conversations
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[
{
"from": "system",
"value": "How to treat nightfall causing fatigue and hair fall?"
},
{
"from": "human",
"value": "Hi i am ja ,makash. i am suffering from Nightfall problem since last 7 years. it occurs 3-4 times a month. Due to this problem i am facing many problems like fatigue and my face is also becoming dull like my cheeks are pressed and i have hair fall problem also. Request you to please suggest me some good medicines.Thanks"
},
{
"from": "gpt",
"value": "HI Thank for asking to HCMI really appreciate your concern looking to the given history here I would like to ask you that you used the words \"Night fall\" did you mean \"Nocturnal ejaculation\" if this is right then let me tell you that this is physiological phenomenon and not the disease but this is great myth, so need to worry about this it wont cause anything, hope this information helps you, take care and have a nice day."
}
] |
[
{
"from": "system",
"value": "How to increase the sperm morphology?"
},
{
"from": "human",
"value": "my husband is taking himalaya spemen tablets as he has a low sperm morphology, we underwent artificial insemination twice and invitro frtilization once but had negetive results..what is the best method to increase his morphology i:e his sperm dies very soon..."
},
{
"from": "gpt",
"value": "HIThank for asking to HCMI really appreciate your concern let me tell you that as long as the low sperm count is concern there is no specific medicine available which gives the promising result but of course this could gives the placebo effect for sure, some time exercise could gives good results and this is worth trying, take care and have a nice day."
}
] |
[
{
"from": "system",
"value": "How to get rid of itching in scrotum and penis skin?"
},
{
"from": "human",
"value": "I have problem with my scortum and penis skin and it itches a lot and itching never stops. The skin shed in every two-three days and there is also a very bad smell which at times frustating. It is bound to happen on the day when i miss my shower but anyways it happens at regular intervals and itching continues throughout the day ,the smell stays on the cloths and is permanent , i have been applying candiderma daily once and it is not helping, i am a virgin , the skin becomes dry like our lips and sheds off like scales on our lips when rubbed , the skin devlopes red cut marks sometimes and the thigh skin in contact with scortum also has red patch , initially my skin used to havr burning sensation when soap was applied but i am not having that problem from past 6 months, pls help"
},
{
"from": "gpt",
"value": "HIThank for asking to HCMI really appreciate your concern looking to the given history here I could say that this could be nonspecific type of itching generally this does not need any treatment just take care for hygiene and the thing would come around no need to worry about this, take it easy, hope this information helps you, take care and have a nice day."
}
] |
[
{
"from": "system",
"value": "What causes difficulty to insert penis in vagina?"
},
{
"from": "human",
"value": "I based in kolkata, am married for 4 years, myself and wife have no prior sex experience before marriage. we have tried having sex seriously around 10 times in this time. But never achieved penetration. Usually the situation is iike i have hit a wall because I have not been able to penetrate even when there is lubrication in her. so the entire attempt ends as a damp. but i feel my penis is normal and she has been able to insert one finger fully inside and with 2 fingers not so deep. need assitance and pointers to genuine sex therapist"
},
{
"from": "gpt",
"value": "Hello,In the given situation, you need to approach a gynecologist for physical inspection of vagina. Sex therapist can do nothing in this scenario except referring your wife to a gynecologist. In certain cases, the vaginal opening may be narrow because of so many reasons and that can be cured or repaired.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist"
}
] |
[
{
"from": "system",
"value": "Is it normal to have pain after penis masturbating?"
},
{
"from": "human",
"value": "Hi Doctor, I'm Ashwin 31 years old. From the past 8 years, I experienced pain in penis after masturbation. After I urinate, the pain reduces slowly. Not all the times it pains; if I don't masturbate more than 3 days and do after that, I experience pain. Does it normal?"
},
{
"from": "gpt",
"value": "HIThank for asking to HCMI really appreciate your concern looking to the history given here I could say that because of the masturbation there must be trauma to the urethra and this causing pain in my opinion stop the act and better to get done the clinical examination if the symptoms does not improved even after stopping the masturbation, hope this information helps you, have a nice day."
}
] |
[
{
"from": "system",
"value": "What to do if having hematospermia after drinking which is brownish and causing no pain, clear urine?"
},
{
"from": "human",
"value": "I have hematospermia after a heavy night of drinking. I also drink protein shakes and creatine, but make sure to drink lots of water/orange juice as well. The first time it was mostly dark red, but the second time it was a bit brownish. No pain and urine is clear."
