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[ { "from": "system", "value": "Suggest acupressure techniques for hydrocele treatment" }, { "from": "human", "value": "hello sir I am 18 yr old male..and I am suffering from mild hydrocele from past a year..it all happened after I got a knock to my testicles during sme wrk..And it was diagonised that my right testicle has mild hydrocele..while my left testicle is normal..plz suggest me some accupressure techniques" }, { "from": "gpt", "value": "Hydrocele can be repaired surgically or drained. If drained, it is done with an accupuncture needle and a scarring substance can be injected as well to prevent recurrence. Please rate 5 Stars! I strive to provide you the best answer to your questions." } ]
[ { "from": "system", "value": "Constant pain in breast, armpit and above elbow, worsens with certain arm movements. No relief with ibuprofen" }, { "from": "human", "value": "Male - 58 y/o. Last 2 days, rather severe right breast dull pain, also felt in arm pit and between elbow and armpit in right arm. Today, a little more severe on top side of right breast. After morning ibuprofen yesterday, faded away around lunchtime, and returned in evening. Has not faded away today, despite more ibuprofen this morning, and seems to be more severe in the breast area. Does hurt more with certain right arm movements." }, { "from": "gpt", "value": "HIThank for asking to HCMI really appreciate your concern, this could be muscular pain spasm is likely, if I would be your doctor then I would treat you with the following medicines,1) Tab Acetaminophen three times in day 2) Tab Diclofenac 50 mg sustain release once in day3) Tab Chlorzoxazone three times in dayhope this information helps you have nice day." } ]
[ { "from": "system", "value": "Suggest treatment for lump on the testicle" }, { "from": "human", "value": "I found a small seed like lump on the testicle itself, I saw the doctor, and he said it was a cyst, and if I wanted to go to an ultrasound I could. He didn't seem to worked up about it, nor seemed like it was too urgent, so I didn't go to the ultrasound (As they have dissapointed me in the past.) It doesn't seem to have grown, my girlfriend actually thinks it might be shriking. Any idea what I should do? Also, theres another one literally right beside it, slightly smaller, but the same shape. Both noticed at the same time." }, { "from": "gpt", "value": "Hi, It can be due to hernia, abscess, and cysts. You can confirm with ultrasound, then only the treatment can be given. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist" } ]
[ { "from": "system", "value": "What could cause watery semen?" }, { "from": "human", "value": "hey. my semen is watery. i stopped ejaculating as i used to do every day. it is been a month and I ejaculate once a week now. whenever i do, it is watery and then getting little bit of thickness. my Q is that why it is watery first and then getting thick, not that much of thickness." }, { "from": "gpt", "value": "There is is no link to cnsistancy and masturbation. It is your psychological problem. maximum go for semen analysis." } ]
[ { "from": "system", "value": "Diagnosis of odorous but painless sores on penis?" }, { "from": "human", "value": "I have a sore on my penis. 3 small soars to be exact. The size of 1 mm . It looks like a doughnut. No itchin, sensitive to touch but it doesnt hurt. It does have an odor. This showed up sudenly in a day..wry first time. Urination not painful but mild burning sensatin. What Is your diagnosis" }, { "from": "gpt", "value": "Hello and welcome to health care magic. Your description of history is incomplete. You forgot to mention whether you had sexual intercourse recently, which is the most important factor that differentiate the possibility of Sexually Transmitted Diseases. The most common cause of painless sores if you had unprotected sex is Syphilis. There are a lot of other causes as well, which we could tell only after seeing the lesions. My advice is to go and visit a Skin and VD specialist and let the doctor have a look at the sores. Don't feel shy about it as your condition needs urgent medical attention. Hope this discussion will be helpful to you. Thank you." } ]
[ { "from": "system", "value": "What is the remedy for the irritation from the anus to the ball sack?" }, { "from": "human", "value": "I d like to send someone a picture of my irritation from my anus and up to my ball sack. I can hold off from scratching it usually but once I m asleep there is no controlling me. I wake up sore with shredded or peeled layer of skin. I made appointment with Dr but it s not for 2 weeks." }, { "from": "gpt", "value": "Hello and welcome to health care magic. Your description is typically of a fungal infection possibly tinea. The area where you have the irritation is one of the commonest areas were fungal infections are found. It's easy to control and kill them but it's pretty difficult to prevent recurrent infections in future. If you visit a Skin specialist he will prescribe Clotrimazole ointment which you can apply in the morning and at bed time. Wash the area with warm water and soap and dry the area before applying the ointment. This will get rid of the infection in 2 to 3 days. But the problem is the fungal spores which will be present in all your undergarments and towels or whatever clothes that comes into contact with it. Those spores can cause reinfections 2 to 3 weeks later. I usually suggest my patients to get rid of their old undergarments and buy new ones. If you still want to use old ones, then boil them in water for 15 minutes, put them in sun and later iron them especially in the folds. Same can be done with towels as well. Hope this discussion will be helpful to you. Thank you." } ]
[ { "from": "system", "value": "Developed itchy penis with red patches? Why is it spreading to nipples? Due to unsafe sex?" }, { "from": "human", "value": "Hello, I recently developed a very itchy penis which when I itch, leads to red patchs which sometimes become red and glossy. It is very irritable and causes pain when i have intercourse. I also have developed itchy thighs.. It started just at the top and has now developed over most of my thighs. The itching comes and goes and shows in small patches , not lumps but itchy red spots. i am worried that it is an std as i have had a lot of unprotected sex recently (lesson learnt) but the symptoms don t relate to any std so i m puzzled!? i also have what i thought was joggers nipple? very itchy nipple and also my face sometimes has dry patches on the eyelids and near the hair receding line? It has been going on for the last 3 months and as i m still in China and not a native speaker, i can t really find any treatment or diagnosis. please help?" }, { "from": "gpt", "value": "HIThank for asking to HCMI can understand this, these are two different conditions and that might not be due to unsafe intercourse, but this could be some allergic rash might have developed at the same time in two different areas, just wait till few more days the chances of getting alright on its own is likely, if this does not go away, then you can use \"Tab Levocetrizine 10 mg three times in day\" hope this information helps you, have a nice day." } ]
[ { "from": "system", "value": "Rash in hand, blisters, rash on penis, itching, huge bump next to it" }, { "from": "human", "value": "I have been getting this rash on my hand in the form of 3-dot patterns and the dots tend to blister . Now I have it on my penis (3 dots on the tip, in a triangle shape) and it itches really badly. There is also a huge bump/sore next to the head and it s red/black. Could it be poison ivy? I think that s what is on my hand." }, { "from": "gpt", "value": "HIThank for asking to HCMI can understand your concern, this could be scabies at least cab be said from the history given, if this is being diagnosed as scabies then in my opinion this need to be treated with the following medicines,1) Gama benzene lotion for local application apply this for consecutive three days 2) Tab Levocetrizine 10 mg three times in day3) Tab Azithromycin 500mg once in day for three days hope this information helps you, have a nice day." } ]
[ { "from": "system", "value": "Does semen retention have any health side effect? Ejaculate once in a month to be safe" }, { "from": "human", "value": "Dear Doctor, I am a 18 yr old male. For the past few months I have been trying out semen retention. I read about it online, though there seemed to be lot of conflicting opinions and arguments both for and against it. I hold back both when masturbating or when actually having sex with my girlfriend, though i still always use a condom. I ve found that this allows me to stay erect for 2+ hours, which makes it easier for her to orgasm multiple times, and we both enjoy it more. When I do this i feel aroused often and am able to edge or have sex every day, sometimes several times a day. My only concern is, will I have any health side effects from this? I ejaculate once a month just to be safe. Thanks." }, { "from": "gpt", "value": "DearWe understand your concernsI went through your details. I suggest you not to worry much. I sincerely think you are overdoing sex. Body produces semen for ejection. Semen is a waste product once it is produced. If you do not eject it during sex or masturbation, body knows how to get rid of it. Body gets rid of semen while in sleep or through urine. You cannot hold it in your body.But, let me warn you, you are practicing something which is against nature and nobody knows what shall be the consequences. So be on the safer side. Practice sex which is conventional and enjoy.Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some sexology psychotherapy techniques which should help you cure your condition.Hope this answers your query. Available for further clarifications.Good luck." } ]
[ { "from": "system", "value": "Difficulty in impregnating, have erectile dysfunction, premature ejaculation. On fish oils and b-complex. What is the cause?" }, { "from": "human", "value": "i am a jamican lives in jamaica and my problem is i cant get my woman pregnant i am trying for the past 6 months now what i take is fish oils- centrum-and b-complex and now the next problem that i have is i am not staying on for over 3 minutes for the past 4 weeks now and in the morning my dick feel like its still sleeping" }, { "from": "gpt", "value": "DearWe understand your concernsI went through your details. I suggest you not to worry much. May be you are suffering with erectile dysfunction. But you can take joy. Most of the erectile dysfunction is due to psychological problems. Leave the problem of conception to the god and he will take care of it. You enjoy sex.Further, you shall analyze the sperm for health of sperm cells. You should get an answer for your query from that. Consult a reproductive specialist soon.Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some sexology psychotherapy techniques which should help you cure your condition.Hope this answers your query. Available for further clarifications.Good luck." } ]
[ { "from": "system", "value": "What are the causes of dark brown discharge during ejaculation?" }, { "from": "human", "value": "I had a dark brown discharge during ejaculation. I have light color in the past but this was dark brown blood in color. I am 46yrs old. I do have hypertention. No pain involved. Everything I have read so far indicates possible problems with prostate or prostitis? Should I see I urologist soon or wait to see if blood still involved?" }, { "from": "gpt", "value": "Hello and welcome to health care magic forums. The dark coloured secretion in your semen is altered blood. The usual cause for blood in semen for a gentle man of your age is infection of prostate, as you have already mentioned. My advice is to visit a Urologist at the earliest and he will run some blood tests including Prostatic specific antigen. If it's high, you will be started on antibiotics. He may also perform TRUS which is a Trans rectal ultrasound to measure the size of prostate. If it's enlarged he will give some drugs like Tamsulosin which helps in bringing it back to normal. Thank you." } ]
