one itch, and get another. It never stops, ever. Some nights I m all up night like right now, and other nights I don t have the issue. I ve ruled out bed bugs and scabies and crabs because my wife sleeps in the same bed and she has absolutely zero issues. I have no bite marks and no rash. I have no rough or dry skin other than the bottoms of my feet. Issue #4: Over the last 2-3 years since this started, I have developed a lazy right eye. I can control it but I have to be paying attention. It also sort of aches off and on. Issue #5: Over the last 2-3 years I have felt more fatigued. My wife tells me its just me getting older, but it feels like something else. Issue #6: If I bend my elbows past 90 degrees for too long, my arms go numb and its like a burning numb." }, { "from": "gpt", "value": "Lots of querries it seems you are in a great problem .for ist issue of sweating. Check your thyroud profile. You may be hyperthyroidism now as sweating more is a sign of hyperthyroidism. Issue 2nd appears to be of obstructive sleep apnea which usually happens if you are overweight. Need a ent checkup.issue 3 of itching too needs a check up for diabetes as some cases do present with itching.also check for some materials or food causing allergy. Issue 4 5 ..it seems you are having some symptoms of depression like low mood tiredness etc.just think again.issue 6 kindly visit a medicine doctor." } ]

[ { "from": "system", "value": "Shaving of pubic hair stings, excessive pubic hair, redness and itching due to shaving. How can the hair be removed permanently?" }, { "from": "human", "value": "Hi I am a man and every time I shave my pubic hair , it stings my girlfriend. If I trim it it still stings her and if I don t do anything about it it s just too long. The main problem is that I have a lot of hair in my pubic area but also on the shaft of the penis and between the penis and the testicles, so I simply have to do something about it. My hair is very dark and thick and long but not very dense. IPL hair removal is out of the question because it is to expensive. I also get irritated a lot after shaving and I simply can t shave again the next couple of days because of the itching and redness even if I use creams/aftershaves/ oils and I moisturize the area after I shave. I just think my skin is to sensitive. Please help." }, { "from": "gpt", "value": "It appears a very difficult situation for you. Kindly apply veet cream with moisturiser. One more advice why you need to shave always use some body deodorant if it stings. Males with pubic hairs is a sign of masculinity and you should be proud of it." } ]

[ { "from": "system", "value": "How to cure pain on the right side of the groin area?" }, { "from": "human", "value": "I have noticed right sided groin region pain that seemed to show mild sensitivity to my right testicle as well. It is sore at rest. It began this morning during a shower, however last night I was demonstrating a dead lift exercise to a client and remember feeling a mild strain sensation in my right groin. Being a physiotherapist I am inclined to believe it is muscular but am concerned by the soreness at rest. Is there any way to easily differentiate between an inguinal hernia and a psoas or hip flexor strain?" }, { "from": "gpt", "value": "HIThank for asking to HCMI really appreciate your concern this is right side pain of groin area and that containing many internal organs and from the history given here it could be renal colic, appendicitis, hernia, right now this complain can be treated conservatively, with the \"Tab Acetaminophen and Dicyclomine three times in day, if this fails to respond then you need to go for clinical examination, have a nice day." } ]

[ { "from": "system", "value": "What does red patch on foreskin indicate?" }, { "from": "human", "value": "s red patch on my foreskin, what could it be? ( i am really worried it is a cancer) Here are the...s red patch on my foreskin, what could it be? ( i am really worried it is a cancer) Here are the...s red patch on my foreskin, what could it be? ( i am really worried it is a cancer) Here are the...s red patch on my foreskin, what could it be? ( i am really worried it is a cancer) Here are the..." }, { "from": "gpt", "value": "HIThank for asking to HCMI really appreciate your concern from the history given here of redness of foreskin this is nothing to worry this is very common type of complain and this is might be happening with the friction with the undergarment, this is not the cancer, hope this information helps you, have a nice day." } ]

[ { "from": "system", "value": "I found two holes below the main opening of my penis that causes pain" }, { "from": "human", "value": "HELLO SIR I WAS CIRCUMCISED AROUND 10 YEARS FROM NOW I AM 21 YEARS OLD. I FIND 2 HOLES BELOW MAIN OPENING OF MY PENNIS MANY TIMES IT PAINS, WHENEVER I HAD NIGHT FALL I DO FEEL PAIN, I DO FEEL FREQUENT URINATION. DOCTOR ALSO SAID I AM HAVING VERSOVIA KIND THING WHICH IS A TESTICLE DEFECT OF BIRTH, DO LET ME KNOW?" }, { "from": "gpt", "value": "HIThank for asking to HCMI really appreciate your concern, having second meatus this is in fact due to the hypospadias usually this does not cause any pain but of course could cause discomfort if this is too much then this need to be repaired surgically, but I think it is all depends clinical examination, hope this information helps you have a nice day." } ]

[ { "from": "system", "value": "Loosing a lot of semen during urination after masturbation" }, { "from": "human", "value": "i am loosing a lot of semen with urine in morning time since 2002 as i have done a lot of masterbation . I am to thin my weight is 51 and age is 29. I have used a lot of unani medicene but feel nothing relief so please advice me alopathic medicene .i am unmarried." }, { "from": "gpt", "value": "you just try to reduce the frequency of masterbation. take appropriate diet, rich of green vegitables and milk. drink plenty of water. add multivitamin tablet daily." } ]

[ { "from": "system", "value": "What causes dryness and itching on the testicles?" }, { "from": "human", "value": "hi,i have itching between my legs and testicles,im facing this from past 2 years.im using antifungal powder for timebeing but it is not completely went off.now in that affected area some kind sticky liquid coming out and im unable to work properly.skin became black and looking like dried tree outer layer" }, { "from": "gpt", "value": "Hello,Thank You for consulting HealthcareMagic!Looks like you would have neglected much and infection got complicated. I think that you would have initially got fungal infection but this now got complicated with secondary bacterial infection. You need scraping and microscopic examination of effected parts, CBC etcYou might also need an empiric course of antibiotics.Stay healthy and thank you for consulting! You can contact me again anytime, if you need clarifications or further assistance in future. Kindly rate the answer if you are satisfied." } ]

[ { "from": "system", "value": "Do scars caused by phimosis worsen due to masturbation?" }, { "from": "human", "value": "I had phimosis where the foreskin wouldn t go back and it left terrible scars I kept masturbating and the scars got worse finally they healed and I m able to pull the foreskin back but all of a sudden bumps have formed where the scars where at and they tooken the form of the scar that was there" }, { "from": "gpt", "value": "Hello,Thank You for consulting HealthcareMagic!I do not think that the scars got worsened by masturbation.You need a physical examination to know why bumps have beenformed. You need an evaluation by a Urologist to check thepresence of infection and treatment accordingly.Stay healthy and thank you for consulting! You can contact me again anytime, if you need clarifications or further assistance in future. Kindly rate the answer if you are satisfied." } ]

[ { "from": "system", "value": "Suggest medication for infertility in men" }, { "from": "human", "value": "hello sir, i'm maha, my husband is suffering from infertility. now he is taking 'speman' capsules, himalaya product. now i saw in net that spermac, vital M-40 and safed musli is good for infertility men. shall i tell him to take those capsules? otherwise please give some suggestions for good one." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that your husband is suffering from Infertility.At the outset let me state that he needs to get investigated to find out the cause of his infertility.Please consult qualified Infertility specialist or Urologist for clinical examination and get following basic tests done 1) Semen Analysis 2) Serum Testosterone 3) Blood sugar levels 4) Ultrasound scanning of scrotum.5) Colour Doppler study of scrotum.Further treatment will depend upon the cause of his infertility and final diagnosis.All the products that you have asked for are supplements and has no rationale to take without finding the cause of his infertility. Dr.Patil." } ]

[ { "from": "system", "value": "What is the treatment for erection problem?" }, { "from": "human", "value": "i am 25 year old and just married . my wife is 23 years old and I couldn t have sex with my wife due to no erection . I consulted doctor and he asked to go for ED test and the test shows everything positive . He gave me few tablets (tadalafil) but still have erection problem . That doctor is providing only negative replays . Pls advice how should I proceed" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have problem of Erectile Dysfunction and have no satisfactory results even after taking Tadalafil.You need to consult qualified Urologist for clinical evaluation and get following tests done to study the penile circulation.1) Colour Doppler Ultrasound Scanning of penis to rule out arterial insufficiency or Venous leak as a cause of your ED.Further treatment will depend upon the cause of your ED.Dr.Patil." } ]

[ { "from": "system", "value": "What are the side effects of masturbation?" }, { "from": "human", "value": "Hi there, I masturbated this afternoon, a few days before that I got tummy pains and I knew that was for my period. About half an hour to an hour after I masturbated I got my period and it really hurts so bad, Im wobbly very hurting. The thing is Im worried im bleeding after masturbating! Please answer quick I dont know what to do is everything ok with me?" }, { "from": "gpt", "value": "Hi, The side effects may include tiredness, insecure feeling and loss of self esteem. Check for ultrasound abdomen.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist" } ]

