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[ { "from": "system", "value": "Is there any problem if I masturbate and loose sperm everyday?" }, { "from": "human", "value": "Dear Doctor. I'm boy 18 years old.I would like to ask that one day I masturbation 4 or 5 times. Is it ok with my health or any problem ? when I did it finish during 1 day my face has a lot of ance... What happen and Is it any problem if I lost a lot of sperm per day ?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have been indulged in masturbation frequently and now facing problems problem of getting acne over face.First of all there is myth in a mind of common man that excessive masturbation is the reason of all problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body.All the problems that you are facing now are mind related and due to anxiety.To masturbate at the age of adolescence is common ,however it should not become a habit and one should not get addicted to it.What ever sperm one ejaculates are reproduced by testicles within 24 hours.Dr.Patil." } ]

[ { "from": "system", "value": "Pain in groin, discomfort, muscle pull in testicles on running, lifting. Treatment?" }, { "from": "human", "value": "Hi I have been lifting and running a lot lately and I am now having trouble with my groin . Whenever I lift I feel like I am doing half of the work with my testicles. It does not hurt, it just feels like some muscles are flexing down there when I do any type of lift. My physician told me it was not a hernia after checking briefly. I also switched from boxers to briefs to see if it would change but there is not noticeable difference yet. Do you have any ideas for what this could be? Thanks." }, { "from": "gpt", "value": "Hi,From history it seems that you might be having lax abdominal and inguinal canal musculature giving rise to discomfort while doing hard work or lifting weight.This might be starting of hernia or having Bubonocele.Avoid weight lifting or heavy running.Do abdominal recti muscle exercise.Avoid constipation.Ok and take care." } ]

[ { "from": "system", "value": "Tiny red area on scrotum, small bump on it. Causes and treatment?" }, { "from": "human", "value": "Hello, I am a 15 year old boy, thats in high school I did track and field last semester, but now ive stopped doing sports in the summer. I noticed this tiny red area on my scrotum , and theres a small bump on it. Also not too far from that is one really small bump you can barely see. I don t know what this is, and I have also never had sex." }, { "from": "gpt", "value": "Hi,It seems that you might be having dermatitis or fungal infection on the part.Wearing synthetic inner wear does cause this problem.Avoid perspiration,Apply anti-fungal talc on the part.Keep local hygiene clean, dry and airy.Ok and take care." } ]

[ { "from": "system", "value": "What does dotted eruption on glans penis mean?" }, { "from": "human", "value": "i am 30 yr old married and have a 3yr old son. i am having small dotted erruption on glans penis for last 8 months. tested negative for HIV and VDRL. the glans looks red and inflamed but all disappears on its own to again recur. No discharge per urethra. have tried antifungal and doxycycline. no sexual dysfunction but bothering. sometimes itching." }, { "from": "gpt", "value": "Hello, This might be due to allergic reactions to clothes, latex-containing condoms or some drugs if you are using. However, infections other than STIs could be a possibility as well. I suggest you to take precautions like keep it clean, dont wear tight clothes or apply petroleum jelly over the lesions. If not settling I suggest you to see your doctor for a checkup. 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": "Pain on standing, sitting, swelling in genitals. Vericocele operation done. Treatment?" }, { "from": "human", "value": "hi Doctor, i got vericocele operation in 2009 both sides. From then onwards, when i stand or sit for more hours i feel discomfort and swelling is happening(with little pain). so what should i do now? is not there any permanent solution for my problem? would i have to live with this pain only. please provide me permanent solution to my problem. thanks in advance." }, { "from": "gpt", "value": "Hi,From history it seems that you might be having inguinal hernia giving this type of feeling and swelling.Consult surgeon and get examined.Avoid weight lifting.Avoid constipation.Ok and take care." } ]

[ { "from": "system", "value": "Recurring red spots o penis, had applied lobat gm. Had taken UTI treatment. What could be the cause?" }, { "from": "human", "value": "hello sir before 15 days i have tested my urine test then there was little infection on my urine.in my report no. of pus cells are 2-4.and protein are fine trace.it was about my report and before 1 month i had some red spots on my penis ,then i use fungle cream lobat g m. then they remove.after some days they appear again what is this problem" }, { "from": "gpt", "value": "Hi,It seems that you might be having yeast infection on the part.Apply anti-fungal cream locally.Go for one oral anti-fungal medicine course like Flucanozole 150 mg once in a week for 4 weeks.Keep local hygiene clean, dry and airy.Ok and take care." } ]

[ { "from": "system", "value": "How to treat itchy scrotum?" }, { "from": "human", "value": "My sons scrotum was itchy yesterday and then today the skin around the head of his penis is extremely swollen.and his lymphs on left side of thigh are red and swollen. Took him to the ER and they said they had never seen it and sent him home with steroids and cream. What would cause this?" }, { "from": "gpt", "value": "Hi,It seems that as this happened suddenly, there might be having some poisonous bite giving rise to allergic reaction, itching and infection.Give him antihistamine like Cetrizine or Benadryl for 2-3 days.Give him one course of antibiotic medicine for 3-5 days.Apply triple acting cream locally.Keep local hygiene proper.Ok and take care." } ]

[ { "from": "system", "value": "Penis shrinked after masturbation. Why does erection not last long? Why is groin swollen?" }, { "from": "human", "value": "Hey, thank you for the help. Around 6 days ago, well masterbaiting ( im male.) Something happened, im not sure what. By sense then my penis has become very small and only kind of responds to touch. I can get an erection if i force it, but it doesn t last long. Nothing has hurt at all untill today, my whole groan area seems to be swollen feeling." }, { "from": "gpt", "value": "DearWe understand your concernsI went through your details. I suggest you not to worry. Nothing happened. That is it. Everything is imagination, is in your mind. You are thinking about your genetal area too much. Forget it. You must concentrate in your studies or career as of now. Erection is possible when you are sexually aroused. Why you want to force erection? Forcing erection will do no good. Masturbate only twice or thrice in a week. Never more than that. Because if you cross this limit, you may have sex performance anxiety. You can contact me for sexology related queries.Hope this answers your query. Available for further clarifications.Good luck." } ]

[ { "from": "system", "value": "Semen leakage while sitting, clear urine without pain. What to do?" }, { "from": "human", "value": "hello sir, im 31yrs old working as an accountant my problem that was started from 18/06/12 till today onwards i observed from my pennis leakages a sperm while sitting. but i cant realised while getting out from my pennis. urine is going clear without any pain. but problems that leakage of white sperm from my penis . pls advise what to do ? thnk nazee" }, { "from": "gpt", "value": "DearWe understand your concernsI went through your details. I suggest you not to worry. Semen is a waste product. Body produces sperm whenever it is sexually aroused. Such semen needs to be thrown out of body. If we do not do it through masturbation or sex, body finds other ways. Emission as droplets through urine, night fall etc are body procedures. Small amounts of semen escape through penis is quite normal and there is nothingn to worry about. Worry only if there is any pain or burning sensation.Hope this answers your query. Available for further clarifications.Good luck." } ]

[ { "from": "system", "value": "What could cause bump around penis with pus?" }, { "from": "human", "value": "Hi,I have been having a icy hot burn around the tip of my penis and low intense burn on the penile hole very mild with small spots of light green mucus coming out the tip of my penis hole. There has been a few small pimple bumps appear n but seems to go away over time...could you explain to me what this could be?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have not mentioned about your sexual history in your query,The pus filed bumps on tip of the penis are likely to be transmitted through unprotected sex.Please consult qualified dermatologist or specialist in sexual medicine and get following tests done to rule out STI.1) Routine urine test 2) Swab test and culture of pus from the bumps.3) Basic blood test to rue out STI.In the mean while take Erythromycin twice daily .Dr.Patil." } ]

[ { "from": "system", "value": "What could red swollen penis be with irritation on itching?" }, { "from": "human", "value": "I have a red swollen penis. The head of my penis and the foreskin that laps the head of my penis is red and swollen to it can be irratating by being itch, i went in the bath and pulled foreskin back and it was like the head of my penis was peeling, what is this? And is this serious?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have infection of glans penis and foreskin (Ballono-Posthatitis).It could be due to unprotected sex or Diabetes .Please get your blood sugars level on empty stomach and 2 hours after lunch done to rule out the same.You need to take broad spectrum antibiotic like Cefexine along and anti fungal medicine like Fluconozone and topical anti fungal jelly for local application.with anti inflammatory drug like Diclofenac twice daily.Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely.Dr.Patil." } ]

[ { "from": "system", "value": "How to have a smooth insertion while intercourse?" }, { "from": "human", "value": "i am 35 male divorced.i went for a second marrage.she is 30.i am slightly over weight.during sex i could not insert fully.she was very tight. i tried lubricants.but i was not able to insert into vagina.please help.i want a happy life.my penis is big and fat.please help me.my wife feels a lot" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have normal hard erection but unable to penetrate vagina during intercourse .Your wife has severe pain in her vagina.This is most likely to be due to what is called as Vaginismus.Please consult and get her examined by a qualified Gynaecologist.She may need to dilate her vagina under short general anaesthesia..Dr.Patil" } ]

[ { "from": "system", "value": "What is the cure for sore testicles after receiving unprotected oral sex?" }, { "from": "human", "value": "Hello. I recieved unprotected oral sex. A week or so later my penis head burned like a UTI. I drank lots of water and it cleared up a bit. Now a few weeks later its back and my testicles are sore. Not all the time, but enough of the time. CAN YOU HELP?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have developed infection of glans penis and testicles following unprotected oral sex.Oral cavity contains plenty of bacterial flora hence one is prone to get infection of genitals after unprotected oral sex.You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.along with topical antibiotic ointment like Neosporin twice daily.Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely.Dr.Patil." } ]