},
{
"from": "gpt",
"value": "Good Day and thank you for being with Healthcare Magic! how old are you? if you are more than 45 years of age I would suggest having your Prostate checked to rule out cancer that may have caused your Hematospermia.Otherwise if you are still young then majority of the Hematospermia are usually self-limiting and caused by inflammation. It will go away on its own in a few days without treatment and is not a cause of worry. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: I would gladly help you. Best wishes."
}
] |
[
{
"from": "system",
"value": "What to do for having extra renal pelvis on right side that was shown in ultrasound?"
},
{
"from": "human",
"value": "I had an ultrasound and the results came back that I have an extra renal pelvis on the right side. Occasionally I have shooting pains in my LRQ of my abdomen and sometimes after urinating I feel like I still have to go. I have also been very bloated for months. What does all this mean?"
},
{
"from": "gpt",
"value": "Good Day and thank you for being with Healthcare Magic! You have a condition called a double collecting system. It is where in two passages of urine developed in your kidney Instead of one. Most of the time it is a normal variant and doesn't cause any symptoms. But since you have post void dribbling and bloatedness you may have pooling of urine in your extra ureter . I suggest doing a CTUROGRAM to check the status of your urinary system. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: I would gladly help you. Best wishes."
}
] |
[
{
"from": "system",
"value": "Why is my foreskin not going back on own after erection?"
},
{
"from": "human",
"value": "Hi, wanted to check. i am an uncircumsised male, 40 years, when i get an errection my foreskin does not go back on its own unless i pull it back, it is slightly uncomfortable but i can manage it to a large extent. Is is better not to pull the foreskin back or pull it back from a sexual pleasure perspective?"
},
{
"from": "gpt",
"value": "HI there , From your description it looks like you have a short prepuce which causes difficult in pulling forwards and is usually associated with pain. Prepuce movement should be painless and usually it gets retracted during erection, if it causing uncomfortable then its better to undergo circumcision , which is a simple procedure."
}
] |
[
{
"from": "system",
"value": "Will masturbation cause any problem in treatment of epididymitis?"
},
{
"from": "human",
"value": "Hello sir thanks for ur valuable answer to my disease epididymitis .If i doing masturbate twice a day is any problem in treatment for epididymitis. i am suffering from 1 month ,AND I am useing the tablets BANOCIDE FORTE ,KATADOL,INTIMATE,RIDACID from last 15 days still have a pain in left testis and after ejeculation..sir i have swelling in right testis but pain in left testicle why ? is it common or i get any other disease"
},
{
"from": "gpt",
"value": "Hi There , It appears like you have epididymo-orchitis on left side and orchitis on right side ( swelling of right testis )but needs confirm with the ultrasound .Avoid mastrubation atleast for now as it already casuing pain to you till the infection subsides."
}
] |
[
{
"from": "system",
"value": "What causes swollen lymph node in groin?"
},
{
"from": "human",
"value": "I HAVE A SWOLLEN LYMPH NODE ON THE RIGHT INNER SIDE OF MY GROIN,IT HAS BEEN THERE FOR 2YRS.iT WOULD ONLY BOTHER ME IF i PUSHED ON IT,NOW IT'S HURTING ALL THE TIME N HURTING DOWN MY LEG.iT'S ABOUT THE SIZE OF WALNUT.wHAT COULD CAUSE THIS N WHAT TYPE OF DOCTOR SHOULD i SEE.mY DR. AT 1ST THOUGHT IT WAS A FEMORAL HERNIA N FOUND OUT IT WASNT N JUST SAID IT WAS A LYMPH NODE,HAVEN'T BEEN BACK SINCE N IT HAS GROWN IN SIZE SINCE THAT VISIT."
},
{
"from": "gpt",
"value": "Hi there , Thanks for query .Causes for groin swelling are lymph nodes , hernia , dilated veins at the groin. Clinical examination and ultrasound will determine the cause of swelling.Lymph node enlargement at the groin is common as there will be repeated infection of the leg, like even walking barefootcan cause without apparent infection. So repeated infection causes persistence of the size of the lymph node and its progression."
}
] |
[
{
"from": "system",
"value": "What does crystal content in benign epididymal cyst on scrotum indicate?"