[ { "from": "system", "value": "What is the cause and treatment for the itchiness and redness on my penis?" }, { "from": "human", "value": "Hello doctor, I am a 29 yr old man married for last 2 yrs. Recently I have seen that I have itching and redness on my penis. Also there is a foul smell and discharge on my penis when I pull my foreskin back. This has become quite regular. Pls help. Is there any medication or application of any lotion required? Thank you." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have itching of the foreskin with discharge from penis .Many a times this is first presenting symptom of Diabetes .Please get your blood sugar levels test on empty stomach and 2 hours after lunch done to rue out diabetes.Your symptoms are mostly due to Muco Cutaneous Genital Candidiasis.Please take anti fungal medication like Flucononazole twice daily along with topical anti fungal jelly for local application .Ensure to wash your genitals with warm water twice daily.Dr.Patil." } ]

[ { "from": "system", "value": "How to improve rapid linear progression in semen immediately?" }, { "from": "human", "value": "Hi i am thomas, i have checked my semen analysis, my sperm count per ml is 112 million/ml and ejaculate 134.4 million/ejaculate. rapid linear progressive is 12%, sluggish linear progressive 30%, total forward progression 42%, how to improve my rapid linear progression immediately.. i am waiting for your answer..." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that your semen analysis has revealed Rapid Linear Progressive motile sperms to be 12%.The grade one sperm (Rapid Progressive motile sperms )up to 12-15 % are within accepted range by most of the Infertility Centers all over the world to.impregnate wife.Truly speaking there are no drugs invented so far to increase motility of sperms However Following measure will help you to increase and improve motility of sperms .1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..Dr.Patil." } ]

[ { "from": "system", "value": "What causes erectile dysfunction?" }, { "from": "human", "value": "I had sex with a female last night around 2am than an hour or two around 4:30 am I received oral from another female with no erection difficulty ejecting both times but then around 11am I attempted to recieve oral from another female and my penis didn't even get even semi erect barely but I still ejaculated What could be the reason this happened I'm terrified & embarrassed cause receiving oral always gets me extremly erect .....please tell me what are the different reason this might of occur?" }, { "from": "gpt", "value": "HI Thank for asking to HCM There is certain level of any phsioloical act and limit of secreation of certain hormones and enzyme beyond this limit and level it is not possible to have the same knid of effect if need it even after you try to do it this is kind of psycolocal condition if on perfoeming the such act so rapidly stop this it could be dangerous, take care and have nice day." } ]

[ { "from": "system", "value": "Does masturbation reduce glow in face and cause sickness?" }, { "from": "human", "value": "sir, im 16 year old boy and i have masturbating from nearil 2 years and my height is 5.7 and my weight is 55. lplease tell me does masturbate decrease our shining of face and does it make us sick? sir i wish to pay u by cash because i dont have credit card...." }, { "from": "gpt", "value": "DearWe understand your concernsI went through your details. I suggest you not to worry much. Masturbation is natural process and even animals masturbate. You shall never loose your health or body shape or face glow due to masturbation if done moderately. One masturbation roughly equals 200 meter sprint. Adequate rest is enough to come out of that tiredness. You are 16. At this age you can masturbate up to 4 times a week. More means tiredness. What you need to do now is to concentrate on your studies, and naturally obsession with masturbation reduces.If you require more of my help in this aspect,Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck." } ]

[ { "from": "system", "value": "Repeated nocturnal emissions, have stopped masturbation, premature ejaculations. How can I fix this?" }, { "from": "human", "value": "Dear Dr Please help me as I could not bear any more wet dreams. My mental, physical, financial growth has been retarded due to extremely heavy nocturnal emissions. Currently i am 35 years of age. 10 years back, i entered this hell of sexual kingdom, with masturbation. Initially with masturbation, next i stopped it but started getting Wet dreams, with performing a sexual activity in dream. Even I did’nt read or watch erotic material, still i get nocturnal emissions and that too without dreams. So i decided to get married at the age of 31. I am having a healthy baby too. But now I could not indulge in intercourse with my wife as i am having weakness. Stii my wet dream are continued, 3-4 times in a week and 6-8 times a month. Plz save me. I am unable to stand or walk after erection . Lost all valuables hormones as stated in your website. Semen turned thin and ejaculations are so frequent and out of my control. My studies, jobs, career all is suffering. Also suffering from pre mature ejaculations, and ejaculate in seconds while in sex with my wife. Plese help me. I also think that please let me know if I am suffering from Urinary Tract Infection ( UTI )/Reproductive Tract Infection (RTI) or not. Plz confirm. Additional Info Here I also want to add that I am suffering from nocturnal emissions since last 10 years and 5 years back I developed a stone in my kidney and got it removed via laser treatment, since then I have no such problem of recurrence of it. I also want to add that I feel that I am suffering from weakening of parasympathetic nervous system and decrease of serotonin hormone in my brain, due to excessive nocturnal emissions. In addition I am having back pain, shoulder pain, leg pain and if I walk few 1 or 2 km then a terrible pain in my foot I feel. Plz help. Thanks Rohit Kumar (MP) INDIA" }, { "from": "gpt", "value": "DearWe understand your concernsI went through your details. I suggest you not to worry much. I do not understand from which website you got that wrong information. Let me clarify.1. Nocturnal emission happens when the body wants to emit the produced semen because semen is a waste product. Semen is produced whenever you are sexually aroused. Such produced semen is a waste product. If you do not engage in sexual activities or masturbation for a week or so, body finds its own way to expel the semen. One way is through nocturnal emission and another is through urine. Very much a normal process body adopts. 2. Semen is produced by testicles. You are ill informed. Production of sperm cells are not at all a tiring or health wasting or losing hormones process. They all are myth. Don't fall prey to such information and get anxious.3. You are worried about the nocturnal emission problem and you are anxious and obsessive about that. That is why you are having this premature ejaculation. Forget sexual problems. Forget Nocturnal ejaculation. Forget masturbation. Just show love and passion to your wife and your problem is solved.If you require more of my help in this aspect,Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some sexology related psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck." } ]

[ { "from": "system", "value": "Has constant masturbating from a young age affect my penis?" }, { "from": "human", "value": "Dear Dr im 25 and discovered that i have ED since i was 18. Ive been to several urologists and done all tests and all Urologist say im normal and i should go on daily cialis. I have done that and did not work with me.. cialis viagra and livrta dont work for me and i dont know why! I had an penile injection and had a full erection. I have been using face down masturbation since i was a child and i cannot reach to orgasm only by this way. I think the constant bending of my penis for masturbating has either efected my brain or harmed my penis. Please advise me on what step i should take next?" }, { "from": "gpt", "value": "HelloLet me explain about sexual orgasm , penis size, erection , premature ejaculation.As you mentioned that you are doing masturbation since childhood .Viagra, livrta, cialis , all these drugs are nor working but injection causes erection .This means there is no defect in brain or hormone or in penis .As you mentioned that different urologist don't find any disease .In my opinion sexual orgasm reaches its climax when there is discharge both partners.Size of penis varies from 10-15 cm in full erection .Premature ejaculation means discharge at once within 2 minute in all sexual activities ( including fore play also ).As far as about you , in my opinion you are perfectly alright .This is a psychological problem , so consult a psychiatrist and get his opinion.Good luck." } ]

[ { "from": "system", "value": "Whatc causes sticky penis and scrotum?" }, { "from": "human", "value": "My penis and scrotum has become sticky. All std test have come back negative and there is no smell it just feels very uncomfortable all the time. The doctor says everything is fine but I am worried something could have been overlooked.Any idea what could cause this." }, { "from": "gpt", "value": "DearWe understand your concernsI went through your details. I suggest you not to worry much. If your doctor says there is nothing to worry, then why are you worrying? If still in doubt, please consult another doctor whom you shall believe. Shooting questions here shall never help.You are seemed to obsessed with the sexual problems. That is why you are having such problems. Sticky problem could be just due to sweating. Just ignore it. Obsession may be treated if ignored in its early stages or it may convert into Obsessive Compulsive Disorder. Please understand.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck." } ]

[ { "from": "system", "value": "What to do for gastritis that has caused penis shrinkage with watery semen?" }, { "from": "human", "value": "Hi. My name is paul.. I have gastritis and i feel pain and itching in my stomach, back, pelvic region and Penis. The worst part is that it causes my Penis to shrink and now it has become small, i also discovered that my semen is now little and watery." }, { "from": "gpt", "value": "DearWe understand your concernsI went through your details. I suggest you not to worry much. I suggest you not to go with wrong information. Any body problem is supposed to affect your spirit. That does not mean that a problem like gastritis can shrink your penis. Absurd. Semen thickness depends on so many factors like stress, dehydration, mood during sex etc.You are obsessed with sexual thoughts and worries about sexual health. Anxiety shall be the resultant problem. Concentrate on your studies or career and let sex take its own course.If you require more of my help in this aspect,Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some sexology related psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck." } ]