[ { "from": "system", "value": "What treatment is suggested for pain on both the testicles?" }, { "from": "human", "value": "Hi I am getting pain in my right testcle and some times in my left 1 too and I get it when I sit up or down and alos when I walk,run and it is mild when I sit or when I am lieing down I have been having this pain since two weeks ,and my scrotum is loose and there is no lump and no none of them is higher the 1 another" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have pain in both the testicles .This could be either due to mild Varicocele or inflammation of spermatic cord (Funicullitis)Please consult qualified Urologist for clinical examinationand get following basic tests done to confirm the diagnosis.1) Ultrasound scanning of Scrotum2) Colour Doppler study of scrotum.In the mean while take pain killer like Diclofenac twice daily.Further treatment will depend upon the results of these tests and final diagnosis .Dr.Patil." } ]

[ { "from": "system", "value": "What can cause swollen upper lip and foreskin of penis with slight itching?" }, { "from": "human", "value": "Two months back I had the upper lip swollen with apparently no cause; there was slite itching before the swelling started; there was no pain; the swelling lasted for a day. After a few days, there was a similar case of swelling which also lasted for a day; then about a month later, the lower lip got swollen; and then the foreskin of the penis got swollen, which also lasted for a day; now I have the right cheek swollen. I am 76 years old, and my health is quite o.k. I have no blood-suger problem, or blood-pressure problem" }, { "from": "gpt", "value": "Hello, Swelling with itching might be due to some allergy you are having. However, it could also be due to infection as well. I suggest you visit your doctor to check you for allergies and meanwhile you can take anti-allergic medication for symptomatic relief. 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": "Is it safe to use Viagra for ejaculation?" }, { "from": "human", "value": "Hi I'm SamI'm 32 years old n married. Coz of not ejection of my cock before sex I used to take Viagra. N now it works properly. I haven't consulted with doctor. But I'm scared that coz of Viagra I couldn't b father. Or scared thinking that if I get any heart problem. Pls give me information what can I do. Can I use Viagra or not. Or how can eject properly without medecine" }, { "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 taking Viagra without consulting Dr.Since it is working fine you need not worry about it all and continue taking it taking precaution not to exceed the dose .You need not worry about the ejaculation and not able to impregnate your wife as Viagra has limited role to play in getting good hard erection to have enjoyable sex and getting sexual satisfaction.It has no action on quality and quantity of semen or does not cause any heart problem.Dr.Patil." } ]

[ { "from": "system", "value": "How to treat small sized penis?" }, { "from": "human", "value": "Hey doc im a 14 y/o male and I would like to ask your if there is somthing wrong with my penis you see when not erect it is about 2 inches but when errect it is over 6 inches and i would like to know is this a problem with my penis and what does this mean and how can i fix it naturaly. Thank you" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have penis of length of 2 inches in flaccid state and 6 inches on erection.Please note that length of the penis in flaccid state has no significance at all .It is the hardness of the penis on erection that is important for sexual satisfection of both the partners ..Since you have penile length of 6 inches on erection you need not worry at all.There is no problem with your penis.Dr.Patil." } ]

[ { "from": "system", "value": "What does \"oligoasthenospermia\" in semen report indicate?" }, { "from": "human", "value": "there is semen report for my brother trying to undestand the impact of it. The report has \"oligo-asthenosperma\" impression. The major abnormalities found in report are: 1)debris present 2)volume is less=1ml, 3) PUS value 3-4 HPF higher than normal 1 HPF 4) fructose test: present. COuld you pls analys the semen report and give us the complication here. how copmplicate it is etc.." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts and semen analysis report of your brother indicating that he has Oligoasthenospermia.and presence of pus cells. I would like to state that Oligoasthanospermia means his sperm count and percentage of active motile sperm is less than WHO standards which may be cause of infertility..The presence of pus cells is suggestive of infection either in seminal vesicle or prostate and needs to take antibiotics for long period of 6-8 weeks .Please consult qualified Urologist for evaluation and further treatment.Dr.Patil." } ]

[ { "from": "system", "value": "Penis discharge, taken ciprogen, allergic to soap" }, { "from": "human", "value": "Hi, About 3weeks ago I started noticing clear discharge coming out of my penis . 2 weeks later after discovering this I took Ciprogen pills as in order to cure this, however, nothing has happened. The discharge is still there...what could be causing this? I had the same thing about 4years ago and the nurse at the hospital told me I might allergic to the soap I use. Therefore I changed the soap and the discharge stopped. But this time I ve changed my soap but it s still there..." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have not mentioned any thin about your sexual history in your query whether you had any unprotected sex before getting discharge from penis .Please consult qualified Urologist or specialist in sexual medicine for clinical examination and get following basic tests done to confirm the diagnosis.1) Routine Urine test and culture.2) Swab test and culture of a urethral discharge .3) basic screening tests for STI.Further treatment will depend upon the results of these tests and final diagnosis,In the mean while you can start taking Erythromycin twice daily.Dr.Patil." } ]

[ { "from": "system", "value": "What are the pus filled lumps on the testicles?" }, { "from": "human", "value": "hi doc,for the last some years i could have seened some lumbs like acnes on my tesicle skin,and the acnes are a little harder.I could have brek some of the acnes,whn i break them,a white creame is coming out..i dont knw whts this happend, kindly give me the solution please..." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have multiple sebaceous cysts on scrotal sac.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)Dr.Patil." } ]

[ { "from": "system", "value": "How to overcome the pain in one of the veins of my right testicle?" }, { "from": "human", "value": "frm last 5 yrs ,I have pain in one of the veins in right testicle. I went to LNJP HOSPITAL ,they done colour -Doppler test. report says>1 no varicose veins.>2 something leguminous formation. medication bring no relief. now what should I do ,or I have to carry my whole life." }, { "from": "gpt", "value": "HIThank for asking to HCMI really appreciate your concern this is functional kind of pain that you are having because if this is a kind of some pathology then some thing bed result would have come before within this five years but nothing like that ever happened since then, so no need to worry about this just forget the pain, you need to keep the stress level low, have nice day," } ]

[ { "from": "system", "value": "Suggest treatment for prostate enlargement" }, { "from": "human", "value": "Sir, I am suffering from prostate enlargement since last two years, I am 63 yrs old, due to this I suffer from urinary track infection, for prostate I am taking Veltam F, and for infection antibiotics whenever neccessary, but this reoccures frequently, any prevention or remedy ? Manohar Balani." }, { "from": "gpt", "value": "Hi, Due to BPH chances of UTI increase due to stasis of urine , decrease water uptake (as fear or frequency ) , decreased immunity in older age .....etc So along with medication prescribed do bladder physiotherapy , drink lots of fluid, maintain hygine , have Canberra juices and vitamin a n c rich diet . Hope this ll help THANKS N REGARDS" } ]

[ { "from": "system", "value": "What causes pain in abdomen and right testicle?" }, { "from": "human", "value": "I,m perfectly alright.. but there is a pain in my abdomen and my right testicle for the last two years and is seems to be twisted.. No swelling is on my scrotum No vomiting I do... Could you suggest me what it is ... as there is no sing. I feel of testicle torsion" }, { "from": "gpt", "value": "In case of torsion of testis there will be intense pain locally and swelling. If you want to confirm then get it examined by a surgeon." } ]

[ { "from": "system", "value": "Suggest topical steroid creams for phimosis treatment" }, { "from": "human", "value": "Hi, what kind of topical steroid creams can i buy off the shelf in the UK to treat phimosis? I have tried stretching the foreskin for 2 months now and i have only got i half way back. I am too embarrassed to go to my GP about this situation.Thanks, Dale" }, { "from": "gpt", "value": "HIThank for asking to HCMI really appreciate your concern as long as the phimosis is concern the best way to rid out of this is surgical procedure otherwise using some medicine locally for this may cause more problem and later this would be difficult to manage it so in my opinion it is better to go for surgery and no need to use any medicine either locally or orally, hope this information helps you have nice day." } ]

[ { "from": "system", "value": "Suggest treatment for pain in testicle" }, { "from": "human", "value": "hi i am 21 year, about 1 week ago my right testes hit by cricket ball and i use some medicine but it is not well now the size of the right testes come not in previous stage or not balanced. it is not affected on any activity but when something gently touch it is painful. what can i do please give me suggestion." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have pain in your Rt testicle due to injury to your Rt testicle.If there is no increase in size of the testicle pain may is likely to be due to trivial injury .However it is advisable to consult qualified General Surgeon for clinical examination and get ultrasound scanning of the scrotum done to be rest assured about injury to testis.Please take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.This should resolve your problem within a week,Dr.patil." } ]

[ { "from": "system", "value": "Suggest treatment for infertility" }, { "from": "human", "value": "Sir i am harmones patient and i think i am not satisfy for the sex so please contact me Sir what am i do have very problem because my marriage ko 2 years but i have not a body... I want to body but i am not perfect for the sex. E-mail: YYYY@YYYY contact: Shafique Ahmed Karachi. +0000" }, { "from": "gpt", "value": "Hi, Infertility can be caused due to various reasons like hormonal imbalance, anatomical issue and infection, etc., you have to diagnose at what reason the infertility is caused by ultrasound and hormone tests. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist" } ]