},
{
"from": "human",
"value": "I was diagnosed several years back with an epididymal cyst on the scrotum, which was benign. Since then the cyst has increased in size tremendously, equivalent to the size of the testicle itself. I did get an ultrasound indicating that there are crystals in the cyst itself and was referred to a urologist. I am patiently awaiting for my appointment; however, would like your opinion on this matter, and what is meant by crystal content. Thank you so much."
},
{
"from": "gpt",
"value": "Hi there , Thanks for your query.Epididymal cyst contains protein, phosphate, glucose, triglyceride and cholesterol along with 99% of water content.so any of the content can undergo aggregation and form crystals.Surgical excision can cure the condition."
}
] |
[
{
"from": "system",
"value": "What causes abdominal pain and cramps while masturbating?"
},
{
"from": "human",
"value": "I have abdominal pain and cramps when I masterbate, not at first but about 5 to 10 minutes into it. After ejaculating the pain slowly goes away in about 30 minutes. I m a 50 yr. old male, I had a colonoscopy feb. 19. All was normal, pain started about 2 weeks ago."
},
{
"from": "gpt",
"value": "HIThank for asking to HCMI really appreciate your concern looking to given history here I could say that during the act of masturbation the muscle becomes very tense and stiff to because of the force being applied during the act this may cause the cramp and pain in my opinion you have to control the act, low down your libido hope this information helps you have a nice day."
}
] |
[
{
"from": "system",
"value": "Does the sperm ejaculation during sleep cause infertility in future?"
},
{
"from": "human",
"value": "hi iam 21years age now, not yet married.daily in sleeping my sperm is coming out,it is happening every day.is there any problem if it comes out daily ?and is there any problem in future with my partner in having a child ? will my sperm reduse by that time ? please give clear solution every day iam worrying abot it."
},
{
"from": "gpt",
"value": "HiThank you for asking HCMI have gone through your query.It is normal to have ejaculation while sleeping if you don't masterbate. You don't need to worry about that.You can have regular exercise like swimming jogging etc which may help you in decreasing those episodes. That doesn't cause any impact on your future fertility or libido.Hope this may help you.Let me know if you have any further query."
}
] |
[
{
"from": "system",
"value": "What are the benefits and side effects of masturbation?"
},
{
"from": "human",
"value": "I'm asking this question to sex specialist.I'm 19 years old.I usually masturbate 2-3 times a day.I heard that masturbation is good for health.I want to know that are there any problems and benefits around masturbation.If there is any benefits or problems about masturbating please inform me details of that."
},
{
"from": "gpt",
"value": "HIThank for asking to HCMI really appreciate your concern looking to the history given here I could say that masturbation is natural instinct or physiological phenomenon this is neither harmful to health not helpful but if some one performing this then there should be some limit, not all the person do this, all those do it not benefited and all those are not doing this not in loss, hope this information helps you, have a nice day."
}
] |
[
{
"from": "system",
"value": "How can pain due to groin hernia be treated?"
},
{
"from": "human",
"value": "I had a groin hernia 5 years ago and then 6 months later they had to take out the mesh because it was not in right to repair my hernia. Now I believe it is coming back I have pain in that area plus pain around toward the baack area where leg joins"
},
{
"from": "gpt",
"value": "Hi, Anti-inflammatory drugs can be given at initial stage, in case of obstructive hernia, surgery can be done.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist"
}
] |
[
{
"from": "system",
"value": "Suggest treatment for semi phimosis"
},
{
"from": "human",
"value": "Hello doctor im suffering from semi phimosis please tell me how to cure it.. I can retract my penis foreskin fully wn flaccid but cant retract when erect... It pains if I try to retract when the penis z of full length.also my penis head is very sensitive ....I can t touch it ....plz tell me how can I cure these problems"
},
{
"from": "gpt",
"value": "HIThank for asking to HCMI really appreciate your concern looking to the history given here I could say that this is could be para-phimosis and in my opinion the surgery is the only option you have and it need to be done as early as possible because delaying this could cause difficulty in surgery, hope this information helps you, take care and have a nice day."
}
] |
[
{
"from": "system",
"value": "Why do I have swollen lymph nodes in groin area?"
},
{
"from": "human",
"value": "I have what seems to be swollen lymphnodes in my groin, near the inguinal area. i also have little scabs on my penis and around it, up to 5 of them. I went to a doctor here in spain today and receive amoxicilin and was told i have some sort of skin infection that has caused the area there to swell. im taking the amoxicilin and planning on visiting a regular doctor and asking for blood tests. is there any advice you can give me?"