[ { "from": "system", "value": "Painful brownish, black patches around penis, balls, feeling of blood rush, burning sensation while urination. Treatment?" }, { "from": "human", "value": "I am 15 years old and a virgin . I have patches/ mole looking things around my penis and balls, some are light brownish, dark brown, or black. I often feel have blood rushes in my penis and sometimes my urine burns (I think because of the strain from masturbation ). Most of it is weird pains. Especially in the tip of my penis, where I also have a very small light brown patch. Should I get it checked or is it no big deal? Once again I have never had sex." }, { "from": "gpt", "value": "Hello and welcome to health care. From your description I think you are having Genital warts. They are viral infections which can spread to adjacent areas. So my advice is to visit a Skin specialist and let him have a look at the lesions. It's important as some of them can turn dangerous if untreated. The burning pain is not related to this. If you still have the pain, request the doctor to do a urine test as well. Thank you for consulting with us." } ]
[ { "from": "system", "value": "What causes absence of semen in a kidney patient?" }, { "from": "human", "value": "hi Doctors....! i am a kidney patient ,yesterday i feel sewer pain in my kidney and urinary track , i've visited doctor and she just give me pain killer injection,when i masturbate last night , there are no spermstoday i repeated twice... Same problem... please tell me what should i do ?" }, { "from": "gpt", "value": "HIThank for asking to HCMI can understand this you have not mentioned your age here this was extremely required here to give you right advise, the kidney problem and the sperm are nothing to take with each other, hope this information helps you have nice day." } ]
[ { "from": "system", "value": "What causes lack of hardness during erection?" }, { "from": "human", "value": "i have had this problem since i can remember it seems that when i get erect my penis is still soft wich means ive never been able to lie on my back and have a girl on top because it just wont stand up this is really getting me down and im hoping that there is some kind of cure." }, { "from": "gpt", "value": "Hi, It can be due to diabetes, hypertension, stress induces, long term diseases decreased blood supply and hormonal imbalance. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist" } ]
[ { "from": "system", "value": "Why there is a bad odour during masturbation?" }, { "from": "human", "value": "i am male 26yrs..and i have a problem with my pennies as when ever i do musturbation i get a strong bad smell..i dont know why this was coming iam afraid is ther any serious problem that iam facing....i request you kindly send me solution why smells a lot" }, { "from": "gpt", "value": "Hello,Thank You for consulting HealthcareMagic!It may be due to infection, sometimes because some variety of food itemsSo, it is better to get a urninalysis and semen analysis to find out the correct cause so that it can be appropriately managed. Meantime , drink good amount of water and take fruits.Stay healthy and thank you for consulting! You can contact me again anytime, if you need clarifications or further assistance in future." } ]
[ { "from": "system", "value": "Varicocele in both testicles, testicle twists after sitting for a long time" }, { "from": "human", "value": "I m a 21 Male about 140 lbs. I have varicocele in both testicles, After i sit in a chair in one position for a little while, My left testicle will turn sideways when I stand up. I then have to twist it back into place. why does this happen and how can I prevent it? I went in to see my GP and he examined my testicles, He suggested I go for an ultrasound just to be on the safe side. So I did, that s how they found the varicocele in both testes. The testicle only twists sideways when I sit for a long time. Does it have to do with my Varicocele?" }, { "from": "gpt", "value": "Good Day and thank you for being with healthcare magic!Varicocoele is dilation of the veins that drains the testes and doesnt have to do with the twisting of your testis. Varicocoele may or may not cause scrotal pain and discomfort. You may have a congenital condition called bell-clapper deformity where in your testis is not firmly attached to the scrotum. This may cause severe twisting of your testis leading to testicular torsion which is an emergency. I would suggest seeing a Urologist and the testis can be fixed to the scrotum to avoid torsion thereby avoiding emergency removal of the testis that usually happens after testicular torsion.Thank You.Regards,Manuel See IV, MDUrologist" } ]
[ { "from": "system", "value": "What do the findings in sperm analysis suggest?" }, { "from": "human", "value": "count 42x10 6, volume 2.6ml, motility active 60%, appearance grayish ph: 7.0, sluggish 15%, non motile 25%, viability 70%viable, pus cells 7/hpf, epithelial cells 2/hpf, red blood cells: complete liquefaction within one hour. morphology, sperm cells have oval to round head, enlarged middle piece and extremely long tail. comment : normospermia" }, { "from": "gpt", "value": "HIThank for asking to HCMThe report of semen given here is within normal limits and this has some capability for conception (Although with the little chances ) hope this information helps." } ]
[ { "from": "system", "value": "Gynecomastia, one breast larger than the other, painful at the center with dense breast tissue. How can I get rid of this?" }, { "from": "human", "value": "I am a 35 y.o. male with painful gynecomastia like symptoms. I have been seen by my PCP and had testosterone/estrogen/thyroid levels taken and all have been within the normal ranges and breast cancer has been ruled out. This started about 7 years ago with my left breast being markedly larger than my right with a painful to touch center and within the last year my right breast has caught up with my left and also is painful to touch in the center. My wife states that I would be a B cup as far as size goes. My PCP stated that the only abnormal thing she could find was that my breast tissue was dense. I am overweight but other than that I am healthy. I weigh 187 lbs and I stand 5 11 ; am a nonsmoker and the only meds I take are OTC Claritin for allergies and Paxil for anxiety. Please help me to find out why this is happening and/or what I can do to get rid of this burden. (FYI-I was not overweight when this started 7 years ago)." }, { "from": "gpt", "value": "hi, although your above mentioned hormone level are normal but you should go for Prolactin level estimation as it is a major cause of gynaecimastia, for how long duration you are taking paxil as it can also cause gynaecomastia if taken for very long duration so you should get its dose adjusted or even you can replace it , for this it is better to consult a psychiatrist.also try to loose weight as obesity leads to increased formation of estrogen. after all if not releived by above process then you can consult aspecialist for its surgical management. wish you all the best." } ]
[ { "from": "system", "value": "Unsuccessful conception, husband has saggy balls, is disinterested in sex, premature ejaculation. Cause and color of healthy sperm ?" }, { "from": "human", "value": "Why does husband have saggy balls that hang low and can t seem to last long when having sex? Seems like he gets off within 5 minutes and he claims he can t or don t know how to last longer, even though I ve told him some techniques to try but still says he can t and/or don t know how. His balls aren t full and firm either like my ex s were. Also have been trying to conceive for a long time and have not had any success, what is going on??? How to know if he is even ejaculating sperm and not just semen/fluid, what is the difference. Healthy sperm should be white or more yellowish??? Really need some help please......" }, { "from": "gpt", "value": "HelloThanks for query.The scrotal sac differs from person to person and has no relation to conception.The problem of premature ejaculation and less libido are most of the time mind related and due to what is called as performance anxiety.Following measure will help you to boost up his confidence and getting good erection.and delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..He may take Sidenafil (Viagra)as on demand to have sustainable erection to have enjoyable sex.As regards conception get his semen analysis done to rule out any abnormality.Dr.Patil." } ]
[ { "from": "system", "value": "Having less ejaculation. Sperm seen in urine. Is it possible to have retrograde ejaculation but still have to ejaculate?" }, { "from": "human", "value": "hello i notice i dont have much ejaculate. maybe about 0.5-1 ml. i also notice sperm in my urine as im able to check under a microscope. about 20-40 per high power field. is it possible to have retrograde ejaculation but still have some ejaculate? im 30, never had any surgery or injury in that area. and healthy and not overweight . my libido is fine as well thanks" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have retrograde ejaculation and ejaculation of little volume of semen simultaneously which you have confirmed yourself by presence of sperms in urine on microscopic examination of urine immediately after ejaculation .It is possible to have both retrograde and normal ejaculation simultaneously particularly during masturbation when one attempts to hold the penis tightly .Dr.Patil." } ]
[ { "from": "system", "value": "More semen discharge at night, weakness. Medical treatment?" }, { "from": "human", "value": "sir i 19years old the problem with me is that iam getting more sperm emission during night time and even during daytime their is same problem but the emission is little bit less due to which i am getting physically weak day by day.Being a medical student i feel triedness and also i did\\ nt feel so improvement in my height.sir please give me a best medical treatment regarding to sexual problem and height ." }, { "from": "gpt", "value": "Hello Thanks for your query,You have problem of night emission and think it to be a cause of your poor general health.Please note that night emission is common at the age of adolescence and there is nothing to be worried about it .It gets curd itself without any treatment within few months .As regards your general health Following measure will help you to boost up your confidence and improve your health 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..Dr.Patil." } ]
[ { "from": "system", "value": "Had unsafe oral sex. Taking doxycycline, nevirapine and zidovudine. Red and swollen penis, penis skin peeling. What to do?" }, { "from": "human", "value": "I had unsafe oral sex with a lady of the night Something I never do and never will I went to see a doctor and told him He suggested I take the following med to be safe doxycylclin 100mg 2 x 14 days Cirprofloxcine 500mg 2 x 10 days and Lamivudine, Nevirapine and Zidovudine table 2 x 30 days At the moment my penis is red and swelling , with tenderness. My skin has started to peal on my penis What do I do" }, { "from": "gpt", "value": "HelloThanks for your query,You have developed infection of the subcutaneous tissue of the penis due to unprotected oral sex Oral cavity is full of multiple bacterial flora hence prone to get infection of genitals transmitted through unhygienic or 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": "Can Amoxicillin cause red spots on penis?" }, { "from": "human", "value": "i am taking a course of Amoxycillin due to having dry socket after teeth extraction. I have noticed little red dots on the glans of my penis. I am recently single and I did have an encounter a couple of nights ago. Otherwise, the antibiotics has been causing diarrhea." }, { "from": "gpt", "value": "HelloThanks for your query.You have been taking Amoxycillin for dental problem and have noticed red bumps on glans penis .These bumps are likely to be due to sexual encounter that you had very recently and not due side effects of Amoxycillin .The diarrohea is known side effect of Amoxycilin.and will get cured after you stop the drug.Use 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." } ]