[ { "from": "system", "value": "What causes inflammation in foreskin and tightness while retracting?" }, { "from": "human", "value": "Hi my wife is 8 months pregnant and after intercourse my foreskin became inflamed I use hydrocortisone cream 1% and it disappeared but my foreskin is still very tight it is still retractable but had split slightly my head of the penis is not red or inflamed just my foreskin" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have developed infection of Foreskin (Posthatitis) due to allergic reaction to acidic secretions of vagina .You need to take broad spectrum antibiotic like Cefexine and anti inflammatory drug like Diclofenac twice daily.along with topical antibiotic ointment like Neosporin twice daily.Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely.Dr.Patil." } ]

[ { "from": "system", "value": "What causes rise in PSA level?" }, { "from": "human", "value": "My father is being treated for prostate cancer with hormone injections since February 2013. His highest psa level was 43. It dropped to almost zero at one point, and had risen to 5 in dec 2013. His latest test shows a level of 28 in jan 2014. He has just had a bone scan which we have no results for yet." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that your father is known patient of cancer of prostate and have been treated with hormonal therapy.is serum PSA was 48 at the start of therapy and had gone down to almost 0 but his recent PSA levels is 28ng.The rise in PSA level could be either due to local recurrence or distant metastasis in bones.Please wait for the results of the bone scan .Further treatment will be decided by your Urologist or Medical oncologist depending upon the findings of bone scan.Dr.Patil..." } ]

[ { "from": "system", "value": "How to reduce the tightness in the foreskin which is red and itchy?" }, { "from": "human", "value": "Hello i have taken Timodine for two weeks for tight foreskin and redness. But the foreskin is tight still and on a certain time itchiness i clean the penis with shower jets on a daily basis what other solutions are there Also time i use thrash cream" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have what is called as Phimosis.The itching in foreskin is a presenting symptom of Diabetes. Please get your blood sugar levels on empty stomach and two hours after lunch done to rule out Diabetes.Take anti fungal medications like Fluconozole twice daily along with broad spectrum antibiotics topical Fluconozone jelly for local application for a week.,If problem persists consult qualified General surgeon for clinical evaluation .You may need to get circumcised under local anaesthesia.Dr.Patil." } ]

[ { "from": "system", "value": "What causes pain in testicles?" }, { "from": "human", "value": "I have testes problem it's happen one night I am sleeping and when I walk up i see some water in my trouser then I feel pain as well slowely slowely pain is final now my testes is loose and hang and when my body is could its go up and normal plz help me" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have noticed watery fluid in trouser after getting up from sleep and pain in testicles.This could be most likely to be due to night emission (Ejaculation during sleep).The pain in testicles is due to congestion of testicles during erection and ejaculation and normally goes away within few hours .There is nothing to be worried about it.As regards testicles being pulled up in cold atmosphere ,it is common and natural process for testicles being pulled up to maintain the temperature balance for normal functions of testicles.Dr.Patil." } ]

[ { "from": "system", "value": "What is the remedy for the tightness in the foreskin that never gets retracted?" }, { "from": "human", "value": "Hi, i have a very tight skin which never gets retracted. I have been to a doctor few months ago and he suggested circumcision is the only option for me. I just wanted a second opinion about this. Is it advisable to get circumcised at an age of 25? How much does it cost in India for circumcision procedure?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have tight foreskin which prevents retraction of foreskin over glans penis This is called as Phimosis.The only treatment option is to get circumcised ,This is a simple surgery done by qualified General Surgeon done under local anaesthesia as a out patient procedure and offers permanent cure so as to have enjoyable sexual life in future.There is no harm in doing it at the age of 25 years .Dr.Patil.pa" } ]

[ { "from": "system", "value": "Feeling thickness in vein in penis, pain in stomach. How will this effect in sex life? What should I do?" }, { "from": "human", "value": "Sir,I am a 22 year student,I feel something bad in my penis ,Feels some thickness in my vain in the penis.I have small newly developed something in my penis bag,some times it may pain.And also some pain in my stomach ,i think stomach pain related to vain.After mastubation i feel more pain in my stomach and my penis balls.If this cause badly in my sex life ?? whats should i do ?? thank you.." }, { "from": "gpt", "value": "DearWe understand your concernsI went through your details. I suggest you not to worry much. After reading the description, I do not see anything wrong in your genital area. You are just 22 and worrying too much about your sexual life. Why? What do you know about sex, sexual organs and sexual problems and diseases related to sex organs? I don't think you know anything? That is why you are worried. In that You should find a physician for proper investigation, if you really feel there is something wrong.Unnecessary worrying about sexual future should give you sleepless nights, anxiety, stress and erectile dysfunction in the future. Leave these things to the physician and once he tells that you are alright, leave all these negative thoughts, and concentrate on your career and studies. Or 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": "Penis not hard and bended downwards. Taking ayurvedic medicine himalyan tentex royal and Zandu vigorex. Is this medicine good or i should switch over?" }, { "from": "human", "value": "hello sir i m 23 years old boy i m having vary good health but my penis is not so hard and it is also bended towards dowan .i am masterbiting since i as 13 years old.now i m taking ayurvadic medicine since last 30 days that medicine is Himalyan tentex royal and Zandu vigorex.plz tell me that i have to change the medicine or i should continue with same or for how long i have to tske medicine.plz plz reply" }, { "from": "gpt", "value": "DearWe understand your concernsI went through your details. I suggest you not to worry much. You are just 23 and you started worrying about erection and sex. Your masturbation habit never gives any side effects in your sexual life. That is sure. Erection may not be always perfect while masturbation because of the effort involved in it and lack of passion. But once you have sex with a female, passion and love overwhelms any other thoughts and gives you perfect erection.But if you worry too much, be apprehensive, take medicines unnecessarily, you may suffer more. Because all these erectile dysfunction is in your thinking. You never had any problem. Even the medicines you are taking are not prescribed by any physician, I know. Please do not do that. Concentrate in your studies and career. They are important, not sexual life. Sexual life is always secondary.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": "Have small penis and testes size. What is wrong? Looking for the treatment" }, { "from": "human", "value": "i have a problem with my male organ . its not fully the normal size of a man. my testes is smaller and my pennis is also small. i have had this for several years thinking it would increase in size but it still looks like a 12years old pennis. i do erect to the maximum size of an adult and can have sex but come early on sperm . what do you think is wrong with me" }, { "from": "gpt", "value": "DearWe understand your concernsI went through your details. I suggest you not to worry much. Even a erect 2 inch penis can satisfy a female because, the nerve endings are available inside the vagina upto 2 inch. Therefore size does not matter in sex. The problem with you is the apprehensive thoughts. Obsessive thoughts about sexual problem keep coming and you are getting anxious about it. Such an anxiety creates premature ejaculation as well as erectile dysfunction. Therefore, don't waste your time in thinking about sex. Concentrate on your education or career and leave all other things for future.Thoughts are there to come and that is the duty of the brain. let the thoughts come. You need to divert the thoughts to more priority ones. Means, be busy and divert thoughts. Relaxation and meditation plays an important role in controlling mental disorders. Plenty of water, oxygen and exercise also are most important. For more psychotherapy techniques, 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": "Skin tear on scrotum, bleeding. Taking coumadin medication. Medication to heal tear?" }, { "from": "human", "value": "I just starting caring for an elderly man that has a skin tear(what I have been told it is) on his scrotum . He is on coumidin so there is bllod dripping out. I was told to put gauze on it while he his bed for the night. I am concerned and want to know what to watch for or will it stop bleeding/heal, should he see a doctor if it doesn t stop bleeding in a certain amount of time?" }, { "from": "gpt", "value": "HIThank for asking to HCMI really appreciate your concern, this may not be bleeding but this could be oozing of blood from the superficial wound the oozing can be stop by sprinkling the antibiotic powder and the best option is \"Povidone Powder\" this would stop the oozing of blood and prevent the wound from the infection general taking care of would bring the fast healing, hope this information helps you have nice day." } ]

[ { "from": "system", "value": "How to interpret semen analysis?" }, { "from": "human", "value": "hi,Would you please comment and advise on my semen analysis:PH: 8.0Volume: 3.0mlpus cells: 1-3RBC; NILEpith cells: 0-1Colour: cream whiteViscosity: MucoidConcentration: 0.1 x 106mlIdeal forms: 03%Big head defects: 37%mid piece defects: 30%Pin head defects: 30%Viable: 20%Dead: 80%Active: 02%sluggish: 18%Non motile: 80%" }, { "from": "gpt", "value": "HIThank for asking to HCMI really appreciate the concern the report given here of semen is not said to be a normal this could a case of Oligospermia means the low volume abnormal other parameters the chances of conception with such semen is minimal but nor totally impossible because just single sperm required for conception, hope this information helps you, have a nice day." } ]

[ { "from": "system", "value": "Suggest treatment for blood in urine after masturbation" }, { "from": "human", "value": "Sir , three months back I had blood in my urine (ONLY ONCE ) , it was totally painless . I had it in the morning after mastuburating . Throughout the day I drank a lot of water . At that time I used to take a lot tension . After that day I never had blood in my urine , it never repeated . At present I drink a lot of water . Can you please tell me what was the cause behind it . I drink tonnes of water , but recently in the net I read drinking too many litres of water can cause water intoxication . What should be the exact dosage of water every day ?" }, { "from": "gpt", "value": "Hi, The blood in your urine can be due to renal calculi, prostate infection and urinary tract infection. Test for those conditions and take respective antibiotics. You can take approximately 3 liters of water per day, there will be no intoxication in this dosage.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist" } ]