[ { "from": "system", "value": "Does doing masturbation everyday reduces the sperm level in the body?" }, { "from": "human", "value": "i have a bad habbit that i am releasing my sperm daily, if any side effects are there? or its harmful for me? i am non smoker, not addicted with alchol plzzz suggest me some steps to stop this things, sir i cant sleep when i am not releasing my sperm, plzzzz tell me what can i do, i dnt knw english, plzzz understand and help me thanks you sir" }, { "from": "gpt", "value": "Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Masturbation is very common among adults. It can be a route to safer sex, to help prevent pregnancy and sexually transmitted infections. It allows for sexual pleasure for those who are not ready to engage in vaginal, anal or oral sex.It allows people to become familiar and comfortable with their body. For men, it can help them increase ejaculatory control and manage rapid or delayed ejaculation. There are no harmful side effects of masturbation. Medical science has debunked many myths formally associated with masturbation, such as hair growing on the palms, insanity, or that masturbation will drain excessive energy from the body or wrinkles on face.Sperm is produced daily in your body and excess masturbation may delay ejaculation and also quantity of ejaculation will also be less. But this will be recovered once an individual reduces the frequency of masturbation.Masturbation is a healthy sexual behavior. Like other behaviors, when over practiced or addicted, it can lead to both psychological and physiological imbalances. Acceptable frequency of masturbation is 3 to 4 times per week and it is again subjective. If you masturbate daily and it is disturbing your daily routine then it is better to come out of that habit.Try these methods:1. Avoid being lonely2. Avoid watching porn if you have habit of watching3. Develop new hobbies4. Play outdoor games5. Practice some meditation techniques6. If nothing helps then contact a professionalHope I have answered your query. Let me know if I can assist you further.Regards,Dr. Santosh Kumar A" } ]

[ { "from": "system", "value": "Severe pain and itching after urination, reduced sex drive, dizziness. Prostatitis and bladder infection detected in cystoscopy." }, { "from": "human", "value": "i have urtethral problem . sevre pain and itching in urethra all the times , it comes after urinating . after cystoscopy , doctor found bladder neck obstruction and prostatitis with post bladder infection . during cystoscopy skin of bladder found very rough . no infection detected in urine . my problems are itching in urethra , pain in scortum , pain in testicles some times , tenderness in skin of penis , reduced sex drive , continous dizziness and weakness , extreme burning in joints and feets and some time in testicles etc .. doctor advised me xatrol though it works for some time but not for the whole day and itching in urethra never goes away . thanks" }, { "from": "gpt", "value": "I would advise you to take Tab Oflox Oz twice a day for 1 week and let's see of your symptoms improve. Take Tab Diclomol for pain. Also i want to know your age? What is the size of prostate? are you having any symptoms of Benign prostatic hypertrophy like frequency, urgency, hesitency etc. If yes, start Tab Urimax-F once daily. This will help you prostate symptoms." } ]

[ { "from": "system", "value": "How long does it take to heal after vasectomy reversal?" }, { "from": "human", "value": "hi im a 30 yrs old male and iv reacentley had a vasetomey reversal as i got married to my new parnter who 20 and we would really like to start a family. I had my 3 months seamen test and they have told me that there is no seamen preasent. iv been told that it could take up to 15months to correct its selth for the swelling and healing process to work is this true? if not could it be a that my vas deferences could be block thats the reason that thers no sperm present ? if so what route should i take and what procedures are there out there for me to do next." }, { "from": "gpt", "value": "Hi, Healing may take up to 10 days, the sperm count can be comorbid due to hypertension, diabetes, weight and type of work.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Stinging, increased sensitivity near anus after swimming with trunks. What could be the cause?" }, { "from": "human", "value": "Towards the back of my testicles, close to my anus , it stings and is sensitive. I don t know what I could ve possible done. Today I played basketball and felt fine, but after I went in the pool. About 20 minutes before I got out, my testicles started to ache. What do you think it could possibly be? Was it maybe that the net on my swim trunks were constantly rubbing on the balls?" }, { "from": "gpt", "value": "Could be allergic reaction to chlorine and sweat in your anus. Use steroid cream and then see if the symptoms are better. Please rate 5 stars." } ]

[ { "from": "system", "value": "Had unprotected sex. Got redness at base of penis. Is it STD or allergic reaction to nuvaring?" }, { "from": "human", "value": "I am in a monogomous relationship with my boyfriend. I use the nuvaring and he has never been with anyone who has used that before. We have been having sex for about a month now, and he recently (in the past week) has noticed redness at the base of his penis and minor inflammation. It is there one minute, then a few hours later it is gone, then eventually comes back. He is worried that he has an STD , but I have just been tested clean in November. There are no blisters, or peeling or scabs of any kind. I think he may be having an allergic reaction to my nuvaring. Is this possible?" }, { "from": "gpt", "value": "Yes. likely an allergy. Would still have him take urine and blood tests to rule out infection. Please rate 5 stars." } ]

[ { "from": "system", "value": "Will multiple sclerosis effect the sperm count?" }, { "from": "human", "value": "Hi, I have multiple sclerosis and have had iv steroids a couple of times and also a couple of oral courses of methylprednisolone. Someone told me that this can affect my sperm count and I should get it frozen in case it does. Is this correct?ThanksChris" }, { "from": "gpt", "value": "Hello,Thank You for consulting HealthcareMagic!True that improper use of steroid effects the health of sperms but it cannot be generalized with your case which says only couple of courses of iv and oral steroids. It is a side effect but not a mandatory thing. You need a ohysical exam to confirm if this is happening with you. Stay healthy and thank you for consulting! You can contact me again anytime, if you need clarifications or further assistance in future. Kindly rate the answer if you are satisfied." } ]

[ { "from": "system", "value": "Is there a cure for foreskin attached to penis head?" }, { "from": "human", "value": "Hi, This is abhi 23 years old and i am working as a software engineer in a private company in bangalore. I have a problem with my pennies, as it gets exited the pennies head is not coming out the fore skin is this a problem whether this will affect while having sex with my girl friend please help me out. n we i reverse my foreskin then i can see a small joint which is attached to pennies head. can it be removed without surgery???" }, { "from": "gpt", "value": "THE CONDITION YOU ARE DESCRIBING IS CALLED PHYMOSIS MEANING INABILITY TO RETRACT THE FORESKIN. THIS NOT ONLY WILL LEAD TO PAINFUL ERRECTION AND PAINFUF INTERCOURES BUT WHAT IS MORE IMPORTANT IS THAT SINCE YOU CANNOT RETRACT IT YOU WILL NOT BE ABLE TO MAINTAIN GOOD PERSONEL HYGIENE. YOU THEN WILL BE MORE PRONE TO RECURREND INFECTION OF GLANS PENIS CALLED BALANITIS. THE PERMANENT CURE AT YOUR AGE IS SURGERY- CIRCUMSICION. WISIT A SURGEON FOR THIS." } ]

[ { "from": "system", "value": "What causes bumps over the head of penis?" }, { "from": "human", "value": "hello, i have been having reoccurring reddish irritation on the head of my penis, iv been checked for stds and they say that i am all clean, but it still scares me that i have small little bumps all over the head of my penis, there not blisters and do not swell up just they look like a lot of verry very small bumps on my head" }, { "from": "gpt", "value": "This could be and std or something benign called pearly penile papules of the penis.I would get checked by a urologist." } ]

[ { "from": "system", "value": "What is the treatment after being diagnosed with prostatomegaly grade 1?" }, { "from": "human", "value": "hi i am male 61 years , i have ben diagnosed with prostatomegaly grade 1 , with prostate mmmmis mild enlarged in size and course echotexture. prostate measures 36 x 34 x 35mm , volume: 23cc..is there any thing that i need to worry and is there any medication that i may have to go for" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have grade one enlarged Prostate which is common at this age and nothing to be worried about it.If you have obstructed voiding symptoms like increase frequency for urination,Nocturia,weak urinary stream,urgency etc ,take Take medication like Tomsulosin once daily.This will help to relieve obstructive urinary symptoms and improve urine flow.Dr.Patil." } ]

[ { "from": "system", "value": "White color on penis hole, stinging on urination. Vasectomy done. Treatment?" }, { "from": "human", "value": "The hole in my penis is white in color. It has been this way for several years. When I got my vasectomy the doctor noticed it and had a name for it, but I forgot what he called it. He said I would have to get it taken care of at some point. Now it is starting to sting when I urinate and it may be closing up. Any ideas? thanks." }, { "from": "gpt", "value": "HIThank for asking to HCMI really appreciate your concern the spot the you described here if not hurting you as you said it is there since years, and not gave any trouble to you then forget this, without the clinical examination this is difficult to say any thing in my opinion you have to wait for some time, this would come around, hope this information helps you have a nice day." } ]

[ { "from": "system", "value": "What causes increasing testicle size?" }, { "from": "human", "value": "Hello Doctor, I Think I have problem in my testicles. From last 2-3 months its size become big. Is this is a problem? And also let me know which doctor (specialist) I should consult for this type of problem. Could you please suggest me the best doctor for this?" }, { "from": "gpt", "value": "You should see a urologist. You likely have a hydrocele which is fluid build up around the testicle. This will cause the size to grow up. Please rate my answer 5 stars! I strive to provide you a great answer." } ]

[ { "from": "system", "value": "What could be cause of right testicle swelling and getting larger?" }, { "from": "human", "value": "My right testicle is swollen and getting larger. There is pain when it is touched and discomfort at rest. It has gotten huge over the last two days. I have iced it down with no affect. I have an appointment with my doctor tomorrow, should I be more concerned than that?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have pain and swelling of your Rt testicle since 3 days.This could be due to infection of the testicle (Orchitis) .Please consult qualified General Surgeon or Urologist for clinical examination and get following basic tests to confirm the diagnosis.1) Routine Urine test and culture.2) Ultrasound scanning of scrotum.In the mean while take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.Dr.Patil." } ]