},
{
"from": "gpt",
"value": "HIThank for asking to HCMI really appreciate your concern looking to your history given here I could say that if you noticed lymph nod in your groin area with the swelling then this is the indication of some infection in that area and that needed to be investigated and treated accordingly, hope this information helps you, take care and have a nice day."
}
] |
[
{
"from": "system",
"value": "Any suggestion for left side testicle larger than right?"
},
{
"from": "human",
"value": "Hello doctor, i have testicles problems due to unblance .my left side testicle is little bit larger and down than right side testicle. I feel uncomfortable and pain in these occasionlly.so request to you please suggest the treatment and told that is this unblance have any effect on the penis ?"
},
{
"from": "gpt",
"value": "HIThank for asking to HCMI really appreciate your concern here looking to the history given here I could say that certain conditions are there and that need to be ruled out first is hydrocele and second is orchitis if something is found like this then it should be treated accordingly if these unremarkable then just forget this, hope this information helps you, take care and have a nice day."
}
] |
[
{
"from": "system",
"value": "Gynecomastia, overweight. Taking zinc to stop estrogen production, no relief. Treatment?"
},
{
"from": "human",
"value": "hello i am inquiring about about man boobs from the age of 13-19 i have always had man boobs even at a point were i was only 65 kg 5ft 7. And i have got used to them to be honest but recently i have been getting fed up of them due to me going to the gym and working out a lot i can get every part of my body the way i want it through exercise accept from my man boobs although i think i am just overweight at 74kg at the moment although i have just come down from 83kg and it really just puts me down how no matter how much effort i put in i cant get rid of them if i went to the doctors about this what treatment could they offer and how affective i have tried taking large amounts of zinc to try and reduce estrogen production but it didn t really work either"
},
{
"from": "gpt",
"value": "Hello,Thanks for the consult...Brief answer,Surgery is the preferred treatment of choiceDetailed explanation,1. I read your query. I am happy to help you. You mentioned that there is a lot of fat under your nipples.2. You already taken zinc tablets to reduce estrogen release and also done fitness by doing jim so that you reduced your weigth from 84kg to 74kg but still no change in your boobs size3. The best treatment of choice is by doing surgery for gynecomastia which reduce the fat under the nipples4 consult general surgeon or plastic surgeonHope this information helps..."
}
] |
[
{
"from": "system",
"value": "Hard skin near testicles, wound burn, brown discharge, bruise, friction causes pain. Treatment?"
},
{
"from": "human",
"value": "My right testicle seems to have an area where the skin is kind of hard. Parallel to the right testicle, on my leg, there has been a round burn which is showing meat. This burn seems so have cleaner skin around it. After time to time, my underwear seems to have a brown pungent smelling fluid which I think is wither coming from my testicle or the bruise . More likely, the testicle. And yes, there is pain cause by the bruise and noticeable pain caused by the scrotum when I walk. Another thing is that this all happened suddenly, when i was walking home. I noticed that my right groin area started hurting and it felt as if a rope were being rubbed back and forth in that area. I also want to know is if it is being caused by some type of fungus? Bacteria? Virus? If weather conditions are important, then it is rainy here. This has never happened to me before. Thank you so much!"
},
{
"from": "gpt",
"value": "Hello,Thanks for the consult...Brief answer,It might be due to fungal infectionDetailed explanation,1. I read your query. I am happy to help you. You said that you have hard skin bruise and pain near the right testicle2. This might be due to fungal infection. 3. Use Ointment cotrimazole for local application and tab.fluconazole 120mg twice a day for 5 days4. The test that you have to do is the collection of bruise at the site of infection and send it to laboratory for cultureHope this information helps..."
}
] |
[
{
"from": "system",
"value": "Recurring redness with bumps on the urethral opening. What is the cause?"
},
{
"from": "human",
"value": "Hi Dr. Prasad. I am a 23 year old male and over the past few days I have been noticing a strange redness on the opening of my urethra . I opened it slightly with my fingers and can see 2 or 3 small bright red bumps. Almost as if they are hidden in the opening of the urethra. When I stand normally, the opening of the urethra is very red in one spot about 2 or 3 millimetres big. What could this be? Thanks"
},
{
"from": "gpt",
"value": "Hello,Thanks for the consult..Brief answer,This may be due to urethritis or any sexually transmitted diseaseExplanation,1. I seen your query. I am happy to help you. You already mentioned that you have red bumps at the site of urethral opening2. This red bumps may be due to urethritis which is commonly due to gonococcus or any sexually transmitted diseases like herpes or syphilis3. Kindly do urine examination for bacteria, VDRL test for syphilis, blood examination and culture for gonococcus and herpes genitalisHope this onformation helps"
}
] |
[
{
"from": "system",
"value": "How to get female look without surgery?"