[ { "from": "system", "value": "What could be done for flacid penis going in the body?" }, { "from": "human", "value": "hey doctor my penis goes in my body when flacid......i am 5 inches when erect and have proper ejaculation but when flacid it goes in my body........i feel uncomfortable and have to pull it out..........it happens when i sit of run.........and i am fat also.......plz help" }, { "from": "gpt", "value": "Hi,As you got good size of penis while erection, nothing to worry.There is nothing wrong with penis but as you are obese and having more collection of fat on abdomen it is likely that penis goes in your fatty abdomen.Reduce your weight.Do abdominal recti muscle exercise to reduce abdominal fat.Ok and take care." } ]

[ { "from": "system", "value": "Should i be worried of yellow color around stitches after circumcision?" }, { "from": "human", "value": "i recently got circumcised, and the stitches on my frenulum are yellow. is there cause to worry? Also, there is lymph that keeps forming and making my penis get stuck to my undergarments which tends to be rather painful when trying to get it off. Please advise on how i can deal with this issue and heal as fast as possible. am 26." }, { "from": "gpt", "value": "HIThank for asking to HCMI really appreciate your concern generally the circumcision wound heals very fast without any post surgical events, here you have to take the antibiotic if not given and the best drug would be \"Amoxicillin with Clavulanic acid\" twice in day, for the local application \"Povidone\" ointment is the best option no need to worry about the yellow stiches this would be removed and the discharge will be no more there, hope this information helps you, have nice day." } ]

[ { "from": "system", "value": "What is the cure for the stinging on the foreskin?" }, { "from": "human", "value": "Hi, I am 17 years old and I am uncircumsized. I had sex with my girlfriend without a condom 3 days ago and I ripped my raphe. Now its all red and im starting to get worried. it stings when i pee and when i pull my foreskin back just a little bit it stings a lot. Should I be worried?" }, { "from": "gpt", "value": "Hi,It seems that there might be having some injury on frenulum where foreskin of gland attached to penis.Due to rough or forceful sex there might be having cut or some soreness.Apply antibiotic cream for 3-5 days.If there is swelling and pain, go for one antibiotic medicine course.Avoid sex for few days.Ok and take care." } ]

[ { "from": "system", "value": "What is the treatment for itchy sores at the bottom of my penis head?" }, { "from": "human", "value": "Hi doc, i have some reddish slightly itchy sores at the bottom of my penis head, just at the bottom sides of where the urinal outlet is. It can be slightly painful when i retract the foreskin.Also there is a white layer that forms all around the head daily which comes of upon wiping or washing.Pls advice." }, { "from": "gpt", "value": "Hi,It seems that there might be having irritation due to deposition of smegma giving rise this problem.Clean glans by averting foreskin while taking shower.Ok and take care." } ]

[ { "from": "system", "value": "Groin, scrotum and part of penis itchy with burning sensation due to dry skin. How to get relief?" }, { "from": "human", "value": "I have a very dry skin on groin,scrotum,part of penis on (base & tip),above anus. Its very itchy and sometimes it gives me a burning sensation. Its been there from past 8 years,it aggravates very rapidly and stays calm at sometimes. I am unable to know what it is,kindly help me" }, { "from": "gpt", "value": "Hi,It seems that you might be having fungal infection or local dermatitis giving this problem.Consult dermatologist and get examined.After proper diagnosis, plan of treatment can be decided.Meanwhile apply triple acting cream locally.Keep local hygiene proper.Ok and take care." } ]

[ { "from": "system", "value": "What is the remedy for itchy penis, frequent urge to urinate without help from clotrimazole cream and antibiotics?" }, { "from": "human", "value": "Yes, I have this rather embarrassing itch of my penis for over 3 weeks now.Was given clotrimazole to apply but the itch did not resolve. I was given some antibiotics (cefuroxime) which I have completed now but the itch is still not stopped. I often have an urgent urge to urinate" }, { "from": "gpt", "value": "Hi,It seems that you might be having fungal infection.Apart from using clotrimazole cream you might require oral anti-fungal medicine like Flucanozole 150 mg once in a week for 4 weeks.Keep local hygiene clean, dry and airy.Ok and take care." } ]

[ { "from": "system", "value": "How to quit the addictive habit of masturbating since 10 yrs in a 22 yr old?" }, { "from": "human", "value": "hello doctor... iam 22 now. im seriously suffering from masturbate habit. im continously doing it from 10 years.my will power has dropped. iam not able to concentrate on my career. im jobless. im not able perform good at interviews. pls help me out from pathetic situation" }, { "from": "gpt", "value": "HIThank for asking to HCMI really appreciate your concern this is not the disease so that you said that you are suffering from the masturbate, this is kind of natural instinct but some time this could turns onto the maniac disorders then you can say that you are suffering from the maniac disorders of masturbating, if you want to get rid of this, then you have to brig down your libido, stop thinking, stop watching, stop reading all about the sex, this is not hard to do, you can do this, take care and have a good luck." } ]

[ { "from": "system", "value": "Ejaculated in condom but rubbed the penis on vagina and it is sore. Will I get pregnant?" }, { "from": "human", "value": "hi my fella had a condom on he ejaculated it was all in condom and he slid his penis rubbed on my vagina then slid out then up rubbed again contents was all in condom but vagina is sore im dew my period and scared i wont come on how do i know i had sex" }, { "from": "gpt", "value": "Hello and welcome to health care magic. Your description is a bit unclear. What I understand is that your partner took his penis from r condom after ejaculation and rubbed it on your vagina. If so there is high chance of you getting pregnant. That's because even 1 ml of semen contains millions of sperms and they can swim upwards through the vagina to your uterus. My advice is to go and visit your OBGYN doctor at the earliest. She can prescribe a post coital contraceptive pill if the sex happened within 48 hours. Hope this discussion will be helpful to you. Thank you." } ]

[ { "from": "system", "value": "Could the small painless bumps at the base of my penis indicate herpes?" }, { "from": "human", "value": "I have a group of very small painless bumps at the base of my penis. I have gotten tested for any STDs and the results were negative but the doctor said it was herpes that he was seeing. I got the bumps removed by Co2 and they have came back months later in the same spot. Is this Herpes?" }, { "from": "gpt", "value": "Could be HPV virus, which is different than herpes.This can come back and if they do they can be treated again with the co2 laser.Please rate 5 stars! I strive to provide the best answer for your question." } ]

[ { "from": "system", "value": "What causes poor sperm motility and abnormal morphology?" }, { "from": "human", "value": "Me and my husband are trying to conceive but are having trouble.He had a semen analysis and it showed he ad a normal cunt however the mobility was poor and had abnormal morphology or shape.I was wondering if certain antibodics could cause this since my husband took antibodics recently for a lung infection.He has to have another test done to confirm his results.One of the antibodics he was taking was ciprofloxacin could this cause abnormalities in sperm" }, { "from": "gpt", "value": "IT could be abmornal veins near his testicles called varicocele.If he has it, then he can have surgery to fix it and the sperm.Have a doctor examine him for this.Please rate 5 stars! I strive to provide the best answer for your question." } ]

[ { "from": "system", "value": "Why is one testicle looser than the other?" }, { "from": "human", "value": "Hi,I am 23 year old , I have a question regarding loose testicle.My right testicle is hanging loose than my left testicle and this has been around for nearly 5 years now.In winter and autumn(in cold weather)right testicle doesn't hang loose and stretches back to the size of left testicle.whenever I apply cold water or ice both the testicles will get tight and doesn't hang loose and in summer or hot conditions my right testicle hangs 1 inch loose than my left testicle.I am not facing any premature ejaculation or any pain or any erection problem.Is this normal to have one testicle hanging loose than other?will this give any health problems when I grow old?Please advise me on this.Thanks.Vishwanath" }, { "from": "gpt", "value": "Hi, It is totally normal to have loose testicle, if it so obvious, it can be due to reduced blood supply. Check for penis Doppler.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Could green discharge from penis be an STI?" }, { "from": "human", "value": "I m experiencing green discharge from my penis, I don t have any pain or difficulty peeing. Otherwise, no other symptoms are noticed. This has been going on for about a week, and I just started dating my girlfriend 2 months ago and have unprotected sex. Is it possible I have an STI?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have greenish discharge from your penis after having unprotected sex with your girl friend.This could be due to inflammation of urethra (Urethritis) however since it followed after unprotected sex possibility of acquiring STD can not be ruled out.Get your basic screening tests for STD and swab test of a discharge done to confirm the diagnosis.In the mean while start taking Erythromycin twice daily.Ensure to avoid sexual encounters till it gets cured completely.Dr.Patil." } ]

[ { "from": "system", "value": "I have clump of bumps beside my left testicle?" }, { "from": "human", "value": "Hi, I have what seems to be like a clump of bumbs beside my left testicle but i dont think it s attached. im 17 and ive had it for as long as i can remember but it seems like it may have gotten bigger. Ive also been experiencing Lower back pain after a strenuous workout but i dont know if thats related" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have multiple Sebaceous Cysts over 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).Dr.Patil." } ]