[ { "from": "system", "value": "Should masturbation habit be stopped after actively involving in sex?" }, { "from": "human", "value": "am a 24 yrs guy, i started masturbating at the age of 13 and doing the same till today everyday. i have a girlfriend,we are having sex thrice a week and i m fully satisfied with this. but the main problem is that the bad thinking always knocks the door on my mind and with these i masturbate usually thrice a day. I think it is bad habit but i have not been able to control myself. i want to ask you that is that extent of masturbating harmful for our mental and physical health? What can be done to minimize the sexual desire?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have been indulged in masturbation since many years.Masturbation is one of the means to get sexual satisfaction in absence of female partner.Since you have a girlfriend and enjoying sex thrice a week I would suggest you to refrain yourself from masturbation.Though it is harmless, excessive and frequent habitual masturbation does affect quality of erection and delays ejaculation.Please try to reduce the frequency of masturbation by keeping your self busy in activities like sports,reading ,social work etc so that you will not get free time to masturbate. Dr.Patil." } ]

[ { "from": "system", "value": "How to get rid of night fall?" }, { "from": "human", "value": "Sir, Night fail happens to me. It's happening from my childhood. I have been very weak, my eye sight also have been weak dut to this weakness. I have been feared that it will happen and i'll be weak and pain will be in my body. I can't forget it due to this fear and it happe again and again pleas tell me some way to get out of this fear and this dangerous deasese. Thanks" }, { "from": "gpt", "value": "Hello, Night fall or nocturnal ejaculation is normal and there is nothing to worry about it. Night fall is not unhealthy too. Please don't worry unnecessarily. Therefore, I suggest consulting a psychologist for sex counseling. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist" } ]

[ { "from": "system", "value": "Could the lumps on scrotum and penis be Fordyce spots?" }, { "from": "human", "value": "Hi doctor, i have small little lumps on my scrotum and penis they look like Fordyce spots, but at the back off my mouth on my tounge it looks like big red warts visible, and i have anal warts as well could this be Fordyce spot or do u think it will be more genital warts (hpv) :" }, { "from": "gpt", "value": "Hi, It can be a manifestation of sexually transmitted diseases and human papilloma virus. Check for those with an STD panel. If there is no STD, then it can be due to fordyce spots and bacterial infection.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Possibility of ingrown lump on the sack of the testicles" }, { "from": "human", "value": "hi im tyler simmons and i have a question about my testicles. i had pain in my sack and i went to the bathroom to feel it to see if anything was un-normal. well when i felt it there was a roundish hard thing in there and it kinda hurts but im not in pain. what is it and what do i do? please help me" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have pain and hard palpable lump in scrotal sac.This is most likely to be infection of Epididymis (Epididymitis)Please consult qualified general surgeon or Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Routine urine test 2) Ultrasound scanning of the scrotum.You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily for a week Dr.Patil." } ]

[ { "from": "system", "value": "Applied fungal cream on red, inflamed scrotum oozing smelly liquid to heal. Is it contact fibrosis?" }, { "from": "human", "value": "the right side of my scrotum is red, inflamed and oozing a clear, sticky and smelly liquid.the liquid goes from clear to sticky clear, then to crust. the doctor told me it s contact fibrosis and gave me a fungal/cordizone cream mixed with a steroid to get rid of it and told me to keep the area clean and dry. . . after 4 days it was gone ...yet,it came back 3 weeks later worst than ever.before it was just sore in the effected area ...now it itches and is more sore than before and is spreading to surrounding areas. just yesterday under my scrotum started itching at night...and after rubing it to releive the itch = the skin there is oozing and sore now as well. Is this contact fibrosis like the doctor said? Is it jock itch? Hives? since it started in the right pit area of the scrotum it might be chafing? or is it something worst like scabies cause of the crusting of the liquid etc. what do you think this is? and how am I suposed to keep an area dry that is oozing clear liquid? any herbal remedies for this? cause i think it has gotten more sensitive in that area since i used the cordizone cream on it." }, { "from": "gpt", "value": "Hi,From history it seems that you might be having fungal infection and now super added with bacterial infection causing lots of problem.You may require ine course of antibiotic medicine course for 5 days to clear bacterial infection.This will give relief from oozing and itching.Apply triple action cream locally.Afterwards go for one oral anti-fungal medicine course.Keep local hygiene clean, dry and airy.Ok and take care." } ]

[ { "from": "system", "value": "What causes pain and heaviness on right testicle?" }, { "from": "human", "value": "I am having light pain and heaviness on right testicle . Its size is also bigger and seems that veins above it creating pain .Pain has started due to excess masturbation in last week, but size of right testicle is bigger than left one from a long time. What should i do ?Please send the answer to my mail id i.e. YYYY@YYYY" }, { "from": "gpt", "value": "HIThank for asking to HCMI really appreciate your concern if you are performing the act of masturbate vigorously and frequently then this could exert the jerk and that goes down towards the testis and may cause little trauma enough to cause the pain and discomfort you need to stop the act till it get alright and take care for next time hope you understand this, good day." } ]

[ { "from": "system", "value": "Why do I have a little bump on the Raphe line causing pain to retract?" }, { "from": "human", "value": "Why do I have a little white bump on my raphe line? Its not a painful feeling its more of a discomfort every time I pull the skin back, I m not sure if its because my girlfriend is pregnant and her change in ph level may have messed me up. Answer back" }, { "from": "gpt", "value": "HIThank for asking to HCMI really appreciate your concern and I would like to say here form the history given here that you are under the wrong impression as long as the condition of your girl friend is concern whatever the issue your girlfriend has this is nothing to take any thing with yours, do not try to pull the skin frequently, in my opinion this could be developing of phimosis and this need to be ruled out, take care and have nice day." } ]

[ { "from": "system", "value": "Testicle pain, premature ejaculation, scrotum ultrasound normal. Medication?" }, { "from": "human", "value": "14 May 2012 I am about 33 years old and unmarried.About 18 years ago I suffered from fever (I don t know if it was typhoid ) which lasted for about one month.After a few days I felt pain in my left testicle (mostly in epididymis ) and on examining it I found that it was at least 30 to 40 per cent smaller than my right testicle.I consulted 3 different doctors at that time but all of them said that there is nothing serious and gave me tranqulisers ( sleeping pills ).Since that time I have been feeling pain and sometimes burning feeling in my left testicle.The pain increased after nocturnal emissions.During that period I never felt pain in my right testicle.Initially I had nocturnal emissions twice or thrice in a week.I also had the problem of seminal drops after or before urine( spermatorrhoea) .I was so much depressed that I started masturbation about 14 years ago.(twice or thrice in a week).The pain increased with nocturnal emissions but it did not increase with masturbation (but with overmasturbation it did increase) .During masturbation I realised that it took not more than 2 minutes to discharge (early ejaculation ).During the last 18 years I consulted different doctors and had scrotum ultrasounds but every doctor said that there is no problem with the testicles and their size is also normal. About 1 months ago suddenly I started feeling pain in the RIGHT testicle in the back part or epididymis.I immdeiately consulted an FCPS surgeon who gave me anti biotics Augmintin 625 mg for five days and pain killers but the pain did not stop.Then I went to another sugeon who continued same antibiotics for 3 more days and adivised scrotum ultasound.I used medicines for 3 more days and had scrotum ultrasound but its reports are normal and the pain persists.After that I consulted 2 urologists and 2 general physicians but all of them said that there is nothing serious and did not prescribe any medicine. RECENT PROBLEM: Now here I am with pain in epididymis of both testicles which sometimes radiates into cord that leads to seminal vesicals.Sometimes I feel epididymis of testicles burning and sometimes very warm.I also have another problem that since last 10 years a very tiny stone is formed in left kidney,passes through ureter injuring it and into the urninary bladder and causing some bleeding in urine.It happens every second or third month.But I am not very much concerned about it because it eventually has to pass out.I am mentioning it just here to know if it has anything to do with testicles pain becuase when there is pain in ureter the pain in testicle increases. When I had pain only in one testicle (left) my sex desire or libido and errection was ok but now I feel it decreased very much.Now the semen on discharge is little and thin in quality Now I am seriously conerned and want you to please help me get rid of this pain and also suggest right combination of medicines for 1.thin semen 2.decreased libido 3.complete errection and 4.premature ejaculation P.S: I am also worried about another problem that my penis size is not good and it is harldy 3.5 inch (three and half inch) when fully erect.Pls tell me if it is enough to satisfy my would-be wife and can I increase penis length in this age? Jazakallah Additonal Detail: Age: 33 Height: 5.11 feet Blood Pressure: Normal Allergy: None Diseases in Family:kidney stones,high blood pressure,piles, If this diseases in Family: Not known Smoking/Drugs: Never General Health: Not good (headaches,backaches,listlessness,lean body)" }, { "from": "gpt", "value": "You might have suffered from typhoid following which complication of epididimitis in your lft. Testis. But whatever now it has become anxity and neurosis. Consult a psychiatrist." } ]

[ { "from": "system", "value": "Episodes of dizziness, fainting. Diagnosed macroprolactinoma in MRI. What is the effect on fertility?" }, { "from": "human", "value": "i am 24 years old male I had been diagnosed with macroprolactinoma since 20 months after episodes of dizznis and fainting I did MRI they found that i had macroP. with infraction(prolactin 0000nmol/l) and testerone was 2)..started treatment with 1mico 3/w cabergolin and increas up to 2micro 3/week before 2 months my prolactin was 1150 and testerone about 6 ....and my libedo increase and got morning erection but my concern is that does it effect my fertility if yes can i restore my fertility and back to normal because Im gonna married and I m afraid that can have any child .....please help" }, { "from": "gpt", "value": "HIThank for asking to HCMI really appreciate your concern looking to the history given here in my opinion if your are worry about the fertility then it is advisable to get done the semen analysis this is the only important test that gives the perfect result as long as the fertility is concern, and you are asking in other sense regarding the erecting then also no need to worry every thing would be okay, take care and have nice day." } ]