},
{
"from": "human",
"value": "Hi my name is J im an 18 year old black male and i was wondering if there was any other way i can get a more female look (hips,thighs,butt and stomach) without surgery and also if i did undergo surgery is there any way they could add fat to my body to give me a more thick or plump look"
},
{
"from": "gpt",
"value": "DearWe understand your concernsI went through your details. I suggest you not to worry much. I am sorry to say there are no other methods other than surgery to get into female look. I am not going into the reasons for your decision, But I request you to think twice before acting. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck."
}
] |
[
{
"from": "system",
"value": "Could pre-cum slide out of condom?"
},
{
"from": "human",
"value": "I had sex yesterday and me and my boyfriend are very paranoid , it was our first time having sex . We used a condom we used it properly no torns nothing and ontop of that he didn't ejaculate , but my question is could precum slide out of the condom or ...?"
},
{
"from": "gpt",
"value": "DearWe understand your concernsI went through your details. I suggest you not to worry much. This is a question usually asked by everyone having first sex using condom. Answer is normally No. Once you both are sure that you used condom, then why worry. Unnecessary worries create stress and mental anxieties.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck."
}
] |
[
{
"from": "system",
"value": "Will wound in glans cause permanent scarring after healing?"
},
{
"from": "human",
"value": "hi there, 3 days ago i accidentally scratched my bf's glans while having sex. He has 2 little wounds, one of them was a superficial scratch (more like a skin irritation) and the other one bled when it happened. Both look red right now, and the wound that bled has a scab on top. I would like to know if glans wounds heal properly as any other wound on other parts of the body, and dont leave a scar. He is afraid this wounds would create permanent scarring. Also, do you recommend use of vaseline or any other moisturizer for the healing scab? Thank you!"
},
{
"from": "gpt",
"value": "Thank you for your question. I don't think this scratches and abrasions are deep enough. Glans is highly sensitive and vascular structure , so it bleeds on minor trauma. This superficial wounds heals predictably in 7-10 days. Don't peel off the scab already formed, use a antiboitic oinment preferably neomycin group in thin film until scab seperates itself bridging the wound with regenerating mucosa."
}
] |
[
{
"from": "system",
"value": "What could be white color puzz in urine?"
},
{
"from": "human",
"value": "Hello doctor, this is Thomas from Benshankari, and i am having some issues and having burning sensation in the edge part of Pennis and yesterday morning i found some white color puzz before i urinate. could you please help me to find out what sort of issues it is?"
},
{
"from": "gpt",
"value": "Hai thomas, I conclude that it will be a urinary tract infection or any localised infection in your glans penis and the outer skin,(If it remain uncleaned regularly) or genito urinary tract- urethral inflammation- in Sexually transmitted diseaseswill lead to white colour pus discharge.consult your physician and get it done your urine routine and urine culture.hope i clarified your querythank you"
}
] |
[
{
"from": "system",
"value": "Is it safe to have sex during diagnosis for TB?"
},
{
"from": "human",
"value": "sir, i am a patient of tuberculosis. my parents pland my marrige in this march but now the delayed coz some people thought sex is not good for me in Tb. i have complete the period one month using medicine. my T.B is not relate to lungs. please suggest me can i sexual relation during T.B.or should wait till complete treatment."
},
{
"from": "gpt",
"value": "Hi, You can have sex, after completing your treatment for 6 months.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist"
}
] |
[
{
"from": "system",
"value": "What does it mean by whitish discharge and blood from penis?"
},
{
"from": "human",
"value": "My boyfriend has a whitish discharge coming from the tip of his penis. Also their is a red like sore or maybe the tip of his penis is just swollen or irritated. He says discharge only happens in the morning and we found spots of blood on his underwear. What does that mean?"
},
{
"from": "gpt",
"value": "Hai White discharge and blood stain from penis will occur in a. poor hygiene followed in genital cleaning (penis and surrounding Outer or foreskin remain uncleaned regularly) B. urinary tract infection C. Sexually transmitted disease .-(penis sore)hope i given a clarification.Thank you. All the best for your health."