[ { "from": "system", "value": "What could be white sticky substance on penis?" }, { "from": "human", "value": "sir,my penis has white sticky substance whenever i open the foreskin after some hours.The foreskin is not elastic enough to allow me to open it easily.I have to force and open it due to which the foreskin gets stretched and bit bleed.what can be done.m applyin vaseline." }, { "from": "gpt", "value": "Hi,It seems that you might be having Belano-prostitis due to collection of smegma and not cleaning leading to sticking of foreskin and infection.Try to clean the smegma by averting foreskin gently.After all smegma removed there might be easy movement of foreskin.Afterwards make a habit of cleaninig the smegmawhile taking shower.Ok and take care." } ]

[ { "from": "system", "value": "Red spots on scrotum, itching, tingling sensation. Blood and urine test normal. Causes?" }, { "from": "human", "value": "Hi. I sometimes small red spots or bumps appear on my scrotum/base of penis that last about 4 days then disappear. I had a doctor look at one red spot and he says it doesn t appear to be an std . I have itching and tingling in my scrotum and was wondering if there is anything else that can cause this. I had a full blood/ urine test with negative results but maybe I got the test too soon? What else can cause this? Some of the red spots are at the base of a pubic hair . Thanks." }, { "from": "gpt", "value": "Hi,It seems that you might be having fungal infection or dermatitis giving rise this problem.Apply triple acting cream.Take cetrizine or Benadryl for itching as itching can precipitates the infection.Keep local hygiene proper and well shaved.Ok and take care." } ]

[ { "from": "system", "value": "How to treat nightfall in a 22 years male?" }, { "from": "human", "value": "I m 22yrs male suffering from nightfalling since 7 yrs .... When i was 15 almost everday i have nightfall but now it reduces to once a week by visualitation techniq .... So it is psychological problem ..??Can i stop it by hipnotherepy...psl suggest me...sir....!!" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you are facing problem of night emission since last 7 tears.Night emission is natural and common phenomenon at the age of adolescence and does not need any treatment .It gets resolved itself over a period of 2 years.Please note that it is not a psychological problem hence do not attempt to take hypnotherapy.Dr.Patil." } ]

[ { "from": "system", "value": "Can h-pylori cause pain in testicles and epididymitis?" }, { "from": "human", "value": "I was diagnosed with h.pylori last month and I went through Triple Therapy. Those issues have been resolved; however now I am ache in my testicles. I have had chronic epididymitis in the past, and now has returned. Could this still be the result of h.pylori? And what can be done?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have pain in Testicles and you doubt it to be due to H-pylori infection that you had last month.Please note that it is not due to H-pylori infection but flare up of your previous epididymal infection (Chronic Epididymitis).Please consult qualified urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Routine urine and urine culture .2) Ultrasound scanning of scrotum You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.Please note that epididymitis takes long time to get cured hence one needs to take appropriate antibiotics for long time (4-6 weeks)Dr.Patil." } ]

[ { "from": "system", "value": "How to treat painless wart like growth underneath the penile head?" }, { "from": "human", "value": "hi, dr. I just noticed what looks like a wart underneath the head of my penis. But then as I touched it, it became loose as if it would fall off. So I washed my hands and began to pull it off. As what-ever-it-is began to pull away, I noticed that it looked as if it was pulling OUT of the skin under the head of my penis. I have it sitting on a napkin now. It is small, about the size of a seed. olive colored. The part that was exposed is flesh colored. It looks like a protein deposit or something. No pain. No odor. Just different. I am circumcised." }, { "from": "gpt", "value": "It can be a wart. but to rule out venereal wart, doa std test. Treatment depends on the result of test. If positive you have to take antibiotic like ampicillin 500mg two times daily for 5days. Apply beta dine lotion over the wart." } ]

[ { "from": "system", "value": "What causes little bumps on penis after unprotected sex?" }, { "from": "human", "value": "I m 20 year old male married never cheated on my wife one night after unprotected sex I awoke and found littke bumps on my penis they don t hurt or amything a day later they had scabs on them I m wondering is this an std I went to the doctor before and was treated but was never told anything" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have developed infection of the glans penis .This is most likely to be due to allergic reaction to acidic vaginal secretions of your wife who is likely to have vaginal infection.(Vaginitis)Please get her examined by qualified Gynaecologist and treat her as per his/her advice.You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.along with topical antibiotic ointment like Neosporin twice daily.Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely.Dr.Patil." } ]

[ { "from": "system", "value": "How can I increase sperm quantity?" }, { "from": "human", "value": "Hi Sir, I am Mohan 23 years old. I have spermed up for 7 years staring from 2007 to till now. I am student with rank holder. But now on wards I don t wanted to such things. My question is that, Will it effect to my remaining sperms during giving birth after marriage. What I should do now to strong and increase my sperm quantity. Please reply as soon as posible." }, { "from": "gpt", "value": "HIThank for asking to HCMI can understand your problem I think you are under the wrong impression, did you send you semen for analysis, if yes then you have to see the total number of sperm in that, of this is low then this need to be considered and if you have not dome the test then you need not worry about this, hope this information helps you, have a nice day." } ]

[ { "from": "system", "value": "What causes the semen to flow back immediately after ejaculation?" }, { "from": "human", "value": "Hello Doctor. My name is Samuel, male. My semen always flows back immediately after coitus and I dont know if this is not the reason for delay in my wife's conception. I have not undergone any medical treatment. Doctor, ca you help out with explanation? I will be right waiting for your response. Thank you. Samuel." }, { "from": "gpt", "value": "Hello, Semen flow back from vagina is quite common. That may not be the reason for your preventing pregnancy. You should talk to your reproductive specialist to determine the cause and further treatment. Therefore I suggest consulting a gynecologist for physical examination, diagnosis and treatment. 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": "What does this semen analysis report indicate?" }, { "from": "human", "value": "Hi, i am 27 years , my semen report is here , i have know that that report is normal totake a fatherquantity:1cccolour:gray whiteliqufacation time: 25 minutestotal sperm count:22.0 millions/mlactive motile:50 %slugggishly motile:20%non motile:30 %abnormal forms: 30% pus cells:1-2/h.p.fred blood cells:nilfructose test: positivesperm aggiutination:absent" }, { "from": "gpt", "value": "Hi, Your report is completely normal to become a father.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist" } ]

[ { "from": "system", "value": "What could red spots on head of penis with no help from clotrimazole and bethamethasone dipropionate creams be?" }, { "from": "human", "value": "I have red spots on the head of my penis. I went to a Urologist and he prescribed me some creamin a tube to use and it doesn't seem to have much effect on the red spots. I have been using thecream for almost a month now. It is called CLOTRIMAZOLE and BETAMETHASONE DIPROPIONATECREAM. I have not been circumcised." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have red spots on glans penis .You have not mentioned anything regarding sexual history whether you got these spots after having unprotected sex or otherwise.These spots could be due to infection of glans penis (Ballanitis) You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.along with topical antibiotic ointment like Neosporin twice daily.Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely.Dr.Patil." } ]

[ { "from": "system", "value": "How to treat extended penile outer skin?" }, { "from": "human", "value": "hi my penis outer skin covers completely and makes my penis to bend down. What could be reason. I can only pull the outer skin back when my penis is small (not errected) once errected the outer skin becomes tight and it pains a lot. Also it makes my penis bend down. Pls suggest." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have what is called as Phimosis.The bending of the penis down on erection could be due to band of adhesion between glans penis and frenulum.This can be confirmed only on clinical examination by a qualified General Surgeon or Urologist .You need to get circumcised .This is a simple surgery done under local anaesthesia as a out patient procedure and offers permanent cure.Dr.Patil." } ]

[ { "from": "system", "value": "How to control the sperm release during dream in the night?" }, { "from": "human", "value": "earlies I have sperm release after every 15 days during night while dreaming. ..I consult 2 the dr and take the med....but after some time nw again it start after releasing sperm after 15 days while morning sleep....and whn I ejaculate there is pain after that for sometime...how can I cure thz" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you are facing problem of night emission.Please note that it is very common to get night emission at the age of adolescence and there is nothing to be worried about it .It gets resolved without any treatment over a period of 1-2 years.As regards pain in penis after ejaculation ,it is due to congestion of penis during erection and ejaculation .This fades away within 1 hour after ejaculation and does not need any treatment.Dr.Patil." } ]

[ { "from": "system", "value": "What is the treatment for teared frenulum during sex?" }, { "from": "human", "value": "I tore my frenulum during sex yesterday. I went to a urologist and he told me to just wait and let it heal with application of a cream. But I noticed that there is a small scar from were the frenulum was, and the penis head looks a bit bruised. It also hurts sometimes when I have to pee and there is a painful stinging sensation when I try to touch it or wash it with water. Should I be concerned and go see my urologist again?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have sustained injury to your frenulum during sex and have wound on the under surface of glans penis .You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.along with topical antibiotic ointment like Neosporin twice daily.Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely.Please do not worry it will heal up within a week.Dr.Patil." } ]

[ { "from": "system", "value": "Noticed a tiny hole popped up on my finger and on my penis" }, { "from": "human", "value": "I notice a tiny hole popped up on my finger surrounded by hard dry skin. No pain or irritation. Now the same holes (looks like pinholes) just popped up on my penis. Two of them adjacent to eachother??? I'm going to see the doctor but just curious of what it is" }, { "from": "gpt", "value": "HIThank for asking to HCMI really appreciate your concern, your given history is very unusual because if this is allergic condition then this should be generalized and not the local on just finger and penis, this could be non specific type of skin lesion and that would go away soon, still the clinical examination is the only way that can clear every thing, have nice day." } ]