[ { "from": "system", "value": "On pill. Dotty particles on penis in white. What can they be?" }, { "from": "human", "value": "Hey, basically im not sure what it is. Heres my background detail, sex with one patner (no one else and it is for the both of us) and im on the pill we dont use a condom no symptoms bleeding andstuff. After we have sex there small dotty things that is on his dick tht wernt there before looks like chipped dried paint and sometimes sticks to the head of his uncut head of penis and sometimes looks like grainy beads. I dont know what it is and i do try to clean my self as much as i can because he thinks i dont clean my self however i dont use any soap or shower gel. I believe that something may be comming out of my womb or my inner wall is somehow peeling off? So confused. Description: kinda looks like small sand beads and sometimes the soft chipped paint. Its also just white. When he tries to wash it off the thicker bits are just stuck. Question is what is it? and how its caused and how can i get rid of it?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that your boyfriend is getting bumps over glans penis after having unprotected sex .This is most likely to be due to allergic reaction to your vaginal secretions which are acidic in nature.Please both of you take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac and Metronidazole 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": "Suggest chances of fertility with abnormal sperm morphology as 91 and 93" }, { "from": "human", "value": "Hi Doctor, I've just got my semen report done twice within 10 days apart. The first test my semen was in me for 8 days when collected and the second semen was in me for 4 days. Both of the test result shown the Abnormal sperm morphology at 91 and 93. The rest of the others are normal. My question is am I able to fetily or get my wife pregnan with the result as above? her ovulation is normal as been tested. Thanks" }, { "from": "gpt", "value": "Hi, You can conceive your wife with the sperm morphology above 45%. you cannot be fertile with this sperm morphology. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist" } ]
[ { "from": "system", "value": "Having pain in penis tip. Hurts to touch. What could be the cause?" }, { "from": "human", "value": "I have a sharp pain at the tip of my penis , right next to the urethra . There s no swelling , redness, or anything, but it hurts whenever it slightly touches my pants. Not when I press on it and the pain only started this morning and i thought it would go away but it hasn t and is still bothering me. What do you think it is? i have a doctors appointment on friday but i am wanting some answers now what do you think?" }, { "from": "gpt", "value": "HelloThanks for query.The pain at the tip of penis is most likely to be due to inflammation of External Urinary Meatus.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": "Slightly bent penis, do not have swelling or pain. Cause of curvature?" }, { "from": "human", "value": "I m 19 years old , recently I observed that I have slight bent penis towards right from the very base. So I go over the internet in order to find some answers and came across Peyronie s Disease and of course without any doubt saw some shocking images. But by studying a bit more I came to realize that I don t suffer any symptoms like swelling or pain other than a turn which is definitely not that kind of a bent like the one in disease. So should I be concerned or it s just natural shape or due to the way I sleep or put my penis during clothing ?" }, { "from": "gpt", "value": "HelloThanks for your query.You have bending of your penis towards Rt side.This could be due to scarring in the Tunica Albugenia an envelop that covers erectile tissue .Normally it gets cured itself without any treatment and does require treatment if the curvature is more than 30 degree and hinders penetration of vagina during intercourse.Please monitor it carefully and consult qualified Urologist for clinical examination and further treatment if required.Dr.Patil." } ]
[ { "from": "system", "value": "What to do for the nightfall?" }, { "from": "human", "value": "sir..i m a student..and i used to masturbate often few months back and when i do not masturbate it leads to nightfall..now though i have given up masturbating frequently and practise it only once or twice a month..even though my eyes are getting weeker and dark circles around my eyes ..i also feel tired and very low self worth .i m 25 but i look like very weak due to my eyes and skin.i take good diet juices and milk etc then also i m unable to regain my health..plz suggest what should i do" }, { "from": "gpt", "value": "HelloThanks for query.You had been indulged in masturbation since many and now facing problems related to your health and night emission which you attribute them to be due to masturbation 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 health.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking.Dr.Patil." } ]
[ { "from": "system", "value": "Whit skin around shaft area. Is it due to long hour masturbation? Can I involve in sex?" }, { "from": "human", "value": "Hi I am a 15 year old male almost 16 and i ve been masturbating since I was about 13 or 14 and on the upper shaft I think I don t know what it s called it s the skin that is around and cover the head sometimes, but anyways on the upper part of that skin, it is ghost white and is not the color of the rest of the penis the color is about maybe a 1/4 of an inch and its been like that for a while and also recently I was masturbating a lot and on the white skin some parts started to get red and raw and occasionally bleed but i havent masturbated for a week and it seems like it s healing because it looks a lot better than it did but sometimes when I am erect I can not pull my skin down to let the head be fully exposed and it hurts when I try to make it exposed like there a tight feeling or something and i m scared and I don t know what to do, i m too scared to try to have a sexual relationship because my penis doesn t look normal and I don t know what to do and I need help please." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have developed infection of the foreskin due to rough ,vigorous handling of the penis due to masturbation that you been indulged in since 3 years.and now this has complicated into inability to retract foreskin (Phimosis),Please consult qualified General Surgeon for clinical examination .You may need to get circumcised ,This is simple surgery done under local anaesthesia as a out patient procedure and offers permanent cure.Dr.Patil." } ]
[ { "from": "system", "value": "Having pain in lower stomach to penis, penis tip stings. Looking for cure" }, { "from": "human", "value": "Hello . I have been experiencing pains I m my lower stomach . This is normally intensified when I need to urinate. I have no stinging or pain when I do visit the toilet but I have noticed that the tip of my penis stings at times . I have had this for just a little over a week. The pain at times does extend from my lower stomach to the shaft of my penis" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have pain in tip of your penis due to inflammation of terminal part of urethra(Urethritis).Please get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to.Please take broad spectrum antibiotics like Cefexine along with urinary antiseptic like Nitrofurantoin twice daily and urine alkaliser thrice daily.Later on switch on to appropriate antibiotics as per culture report.Get the prescription of medicines from your family Physician.Ensure to drink more water.To keep your urine dilute This will help to control dysuria.Dr.Patil." } ]
[ { "from": "system", "value": "What are the treatments for white colored foreskin and notrocural emissions at night?" }, { "from": "human", "value": "Respected Sir i am 28 years old guy, unmarried, my problem is that i have noticed that foreskin of my penis has turned almost white and i am suffering from notrocural emmissions at nighat after every 3 days since last 10 years kindly suggest me way out" }, { "from": "gpt", "value": "HelloThanks for query.The colour of your foreskin has changed to white .This is termed as Ballanitis Xerotica Obliterance (B.X.O)This is chronic, progressive, sclerosing inflammatory dermatosis of unclear etiology. and may lead to Phimosis (Tightning of Foreskin).Please consult qualified Urologist or General surgeon for clinical examination and to confirm the diagnosis.You need to get circumcised under local anaesthesia.Dr.Patil." } ]
[ { "from": "system", "value": "Red spots on pubic area, had unprotected sex. Herpes or genital warts?" }, { "from": "human", "value": "I have a spot above my penis in my pubic area. Its only 1 spot and 15 months ago i had unprotected sex and i think its herpes or genital warts . But i dont know how long it takes as its been over a year and i just got 1 spot now? It might just be a spot its small and its red around the outside and has a small white pimple bit in the middle." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have what is termed as Sebaceous Cyst over pubic area.The skin around the genitals and scrotum 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": "Constant inflammation in urinary tract, pain in penis when erect. Taken medication with no help. Any advice ?" }, { "from": "human", "value": "From 26/12/2011 sharp pain started while urination . There was constant inflammation in the urinary trac. After consultation with doctor, I took L-Cin-500-10tab, Pyridium-20 tab, Alkamax syrup . I had ultrasound and urine culture & routine checkup. Nothing abnormal was observed. The pain while urination subsided. However, during erection of the penis, acute pain occurrs at its front portion. Then I consulted another Senior Surgeon who inspected my penis and observed that a small node was there at one place. Location of this node is at the where covering skin separates from the upper portion of the penis i.e. where from circumcision is done. Doctor advised me not to worry and prescribe Urotel-Xl4. Situation didn t improve. My penis bent towards right in the front portion and starts paining near the top portion during erection. Then I consulted another Surgeon Doctor who was MS with DNB(Urology). He also saw my urine test and Ultrasound result. He also remarked that nothing abnormal was there in those results. However, he remarked that disease of causing of curving of my penis and paining hasn’t been identified till now. However, he advised me these medicines: Lyrica-75, Alfoo and Immunace Forte. I am taking these medicines since two and half months but problem has quite subsided in respect of pain but bending of penis during erection still persists. What should I do?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have calcified plaque (Peyronies Disease) in penis just proximal to coronal sulcus and the causing bending of the penis on erection .Normally this gets cured over a period of 2 years itself without any treatment.It needs to be operated if the bending of the penis is more than 30 degree and hinders the penetration of vagina during sexual intercourse .Please discuss this with your Urologist.Dr.Patil." } ]
[ { "from": "system", "value": "What should I do to keep my PSA levels down?" }, { "from": "human", "value": "I have prostate cancer and my doctor has been giving me Zoladex injections every three months to maintain my psa levels at a low level. My blood work today showed my psa level a bit over 2. In your opinion do I need another injection or can I let my body rest for another three months" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have cancer of the prostate and is under chemotherapy(Zoladex) every three months.Your recent PSA levels are 2 ng which is within normal levels and you do not need any another injection immediately.Please continue Doladex as scheduled after three months.Dr.Patil." } ]
[ { "from": "system", "value": "Low sperm count, high blood pressure" }, { "from": "human", "value": "hello doctor, I need your advice regarding low sperm . Recently I realized my sperm comes little compare to few months back. Beside that, my blood pressure was high, however after I admitted in the ward and have good rest the pressure drop down to normal. But, why I m still having low sperm comes? pls advice me doctor, very much appreciate." }, { "from": "gpt", "value": "HelloThanks for your query.You have noticed reduction in semen volume since recently after an episode of fever.The decrease in volume of the semen is mainly due to less intake of water and may be due to frequent ejaculation either by masturbation or sexual intercourse.over a short period of time.Following measure will help you to increase semen volume 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) Drink more water 3-4 litres per day.Dr.Patil.." } ]