[ { "from": "system", "value": "Should I be worried after tennis ball hit the penis shaft followed by vomiting?" }, { "from": "human", "value": "hello sir i got hit by hard tennis ball to the penis shaft today morning......luckily it was not thrown by tennis machine ..and just by spin baller..but i got hit....after hiting i get vomitted...and then it start paining...but now at evening pain is gone...only when i touch right testis mild pain occur....does there is necessary to worry" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have injured your genitals while playing and had pain in penis and testicle which eventually subsided without any treatment.Vomiting that you had was reflex vomiting due to severe pain which is very common and nothing to be worried about it.Now you have mild pain in Rt testicle,Please take pain killer like Brofen for couple of days .It should get cured and nothing to be worried about.Dr.Patil." } ]

[ { "from": "system", "value": "Why my erection does not last for more than five minutes?" }, { "from": "human", "value": "Hi,I am not able to satisfy my partner since my erection doesnot last more than 5 min after insertion and strokes i ejaculate very soon. Is there any problem? She expects more strokes with erection . I feel totally depressed because of that. Please guide me." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you are unable to satisfy your partner in spite of having good hard erection and performing sex for 5 minutes.Ideally 5 minutes time after insertion is sufficient for orgasm of a female This is likely to be due to she getting orgasm late ..Please consult qualified sexologist to learn to modify and learn sex techniques like stop and start and squeeze technique.Taking Slldenafil (Viagra) on demand will help to sustain erection longer.Dr.Patil." } ]

[ { "from": "system", "value": "Skin tag in groin near penis base, red bump on penis shaft. Is it infectious, STD?" }, { "from": "human", "value": "I have a question about a possible STD . I have a skin tag in my groin , near the base of my penis . I have had it since before I was sexually active. I also get an uncomfortable red bump once in awhile on the shaft of my penis. after a day or two it develops a scab, then goes away. within the last year, my wife has started to develop similar sores a couple days after sex. Is this an STD? is it possible that the skin tag is infecteouse? Why is it just now showing up in her? I can honestly say, I have never cheated on her, been faithful to her the entire 8 years together." }, { "from": "gpt", "value": "HIThank for asking to HCMI really appreciate your concern this history that you gave here is very common condition and no need to worry about this because this could be nonspecific type of changes that might be happening to both wife and husband and this is not the big problem keep the good hygiene then every thing would be alright stop thinking in different ways, take care and have a nice day." } ]

[ { "from": "system", "value": "Do I need the treatment for the given motility values?" }, { "from": "human", "value": "hi, my TOTAL SPERM count is 87.0 million/ml, motile count is 65.0 million/ml, motile percentage is 74.71%, per ejaculate is 278.40 millions MORPHOLOGY:: normal forms is 2%, head abnormalities is 98%, midpiece abnormalities is 0%, tail abnormalities is 0%MOTILITY:: rapid linear progression is 30%, slow/nonlinear progression is 41%, non progressive is 4%, immotile is 25%... Please tell me all this is normal or else do i need ne treatment??" }, { "from": "gpt", "value": "HIThank for asking to HCMI really appreciate your concern your report of semen analysis is not bad and every thing seems within normal limits, one thing you should bear in your mind that only one sperm is needed to fertilize the egg you need not to take any medicine for this, this may only creates the placebo effects and nothing else, take care and have nice day," } ]

[ { "from": "system", "value": "What is the treatment for testicle pain?" }, { "from": "human", "value": "I have been dealing with pain around my testicals for a little over a month. Ultra Sound came up abnormal on right testical. The test was repeated twice with the same results. I was asked a couple of times if I ever had any trauma to my right testical. In fact I was hit with a baseball about 3 years ago. An MRI was done and it showed the appearance of scar tissue. Blood test were done and there are no markers for cancer so at this point it is highly unlikely it is a tumor. Over all the pain has reduced from about a 9-10 to about a 3-4 when I am sitting down with the help of anti-inflammatory medication, pain medication, as well as antibiotics. While sitting it will gradually get to a point to where I can't sit anymore and have to stand. My Dr is telling me that he doesn't believe removing the testical will relieve the pain. He also said there are no conclusive treatment plans for testicular pain because often the source of the pain cannot be identified. I am 45 years old, had a vasectomy, so the loss of a testical for reproduction purposes is not an issue. What is an issue, is the probability that by removing the testical it will alleviate the pain I am having. Or is this something that I am going to be facing the rest of my life." }, { "from": "gpt", "value": "Hello, It may be due to several causes. For further assessment, I would suggest you to do scrotum ultrasound after consultation.. For pain you can take tablet acetaminophen Further treatment mainly depends upon the underlying condition Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam Kale Family and general physician" } ]

[ { "from": "system", "value": "What is the cause for wound,cuts and small blood emit from penis?" }, { "from": "human", "value": "Hii am 30 year old man. last few days i had sex and after that few days i felt itching in my penis forehead base during night and morning and when i rub this it feel pleasure and then red wounds, cuts and small blood emit. I am tensed please solve it." }, { "from": "gpt", "value": "HIThank for asking to HCMI really appreciate your concern, from the history given here I could say that this could be infection may due to the intercourse, would treat such case with the Tab Ofloxacin 400 mg twice in day\" if I ever had a such case, if this fails to response then the condition need to be examined clinically, hope this information helps you have nice day." } ]

[ { "from": "system", "value": "How to treat testicular pain?" }, { "from": "human", "value": "hi, it has been 4 weeks that i have slight pain in left testicle that is radiating to the left leg. it is getting worse after ejaculation. my Dr gave me Doxycycline 100mg for 3 weeks ( 1 tablet per day). but the pain is still there after 12 days of taking the antibiotics." }, { "from": "gpt", "value": "HIThank for asking to HCMI really appreciate your concern if you have given the Doxycycline, this is the antibiotic medicine and this wont work in relieving the pain, if this is inflammatory condition of epididymis then you need to tale the anti-inflammatory drugs and the best choice is Tab Ibuprofen 400 mg three time in day, hope this information helps you, take care and have nice day." } ]

[ { "from": "system", "value": "Is weak and premature ejaculation related to hypertension?" }, { "from": "human", "value": "Hi, I am Ben. I have been hypertensive though not taking drugs. I am 34 years old. Whenever I have sex, I suffer from weak erections and premature ejaculations. It is very frustrating. Is hypertension and weak erections related? Any help towards my WE and PE?" }, { "from": "gpt", "value": "DearWe understand your concernsI went through your details. I suggest you not to worry much. I do not think hypertension and weak erection are related. In fact they are not. You are just 34. What is the reason for you being hypertensive? You should investigate that first. There are so many internal reasons for secondary hypertension. Your doctor should be able to explain you in detail.Weak erection and premature ejaculation could be related to the physical causes that creates hypertension. Other reasons could be your worries and anxiety about hypertension, frequent sex with females etc. Please consult your physician first and then You can post a direct question to me in this website. Include every detail as much as you can. I shall prescribe some psychotherapy techniques to control your condition. I am sure that the techniques should be a success.Hope this answers your query. Available for further clarifications.Good luck." } ]

[ { "from": "system", "value": "How to increase penis size?" }, { "from": "human", "value": "Hi. I am 18 and I think I have hypogonadism. My penis is very small when soft and sometimes it will retract inside itself so it looks like I am uncircumcised even though I am circumsized. My penis is probably smaller than a childs and I would like to see a doctor but i don t know who to see." }, { "from": "gpt", "value": "DearWe understand your concernsI went through your details. I suggest you not to worry much. Size of the penis is never a determinant factor in sexual life. Very few ladies like huge penis. After marriage, huge penis becomes a burden. Secondly, even a 2 inch penis (erect condition) can satisfy a woman. Woman vagina sensory cells are available only up to 2 inches from the vaginal opening. Medical science have never seen erect penis less than 2 inches in size. Therefore, I am sure that your problem is just because of your negative thinking. Please concentrate on your studies and career enhancement.You can post a direct question to me in this website. Include every detail as much as you can. I shall prescribe some sexology related psychotherapy techniques to control your condition. I am sure that the techniques should be a success.Hope this answers your query. Available for further clarifications.Good luck." } ]

[ { "from": "system", "value": "How to treat small patch of water blisters on the shaft of penis?" }, { "from": "human", "value": "I have a small patch of water blisters on the shaft of my penis about a 1/4 inch in diameter. this is the second time I ve noticed them. The first time they went away in a couple of days and now there back after about a month. What could they be. I do not have or ever had multi partners." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have blisters filled with clear fluid over shaft of penis . these are likely to be due to Herpes 2 viral infection transmitted through sexual intercourse with female partner having HSV 2 viral infection .Though you do not have multiple partners one can HSV 2 infection with a single partner who has dormant HSV 2 infection.Please get swab test of a fluid from blister and screenig test done to rule out HSV infection.Dr.Patil." } ]