[ { "from": "system", "value": "Can any online doctor help me with the following results?" }, { "from": "human", "value": "Please give your comments and advise the treatment on my semen analysis report: Quantity : 2.5 ml. Colour : Greyish White Transperancy : Opaque Viscosity : VISCOUS Time of liquification : 30 mint pH : 7.5 Fructose : Positive Sperm counts : 50mil/ml Live count : 28mil/ml Sperm per ejaculate : 125mil Motile sperm percn : 56% (i) Rapid linear progression : 03% (ii) Slow/non linear progression : 52% (iii) non progressive : 45% Sperm Morphology : 35% Normal form" }, { "from": "gpt", "value": "Hi, The report indicates that you have almost normal sperm production. The count looks adequate, and the motility parameters also are reasonably normal. It looks like the testing lab has not followed the latest Strict Criteria as advised by WHO for sperm morphology, but it is unlikely to be a major problem. I do hope that your partner has also been evaluated. I also suggest that you repeat the semen analysis after one month, as recommended by WHO." } ]

[ { "from": "system", "value": "Experiencing pain in the right testicle due to urine infection" }, { "from": "human", "value": "hi i am 52 and male i recently had a urine infection was treated with anti bios and seemed to clear up but now i have a very painful right testicle i have been 2 docs and she prescribed more anti bios ,the pain has nearly gone but noticed 2day my semen is very bloody looks like puss" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you had UTI which was treated with antibiotics and now have pain in Rt Testicle.The pain in testicle and cloudy and reddish semen is secondary to UTI .Please consult qualified Urologist for clinical examination and get semen examination and semen culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to.In the mean while start taking antibiotics like Augmentin and anti anti inflammatory medication like Diclofenac twice daily and .later on switch on to appropriate antibiotics as per culture report.Please note that it takes long time for infection of the testicle to get cured hence you will need to antibiotics for 3-4 weeks.Dr.Patil.r" } ]

[ { "from": "system", "value": "Dark, solid, bump on penis foreskin. Blood test done, no STD. What could be this?" }, { "from": "human", "value": "hi there...im kinda freaking out right now because i have a bump on my penis foreskin and its dark, solid, doesn t hurt at all, its not filled up with fluid, it doesn t look anything like a wart , and for the last year and a half i have only been with one person and have never even kissed another girl. Im really confused cause when i got tested and they took blood the last four or five time within the last 2 years i was negative with all std tests....Someone please help cause i have search the entire net it feels like and nothing is similar" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have dark,solid bump on your foreskin.This could be either a calcified vein ( one of the tributaries of Dorsal vein of penis) or a sebaceous cyst.However final diagnosis can be confirmed only on diesct inspection and palpation of the bump.Please consult qualified General Surgeon or Urologist for clinical assessment and further treatment which will depend upon the final diagnosis.Dr.Patil.." } ]

[ { "from": "system", "value": "Had inguinal hernia surgery. Swollen and bruised scrotum and penis. Penis bends upwards during an erection. What's wrong?" }, { "from": "human", "value": "Three weeks ago I had ingunal hernia surgery on my right side. After surgery by scrotum was brused and swollen, also where my penis comes out it was brused and sore. now when I have erections my penis is bent upwards and not as thick. there is also a thicker ridge (ring) around the base. Please help me, let me know what s happening.." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have undergone surgery for Inguinal Hernia which was followed by swelling and bruising of the scrotum and base of the penis.This is common to have swelling and bruising of the scrotum and soft tissue around base of the penis after surgery of Inguinal hernia.Normally it gets resolved within 3-4 weeks .As regards bending of the penis it is most likely to be due to oedema at the base of the penis awich will also get cured within 3 -4 weeks.Please take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.Dr.Patil." } ]

[ { "from": "system", "value": "Small cluster of liquid filled bumps after rough sex. Reason for their frequent occurance?" }, { "from": "human", "value": "About 7 years ago after some particularly rough sex with a girl, while wearing a condom, I developed a small cluster of clear liquid filled bumps on the shaft of my penis . I did not get tested at the time because I was literally leaving the state in a couple days. I was sexually inactive for several months afterward and didn t have the issue during that time that I can remember. Since then I have had 3 different lengthy, monogamous and serious relationships where I have had unprotected sex on a regular basis, and approximately 6-8 times this symptom has recurred, always following rough sex or self pleasure at the location where the most friction occurred on the skin. I have had no complaints from any of those companions, even after I told one of them about this she was tested and the results were negative for all STD s. I had not had any recurrence of the issue since I started dating my current fiancee 2 years ago, until just a few days ago, again after some unusually rough sex. My fiancee has also been cleared for any STD s recently. Being that I am in the military I am tested for almost everything on a routine basis with the exception of Herpes or Gonorrhea . The Navy doctors that I described the symptoms to a few years ago said it sounded like ingrown hair or sensitive skin and said there was no need for a test if I did not have recurring symptoms." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have cluster of fluid filled bumps on shaft of the penis after having rough sex with your female partner and after masturbation .This is most likely to be due to dry ,rough sex and tight grip of your penis while doing masturbation resulting into friction a of the penile skin causing irritation and formation of blisters in subcutaneous tissue of penis .Since your screening tests done repeatedly for STD are reported to be negative you need not worry at all.You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.along with topical antibiotic ointment like Neosporin twice daily.Ensure to wash your genitals with warm water twice daily.Dr.Patil." } ]

[ { "from": "system", "value": "Is prostate surgery possible given the present blood sugar levels?" }, { "from": "human", "value": "my father aged 82 years is going to surgery for prostrate. He is taking Huminsulin-R 10 unit morning, 8 units before lunch & Huminsulin 30:70 10 units before supper. Now after taking insulin for 15 days his sugar level is before food 109 and after food 180. At this stage surgery can be possible or it is better to take insulin some more days." }, { "from": "gpt", "value": "Hi, The sugar level is in control, your father can undergo surgery. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist" } ]

[ { "from": "system", "value": "What is the lump inside the foreskin without any pain?" }, { "from": "human", "value": "Hello, I have a bb sized lump right underneath the foreskin on the right side of my penis.. It is within the skin and if you pull the foreskin away from the shaft you can feel it. No pain at all but was a little swollen in the area when I first noticed it. Any idea what this could be?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have small lump on under surface of foreskin.Mostly this could be a sebaceous cyst .However this can be confirmed only on clinical examination by a qualified General surgeon or Urologist.Penile skin is rich in sebaceous glands hence more prone to get sebaceous cysts due to accumulation of sebum beneath the skin.Normally it fades away without treatment however need to be excised in Toto if it increases in size .Dr.Patil." } ]

[ { "from": "system", "value": "Trying for a child, had sperm test, low sperm count. How to increase?" }, { "from": "human", "value": "I am 32 years and i am married for 6 years and having a child of 4 years. we are trying for a second baby since 1 year, but no results still, recently i have done my semen test and i am having 21 million counts with 62% active sperms, please suggest me some food so that i can increase my counts, . I am 98 kgs and my height is 5 11." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have done your semen analysis which revealed low Sperm count (Oligospermia).Following general measure will help you to increase sperm count 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..You can try drugs like Clomifen .That may also help to increase sperm count Dr.Patil." } ]

[ { "from": "system", "value": "Applying vaseline for reddishness around penis for years. Should I be worried?" }, { "from": "human", "value": "I have been having reddishness around my penis for the past 2-3 years. My urologist has suggested applying Vaseline around it. I see the reddishness sometimes less but it has not gone completely. No other symptoms, no pain. Is this something I need not worry about." }, { "from": "gpt", "value": "HIThank for asking to HCMI really appreciate your concern the redness that you are seeing might not be due to any disease or skin lesion but this could be a natural appearance, that does not need any treatment in my opinion the Vaseline, should be stop this is not the medicine, just leave it like that only, when it is not associated with any other symptoms then why to tampered it, stop worrying about this, hope this information helps you take care and have nice day." } ]

[ { "from": "system", "value": "Why am i ejaculating red colored 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 ejaculated red coloured semen (Haematospermia) after masturbation ..This could be either due to 1)Rough handling of your penis with firm grip of the hand resulting into injury to urethra while masturbating or 2) Infection of the seminal vesicle .Please consult qualified Urologist for clinical evaluation and get following tests done to confirm the diagnosis,1) Semen examination and culture .2) Trans Rectal Ultrasound scanning (TRUS).Further treatment will depend upon final diagnosis.Dr.Patil." } ]

[ { "from": "system", "value": "Should I worry if my semen analysis report says motility is 40% ?" }, { "from": "human", "value": "Hi , I am 29 years old , working as secretary , one day I had pain in my testis , I made ultrasound , it was bilateral varicocle with mild degree with refluxing . also I made semen analysis , it was okay in the number and every thing but the motility was 40 % . shall I make another semen analysis to make sure from the results or it is okay to get married . thanks for your help in advance" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have done your semen analysis which revealed sperm motility to be 40%.The sperm motility is graded acording to pattern of their motility (Grade 1to grade 4)and mere motility has no meaning as far as fertility is concerned.Please repeat your semen analysis after one month and post the results in detail to make precise comments.Dr.Patil." } ]