[ { "from": "system", "value": "What causes white bumps on scrotum?" }, { "from": "human", "value": "I have two white bumps on my scrotum that look like white head pimples but they are not as they have not gone away in a while. It does not hurt, itch or anything. My doctor said it wasn t a problem but I m concerned. Are they cysts? How can I get them removed? I must get them removed as its affecting my personal life." }, { "from": "gpt", "value": "Hi, It can be due to bacterial infection, take local antibiotics to get relief. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist" } ]
[ { "from": "system", "value": "Pus cells in urine, bacteria, syphilis test negative, itchy penis and scrotum. UTI or Chlamydia?" }, { "from": "human", "value": "My urine microscopy result are, Epithelial ++, presence of pus cells, and the doctor spotted bacteria others: nil. culture yielded no growth after 48hrs of incubation at 37 degrees. The doctor went a head and tested syphilis and the results was negative. My penile itch and scrotum . Could this be UTI or Chlamydia? I don t discharge anything in my penile. Please explain this result to me" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have UTI due to E-coli infection.Please take broad spectrum antibiotics like Cefexine along with urinary antiseptic like Nitrofurantoin twice daily and urine alkaliser thrice daily.Ensure to drink more water.To keep your urine dilute This will help to control dysuria.As itching of the penis is presenting symptom in Diabetes get your blood sugar levels on fasting stomach and 2 hours after lunch done to rule out the same ,Dr.Patil." } ]
[ { "from": "system", "value": "Gradually reducing sperm count. Any ways to increase it ?" }, { "from": "human", "value": "hello sir ..m AAAAA ..and m married 2 yrs past....i ve a broblem that low sperm count ...it was 14million..before met the doctor..and taken spemen tab...for 3 month....then the count was 56 million...but now its slowly reduce its self....4month before 38mil after 30mil.....but now only 5million....m still taking medical as for doctor addvice.....can u plz tell me any sollution....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 Azoospermia.and your sperm count is fluctuating over a period of last four months.Truly speaking there are no medicines that can increase sperm count however Following 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..Repeat semen analysis after three months under ideal circumstances (After abstinence for 3 days ).Dr.Patil." } ]
[ { "from": "system", "value": "Problem in intercourse, premature ejaculation. How to solve?" }, { "from": "human", "value": "hi.....we both tried sex for the first time ...i mean intercourse ....the problem we face was that it was really hard to insert my penis into her as we coudnt get the position well!! then at at last we did it but the erection of my penis does not went for long though she was very keen to have sex .....it got premature ejaculation !!!! now what to do...??? is it a serious problem ??? i feeel embraced plzz help" }, { "from": "gpt", "value": "HelloThanks for your query.You had difficulty in penetration of vagina while attempting intercourse for the first time and got ejaculated quickly.This is not abnormal at all .It does happen with everybody during early sexual life due to excitement and anxiety.Do not worry this will get cured of its own over a short period of time as you will try to have sex frequently.Dr.Patil." } ]
[ { "from": "system", "value": "Does releasing sperm/ejaculation cause weakness?" }, { "from": "human", "value": "sir , My age is 20 year old and i am to week my weight is only 56 kg but my height is good. Sir some people tell me your weakness is due to releasing sperm. i ask with you that is this right. sir i release my sperm from 14 years. and i release it in one time in a week or another i release it more than 2 time a day. so sir tell me about this facts. I am highly thankful to you for this" }, { "from": "gpt", "value": "Hi, i had gone through your query and understood your concerns.Sir, the release of sperms is just like any other normal phenomenon.And, its quite common among young boys. The process only burns some calories like any other exercises do. Other than that there nothing else like causing weakness. When you do it more times in less time, that lead to slight restlessness. Otherwise else, now and then is not at all a problem.Hope this guides you. Thank you" } ]
[ { "from": "system", "value": "Does penis size matter in sex?" }, { "from": "human", "value": "hi sir, I would like to know what is the minimum size of penis for adult to have an effective,long lasting and satisfied sex. I would also like to know how to last long during sex.The reason i am asking is because my penis is almost equal to or a little bit bigger than a 15cm ruler, just want to make sure i am not having a small penis." }, { "from": "gpt", "value": "size of penis is not very important. what is happening with you is psychological You should have counseling for it. There are many other factor for satisactory sex life counselling will help you" } ]
[ { "from": "system", "value": "Treatment of edema in scrotum" }, { "from": "human", "value": "I have edema which is draining fluid into my scrotum . The scrotum is already the size of a large grapefruit. I ve been told by my urologist that my condition is permanent and there s really nothing anyone can do. Do you know if they make a special wheel chair that would allow you to sit and not push up against the scrotum? Something similar to a commercial toilet seat?" }, { "from": "gpt", "value": "HIThank for asking to HCMI appreciate your concern you have not stated here the diagnosis that your urologist made it, this could be hydrocele at least can be said from the history given here but this can be cured with the surgical treatment, if you would give the diagnosis here then this could be helpful for giving you right advise, hope this information helps you have nice day" } ]
[ { "from": "system", "value": "Chlamydia, zithromax and ciprofloxacin, bumps on penis, itchy and peeling skin" }, { "from": "human", "value": "Hi I had been infected by chlamydia and was treated for it with zithromax and ciprfloxacin over a year ago. I have had clear fluid coming out from the tip of my penis especially after urinating, I also have tiny white bumps at the base of my shaft usually one at a time only which was accompanied by an itch scrotum that seemed to be peeling. The itching happened only once but the white bumps are recurring. Most recently, i noticed that the opening of my penis seemed darker and i see small red dots (not bumps) on the penis itself. I was sexually active with multiple partners in 2011. I don t know if the descriptions I gave are all connected or if I m just making connections of different conditions. I just wanna know what this could possible be..." }, { "from": "gpt", "value": "HIThank for asking to HCM I appreciate your concern what the history given here by you is suggestive of normal phenomenon and no need to worry about this, every thing that you have stated here may not be happening to other but this is just nothing to worry for you, this would get al right on its own with the time and no need to take any medicine for this, hope this information helps you have nice day." } ]
[ { "from": "system", "value": "What is the lump on the shaft of my penis that made it look blotchy?" }, { "from": "human", "value": "Hello, so basically about two weeks ago I noticed a lump/spot thing on the shaft of my penis, it was a lump with a white spot with black on the end, this lasted about a day and a half, then the day after I noticed a red ring around the tip of my penis after masterbating, that went after a few hours, and ever since then my penis looks abit blotchy and dry after masterbation, I also had 2 nails fall of after going jogging which has never happened to me before, Any ideas what this might be? Im 15" }, { "from": "gpt", "value": "Dear sir/madam,fall of nails without your notice and without pain is the tendency of leprosy (auto amputation) the loss of pain due to the lump on the shaft of penis is due to thancroid of syphillies which is also painless" } ]
[ { "from": "system", "value": "Pain in perineum area, while liquid discharge, odour, no inflammation, not discolored" }, { "from": "human", "value": "I am a 21 year old male. I recently began to feel some (very superficial) pain in my perineum area (specifically my perineal raphe). When I examined the area, a white liquid was coming out of a very small laceration on one of the raphe s ridges. The liquid has a bad odor . The area does not appear inflamed or off color." }, { "from": "gpt", "value": "HIThank for asking to HCMI appreciate your concern, the possibility of fistula is likely if I would be your doctor then I would treat such case with the following medicine, eradicating the infection part and inflammation would be the prime concern,1) Tab ibuprofen 400mg three times in day2) Tab Amoxicillin with Clavulanic acid 625 mg twice in dayafter the complete autolysed the pus further investigation has to be done, hope this information helps you have nice day." } ]
[ { "from": "system", "value": "Would viagra help my penis look bigger?" }, { "from": "human", "value": "i am 55 years of age, my wife and i are in great shapew. we enjoy going to nude beaches it sparks up our love life. my penis when in pool or i get nervous appears small, when its hard its averge but big enough. would virgria keep it looking bigger at the beach?" }, { "from": "gpt", "value": "Hello,The penis enlargement using Viagra (sildenafil citrate) is a misconception.The penis enlarges when it fills with blood.Viagra causes these blood vessels to dilate for a prolonged time so that you will get a continuous erection,even if you are nervous or when your penis is in contact with the cold water in pool;but it certainly wont increase the penis size. One thing I want to add is that Viagra has similar action in Heart as well and so it can precipitate a heart attack in a person prone to heart diseases especially during sexual intercourse.So if you are planning to use Viagra, do have a visit to your family Physician and have a health checkup to make sure that you have a healthy heart.Wishing you Good Health" } ]
[ { "from": "system", "value": "What is the treatment for small white spots in the penis head?" }, { "from": "human", "value": "hello. my name is barry. i have recently moved to australia and within a week i found a small white spot on my bell end. i started gettin worried but then it disappeared again, i have lots of similar spots on my legs n i work outside. i dont feel ill and its not itchy. what do u think it is" }, { "from": "gpt", "value": "Hi, It can it be due to bacterial infection, take antibiotics to relieve. If it is caused due to unprotected sex, then it can be syphilis or herpes. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist" } ]
[ { "from": "system", "value": "Large extent tear in the urinary meatus, torn frenulum, cracked penis, erectile dysfunction, peyronie's disease. Treatment advise?" }, { "from": "human", "value": "Hello Dr.Chandan .My name is Rakesh having 24 years old.unmarried,uncircumcised, phimosis problem.The main concern is that my urinary meatus(peehole) was torn to a large extent to 2 cm approximately during humping on pillows,bed sheets,sometimes wrapping towels around penis .My frenulum was also tom.Now my penis is cracked,erectile dysfuntion,deformities,shrinking penis,,peyroine disease ,Please help me inorder to resolve my issues." }, { "from": "gpt", "value": "First under go surgery for phymosis. Rest of the thing will be alright slowly. The surgeon operating will take care of cracks and tear." } ]
