Hello doctor, I am a 57-year-old white male. My only medication is Metformin for a pre-diabetes watch. My blood sugar when I wake up is 100 to 121. I take it daily. I do not take metformin daily. My sex drive has dropped off to zero nine months ago. When I have sex, the quantity of semen is very less. Now when I go to the restroom, a lot of bubbles are created in the urine. It just started two weeks ago. My PSA is 3.1 and the urologist says I am fine. But, I know I am not fine. Please help.
Hello. I would like to know a few more details. To answer your query, Metformin has no role in reduced sexual drive and the bubbles in the urine. It could be an early sign of proteinuria seen in diabetics. I suggest you get an ultrasound and uroflowmetry to check for your prostate size, flow rate and estimate residual urine. I suggest you also check your testosterone levels to look for the reason for your reduced sex drive and then we will evaluate further or treat based on the results. For more information consult a urologist online -->