}
] |
[
{
"from": "system",
"value": "How to prevent masturbating?"
},
{
"from": "human",
"value": "doctor i masterbate ,but i wants to quit it as soon as possible , as it makes me remorseful and tired,and my whole schedule is disturbed . Iam in 12th standard and expecting good grades this year , but my urge to masterbate disturbs me in my studies"
},
{
"from": "gpt",
"value": "HIThank for asking to HCMI really appreciate your concern the masturbation either in male or female is impulsive phenomenon and the sex drive the atmosphere these are the important factors playing role behind this, masturbation is not the disease but some limit should be there and for that one need to control the impulses and this not difficult, you can do it, take care and have a nice day."
}
] |
[
{
"from": "system",
"value": "What causes irritation and red bumps on penis head?"
},
{
"from": "human",
"value": "Hi how are you doing? Well my boyfriend of almost 5 years has had a weird irritation on his penis for a couple of months now. His pee hole is really irritated and red, and about an inch below the head he has a big red bump that is very noticeble...what could it be?"
},
{
"from": "gpt",
"value": "HIThank for asking to HCMI really appreciate your concern looking to history given here, this could be because of the some irritating substance in the urine and for that his urine should be sent for the test and the test should be routine and Microscopic, if this is normal then no need to worry about this, for the symptomatic relief \"Povidone can be tied\", have a nice day."
}
] |
[
{
"from": "system",
"value": "What do bulging veins on penis indicate?"
},
{
"from": "human",
"value": "I am having a problem with the veins on my penis.. Over night, after extended masturbation, my dorsal vein has become way more prominent and bulging (even when flaccid). I've done my research and I'm pretty sure this is penile thrombosis. Also, veins on either side of my penis have become more prominent (although they don't bulge) and a vein directly next to my dorsal veins has also become very prominent. Worst of all, 2 very thin, thread-like veins that are VERY noticeable when erect have showed up.. They run across the penis from left to right and are worrying me the most, they are red to dark purple.. They appear to be JUST under the skin and very weak and frail. It's been 3 weeks since the thrombosis and these ugly thread like veins are still there. I haven't had any sexual activity since, and while I believe the dorsal thrombosed vein will heal, I'm worried about the ugly thread like veins that came with it. I've taken ibuprofen everyday for 3 weeks and no sign of healing. I'm starting to get worried the veins will be there for good and sex will never be the same. I'm only 19.. Please help!"
},
{
"from": "gpt",
"value": "HelloThanks for your query,based on the facts that you have posted it appears that you have prominent dorsal veins on shaft of the penis and prominent communicating veins seen across the penile shaft.Please note that these are neither thrombosed veins nor any abnormal veins .These veins are prominent and have no significance at all as for as sexual potency is concerned and neither they are going to make any harm to you during sexual intercourse.It is your anxiety that is worrying you.Dr.Patil."
}
] |
[
{
"from": "system",
"value": "What treatment to be taken for the bump on the scrotum which is painless?"
},
{
"from": "human",
"value": "I had a red bump on my scrotum. No pain, no itch. Not sure how long it has been there. A few days ago a poked with a needle and popped it. White Puss came out a with a clear liquid and some blood. Anything to be worried about? I had unprotected sex months ago but again no pain or itch."
},
{
"from": "gpt",
"value": "HelloThanks for your query,based on the facts that you have posted it appears that you have what is called as Sebaceous Cyst over scrotum.The scrotal skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin.Normally they fade away without treatment however they need to be treated if increase in size or get infected.Please consult qualified General Surgeon for clinical evaluation and further treatment.If may need to get excised in Toto (Completely along with the sac).This is a simple surgery done under local anaesthesia as out patient procedure and offers permanent cure.Dr.Patil."
}
] |
[
{
"from": "system",
"value": "Found problems in erection"
},
{
"from": "human",
"value": "hi i am vicky my age is 29 yrs weight 79 kg my lipids are cholestrol 265 tg 233 ldl 160 hdl 47 and my bp is always 100/140 but i have no headache i found problem in erection also i have very poor erection kindly suggest the right way for erection and bp problem"
},
{
"from": "gpt",
"value": "HIThank for asking to HCMI really appreciate your concern, looking to the history given here I could say that the erection actually stimulated through the cortex area in the brain and this depends upon the certain stimuli like visual, touch, thinking, that is directly related with the sex, and this stimuli greatly affected by the anxiety and depression which may cause the erection problem and this is not the disease, that can be treated, take care and have a nice day."