[ { "from": "system", "value": "Suggest medicines for pain below the umblicus and flank" }, { "from": "human", "value": "Sir i have pain below the umblicus and flank Creatinine 1.1 Urea 30 Urine exami Rbc 25-30 / hpf Pus 2-3 / hpf Albumin trace and balance all are normal. Father having fever for two days. Difficulty in urinating Is this is serious.we consulted a doctor he just writed for antibiotics only" }, { "from": "gpt", "value": "Hello, Level of urea and creatinine are within normal limit but all other test results are abnormal. As a male, presence of pus cells- 2-3/ hpf is significant and both this and RBCs- 25-30/ hpf indicate towards severe form of urinary tract infection and as associated with pain in anterior abdominal area showing involvement of bladder/ urethra. Presence of albumin in urine in this age group indicating more towards Diabetes mellitus and/ or associated high blood pressure. A diabetic patient are at risk of developing infection more. So, go for culture &sensitivity of urine, 24 hour urinary protein, Blood glucose estimation and total blood count. so, consult your physician with these test result and continue the antibiotic and for fever give him tab. paracetamol 500mg 6 hourly.Thank you for consulting HCM." } ]
[ { "from": "system", "value": "Is it normal to have increased urination after a TURP button procedure?" }, { "from": "human", "value": "Hi,I had the TURP button procedure 5 weeks ago. Every hour or hour and a half max. during the day I get a sudden urgent urge to urinate. When this occurs I have about maybe 10 seconds max. to void or be very embarrassed!. My stream is strong and fast but the volume is no greater than pre-op. Is this normal ? If so when can I expect this urgency to void to normalize and begin gaining some volume? or am I having an issue ? Thank you ." }, { "from": "gpt", "value": "Yes. The bladder has been used to pushing very hard due to the large prostate. Now that the prostate is less enlarged from the button, the bladder has to retrain itself to function. The urgency should subside in 4-6 weeks. Please rate 5 stars! I strive to provide you with the best answer possible!" } ]
[ { "from": "system", "value": "Is it safe to take Flomax for urinary infection?" }, { "from": "human", "value": "I was recently prescribed Flomax to counteract a side effect of Effexor, which I started taking two months ago. I was having trouble urinating before the Flomax. Now, the urination is no problem, but I m feeling nauseated. I was wondering if it could be the Flomax that causes this." }, { "from": "gpt", "value": "Flomax doesn't usually cause a urinary infection or nausea. Its side effects are dizziness or dry ejaculation. Please rate 5 stars! I strive to provide the best answer for your question." } ]
[ { "from": "system", "value": "Loose scrotum, seems empty, stretchy skin. Is it due to masturbating? Should i be worried?" }, { "from": "human", "value": "Hello; I was just a little concerned considering the fact that my scrotum has become extremely loose in a sense . It almost seems empty, other than the testicles, they are lower, and the skin is unbelievably stretchy. I have been masturbating since 6yearsis this the cause for it . I have no idea, and I don t even know if I should be worried. It just seems very very weird, almost to the point that I can t look or touch them." }, { "from": "gpt", "value": "Stretchiness of scrotal skin can happen over time. A dermatologist can look at the skin and rule out an infection. Please rate 5 Stars! I strive to provide the best answer to your question." } ]
[ { "from": "system", "value": "Treatment for phimosis?" }, { "from": "human", "value": "Hello, I am and 85 year old male with what I have self diagnosed via Web MD as Phimosis.. Closure is still taking place and I probably need to have help with this concern. I reside in the city of Sterling Heights and most Doctors listed are Pediatrician;s. I feel that I am beyond that stage." }, { "from": "gpt", "value": "Betamethasone cream 1%. Apply three times a day. Will take about 6 weeks to work. Another alternative is a cirucumcision operation. Please rate 5 Stars! I strive to provide the best answer to your question." } ]
[ { "from": "system", "value": "What could be the reason for delayed ejaculation while on prostate supplement?" }, { "from": "human", "value": "It seems that lately it takes me a very long time to ejaculate. I have been taking a prostate supplement because I sometimes feel like I do not urinate completely or right after i want to go again with very little coming out. This has gotten better with the supplement. Is my prostate to blame for delayed ejaculation? I had a vasectomy about 13 years ago." }, { "from": "gpt", "value": "Prostate supplements cause a relaxation of the prostate which will make ejaculation delayed or dry. This is inevitable because of the medicines. Please rate 5 Stars! I strive to provide the best answer to your question." } ]
[ { "from": "system", "value": "When will i be cured of pain in scrotum due to paraphimosis?" }, { "from": "human", "value": "I have just discovered that i had paraphimosis, i twas scared it was a sexualy transmitted diseasse since i had two ulcers around my peins the doc gave me 1 injection 2 are to follow. now i feel so cared to wash when will the normal feeling come i mean no pain around the scotrum and so." }, { "from": "gpt", "value": "For ulcer inpenis ihope std test must have been done. HEmust have prescribed inj peicilin. who have diagnosed para phymosis which also can be operated. pain in scrotum can be due to ulcer penis. takecombiflam tablet two times daily after food. Now pain will reduce and ulcer will heal." } ]
[ { "from": "system", "value": "How to cure problem due to erection?" }, { "from": "human", "value": "i am 45 years old and i have problems with erection. i am married I have two sons but I had help myself with pills for erection. but now the pills does not work very well. I used to have 1 pill and now I have to have 3 pill. I m very worry about penis problem" }, { "from": "gpt", "value": "It is psychological problem. you need psycoanalysis. Dibetis isto be ruled out. Withthese steps your problem will be solved." } ]
[ { "from": "system", "value": "What causes cramping pain in the right testicle since 4 months?" }, { "from": "human", "value": "i have had cramping pain in my right testicle for 4 months now, cancer and kidneystones have been excluded also blood flow and every thing is normal. i have been prescribed 4x50mg tremadol daily but i have to much pain for me to live on that so i have been taking 6-8. what could it be" }, { "from": "gpt", "value": "HIThank for asking to HCMI can understand your concern, I could say that this could be epididymitis, if I would be your doctor then I would treat this case with the following medicines 1) Tab ciprofloxacin 500mg twice in day for 1o days 2) Tab Ibuprofen 400mg twice in day for five days 3) Tab Alpha chymotrypsin three times in dayhope this information helps you have nice day." } ]
[ { "from": "system", "value": "What can be done to stop masturbation habits?" }, { "from": "human", "value": "dear sir i m of 19 years old, i hv been doing hand practise since 5 years , bt i want to leave this habit as my body doesnt looks healthy like others, n also my wrist is too thin which looks vry bad,,,,,sir pls help me ...tell me abt the type of diet i should take by which i should recover my body soon.....sir my email id is { YYYY@YYYY },,,n plz tell what should i do to b healthy" }, { "from": "gpt", "value": "Hi, You can be busy with yoga, physical games and regular exercise in order to divert your mind. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist" } ]
[ { "from": "system", "value": "What is the remedy for erection problems?" }, { "from": "human", "value": "I tried having sex 3 times but i was not able to do so. Reason is when ever i tried to put inside the vagina with the condom my penis erection would come down so i am really afraid that whether it happens with everyone during inital stages of sex or this problem is only with me. Please answer. Regards, Vikas." }, { "from": "gpt", "value": "This can be for many reason. If you have blood pressure or diabetes, problem then it needs to be kept under control. Anxiety around sex can also cause the erection to be soft. Typically we can give an oral medicine that will help. Sildenafil is one type of medicine that can help and give you stronger erections." } ]
[ { "from": "system", "value": "Why having clear liquid discharge from penis and constant urge to pee?" }, { "from": "human", "value": "I have noticed a clear liquid from my penis and I constantly have the urge to pee. I also noticed that in my boxers that there was a yellow- green like substance and it was odorless I haven t had any sexual intercourse for 2 - 3 months and have had sex only once. What can this be?" }, { "from": "gpt", "value": "This could be related to a sexual transmitted disease. Discharge from penis and urgency of urine are signs of this. Consider seeing a doctor to check the discharge out and prescribe antibiotics. Please rate 5 stars! I strive to provide you the best answer possible. Thanks!" } ]
[ { "from": "system", "value": "Treatment for bleeding from growth around anus after intercourse?" }, { "from": "human", "value": "My name is rohit from Bangalore. Im a gay. I have had unsafe sex twice with the same guy, as a result of which, i have some extra growth around my anus. Every time i have intercourse, this part bothers me a lot. Sometimes, it starts bleeding. Pls help me Doctor" }, { "from": "gpt", "value": "This could be from a hemorrhoid. I would recommend a cream similar to preparation H and avoiding anal intercourse for atleast 6 weeks to let it heal. Also eat lots of vegetables to have a soft stool daily. Then see if the problem has resolved. Please rate 5 stars! I strive to provide you the best answer possible. Thanks!" } ]
[ { "from": "system", "value": "What is the yellow crusty cheese like stuff around my penis?" }, { "from": "human", "value": "I have a problem with my penis. I have loads of yellow crusty cheese like stuff around my penis and bellend. What is it? and what can I do? I have had it for about 6 months and I am 15 years old. I haven t done anything sexual before either so I don t know what it could be. Thanks, Matt." }, { "from": "gpt", "value": "Do you clean your penis daily? Usually it is dead skin cells that build up and form that cheese looking layer. I recommend daily cleaning to your penis and this should stop over time. Please rate 5 stars if satisfied with your answer. I strive to help you the best I can." } ]
[ { "from": "system", "value": "Should i have to perform operation on my testis?" }, { "from": "human", "value": "hey sir m shivam from india i have done my testis ultrasound the report sys 1 mild degree vericocele on right side 2 mild hydrocele on left side 3 cyst in left epidymis could be simple cyst should i have operation of my testis or not" }, { "from": "gpt", "value": "I would not recommend an operation unless you are bothered by these. We only operate on varicocele, hydrocele or epididymal cyst if there is active infection or if the size are bothersome to you. If you are not bothered, then I would avoid an unnecessary surgery. Please rate 5 stars! I strive to provide you the best answer possible. Thanks!" } ]
[ { "from": "system", "value": "How to treat a slightly cut ball sack skin?" }, { "from": "human", "value": "I accidentally cut my ball sack slightly (just the outer skin, about 1-2 cm long). How should I go about treating it, I washed it with soap and water.I understand this question isn't super serious, I'm just wondering whether to put a band aid with neosporen on it or to do something else?" }, { "from": "gpt", "value": "Neosporin is a good idea. Otherwise, keep up with keeping it clean and it should heal in 2-3 weeks Please rate 5 stars! I strive to provide the best answer to your question. Thanks!" } ]
[ { "from": "system", "value": "What could cause pain in uterus after vaginal contact with penis without intercourse?" }, { "from": "human", "value": "Hi! Last friday my friend s boyfriend rubbed his penis on the opening of her vagina. 60 hours later she took the emergency contraception pill. Today she felt pain on her uterus area that only lasted for about 3 seconds but hasn t had her period yet. Could she be pregnant?" }, { "from": "gpt", "value": "Chances of prg nancy is less. How ever preg nancy test only can rule out preg nancy. In future be careful." } ]