[ { "from": "system", "value": "What is the cause of ejaculating red semen?" }, { "from": "human", "value": "Hello docs n experts, Since yesterday I m ejaculating red semen. I noticed it yesterday while masturbating, even today I seen same thing when I was trying to confirm was it a normal one day case or a serious issue. Now I think it is a serious problem for me. Please help me." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have Haematospermia.This could be mostly due to trivial injury to urethra due to rough handling of your penis while masturbating.You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.Please avoid masturbation for couple of days .It should get cured ..If the problem persists consult qualified Urologist for evaluation and further investigations and treatment.Dr.Patil." } ]

[ { "from": "system", "value": "What is the treatment of pain in foreskin ?" }, { "from": "human", "value": "yes initially i had a itchy in my foreskin and after ward my foreskin started to drowning, i took the medicine and applied the lotion. since for three months i avoid the sex also. now my foreskin cannot strecht and its painful when i get erect pls help" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have itchy foreskin and painful on erection.This could be mostly due to Muco Cutaneous Genital Candidiasis (Fungal infection) which is common in person with diabetes.Please get your blood sugar tests on empty stomach and 2 hours after lunch done to rule out/confirm the same .If positive you will need to take medications to control your diabetes.Take anti fungal medication like fluconazole with topical anti fungal cream for local application.Get the prescription of medicines from your family Physician.Ensure to wash your genitals with warm water twice daily .Dr.Patil." } ]

[ { "from": "system", "value": "Have enlarged breast. Going to gym and doing cardio. Breast are not shrinking. What to do?" }, { "from": "human", "value": "I am a male, 19 years, and I have problem with enlarged breasts..I know that according to statistics 50% of all men have this problem but it is affecting my personal life on a daily basis. I am 5 feet and 11 inch in height and 161 pounds in weight. I go to the gym almost regularly and I have been doing cardio for the past 8 months but still they are not shrinking." }, { "from": "gpt", "value": "Hi,It seems that you might be having Gynacomastia giving this problem.There might be having some hormonal imbalance problemConsult Endocrinologist and get examined and investigated.Okand take care." } ]

[ { "from": "system", "value": "I am feeling pain at my lower back and have a desire to do sex with a girl. What can i do?" }, { "from": "human", "value": "Hello my name is ali i m 18 years old i m doing hand practice when i was just 15 . At the start i will do hand practice daily than after time by time it reduces to 3 times in week .but now my situation is 2 times in a month or once in a week and i also feel my self lazy and i also feel pain at lower back ...and desire to have a sex with girl..i did not have sex yet ... So what can i do i need ur help plzzzz" }, { "from": "gpt", "value": "HI Thank for asking to HCMI can understand your problem the history that you gave here, let me tell you that the masturbation is physiological condition and libido is natural instinct and for that society have form certain rules like marriage, you have to go for marriage to fulfill your natural demand of coitus, hope this information helps you, have nice day." } ]

[ { "from": "system", "value": "Am I getting cyst in prostate because of Epidimitis?" }, { "from": "human", "value": "hi doctor i have undergone hypospadiasis 2 stage surgery and after dat when i masturbate i m getting epidimitis n i consulted my urologist he did ultra sound there he found a midline cyst within prostrate ...is it because of the cyst i m getting recurrent epidimitis" }, { "from": "gpt", "value": "now if the cause is known then radical prostectomy is the only answer. with prostate the cyst will also be removed. How ever you can consult if there is possibility of removing cyst by laproscopic method." } ]

[ { "from": "system", "value": "What causes burning sensation after urination and dry foreskin?" }, { "from": "human", "value": "I am a 29 year old uncircumsized male. About 6 years ago I had a chronic throat infection problem and after 10 months of being on anti biotics and many different tests, I started to develop yeast infections. Common for anti biotic use. My tonsils were removed and I havent had any more throat infections. Until last winter I hadnt had any more yeast infections. I got a yeast infection for what I believe to be the cause of me trying new soap and I didnt wash it off properly, cause I was not sexually active. I bought monistat applied it and with in days it was gone. Then this summer I received another one, again not sexually active. I bought monistat and it was cured. Then this winter about 2 months ago I got another one, again not being sexually active. I got rid of it but then I had a mole on my face that was infected and I was put on antibiotics and a week after the anitbiotics were done I received another yeast infection. I applied monistat for a week as I have always done, and this time I cant get it to go away. Everytime I think its gone it comes back. However now it seems to be getting worse. I went to my doctor last week and he gave me Lotriderm. I applied it as perscribed for a week and no difference. So I went back today and he told me my sugar blood test from a week ago came back normal, my STD tests even though Im not currently active came back normal. Today he did some urine tests and more blood tests. I have had for about a week the urge to urinate almost every 10 15 min and it burns when I urinate. I have the dry cracked skin on the forskin of the penis, the head is red, irratated, the meatus is red and too the left slightly raised and swollen. I normally urinate more then most. However more in the past week if that is even possible. I did the Cancadia spit in the glass test and there are legs and strings. I was prescribe 150 mg 1 pill for 3 days of Dilfulcan. Can I ask you for your thoughts?" }, { "from": "gpt", "value": "Hello, It may be due to urinary tract infection For further assessment, you may require urine analysis, complete hemogram after physician consultation. Keep your self hydrated Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam Kale Family and general physician" } ]

[ { "from": "system", "value": "What could cause tip of penis burn after urination?" }, { "from": "human", "value": "Why does the tip of my penis burn after urination? Just sometimes, not all the time. It doesn t burn while I m peeing, just after. And sometimes when I stand or about to sit, I feel a sharp pain in my penis. What is happening? Please help. I have no other symptoms." }, { "from": "gpt", "value": "it is simply urethritis. microscopic urinetestcan bedone. if there is evidence then culture and sensitivity test may be done. if it is positive then the most recommended anti biotic can be taken." } ]

[ { "from": "system", "value": "How to get rid of masturbation?" }, { "from": "human", "value": "Hello, My name is Snklmd and I am 44 years, single, 5.7 tall average figure, presently associated with Bloomberg TV Channel, My problem is I am adduct of Masturbation for last 30 years, can t stop, tried several times to stop but failed, unable to take decision to get married, feels shy to consult any doctor personally so my friend told me why don t you consult doctor via Internet, so after that I am here. Please suggest me some medical pills or any herbal medicine which could work quickly, as i am annoyed with this adduction. Regards Sayeed" }, { "from": "gpt", "value": "Best is to getting married. If unable to take decision then take counseling by psychologist. it requires your mental strength. there in medicine. but you can do yoga and meditation to gain mental strength." } ]

[ { "from": "system", "value": "What causes swelling and pain around operated hydrocele?" }, { "from": "human", "value": "i am p.kumar 32 year old my left hydrocele operated on 20/12/2013, on 27/12 during dressig dr.says swelling occured &come back on1/1/2014 from yesterday i feelig pain in left thigh joint.stitching is not removed till now.antibiotic is continued pl.guide." }, { "from": "gpt", "value": "It is infected and accumulation of fluid in sac. Give warm phomantation and antibiotic to be continued. Anal gesic anti in flamatory may be given. If required a drainage may be given. If required the anti biotic may be changed." } ]

[ { "from": "system", "value": "What does my semen analysis report suggest?" }, { "from": "human", "value": "Hi I m ruby my semen analysis report isVolume :1.5 mlPh:8.0Liquifaction:50Motility:75%Motility progressive:45%Motility non progressive:30%Motility immotile:25%Viability:75%sperm count:95.0 mill/mLnormal form:65%abnormal form:35%Red cells:occasional" }, { "from": "gpt", "value": "HIThank for asking to HCMI really appreciate your concern the given report of semen having 1.5 ml volume which less and looking to this volume this could be a case of Oligospermia, the abstinence period is important with the abstinence period the volume can be increased this is nothing to worry chances of increasing the volume still there, hope this information helps you, have nice day." } ]

[ { "from": "system", "value": "Trying for baby, have erections all the time with constant leaking, partner had ovarian surgery. Indication of low sperm count?" }, { "from": "human", "value": "Yes. My wife and I have been trying to have a child and it has been difficult. I m concerned about my private although she s had ovarian surgery. I have errections all the time and I m constantly leaking during sleep and anytime I get excited over my wife. Is this negative? Is it an idication of low sperm count? Please help." }, { "from": "gpt", "value": "DearWe understand your concernsI went through your details. I suggest you not to worry much. Your worries are uncalled for. Leaking during sleep is a healthy sign as it clarifies sperm production. But why? Such things happen only when you do not masturbate or engage in sex for a week or so and you are constantly aroused. Semen is produced whenever you are sexually aroused, and it leaks if you do not masturbate or engage in sex for a week or so.For not getting pregnant, you should consult a gynecologist as soon as possible and get yourself and your wife checked for any problems. It is a better option than worrying self without any known reason.Hope this answers your query. Available for further clarifications.Good luck." } ]

[ { "from": "system", "value": "What causes pimple like spots on penis?" }, { "from": "human", "value": "I have a circumcised penis and have had these pimple like, spots on the under side of my penis near the glans and foreskin, they are a red/white colour and similar to little pimple or blisters they have been there over a year domes go bigger n sometimes smaller...They do not cause any problems apart from their appearance , never itch and sometimes they go scabby and can cause a burning sensation if they are irritated ." }, { "from": "gpt", "value": "WHAT YOU ARE DESCRIBING IS TYPICAL OF PENILE WARTS- A VIRAL INFECTION CAUSED BY HAPA VIRUS. MOST COMON SEXUALLY TRANSMITTED DISEASE. IN FEMALES CAUSE OF CERVICAL CANCER.OFF THE SHELF TREATMENT IS NOT ADVISED ,HENCE YOU SHOULD VISIT A SKIN SPECIALIST FOR CONFORMATION AND TREATMENT. YOU ARE ALSO ADVISED TO HAVE PROTECTED SEX (CONDOM USE) TO PREVENT SPREAD.." } ]