}
] |
[
{
"from": "system",
"value": "What does a bump on penis shaft indicate?"
},
{
"from": "human",
"value": "skin Doc it seem I have a (single) bumb about an inch bellow my shaft. Its sensitive to the touch. Im a virgin so I've ruled out the possibility of an STD but would like to know more about this bumb. Please get back to me as soon as posible.. Thanks"
},
{
"from": "gpt",
"value": "HIThank for asking to HCNI really appreciate your concern looking to the history given here I could say that if the swelling is not hurting you then no need to worry about this and if the swelling is painful then this need to be treated with the Tab Ibuprofen 400 mg three times in day if the symptoms does not improved then clinical examination would be necessary, take care and have a nice day."
}
] |
[
{
"from": "system",
"value": "What difference in testicle size?"
},
{
"from": "human",
"value": "hi i recieved a hand job last night and it was really really rough. in the morning i woke up to find my penis was enlarged then i put it under the shower and put some preasure on it and it died down. but now ive discovered that my right ball sack is very large almost 2-3 times the size of my other testicle."
},
{
"from": "gpt",
"value": "HI Thank for asking to HCMI really appreciate your concern looking to the history given here I could say such variation in size of testis is just common but it must not be large and painful then nothing to worry about this and no need to treat the condition I would advise you to stop observing this, hope this information helps you take care and have a nice day."
}
] |
[
{
"from": "system",
"value": "What could the hard lump in groin area be?"
},
{
"from": "human",
"value": "I have a hard lump about the size of a walnut in my left groin area. It isn't painful unless I press on it. I do feel a slight pressure in that area though. What could this be?There is a chance I may be pregnant as well, but it is too soon to tell. We had a condom break and I didn't notice this lump until about 4-5 days later. It has been about 12 days since the condom break."
},
{
"from": "gpt",
"value": "HIThank for asking to HCMI really appreciate your concern, looking to given history here, this is nothing to do with the breaking of condom and pregnancy because this may be lymph node if this is not swollen and tender then no need to worry about this, just have watch, if this increases in size then clinical examination is advisable, have a nice day."
}
] |
[
{
"from": "system",
"value": "Testicular pain, normal urine tests, suspicion of cysts on scrotal ultrasound. What could be the cause?"
},
{
"from": "human",
"value": "Hi, I have pain in my left testicle since sep-2011, since then i have consulted 5 different doctors/specialists but still no relief. I have done ultrasound of my scrotum twice, both times the doctor said its infection or cysts , but they are not sure, Urine tests are also norma, there is no problem in ejaculation, no blood in urine , but i still feel pain and dull ache in the back side of my left testicle. Please suggest what it could be?"
},
{
"from": "gpt",
"value": "Chronic scrotal pain is often a frustrating symptom complex both for the patient and the treating doctor, and my sincere suggestion as of now is to try and focus thoughts away from your discomfort unless it is very severe. Many patients keep shifting from doctor to doctor with little or no improvement. You can try taking medication like Pregabalin, Tramadol and acetaminophen combination for pain, and wear a scrotal support. It is unlikely that the pain is due to the cysts which are present in many men with no issues.If the pain is really troubling you and reducing the quality of life, you can approach a urologist for a trial of cord block, and see if symptoms get better. If they do, you will be a candidate for micro-denervation of scrotal nerves with good relief in a significant percentage of patients."
}
] |
[
{
"from": "system",
"value": "What causes hardness and swelling in penis ?"
},
{
"from": "human",
"value": "hi, i have a curved penise towards the left , it is very obvious and make an angle of around 40 deg from straight, also 2 months back i got swelling and pain in my left testicle , when swelling went away i found that my left testicle has become rock hard with pain in it but in 4 days it got normal bt i still feel if a little heavy and it hangs like a ball without any relation with rest of the parts. in my childhood once i was hit on my testicle while playing since then i feel weakness in it and now i feel it is because of that . your suggetion r welcome i also feel that i ejaculate too early in 1 minute. should i marry or not ."