[ { "from": "system", "value": "What causes awful odor from penis before masturbation?" }, { "from": "human", "value": "I've noticed an odor coming from my penis when I'm aroused and before masturbation. This has only become apparent in the last two months or so. It wasn't like this before.My penis isn't circumcised. I wash it every day, but only give it a thorough washing (by pulling back the foreskin) maybe once or twice a year.What could be causing the odor?" }, { "from": "gpt", "value": "This odor is normal. Nothing to worry. Matain hygine of part. If you are to worried then go for STD test. IF NEGETIVE FORGET ABOUT IT." } ]
[ { "from": "system", "value": "Could i be pregnant after sex without ejaculation?" }, { "from": "human", "value": "So my boyfriend fingered me.. Then he rubbed his penis around my vagina.. He said the tip didn't go in but I dont know.. I'm a virgin.. He said he didn't cum but he isn't sure or not... I haven't missed a period yet but I'm worried... Could I be pregnant" }, { "from": "gpt", "value": "HelloThanks for your query.Normally pregnancy results after one ejaculates deeply in vagina during intra-vaginal penetrative sex .There is no possibility of pregnancy with mere touching the penis near vaginal opening without ejaculation .However if you miss your period get your urine test for pregnancy done to allay your anxiety.Dr.Patil." } ]
[ { "from": "system", "value": "Child having closed meatus post urination, had surgery, no improvement with various treatments. Suggestion?" }, { "from": "human", "value": "Hello, My son is currently 5 1/2 years old. It started about a year & 1/2 ago where we noticed blood in his underwear , Urology Dr advised of a small meatus and he needs a surgery . We did that but we noticed after the surgory that his meatus keeps healing & closes after he urinates. we went to the Dr again where he advised to use Chap stick & vasiline, we used that for many months with no improvement, the Dr ran out of options. We went to another Dr. where he suggested a follow up surgory, that was done but with no improvement. He suggested another one which we did without any improvement. Even as of now, he has the same problem where after he urinates withing less than an hour, his meatus closes & either we have to open it by hand or the urine force it to open. We tried a 3rd urology Dr and he was puzzled & didn t know. I tried a plastic surgion & she was puzzled. Any ideas & help." }, { "from": "gpt", "value": "!Thank you very much for sharing the details of the ailment you son having. It is advised that you consult with a homeopath consultant. Tell him the whole story and he/ she will treat it. Hopefully it will recovered by sympotoms.Take care.Dr.Minhas" } ]
[ { "from": "system", "value": "What can cause gas and body ache with impotence?" }, { "from": "human", "value": "Whenever I wear my compression shorts I get bad gas like really bad, but after dinner I always have bloating and gas but usually only after dinner, I use to have intestinal cramping but for the most part that has gone away though I still get it on and off, I have mucus always draining down the back of my throat, whenever I go to bed my right lower back hurts, a few nights ago the bottom of my feet were tinkling and last night my left knuckles were tinkling, I have also have impotence and lack of ability to produce testosterone. I am only 19 years old and would like to know what is going on with me? Can you please tell me? I have NEVER done any drugs." }, { "from": "gpt", "value": "Hi, The impotency may be due to lack of nutrients and improper food. You can take calcium supplement and multivitamin to improve your testosterone level. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist" } ]
[ { "from": "system", "value": "How to get rid of cracks on penis glands? Visible only on erection." }, { "from": "human", "value": "Hello i have cracks on my penis glans and im wondering how to get rid of them. they re not very visible when my penis is flaccid, but when it gets erect they become more visible. Because of this i have avoided sexual contact for all my life, i m 17. So I m really desperate right now to get a solution for this problem. Thanks." }, { "from": "gpt", "value": ".When you first saw this problem. It is better you tell the whole history of your problem. You are still 17 and have a long way to go for your sexual life. It is not a big issue just consult with a doctor.Take care of yourself.Dr.Minhas" } ]
[ { "from": "system", "value": "What could be the reason for having swelling on my foreskin around my penis?" }, { "from": "human", "value": "Hey I have really bad swelling of my foreskin around my penis, also two little cuts, and some sores that look like canker sores. I don t know where they came from, but they hurt so bad when I pee that it waters my eyes. I think I got them from a bowling tournament, some form of chafing. But whatever it is I need help, I can t take the pain anymore." }, { "from": "gpt", "value": "Hi there,Thank you for your question.I think that you are most likely having an infection and you will require treatment in the form of antibiotics and pain medications for this.You can try applying over-the-counter antibacterial ointments or creams like bactroban or polymyxin.I would however strongly suggest that you consult your doctor for an evaluation and appropriate treatment of this.Regards" } ]
[ { "from": "system", "value": "Does masturbation cause weakness in nerves?" }, { "from": "human", "value": "I am masturubating daily so i getting too weak but i want to stop it.........now i stopped masturubating bt i got nervous disorder lightly ..........i want avoid this........ what i have to do Avoid nervous disorderPlease reply me.......i am 20 years Old" }, { "from": "gpt", "value": "HelloIt seems from the history that you are complaining of weakness. Masturbation will not lead to weakness or any other problems as it is a normal physiological thing and no need to worry regarding this.The problem for nervous disorder can be a phobia or fear so reassurance will be sufficient and no more treatment is required.Thank you" } ]
[ { "from": "system", "value": "Having low haemoglobin, erection problem during intercourse. Is it related to low haemoglobin?" }, { "from": "human", "value": "hi. i have low hemoglobin problem since i was a kid. its only 12. and now that I married and trying to have sex with my wife but I keep having problems. My erection doesnt last longer then a minute. so its over before its started. i am wondering does that have anything to do with low hemoglobin? what could be the reason? it cant be stress because I am very stress free when i am with my wife." }, { "from": "gpt", "value": "DearWe understand your concernsI went through your details. I suggest you not to worry much. Low hemoglobin level does create tiredness. But you must be having medicines to treat that condition. Over and above, you must also alter your diet to overcome the problem.The reason could be anxiety arised out of your worry about the hemoglobin problem. One or two counseling sessions and learning to think alternatively should help you overcome that problem. I mean , the erectile dysfunction should be due to psychological reasons.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": "Habit of regular masturbation, penis and back pain on failing to masturbate, relief on masturbating. Is there any remedy in alternative medicine?" }, { "from": "human", "value": "Dear Doctor I am a 40 yrs unmarried male I regularly masturbate,but sometime if i fail to masturbate my area new my penis starts paining along with back-pain,as i masturbate i get relief ,this happen frequently with me ,i think i am suffering from vasocongestion or congestive prostatitis .Please advice me if there is any Homeopathy/ Ayurveda remedy for this. Thanks Regards" }, { "from": "gpt", "value": "DearWe understand your concernsI went through your details. I suggest you not to worry much. The problem you are mentioning could never be due to not masturbating but is due to the ill concepts. Masturbation is normal, natural and not unhealthy. Even animals masturbate. Your problem must have arises out of anxiety from the ill concepts of masturbation. Back pain and penis pain are due to anxiety and imagination from your end. Therefore do not worry.You might need sexological counseling and sex therapy. 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": "Erection problem, not getting excited, found semen with urine in morning" }, { "from": "human", "value": "I am 30 years old unmarried guy. I had good semen ejaculation up to my 25 yrs age. Since past few years there is problem w.r. to erection , i m not getting excitement for masturbation and i rarely find semen during masturbation. Further i do slight urination in bed in sleep & when i wake up i find semen with urine. Pls help." }, { "from": "gpt", "value": "DearWe understand your problem.I went through your details. I suggest you not to worry much. The problem of erectile dysfunction could mostly due to psychological causes than organic causes. You talked about masturbation habit. Masturbation is no sin and is pretty normal and natural. Even animals masturbate. Ill concepts about masturbation might have lead towards negative thinking about masturbation and resultant erectile dysfunction. Finding semen in the urine is common. In your case it is because you are not masturbating or having sex. You need to have sexological counseling and sex therapy. Do post a direct query in this website and I shall prescribe some techniques to overcome erectile dysfunction.Hope this answersw your query. Available for further clarifications.Good luck." } ]
[ { "from": "system", "value": "What diet could be taken to increase the strength of the penis?" }, { "from": "human", "value": "Dear sir, Recently I am suffering from night fall..sir after 3 month I will be married..my pennis is not so long and I am fearing about my marriage..sir,please sujjest me for food and medicene which help me to improve the strongness and for my narriage" }, { "from": "gpt", "value": "HelloThere are few misconception in the mind of man about SEX and size of PENIS in all over world.Let me explain that the normal size of PENIS after full erection is 10-15 cms ( 4\"-6\") .As far as concerned about the thickness of the penis it depends upon the muscles girth in penis .The pleasure of sex ( coitus or intercourse ) depends upon the time taken by a male or female to reach orgasm ( i.e. ejaculation ).So in my opinion night fall is a natural process ,so don't bother about that.If premature ejaculation is there then , you must consult a psychiatrist and get its treatment ( but mind one thing don't entrap in the net of QUACKS).Hope this information will be helpful for you.Since all medicines are for prescription so consult a psychiatrist.In my opinion food don't increases length of penis.Good luck." } ]
[ { "from": "system", "value": "What is the cure for the red, dry and cracked foreskin and has been diagnosed for Type I Diabetes?" }, { "from": "human", "value": "Hi yes, I have an extremely red, dry and cracked foreskin. It won t stretch over the tip of my penis and I find little white sorta goo under the foreskin when I do peel it back. Have just been diagnosed with type 1 diabetes had these problems since I started showing symptoms for my diabetes but I don t think it is. Please help!! Thank you Cody Bingham" }, { "from": "gpt", "value": "WHAT U ARE DESCRIBING IS A COMMOMN COMPLICATION, DIABETIC PATIENTS SUFFER FROM.IT IS BECAUSE OF REPEATED INFECTION OF FORESKIN AND GLANS PENIS CALLED AS BALANOPOSTHITIS.THE LONG TERM EFFECTS OF THIS LEADS TO CONTRACTURE OF FORESKIN RESULTING IN INABILITY TO RETRACT IT BACK CALLED PHIMOSIS.U ARE ADVISED TO UNDERGO CIRCUMSCISION BY A SURGEON OTHERWISE U WILL BE GETTING REPEATED INFECTIONS, PAINFUL ERECTIONS." } ]