[ { "from": "system", "value": "Advice on semen analysis report" }, { "from": "human", "value": "hi, i went to semen analysis, my sperm concentration is 18.7 millions/ml, reaction pH is 8.0, Rapid Progressive 22%, moderately progressive 16%, sluggishly 11%, non motile 51%, morphology- normal and fructose (qualitative) - present. Is the report normal?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have what is termed as Oligospermia meaning there by that your sperm count is low as per WHO standards ..Rest of the parameters like motility and morphology is within normal limits .Since you have not mentioned rest of the findings like presence or absence of pus cells ,RBC etc, I can not make precise comments .Please repeat your semen analysis after one month with due care of abstinence for 3- 4 days before collecting semen sample for analysis and post detail report so as to make precise comments.Dr.Patil." } ]

[ { "from": "system", "value": "Red pimples around penis tip, white foreskin. Blood tests negative for STD, virus. Causes for red pimples?" }, { "from": "human", "value": "hello, Im 41 yrs old, I seen a doctor about my cluster like form of red pimples around the tip of penis, and looks to be white in color around foreskin shaft..I was tested for all types of STD , Virus, an any other diease possible..the blood tests came back negative of everything..the doctor was an infectous disease doctor and he could not figure out what these were..he told me to see a dermatologist ..should i seek another opion its bothering me to no end i want to know what these red pimples are...do you have any idea..thank you" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have red pimples at the tip of your penis .These pimples could be due to inflammation of terminal part of urethra and external urinaru meatus secondary to acidic vaginal secretions of your female partner who is likely to have vaginal infection.Please get her examined by a qualified Gynaecologist .Since you do not have STD proved on screening test you need not worry at all.You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.along with topical antibiotic ointment like Neosporin twice daily.Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely.Dr.Patil." } ]

[ { "from": "system", "value": "Had prostatitis, having sore testicles, achy thighs. Diagnosed as epididymitis. Taking antibiotics. Could it be prostatitis?" }, { "from": "human", "value": "hi im a 40 year old male with prostatitis had it for years but recently have being haven a sore right testicle and aching right buttock /upper thigh . saw my doctor 3 weeks ago he thought epididyitis , he couldnt feel any lumps and gave me 7 day course antibiotics it s still there, i have a physical job i think groin strain with mauling ? going doctors again next week just wondered can a groin pull give symptons like this and could it be the prostatitis" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have pain in Rt testicle and pulling sensation in the groin.This could be either due to Inguinal Hernia or infection of the epididymis or testis.Please consult qualified urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture 2) Ultrasound scanning of the abdomen .3) Semen culture to rule out prostatitis.Further treatment will be decided by him and will depend upon clinical examination , results of the tests and final diagnosis. Dr.Patil," } ]

[ { "from": "system", "value": "How to cure tight foreskin?" }, { "from": "human", "value": "Basically, i have a tight foreskin. When i pull back,i can see 35% of the glans. But, I see the inner layer of foreskin is stuck at the gland and cant be pulled down further. I'm uncircumcised and I thought uncircumcised male should have flexible and movable skin on the shaft. The skin of my shaft is kinda tight because of the inner layer of foreskin stuck on the glans I think. Help Please.." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have what is called as Phimosis,Please consult qualified general Surgeon or Urologist for clinical examination to confirm the diagnosis.You need to get circumcised .This is a simple surgery done under local anaesthesia as a out patient procedure and offers permanent cure. This will help you to have enjoyable sexual life in future.Dr.Patil," } ]

[ { "from": "system", "value": "Do I need to take medicine to increase sperm count?" }, { "from": "human", "value": "OligospermiaHello.. Dr. My name is parag. My wife is not haveing a pregnancy After three year of marriege. I ask with my family dr. He advice me for test 1. male infertility test 2. seminal fluid examination. test result is my FSH Level : Folicular Stimulating Hormorne : 4.23 and My Sperm count is 1.0 million/ml Motility Active 20% Remark : Severe Oligospermia. I want medicine for increase my sperm count." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have severe Oligospermia.Truly speaking there are so many drugs in market who claim to increase sperm count but not a single one has been proved to be scientifically effective to prove their claim.Following measure will help you to boost up your confidence and help to increase sperm count to some extent.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 rashes and pain in the testicles after having sex?" }, { "from": "human", "value": "i had protected sex with a prostitute in but t he condom break down..later on 4th day after sex i started have rashes and mouth pallet started becoming bluish in colour, now my my testicles are paining do u think it is the symptoms of hiv? i went through esrblood test n vdrl test based on doctors instructions..it came out to be negative n esr was normal" }, { "from": "gpt", "value": "Hi, The symptoms of HIV will take more than days to develop, other infections like bacterial and viral infections will be manifested after 2-3 Weeks, check for HIV 4th generation test after 12 days of sex. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist" } ]

[ { "from": "system", "value": "How to treat left testicular and lower abdominal pain?" }, { "from": "human", "value": "hiI am 23 yrs old I have been I have been experiencing slight paing in my left testicle and lower abdomen sometimes it pains slightly in the lower back left side simultaneously, went to the doctor he gave me medicines(homeopathic) and its been a week or so now the slight pain has gone sometimes it used to shift from left to right. But now I feel that the left testicle hangs horizontal and the right one vertical. I am extremely scared, please give me your feed back on this.Thanks a lot." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have pain in Lt Testicle and pain in lower abdomen on left side .This could be most likely to be due to Varicocele .Please consult qualified Urologist for clinical examination and get following test done to confirm the diagnosis,1) Ultrasound scanning of Scrotum 2) Colour Doppler study of scrotum.Further treatment will depend upon the results of these tests and final diagnosis.You may take pain killers like Diclofenac twice daily .Dr.Patil.." } ]

[ { "from": "system", "value": "How to stop the habit of masturbation?" }, { "from": "human", "value": "Hi i am habit to Masturbation. how i can leave it ? i tried alot of time, but i start againi could not, because every time i am tthinking about girls and when i was with them, i am still thinking about them, and i live alone , i am 18 years old .how i can what is the best for me ? i can watch porn, when i see in out side a girl then i cant contol my self, i will do Masturbation out.please tell me how i should do?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have been indulged in frequent masturbation since long time and desire to stop masturbating.Following measure will help you to boost up your confidence and help in quitting habit of masturbation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..5)Please try to 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": "Do spermatocele ever shrink? Does orgasms play any role in increasing its size?" }, { "from": "human", "value": "I have recently been told I have a 1cm in diameter spermatocele and am still rather new to the idea. Could there be a chance that this cyst could shrink, or only grow? And would orgasms play a part in increasing the size of the cyst, or is there no relation?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have a spermatocele of a size of one cm .Please note that spermatocele is a benign cyst containing a clear fluid and does not have any relation with ejaculation or Orgasm.It remains static for years together and does not shrink It is harmless and needs to be excised only when increases in size or becomes painful.Dr.Patil..." } ]

[ { "from": "system", "value": "How to treat purple colored penile knob?" }, { "from": "human", "value": "Yesterday, I pulled the foreskin on my penis back for the first time, the knob of my penis was of a slight purple colour and there was little white things stuck to it, in the shower today, i tried cleaning them off, but it hurts too much when i did, i did my best and got as much of the white stuff off, will it take a bit of time to get my penis fully cleaned from the white stuff if i never have cleaned it before?And also will the purple colour of my knob go away as the area is cleaned up?This is serious, please help ASAP!" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have noticed while deposit on glans penis on retracting your foreskin for first time .This is called smegma and is dried deposits of mucus secreted by mucus glans in glans penis .Please observe proper personal hygiene by retracting foreskin while taking bath and cleaning the entire glans and penis with warm water .The purple coloured glans penis is a natural and nothing to be worried about,Dr.Patil." } ]

[ { "from": "system", "value": "What causes swelling, itching and redness around the head of the penis?" }, { "from": "human", "value": "I have a problem with swelling red itchy penis mainly around head and forskin, it is painful and severly itchy. the swelling was bad to but comes and goes and the itch is going to backside now. don't think std is possible but this has been going on for two or three days" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have itching and redness of the glans penis and foreskin .Many a times it is a presenting symptom of Diabetes and due to Muco Cutaneous Genital Candidiasis.Please get your blood sugar tests on fasting stomach and 2 hours after lunch done to rule out Diabetes.Take anti fungal medication like Fluconozone and topical anti fungal jelly for local application .Ensure to wash your genitals with warm water twice dailyDr.Patil." } ]

[ { "from": "system", "value": "Suggest treatment to increase sperm count" }, { "from": "human", "value": "I have a low/ no sperm count when tested. My wife and I have successfully done IVF with the result of a amazing daughter. If we wanted to try again going naturally is there any vitamins or anything I can start taking now to possibly improve my count?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have low sperm count (Oligospermia).Following measure will help you to increase sperm count to some extent .This will also help to improve sperm motility and morphology of the 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": "Will masturbating for long years reduce sex health?" }, { "from": "human", "value": "I've been masturbating since I was 13. Now I'm 21. I used to have much pleasure in masturbating. But Nowadays I don't find the same pleasure I used to have once and also I feel like I'm losing sex appetite along with sex power. Is it a sign of impotence? Am I becoming an impotent? Btw, when I was on my teen age, I masturbated almost everyday then it lessened to 4 days in a week, then 3 days in a week, after then 2 days, NOW its only once in 3 weeks! I'm getting a little bit of worried about my sex life. P.S: I'm still a virgin guy." }, { "from": "gpt", "value": "HIThank for asking to HCMI really appreciate your concern, masturbate is physiological phenomenon more precisely it can be a natural instinct, there are many disbelief and misconception regarding this but that is all wrong, masturbate does not cause any health problem, only matter is taking care for trauma either physical or mental, otherwise its okay, hope this information helps you, take care and have a nice day." } ]

