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question:Hi Doctor, When I was 20 I had to face a surgery. I experienced a severe pain inside left testicle with a lump. Surgeon suggested me to do a surgery on both testicles. He said it might spread to the right side too and eventually killing both of them. Now the problem is, after sometime, my left testicle stopped producing enough sperms. Now it is getting smaller and smaller. And also it looks like there is another issue. Right testicle does take more time to involve in ejaculation. Probably tighten. Even before the surgery it took like 30-40 minutes to ejaculate. But I feel it is somewhat blocked. Due to this condition at left one, I also experience some abdominal pain (not sure if it is the case) if I ejaculate often (daily) leading to some loose motion. What should I follow to recover from this? Thanks!
answer:HelloThanks for query.You have undergone surgery for left testicle in childhood and it has atrophied .Your Rt testicle is functioning normally .At the outset I would like to state that Testicle do not play any role in process of Ejaculation .The semen that is being ejaculated during ejaculation is stored in ducts of seminal vesicles and ejaculatory duct before being ejaculated .It is during ejaculation it is forcefully propelled in to prostatic urethra..As regards pain in lower abdomen and loose motions it is not related to frequent ejaculation .It may be due to colitis .You may need to take antibiotics like Ofloxacin with Metronidazole for five days.Dr.Patil.
question:i m under treatment for BHP with very successful therapy for reducing prostate size from 144 cm3 to 94.6 cm3 with a Rx. over a six month period. I m uncertain what Rx to re-order, urologist office doesn t take direct calls (Mt. Sinai) can t get ahold of urologist and the PBM unilaterally alters Rx and uncertain which pharma was the effective. Avodart, perhaps?
answer:Hello and .As an Urologist, i can fully understand your concern.I must advise you to continue the treatment, but, also keep in mind that present medical treatment, is probably not the right treatment.Avodart will not help much. As your prostate gland is significantly enlarged, you should consider change of the medical treatment. You should get certain tests like, Hb,creatinine, sugar, PSA, urine routine and culture, and an ultrasound scan of abdomen. You can send a copy of the reports here, in my name, for an expert opinion.
question:Are there treatments for progressive motility 10%.My semen analysis shows that motility is 40% and progressive motility 10%. Total sperm count 15 millions. How can I improve these results. I finished treatment for HCV 9 months ago. Can the medication be a cause?
answer:HelloThanks for query.Based on the facts you seem to have problem of low sperm count and lower percentage of progressive motile sperms (Oligoasthanospermia).Truly speaking there are no medicines proved to be scientifically effective to improve sperm count and sperm motility .There are many drugs in the market who claim to be effective to raise sperm count and sperm motility however none of these drugs have scientific research or scientific data to prove their claim .However following generaal measures have proved to be effective to improve these parameters of semen .1) Practice regular exercises for 45 minutes followed by meditation for 1/2 an hour every day morning.2) Take high protein diet rich in fruits and vegetables and Vitamins A,,C,D,E and Zinc3) Take anti oxidants like 5-6 almonds evryday 4) Avoid alcohol and smoking .If followed religiously and judiciously this regime has proved to be effective to raise the sperm count and improve motility of sperms .Dr.Patil.
question:Hi im 26 years old male and currently about an hour ago i was trying to sleep and i couldnt cause i was horny and my penis was really straight usually i come a little on its own. But this time i came like when i have sex. But this time mu sperm was really thick and the smell of my sperm is really strong and not just that my penis is irritated.! Me and my partner havent been with nobody else but ourselves
answer:DearWe understand your concernsI went through your details. I think your problem is nocturnal emission, but it is premature ejaculation. Premature ejaculation usually happens because of anxiety. Performance anxiety rather. The liquid comes out before sexual intercourse is pre-cum and is a lubricant and helps in lubricated intercourse. Thickness of semen is not at all a concern. I think all these unnecessary sexual worries and lack of knowledge leads you to be anxious. I suggest you sexological counseling. Please consult a sexologist.If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. Take care.
question:Hi ...I am 30 yr unmarried male. I have a problem related to musturbate. Whenever I go for maturbation no ejaculation occur.sometimes I have wet dream . I really worried about my future life.....Please give me some suggestion for which doctor should I visit. Is this problem treated. ...?
answer:DearWe understand your concernsI went through your details. I can understand. If there is no ejaculation after masturbation, it simply means that your body is not sexually aroused. Masturbation results in ejaculation only when your body is sexually aroused. Otherwise masturbation is painful. Because of the same reason, nocturnal emission happens you. I surely think, you are anxious about sex, sexual organs and related concepts. Your knowledge is false. I suggest you to consult a psychologist for sexual counseling. If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. Take care.
question:i havent had sex with any girls r no sexual activities but i had oral sex with my girlfiried long back but my problem is whn i urinate sum white liqiud is comming along the urine it doesnt come often but cum around 1nce in tow week r whn i hav good erection and yesterday i had naticied an small bubble on my sack help me plzzzzzzzzz
answer:DearWe understand your concernsI went through your details. I can understand. Please do not worry. The whitish liquid comes out through your penis during urination is semen itself. that is body's normal procedure and you cannot control it. Body produces sperm cells whenever you are sexually excited. The produced sperm cells are stored inside your body. Because it is a waste product, body needs to throw it out. Body naturally throws out the waste product through urine or through nocturnal emission (dream / night fall). There is nothing to worry about it.If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. Take care.