[ { "from": "system", "value": "Ejaculation problem, feeling of sperms hitting a brick wall during climax causing lightheadedness. Have one testicle post cancer, had very high sex drive. How can I boost up sex life?" }, { "from": "human", "value": "hi plz could you help me, my husband is experiencing some difficulty with ejaculation , he had testicular cancer back in 2007 an only has 1 testicle now, but as he comes to climax he says it feels like his sperms hitting a brick wall, this makes him very light headed an sick, its affecting our sex life as is drive is no where near how it used to be which was high, at first i thought it was me and he d been playing away from home and got an sti but now i now its becoming a problem, he s never had this problem before this is a recent problem is there anything he can take to help boost is sex life an help with the ejaculation many thanks michelle" }, { "from": "gpt", "value": "Hi...Thanks for your query. Can you tell me, whether your husband is able to achieve adequate erection for a successful vaginal penetration? How long does it usually takes before he ejaculates? Is he currently on any medications? Do you both as couple engage in foreplay before actual intercourse & what form? Based on information you provided, I can conclude that, due to some yet untold problem or just by chance, your husband might have had 1-2 instances of erectile failure or premature ejaculation prior to reaching climax/orgasm. These instances are fairly normal, are common & can happen with any couple. But because of his status of a testicular cancer survivor; these instances might have caused stress/pressure on him with subsequent assumption of ''spectator'' role where rather than enjoying sex; he is unconsciously more preoccupied with how he is performing etc. & hence getting these symptoms. You (both as couple) should get yourself evaluated by a Urologist followed by a Psychiatrist for management of this issue. Good Luck" } ]

[ { "from": "system", "value": "What could cause tears and swollen fore skin?" }, { "from": "human", "value": "My husband had tears all around his fore skin and he is uncircumsized and a diabetic. It is very swollen and burns extremly bad. It occurred after intercourse about a month ago and has yet to heal up. What can we do to speed up the process of healing and do you think circumsizion is in his future?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that your husband who is known to be diabetic has developed Muco Cutaneous Genital Candidiasis.Please ask him to get his blood sugar tests done to confirm whether his diabetes is under control or not.Please ask him to take anti fungal medication like Fluconozole and topical anti fungal jelly for local application.Get the prescription of medicines from your family Physician.He should wash his genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely.Dr.Patil." } ]

[ { "from": "system", "value": "Suggest me treatment for multiple cysts on the testicles and is it contagious?" }, { "from": "human", "value": "Hey Doc, I have multiple cysts on my testicles which I have always had. I have asked doctors before and they say they are not dangerous and removal would be a painful process. I try popping them myself because they are embarressing but they always grow back. How can I get rid of them? Secondly when I pop them, white stuff comes out (both liquid and string) are they contagious if that white stuff(I assume puss) touches other parts of my skin is it more likely a cyst will grow? thanks doc" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have multople Sebaceous Cysts on scrotum.The scrotal skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin.Normally they fade away without treatment however they need to be treated if increase in size or get infected.Please consult qualified General Surgeon for clinical evaluation and further treatment.If needed some of them which are bigger may need to get excised in Toto (Completely along with the sac)Sebaceous cyst is not contagious.Dr.Patil." } ]

[ { "from": "system", "value": "What causes premature ejaculation?" }, { "from": "human", "value": "Sir, I m 20 year old. I was involved in musturbation for 5-6 years and in nightfall. But now i have left it before 1 year. Now when i meet my girlfriend i ejaculate within 1 one minute. Although, No problem with erection and firmness. I am taking homeopathic medicine since last two month . There is an effect on frequency of night fall but no effect on early discharge. What should i do? Now I am taking..... Staphysagaria 200 Acid Phosph 200 China 200 Selenium 200" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have problem of getting early ejaculation First off all let me tell you that premature ejaculation is a term defined ,when one gets ejaculation within one minute of penetration of vagina while having a sexual intercourse with female partner.and not otherwise. What you are getting is early ejaculation due to sexual stimulation and it is mostly due to excitement and anxiety.Do not worry this will get resolved over a period of time .You do not need any treatment Dr.Patil." } ]

[ { "from": "system", "value": "Suggest treatment for nightfall and testicle pain" }, { "from": "human", "value": "i m suffrng from nghtfall from last six year years 2-3 a month and to aviod it i started masterbutng once a month from last 3yrs. now problm m facing is that i get sperm during urine whnever i get lil xcited for sex like watchng t.v or sometime evn when i try to cme close to my g.f physcaly.. n from last 8 months i feel sme kind of pain in ma testicals whnever smthng happnd like this.. its sme kind f liquid which comes out n that to very easily....plz help me out pain is increasing day by day. plz reply as soon as possible" }, { "from": "gpt", "value": "Hello,Night falls are completely a normal phenomenon. Testicular pain might be due to tight clothing and infection as well. I suggest you to visit your doctor to run some tests for infection and physical examination as well.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sameen Bin Naeem, General & Family Physician" } ]

[ { "from": "system", "value": "Lube doesn't work for foreskin ripping. Any suggestion?" }, { "from": "human", "value": "When I try to have sex my foreskin feels like it is ripping. This happened to me once before when I was 16. After a couple of weeks I was able to penetrate again and it has never happened again untill recently. Im 32 and last week whilst inserting my penis into my girlfriend it felt like it ripped. It was painful and it did bleed. Now it felt better I tried to have intercourse but when I insert the same ripping pain on the stringy buy is back. Lube doesn't work and im unable to perform due to the pain. Can you help?" }, { "from": "gpt", "value": "HIThank for asking to HCM'I really appreciate your concern if the foreskin is little bit hard then this wont revert and if you ever try to do that then the chances of developing the phimosis is very likely the only option is circumcision, to over cone this problem get the circumcision, hope this information helps you, have nice day." } ]

[ { "from": "system", "value": "Permanent cure for the fungal infection on the penis?" }, { "from": "human", "value": "Hello sir myself ramesh from india as i am facing lots of problem on fungal infection on the penis area for 7 months .... As i applied lots of cream and oinment ..... Doctor sir can u please recomended any medicine or oninment or fungal cream as soon as possible .... I will be thankful for my hole life sir" }, { "from": "gpt", "value": "HIThank for asking to HCMI really appreciate your concern if this is not the fungal infection and you are taking treatment for fungal infection then this wont get alright so this is to be confirmed first whether this is really fungal infection or not, even you have not stated the symptoms so I can have some clue for the right diagnosis I would love to answer your query if given detail, meanwhile on tentative basis this can be treated with \"Miconazole cream and Povidone ointment\" hope this information helps you, have nice day." } ]

[ { "from": "system", "value": "What causes pelvic pain after the masturbation?" }, { "from": "human", "value": "i feel pelvic pain after i masturbate once in a month. i have thick fluid of sperm. during ejaculation, when i am going to finish, i screamed and my pelvic muscle pushed that cause many problems like i can walk for some time. well, i have no blood in my ejaculation." }, { "from": "gpt", "value": "get your semen examined. there may be some infection in prostate or seminal vesicle.Pain is due to muscle contraction and spasm." } ]

[ { "from": "system", "value": "How long would it take to recover sperm count after jaundice and chicken pox?" }, { "from": "human", "value": "Hi doctor, Have got affected with jaundice 6 months back and got recovered then after 4 months recently have been affected by chicken pox which now normal..hardly 1.5 months now...query I have ...how long would it take to recover sperm count after these disease ...also mean time if I do maaturbate would it affect the sperm recovery time" }, { "from": "gpt", "value": "HIThank for asking to HCMI really appreciate your concern if you have history of some viral infection like jaundice, and chicken pox, these infection may not affect the function of sperm formation and no need to worry about this you would be having the normal count of sperm even after having this infection, have nice day." } ]

[ { "from": "system", "value": "How to cure the blister in the penis caused by zipping it?" }, { "from": "human", "value": "I zipped my penis in the zipper and broke the skin I think its infected because the wound is pretty much healed but there is a lump looks like a blister on the side of my penis and its harden underneath the skin. How will I know if its infected and how can I treat it" }, { "from": "gpt", "value": "Hi,It seems that due to injury there might be having infection and forming wound.You may require one course of antibiotic and anti-inflammatory medicine course for 3-5 days.Apply antibiotic cream locally after cleaning the wound.Ok and take care." } ]

[ { "from": "system", "value": "Suggest treatment for swollen gland at head of penis" }, { "from": "human", "value": "After a first time sexual encounter for uncircumcised male who usually masturbates without pulling back foreskin, what appears to be a gland is swollen at the base of the head (underside), is painful, and hanging out so that foreskin not coming back over head. What to suggest for a very scared man, please." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have developed what is called as Paraphimosis after first sexual encounter.Please consult qualified General surgeon or Urologist for clinical examination at earliest.He will reduce the paraphimosis either manually or by injecting Inj Hyluranidase locally ..Neglecting it may lead to complication of necrosis of the glans penis due to constricting band at the level of coronal sulcus.Dr.Patil." } ]