[ { "from": "system", "value": "Did continuous masturbation, pain in belly and kidney area, sperm color changed to yellow. What wrong?" }, { "from": "human", "value": "1 day i masterbated 19 times continously and after that i had very intense pain in my belly or kidney area? since that day their is smthing wrong with me now my sperm color is yellow instead of white nd recently they have become thinner like a transparent liquid and i feels all the time pain in my belly testes and in my knees what to do i think their went sm thing very bad with me" }, { "from": "gpt", "value": "DearWe understand your concernsI went through your details. I suggest you not to worry much. Astonishing that you managed to masturbate 19 times in a single day! I am amazed. But that is totally wrong. The pain could be explained as strain to the muscles of those areas which are used more for masturbation. Coupled with anxiety associated with frequent masturbation, it made you more anxious and more and more anxious.Forget about the thinness of semen. That area is dependent on so many factors. If your semen is really yellow, and you still have the pain you mentioned, please consult a physician.Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques for sexological problems which should help you cure your condition.Hope this answers your query. Available for further clarifications.Good luck." } ]
[ { "from": "system", "value": "White fluid comes after urinating. Is it obsessive-compulsive disorder?" }, { "from": "human", "value": "I think what I usually do in the toilet when I pee is a symptom of an OCD , my question is when I pee I make sure that the urine is completely discharge from my Penis so what I did I will use force just to get the urine out even if I feel its done and to my surprise instead of urine its a white fluid similar to that of a semen . Is that possible to happen if no urine instead its the semen. Please I need your help" }, { "from": "gpt", "value": "Definitely it can be a obsessive compulsive disorder.The white semen like discharge after micturation may be just prostatic fluid." } ]
[ { "from": "system", "value": "Suggest remedy for nightfall and early erection" }, { "from": "human", "value": "i am 23 yrs old boy. I am suffering from Nightfall 2-3 times in a week since last 8 yrs. Erection is also happens early. I was habituate of Masturbation at my teen age. but now I stopped that. When ever I thought and see sexy things my pennis ejects some fluids. I got very weak and my eye circle gets dark. . Day by day i am getting more weak so please help me." }, { "from": "gpt", "value": "Hello, Night fall is common, natural and never unhealthy. The reason is just that you are not masturbating. Start masturbation thrice a week or less and your night fall will also stop. Therefore, I suggest consulting a psychologist for sex counseling. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist" } ]
[ { "from": "system", "value": "What does large sized spots on groin area imply?" }, { "from": "human", "value": "i tend to get medium to large sized spots on my groin area where I have hair - i am female. the medium spots tend to dry up and turn into large blackheads while the larger ones are often pussy and red. This has been occuring for several years now. What could it be?" }, { "from": "gpt", "value": "Hi, If it is a wart, it can be due to unprotected sex, viral or bacterial infection. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist" } ]
[ { "from": "system", "value": "Is there a generic over the counter antibiotic for epididymitis?" }, { "from": "human", "value": "Hi I am a 41 yr old, extremly hard working yet poor, father and husband. all symptoms of epididmytis I have yet cant afford to see a doc to get a prescript, to pay for the precript. which im sure at this moment I couldnt afford. is there a generic over the counter antibiotic for this?" }, { "from": "gpt", "value": "Yes ciprofloxacin is a good antibiotic and is generic.Would recommend 500mg twice a day for 7 days." } ]
[ { "from": "system", "value": "Suggest medication for early ejaculation" }, { "from": "human", "value": "Hello sir, I am 24yrs old, I got married recently, I used to masturbate daily for approx. 2 yrs when I was of 19 in school. Then in my college of 4yrs(age 20 to 23), I hardly masturbated only 5 times. Now I got married, my penis ejaculate too early, its position is bending downwards, I am worried how to loose my wife s virginity and make her preganant. I never had intercourse with anyone before marriage, but I masturbated. Now I want to know what to do so that my penis ejaculate delayed and am I virgin or not." }, { "from": "gpt", "value": "Urologist can prescribe a anti-depressant like zoloft which can work to help with premature ejaculation. These medicines, although, classed as anti-depressant, have other uses!" } ]
[ { "from": "system", "value": "What is the treatment for third degree vericose vein in left testicle?" }, { "from": "human", "value": "hello....my name is jay...iam just enquiring about my brother...he just came back after a physical examination for his job purpose and told me like the medical examiner diagnosed a third degree vericose vein in his left testicle..he looks really panicked and i thgought if u could come up with some answers....i need to know like which specialist to show him and what all are the treatment options?....." }, { "from": "gpt", "value": "If it bothers him, then he can have a surgical treatment to correct it. It is outpatient surgery. If it does not bother him, then no treatment is necessary. Some varicoceles can cause infertility, so it also is a good idea to fix it if he plans on having children in future." } ]
[ { "from": "system", "value": "Having premature ejaculation and erectile dysfunction. Not cured by ayurvedic medicine. Any alternate solution?" }, { "from": "human", "value": "i have sex problem, i am 27 years old. i have this problem from last 5-6 years, had so many ayurvedic medicine but no result, i have 5 inch erect penis , its dificult to erect at sex time ans once erect by chance the sperm comes out i 3-5 secands during intercourse or sometime before intercourse, dont know what to do, my sex life is finished plese help me if you can,,,,,," }, { "from": "gpt", "value": "We have tried and used antidepressants to help with premature ejaculation. Talk to your doctor to see if it is right for you." } ]
[ { "from": "system", "value": "Scrotum sack drops down after excessive masturbation. Will my sex life be affected?" }, { "from": "human", "value": "Hello I m 30y old i have masturbating habit since when i was 11y old from past 6 years i have masturbating day by day from this side effects my scrotum sack drop down for some times and returns to normal positions, and sharp hits at hand fingers for some time when i have some foods after the day it will disappear and it appear only when i had over masturbating like 6-7 times a week is there any harmful effects on my future sex life with up coming partner" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have been indulged in masturbation since many and now facing problems related to sexual activities.First of all there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body.All the problems that you are facing now are mind related and due to anxiety.Following measure will help you to boost up your confidence and getting good erection.and delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..As regards position of your penis it is insignificant and nothing to be worried about.Dr.Patil." } ]
[ { "from": "system", "value": "Semen analysis done. It is safe to have a baby? What is the best way of conceiving?" }, { "from": "human", "value": "hi..would you please give the ways of conceiving. my semen analysis says: liquifaction 25, volume 3 ml, low viscosity,pH 7.5, sperm conc.110million/ml, motile sperm conc.90m/ml, total motility 81%, progressive motility 75, non-progressive motility 25, vitality 81% live, morphology 50%, autoagglutination positive, leucocytes 8-10 and fructose positive." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts and report of your semen analysis that you have posted it appears that your semen parameters are well within normal range of WHO standards except presence of pus cells (Leukocytes ) and auto agglutination which suggest presence of infection either in Seminal Vesicle or Prostate.Please get your semen culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to.You need to take appropriate antibiotic for 6-8 weeks to combat infection completely.Repeat semen analysis after completion of course of antibiotics.With this you should not have any problem to impregnate your wife.Dr.Patil." } ]
[ { "from": "system", "value": "Burning and itching at the tip of penis, slight white bubble precum" }, { "from": "human", "value": "i have been having a burning itching feeling at the tip of my penis(just inside my urethra ,. I have been tested for all stds twice,, but the symptoms are still there. I have a very slight white bubble precum then it turns clear. my urologist says its in my head, but the discomfort and pain is real. it happens everytime i ejaculate and last for a day or 2." }, { "from": "gpt", "value": "Hello,,The history and symptoms are suggesting me that you may be having fungal infection. The fungus are the normal comensals of the genitals which is kept under control by the helpful bacteria, whenever there is a imbalance between them it will leads to multiplication of fungus and the produces the symptoms which you are having.The fungus tends to survive for longer period of time in a wet area. So you can be having fungal infection and i would suggest you to follow1.Topical Antifungal cream2.Keep the area dry and cleanThank you." } ]
[ { "from": "system", "value": "BP under control, have sexual dysfunction. Taking evion tablets, used herbal and allopatic medicines but in vain. How can I cure this?" }, { "from": "human", "value": "i am 53 years old and high blood pressure mainatained 90 to 130 almost all the time but suffering from sexual deficiency since last 12 years used herbal and allophatic medicines but could not satisfied my wife yet can i have any medicines to use and get the positive results to recover sexual deficiency and also note i am taking evion tablets 400 mg since last two to three months but not yet any results for sexual deficiency please suggest!!!!" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you are known hypertensive and facing problem of Erectile Dysfunction.As your Blood pressure is well controlled and do not have any major health issue the cause of ED seems to be mind related and due to performance anxiety.Following measure will help you to boost up your confidence and getting good erection.and delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..Take Sildenafil ( Viagra ) as on demand .Consult your family physician for prescription and advice regarding dosage and timing of the drug to be taken .This should help to get good hard sustainable erection to have enjoyable sex failing which you may need to consult Urologist for detail clinical assessment and investigations to find out the cause of your ED.Dr.Patil.." } ]
[ { "from": "system", "value": "Semen analysis done for blood-trace, abnormal headpiece, abnormal tail, pus cell. Can sperm motility be increased?" }, { "from": "human", "value": "HI DOCTOR,, My name is ASIM,i have done my semen analysis .my result is volume-1.5million,ph-7.5,blood-trace, sperm count21millions,total count-31millions,poor forward progression, normal-60%-abnormal headpiece-20%,abnormal mid piece-10%,abnormal tail-10%, PUS CELLS/HPF-70-80 RBCs/HPF-0-1 please dr suggest me what do further about the motility and about PUS CELLS, and what are the other tests toexamine semen motility. and another thing is that motility can be increased or not. i am anxiously waiting for ur reply. thankyou" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have what is called as Teratoasthenospermia meaning there by that percentage of active grade one motile sperm is less than WHO standards and morphology of the sperm is also abnormal .Truly speaking there are no medicines that can improve the sperm motility however Following measure will help to improve 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..As regards presence of 70-80 pus cells it suggests severe infection either of seminal vesicle or prostate and needs to be treated with long term antibiotics ( For 2-3 months)like Doxycycline twice daily.Dr.Patil." } ]