[ { "from": "system", "value": "Have minor athletes foot between toes. Why is penis gland itchy and flaky? Treatment?" }, { "from": "human", "value": "Hi have minor very minor, athletes foot in both between small toes, I have now got an itchy red penis gland and a flaky bump/patch mark on my foreskin , no other explanation from GUMs or my doctor I think I may have spread ? If so, what could I do to A. prevent it from coming back and also B. Getting rid of both issues in the fastest and best possible way ? Regards" }, { "from": "gpt", "value": "Hi,It seems that you might be having fungal infection on your foot and now spread on penis mostly due to your fingers touching foot and then to penis.Apply anti-fungal cream on both the sites.Go for oral anti-fungal medicine like Flucanozole 150 mg once in a week for 4 weeks.Keep local part clean, dry and airy.Ok and take care." } ]

[ { "from": "system", "value": "White substance on the penile head, did not have sex or masturbation for a long term. What could be the cause?" }, { "from": "human", "value": "Hi, my name is Dan, I recently stop masturbation cold turkey been going just over a month now, I exercise alot and have not had sex in the past 9 months maybe longer, I don t drink, however last night I went out to a party and drank a few beers for first time in 4 years. I went to have a shower today and I noticed a white substance surrounding the head of my penis , I just took a shower got a fresh cloth and soup and whipped it off and cleaned it. I really need to know if its anything serious. I m worried because I haven t masturbated so no strain on my penis and I haven t had sex in 9 months so I don t understand whats going on or if its something I need to be concerned about , the substances didn t feel like semen" }, { "from": "gpt", "value": "Hi,It seems that you might be having collection of smegma on glans penis.As you did not have sex or masturbation, glans under foreskin remain uncleaned leading to collection of smegma.Nothing to worry, remove smegma by averting foreskin and clean gently.Make a habit of cleaning smegma while taking bath.Ok and take care." } ]

[ { "from": "system", "value": "Red itchy scrotum,flaky when healing with red bumps on penis.What could be cause?" }, { "from": "human", "value": "I believe I need a DNC done but it seems that I keep getting recurring yeast infections. Sometimes I don t know until I have intercourse with my husband and then it s too late...His scrotum is red itchy and when it starts to heal it gets real flaky. before it heals he gets red bumps on the penis . What can I do to help him get rid of this?" }, { "from": "gpt", "value": "Hi,It seems that you both partners got yeast infection and requires treatment of both partners.Apply ant-fungal cream locally.go for oral anti-fungal medicine like Flucanozole 150 mg once in a week for 4 weeks.Keep local parts clean, dry and airy.Ok and take care." } ]

[ { "from": "system", "value": "What causes sharp pain in the frenulum during intercourse?" }, { "from": "human", "value": "Hi im a 17 year old guy. i was having sex with my girlfriend an hour or so ago when i felt a sharp pain on the joint of my foreskin to my penis. it hurt but the pain was bearable and i didn't know what it was so i carried on. after, i came out and saw that my foreskin was ripped at the joint with blood coming out. i have had sex many times before this without a problem. i don't know what to do so please can you advise me what to do. im hoping not circumcision as im still young and i want a so called \"normal\" penis? what should i do and what are my options? Thank you" }, { "from": "gpt", "value": "Hi, It can be due to short frenulum and frenulum tear. Consult an urologist and go for surgery as soon as you can. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Redness on scrotum, smell, discharge, loss of appetite, sleeping a lot. Treatment?" }, { "from": "human", "value": "Hi, I ve just changed my little boys bottom and noticed the end of his penis , where his scrotum is, is very red, when I pulled it back it smelt and it looks like there s a bit of discharge , he s not been very well this week, behaving oddly, crying a lot, hardly eating, only drinking milk and sleeping lots, and now this. I m really quite concerned as he has come back from his dads today having still not eaten or drank much and still behaving weird. Usually he eats more at his dads! Something isn t right. Please help!" }, { "from": "gpt", "value": "Hi,From history it seems that there might be having some bacterial infection due to poor local hygiene giving rise this problem.Due to this infection he is not feeling better, fatigue and loss of appetite.Clean the part with antiseptic lotion and apply antibiotic cream locally.Give him one course of antibiotic medicne for 3-5 days to cure infection.Ok and take care." } ]

[ { "from": "system", "value": "What causes painful swollen epididymis?" }, { "from": "human", "value": "Hi, I ve had a swollen epididymis for a year now. The pain and swelling normally comes about after a prolonged period of arousal or after ejaculation. It doesn t hurt immediately after but only when I urinate 3/4 hours later (it also stings). After urination the pain proceeds. I haven t got an STI, ultrasound was fine and so was the blood tests. I m very bemused and fed up of this, especially after I ve just got a girlfriend. Please can you give me an insight on what s wrong if you can?" }, { "from": "gpt", "value": "HIThank for asking to HCMI really appreciate your concern if you do not have any associated symptoms like fever, tenderness, then this would not be infection then this could be due to the trauma or may be due to the uneven compression on testicles region, nothing to worry about this, the anti-inflammatory drugs gives very good result and the best option is Tab Ibuprofen 400 mg three times in day. take care and have nice day." } ]

[ { "from": "system", "value": "Can quitting of masturbation cause any side effects?" }, { "from": "human", "value": "I decided to quit masturbation...is dere any side effect in quiting it too....instantly forever ...n dat can b easily adjustable ?? SO i knw i can ....n i ill ...is dis a right decision wat abt quiting side effects yes or no??just a simple question ... YYYY@YYYY" }, { "from": "gpt", "value": "no there are no any side effects of quitting masturbation its only that u have to control your emotions and divert your mind to other things" } ]

[ { "from": "system", "value": "Could pimples and lack of concentration be a result of masturbation habit?" }, { "from": "human", "value": "sir i am a student of class 11th and i do handwork since i was in class 5.i am facing so many problems as my grades becomes down.i cant even concentrate on my studies.i am facing a huge problem, i cant control my mind to see porn,my face is also full of pimples.please help me sir.......plzzzzzzzzzzzz.....by the way my name is shivam mani.plzzzzzzzzzzzz sir." }, { "from": "gpt", "value": "These are not related but you are psychic. consult a psychologist for counseling. with this step you will be completly alright." } ]

[ { "from": "system", "value": "Can any online doctor help me with the sperm test results?" }, { "from": "human", "value": "SPERM VOLUME 5 ML, PH RATE 8 , LIQUIFIED WITH IN 30 MINUTE SPERM COUNT 5.5 MILLION SPERM MOTILITY NON METILE 40% SLUGGISH 30% FORWARD PROGRESSION 30 % VITALITY MORE THAN 70% MORPHOLOGY MORE THAN 70 % I AM UNMARRIED AND TEST FOR A FIRST TIM E" }, { "from": "gpt", "value": "HelloThanks for your query,based on the reports of semen analysis that you have posted it appears that you have Oligoasthanospermia meaning there by that your sperm count and percentage of active motile sperm is very low as per WHO standards.Please repeat semen analysis after one month with due precaution to collect semen after abstinence for minimum three days.Following measure will help you to increase sperm count and sperm motility to some extent.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 dryness on the foreskin with little red tears?" }, { "from": "human", "value": "Hi there. I recently (around 6 weeks ago) started seeing this girl, who is now my girlfriend. We have had lots of unprotected sex (she is on the pill), but in the last week I have noticed that the end of my foreskin keeps drying out, and consequently flaking. It is irritating if I pull it back, as the skin is so tight from being dry. If I do pull it back, the skin develops little read tears.I just want to know really if my new sexual partner has given me an STI? As I have never had this problem with any other girl I have had sexual relations with.Any help would be much appreciated :) Thanks" }, { "from": "gpt", "value": "Both of you can under go std test. If negative use vesline ointment over fore skin and use condom, which should be lubric ated." } ]

[ { "from": "system", "value": "Masturbating since 7 years, why is my penis size reducing?" }, { "from": "human", "value": "i have been masturbating since junior high and now am in the university....is been 7 years and 19years....sometimes i feel pains on my left side of my body as well as my left side of my head...please what should i do..please help me am really suffering and my dick is also reducing in size" }, { "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 last 14 years and worried about your sexual potency and general health First of all there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body.All the problems that you are facing now are mind related and due to anxiety.Following measure will help you to boost up your confidence and improve your general health and allay your anxiety.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": "Masturbating habit, hair loss, lower back pain, loss of concentration. Advise about treatment and hair gain?" }, { "from": "human", "value": "Hi I am just 18 years old and i was masturbating from the age of 15 and now it is become an habit and i masterbate evrydays 3 to 4 times and at time more than that .This is causing me problemslike hair loss and lower back pain and mainy i am losing concentration and always think about sex and masterbation please help me to over come this problem.Is there any medicine which can help me ???Also how can i get back my hair ?? Please advise as i am worried about it a lot" }, { "from": "gpt", "value": "DearWe understand your concernsI went through your details. I suggest you not to worry much. Masturbation is not a sin. Masturbation is natural and normal and even animals do masturbate. But it should be under control. At your age of 18, you can masturbate up to one time a day. Decrease it to thrice a week gradually. Of course masturbating is tiresome. That is the reason why you are feeling tired and the stress related to your masturbation habit makes you loose your hair and concentration. What is the need of medicine once you can overcome this just with the help of control? Just control your masturbation habit and for that you can approach a psychologist or sexologist. 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." } ]