[ { "from": "system", "value": "Will outer skin attached to penis head give pain while making relation with girl?" }, { "from": "human", "value": "hello sir actualy this year i am turn to 21 but my outter skin which is attech with my penis head . and my frnds are told me that when i go for a relation with a girl then at that time it give me more pain . is it true? if true then plz suggest me how i open my penis properly" }, { "from": "gpt", "value": "HIThank for asking to HCMI really appreciate your concern, you have been wrongly informed in fact you wont find this skin in the erection phase of penis so the question of pain may not be there just forget about this wrong information this is not true and no need to worry about this and thinking about this wrong information, hope this information helps you, have nice day." } ]

[ { "from": "system", "value": "What causes bulge at the bottom end of penis?" }, { "from": "human", "value": "Hello Doctor !I am having a bulge at the bottom end of my Penis (Near the testicle end). I noticed it couple of days ago. It does not pain much but a little. The bulge is about a black eyed peas size and shape.Can you help me understand what it is?" }, { "from": "gpt", "value": "HIThank for asking to HCMI really appreciate your concern if the swelling is not painful and not increasing in size or does not increased in the size then no need to worry about this right now you have to keep an eye on it, if this start hurting you and increasing in size then this need to be seen clinically, if nothing like this happening then just forget about this, take care and have a good day." } ]

[ { "from": "system", "value": "Genital warts that spreading, used prescribed gel that caused scaring. How can I get away with warts and its scars?" }, { "from": "human", "value": "I am a male of 56 years old and I believe I have genital warts that keep spreading. I have tried a perscribed gel before but all that did was burn and leave black and blue marks. What can I do? I don t have a family Dr but, I am covered under my county s medical assistance program. Can I get a perscription on line from a DR for something?" }, { "from": "gpt", "value": "Hello,Thank you for posting on HCM.Any lesion over genitals should be carefully examined by a dermatologist.Since definitive diagnosis rests upon actual examination, i would like to discuss treatment of genital warts with you.Genital warts are a kind of viral infection caused due to Human Papiloma Virus.They are usually transmitted through sexual route, thus mandating proper examination and investigation of your spouse/partner.Usually, i advise application of 20% podophyllotoxin over warts under supervision every week for 6-8weeks.Alternatively, 1%5-Fluorouracil gel can be applied at home on daily basis.Also, enquire about cryotherapy or radiocautery from your dermatologist.Use condom during intercourse while lesions are active to prevent transmission to your partner.Hope this will take care of your issue.Thank youDr Hardik Pitroda" } ]

[ { "from": "system", "value": "Should I stop slouching having diagnosed with Scoliosis?" }, { "from": "human", "value": "Hi, I found out two days ago that I have scoliosis, should I stop slouching or will that make it worse? I ve straighten my back for two days but thats just causing me mild pain. I m 13 (will turn 14) in september and I was wondering what are the chances of my scoliosis growing? My normal doctor said to go to a orthopedic doctor but my appointment is in a month and I have a lot of anxiety about it. My regular doctor speculates that the curve is at 15 degrees. Also, sorry for the long question but is there anything else I should know? (The scoliosis is not genetic)" }, { "from": "gpt", "value": "PLEASE cool down dont more think. do your work . and right answer is given by orthopadic doctor and a skilld physiotharapist." } ]

[ { "from": "system", "value": "How long will anus bruising with pain take to recover?" }, { "from": "human", "value": "Hi after making my own penis pump and using it for about 4-6 weeks, and after having sex one day i notice alot of pain came on. I was in alot of pain at first but as time went on(months) I started getting better. I realised that when I was using it was too tight around the base of my penis and maybe I applied too much vucum everytime i used it but did not realize. I stopped using it and have never tried again. I also have pain or like a burning feeling around my anus. I went to the doctor and done an ultra sound test and he said that there was bruising and that I would get better but he said he did not now how long it would take. His advise was to rest only. Everything else in as normal as far as erections and normal use of my penis. After 3 years I am still recovering it is a very slow process, is this because having sex and masturbating slows the healing process. I can't help having sex or masturbating will i ever recover from this injury I am starting to think that I will never recover. Can you help. Thank you" }, { "from": "gpt", "value": "Hello, This usually takes a week to heal, but it's been 3 years since you got injured. I suggest you to re-visit your doctor to check for something else than bruising as it's not possible to have a bruise for this long. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr SAMEEN BIN NAEEM, General & Family Physician" } ]

[ { "from": "system", "value": "How to treat itching on all over outer penis skin?" }, { "from": "human", "value": "Dear Sir/Madam, I was having itching on all over my outer penis skin, so i used dettol on those parts to clean it, but nw all over my penis there is burning sensation and there are many burn patches, which is now hurting me a lot. pls advice medication for the same along with medication for itching." }, { "from": "gpt", "value": "Hi,It seems that you might be having local allergic reaction on your penis.Using undiluted Dettol precipitate the condition.Clean the part with running plane water.Apply some moisturizing cream locally.Take antihistamine like Cetrizine or Benadryl for itching for 2-3 days.Ok and take care." } ]

[ { "from": "system", "value": "How to get rid of mastubation?" }, { "from": "human", "value": "i masterbate while seeing porn and fantasize very bad things and totally go mad about it, i also masturbate continuosly like mad for many days and it has also ruined my life very badly as i m doing this from last 14 to 15 years and right now i m suffering from many mental and physical problems" }, { "from": "gpt", "value": "Hi, The very first thing is not to see porn anymore. Thus, you will not fantasize such bad things. Furthermore, try to stay occupied with work, thus, you won't have to think over masturbating. Next, get engaged. You will get better while sharing your things with another partner. If no improvement, should talk with a psychologist/sexologist to run psycho-therapy seances to get improved. Hope it helped!Dr.Albana" } ]

[ { "from": "system", "value": "Need to increase facial hair growth. Any hormonal treatment? Side effects?" }, { "from": "human", "value": "Hello Doctor, I am 29 years male, and married and having a baby girl of age 3 months, however I have very less beard and mustache. I want to know if there is some way by which it can be normal. I have good amount of grey hair s on head. I was trying to link it to some sort of hormonal treatment and what could be the duration and side effects. Thanks in advance," }, { "from": "gpt", "value": "Hi.Thanks for writing on HCM.According to me secondary sexual characters like beard, mustache and hair in the armpit are controlled by sex hormones.There is no specific therapy to boost hair growth and I would not recommend since the side effects due to such therapy would be higher than the expected results." } ]

[ { "from": "system", "value": "What could be the reason for red spot on penis glands to be more red after masturbation?" }, { "from": "human", "value": "I have a red spot on my glans penis that gets redder when I masturbate. It will skin over with a gray layer that ends up coming off again. This repeats. I have not had unprotected sex, this just seems to have occurred spontaneously. I m 60 years old and have never had anything like this. I have a photo of it." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you are getting red spots on glans penis while masturbating.During sexual arousal either while masturbating or fore play there is incresed bllod flow to entire penis to the extent of 20 times more than normal resulting into congestion of penis and glans .This is the reason for your existing red spots to become more prominent during masturbation.Dr.Patil." } ]

[ { "from": "system", "value": "Suggest treatment for itchy scrotum" }, { "from": "human", "value": "What is the treatment of itchy scrotum ?it turn to a red skin and dry..it pell off when the red skin death.. it felt so bad that its burnt and very painful.. My Question are: 1) what cause these? 2) how can it be cure? 3) what medicine should i take... please help.......tnks" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have Jack Itch.Please take anti fungal medicines like Fluconozole twice daily along with topical anti fungal cream like Meconazole for local application.Ensure to wash your inner wares in boiling hot water mixed with antiseptic lotion like Dettol.Ensure to observe proper personal hygiene by cleaning your genitals with warm water twice daily.Dr.Patil." } ]

[ { "from": "system", "value": "What causes erection problem after using Lexapro?" }, { "from": "human", "value": "Hi I have been taking lexapro for about 2 years and I have been experiencing problems with sex drive, erections and reaching ejaculation. I have been advised to switch to duloxetine as it may help with these problems. Am I less likely to have these problems with this antidepressant, Wayne" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have been taking Lexapro for your mental illness and now facing problems related to sexual activities .Lexapro is antidepressant drug that elongs to SSR Inhibitors group of drugs .It is known to have side effects like decreased sex drive, impotence, or difficulty having an orgasm; .Duloxetine also belongs to same group of drug hence unlikely to resolve your problems Please consult your treating Psychiatrist to explore possibility of changing for altrnate drug.Dr.Patil." } ]

[ { "from": "system", "value": "Any suggestion for suffering from premature ejaculation?" }, { "from": "human", "value": "hi doctor, i have no problem getting hard, but after a minute sometimes 5 if i am lucky i have a problem ejaculating, i dont understand as to why i cant last longer. It only takes me about a minute when i masterbate, but when my girlfriend does that for me i can go forever. i would just like to last longer for her." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have early ejaculation and not Premature ejaculation.Premature ejaculation is term refered to ejaculation that happens within a minute after penetration of vagina while having intra-vaginal intercourse with female partner and not applicable to any sort of masturbation either self or by others..If you have premature ejaculation while having intra-vaginal sex with your girl friend you may take Sildenafil (Viagra)as on demand .This will help you to get hard sustainable erection and to delay ejaculation.Dr.Patil." } ]