[ { "from": "system", "value": "Having nightfalls. Is there any effect on brain and memory. How to get cured?" }, { "from": "human", "value": "i was doing masturbeating for 2 years than i stopped it for 4 months now i have nightfalls(wetdreams after every seven days now i am tired plz tell me measures to prevent it also tell me is there any effect of this on brain and memory i am reading in 10th class right now .plz help no one is able to give a right answer i tried everything" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have problem of night emission.It is normal to get night emission at the age of adolescence and it does not have any negative effect on brain or memory.Following general measures will help you to boost up your confidence and improve your performance .1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..There are no medications to prevent night emission.Dr.Patil." } ]
[ { "from": "system", "value": "Suggest treatment for spontaneous erection and pain" }, { "from": "human", "value": "Hi, may I answer your health queries right now ? Please type your query here... I am getting spontaneous erections with instant curveture of the penis curving toward me and alot of pain, I have peronies . I also have a family history of dupuytren's contracture. I have been using verapamil topical for two months bid." }, { "from": "gpt", "value": "HI, It can be due to increased testosterone levels and thyroid issues. Take thyroid and testosterone test. You can overcome this issue by doing regular exercise, yoga and physical games. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist" } ]
[ { "from": "system", "value": "Semen test done for quantity, greyish white transparency, opaque viscosity percentage, motile Sperm. Can i have a baby?" }, { "from": "human", "value": "Please let me know that the semen report of mine so tell me what m i become a father Semen Analysis: Quantity: 2.0 ml Color: Greyish White Transperancy: Opaque Viscosity: Viscous Time Of liquification: 30 Min Ph : 7.5 Fructose: Positive Total Count: 85Mil/ml Live Count: 10Mil/ml Sperm Per Ejaculate : 170Mil/ml Percentage Motile Sperm: 12% Rapid Linear Progression: 0% Slow/Non Lin Progression: 40% Non Progressive: 60% Normal Form:10% Large Oval:20% Small Oval:30% Tapering:20% WBC:01 RBC:00" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have what is termed as Teratoasthenospermia. meaning thereby that percentage of active grade one motile sperm is 0%.(Normal value 20-30%) and morphology of the sperm is also abnormal .Truly speaking there are no medicines that can increase the sperm motility and improve the morphology of sperms.In such a situation it is unlikely to have natural pregnancy .Please consult qualified infertility specialist for assessment and to explore possibility of pregnay with the help of newly assisted reproductive technoques like IVF or UCSI.Dr.Patil." } ]
[ { "from": "system", "value": "Erection problem during intercourse, masturbating regularly, low testosterone, tadalafil" }, { "from": "human", "value": "I have problems maintaining my erection during intercourse. I ve checked several possible causes. Over-masturbation could be a cause since I ve been masturbating regularly since I was 14-15. I am 27 now. I don t think it s physical because I still get morning erections and while masturbating. Another possibility would be low testosteron because of the regular ejaculation . I ve read something about cGMP. I know many people have problems maintaining erection. I m just trying to find the cause for me and eliminating the other options. I am currently traveling for a long period of time, so I have no immediate option to get a full physical. I ve been trying taking extra vitamins like zinc (to raise testosteron levels) and ginkgo. Trying to eat as much fruit and food that help erectile dysfuntion, such as papaya and watermelon and nuts and even chocolate. If it s a psychological thing, what can I do besides keep telling myself not to worry and relax? I was thinking about temporarely taking tadalafil until I get back home and manage to get a full body check. Is it advisable?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have been indulged in masturbation since many and now facing problems related to sexual activities.First of all there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body.All the problems that you are facing now are mind related and due to anxiety.Following measure will help you to boost up your confidence and getting good erection.and delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking.If you are planning to be out for couple of days please do not take Tadalfil or Vigra ,These drugs are to be taken only on demand when you are planning to have sex with female partner.If you do not get satisfactory results with these drugs you will need to undergo following tests to find out the cause of your ED,1) Serum Testosterone levels 2) Duplex Ultrasound scanning of penis to rule out arterial insufficiency or venous leak as a cause of your ED.Dr.Patil." } ]
[ { "from": "system", "value": "What could cause burning pain in left side of groin with swelling after a working day?" }, { "from": "human", "value": "I have been experiencing a burning pain (discomfort) in the left side of my groin area. The discomfort is more intense after a working day. I get relief from the burning also the lump / swelling is reduced after a relaxed nights rest. Walking starts the burning and the lump / swelling in the left groin starts to become very uncomfortable each day. Hope this explanation is helpful, look forward to any diagnosis you may have ? Regards Ray. 0" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have discomfort and pain and swelling in Left groin whcich agreveates on walking and get reduced after rest for over night.This is most likely to be due to Left Inguinal Hernia.However this can be confirmed only on clinical examination by a qualified General Surgeon and ultrasound scanning of the abdomen.Please go ahead and get it done .If proved to be positive you will need to undergo surgery of Hernia repair which is the only treatment option.Dr.Patil.." } ]
[ { "from": "system", "value": "Contracted genital warts. Will this cause a problem to have a child? Medicine?" }, { "from": "human", "value": "im a 28 yr male. it appears as though i have contracted genital warts . i have about 2 warts on the lower shaft of my penis . . is there anything i can buy to remove these unsightly things? also.. if i decide to have children in the future, will having hpv be a problem for that? Does hpv virus always remain in the body.please doctor suggest me.use of condom protect from hpv virus to my wife." }, { "from": "gpt", "value": "Hello,,Genital wart is a sexual transmitted disease which is transmitted to your partner by unprotected sexual intercourse. The barrier methods like condom can prevent this infection to your partner.This is a infection which is pertained to the skin, if it is cured you can be free from the infection. The wart should be managed properly and then you can plan for expansion of the family.For the present symptoms I would suggest you to apply cream like Imiquade over the lesion on alternate days for atleast 4 months. Once all the wart is cleared you will be free from infection and you can have normal life.Thank you." } ]
[ { "from": "system", "value": "How to get rid of the habit of masturbating ?" }, { "from": "human", "value": "Hello, I am an Indian boy of 18 years indulged badly in the habit of masturbating daily. Actually some 7-8 months ago I would do this only once in a month maybe but then someday due to a certain reason I had to go to a doctor and then he told me to masturbate and its a normal thing to masturbate and from then I don t know how it became my habit! Could you please help me to get rid of this bad habit? I feel so weak sometimes and my friends tell me that day by day I am becoming skinny!!!" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have been indulged in masturbation since many and now facing problems related to sexual activities.First of all there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body.All the problems that you are facing now are mind related and due to anxiety.Following measure will help you to boost up your confidence and improve your general health.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..Please get yourself engaged in some activities like sports ,reading,listening to music etc so that you will not get free time to masturbate.Dr.Patil." } ]
[ { "from": "system", "value": "Greasy thick yellowish residue between scrotum, inner thigh. What could be the reason?" }, { "from": "human", "value": "I have noticed for a while that I occasionally grow hairs on my scrotum and between my scrotum and inner thigh that are coated in a kind of thick yellowish residue. It seems that I can scrape it off, it seems a bit greasy. I am a dancer and have to wear a dance belt which is similar to a jock strap and the area is covered tightly and gets sweaty very often so I m wondering if it is a result of that or is it something I should be worried about?" }, { "from": "gpt", "value": "Hello!Thank you for the query.This area (especially when covered with clothes) has moisture and warm environment. This creates great environment for infection, especially for fungal infection. It is more possible if you have some redness or itching in this area as well.I suggest you to consult dermatologist with this issue. Some antifungal agent might be necessary. You should also keep this area dry and clean. Lose underwear is a good idea.Hope this will help.Regards." } ]
[ { "from": "system", "value": "Stomach cramps, testicles pain, herpies," }, { "from": "human", "value": "Hi I have a problem that is freaking me out! I have a hard time using the bath and for the past year I will start to have stomach cramps so bad that my testicles have sharp pain . The hurt so bad that it makes me want to cry! What could this be? Also I have herpies could that be the cause, and could it affect me from having kids? Thank in advance." }, { "from": "gpt", "value": "Hello!Thank you for the query.Stomach cramps and testicle pain can be caused by inguinal hernia which causes an obstruction, urinary tract stones/inflammation, testicle torsion.Inguinal hernia usually gives more intense pain while standing and coughing. A lump in the groin can be present.Urinary tract issues gives also lower abdominal pain, back pain, frequent urinating, burning while urinating.I suggest you to do not ignore your symptoms. Yes it may affect your fertility. Please visit your doctor. Abdominal ultrasound, testis ultrasound, blood work, urine analysis should be done at first. You should also consult urologist.Hope this will help.Regards." } ]
[ { "from": "system", "value": "Does masturbation cause low concentration levels, low intelligence or ill sport activity?" }, { "from": "human", "value": "hi, i have been masturbating for a bit now and i m not old enough for sex but i am wondering whether lowers concentration, intelligence or sporting ability s in any way because ever since i have started masturbating i have realised that my intelligence isn t at its full copacity. Since i have moved schools i have never got a great mark in maths i was in extension maths last year but never got great marks where in my old school which i guess was a bit easier i was doing one of the best in the class but not anymore." }, { "from": "gpt", "value": "Hello dear,First of all, remove all myths & misconceptions from your mind about masturbation.In fact, Masturbation is completely normal & doesn't have any bad effect to the body and mind unless you get addicted to it.Since you are feeling that your masturbation is interfering with your normal functioning, you can try out the following measures:1. Improve your social life by spending more time with friends and relatives.2. Keep your mind active and busy at all times either through curricular or extra-curricular activities.3. Have a diet rich in fruits, vegetables, fish, nuts & honey.4. Avoid fast foods & lipid containing diet.5. Avoid smoking & alcohol.6. Keep away stress, think positive.7. Exercise regularly & practice meditationThese measures will be helpful in improving concentration & builds up the confidence level.Take care." } ]