},
{
"from": "gpt",
"value": "Hello, First of all nothing to worry about curved penis since it is normal. For pain and swelling of left testicle you need to do ultrasound of lower abdomen and pelvis. I suggest you to consult a Surgeon and get an ultrasound of lower abdomen done to rule out hydrocele or testicular torsion. Ejaculation within 1 minute is not abnormal. You can happily marry if you want. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Pramod Kokare, General & Family Physician"
}
] |
[
{
"from": "system",
"value": "Could Tadalfil be used at the age of 69 having normal heart condition?"
},
{
"from": "human",
"value": "69 yr old male,stent to rca in 2009. echo normal with ejection rate of 55-60.B P130/80.wt. 61 kg, ht. 5'6'.no sugar problem.Can I use tadalafil? I want to use i mg daily. Taking Metaprolol XL 50mg ! tab od, ecospirin 75 mg, clopidgrel 75 mg both 1 tab each od, rosuvas 5mg 1 od. Also taking multivit. cap 1 od,and iron cap 1 od. Pl advise for tadalafil or any other such bettr drug. thanks."
},
{
"from": "gpt",
"value": "Hi, You can use since you are having normal heart condition.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist"
}
] |
[
{
"from": "system",
"value": "Is my sperm count normal?"
},
{
"from": "human",
"value": "HiThis is Naveed 24 Year Old Male, can you please advice me on below Sperm Count, is that Normal and possibility of getting Pregnancy, Physical Volume; 3 MillionColour; Grey WhitConsistency; Think Microscopic Total Sperm Count; 15 Million Motile; 60%Sluggish; 10%Dead 30%Normal Form; 60%Abnormal Form; 40%thanks"
},
{
"from": "gpt",
"value": "HelloThanks for your query,based on report of your semen analysisthat you have posted it appears that you have what is called as Oligospermia meaning thereby that your sperm count is less as compared to accepted range by WHO standards.Normally one should have sperm count to be 60-80 millions per ejaculate to effect in to normal pregnancy .Dr.Patil."
}
] |
[
{
"from": "system",
"value": "How to treat heaviness in testicle?"
},
{
"from": "human",
"value": "my right testicle is hanging lower than my right and feels heavierand also notice a small lump but when i touch it it feels like a bunch of vains instead of round i also get a wierd not painful feeling in my testicle hanging lower this has gone on since yesterday and no serious pain has occurred what could it be?"
},
{
"from": "gpt",
"value": "HelloThanks for your query,based on the facts that you have posted it appears that you have slight discomfort in your Rt testicle and can palpate bunch of veins .This is most likely to be Varicocele.and needs to be confirmed by clinical examination by a qualified Urologist and colour doppler study of scrotum.Dr,Patil."
}
] |
[
{
"from": "system",
"value": "Is it harmful to masturbate regularly?"
},
{
"from": "human",
"value": "Is it harmful to masturbate regularly ?i mastrubates Regularly since last 5 to 6 yrs .. is it harmful to me....does it has any side effects. or does it effects on productivity of sperms ...i am 23 yrs old.. should i stop it or reduce it or enjoy it... plz help me ...."
},
{
"from": "gpt",
"value": "Hi,Welcome to healthcare magicI have read the query and understand your curiosity.Masturbation is perfectly fine and normal even if it is carried out daily as has no side effects when done in a controlled manner neither does it effect on productivity of sperms.Masturbation is a way for sexual satisfaction for those who don't have partners and is a very common phenomenon.The only problem is that it shouldn't be done that excessively that it affects your day to day life.It should be a way of relaxation at the time of increased sexual activity and not compulsion.So,don't worry its okay even if you do masturbation daily but it should'nt become an addiction hampering your mental,physical and social health.If it is affecting you the best cure is self control of desires.Hope this answers your query.Regards,Dr.Tushar Tamboli"
}
] |
[
{
"from": "system",
"value": "Lump under foreskin, bleeding, pain post ejaculation, red ring around penis head. Treatment?"
},
{
"from": "human",
"value": "For a couple of months now i have had a small lump under the foreskin . It doesnt sting in the shower but when i am having sex with a condom on it, when i release it stings just where the lump is as the condom is holding everything in around it. I never passed too much heed of it. Recently my partner and i have been able to have sex without a condom and it improved a bit until the last time and after we had sex i seen it was bleeding , we realised i must have been bleeding during the sex too. This lump is so small sometimes you would wonder is it just a vein just slightly raised? I dont know how it was bleeding or if i got a small cut. There is a red ring around the bottom head of the penis , it would be lower down than the lump. you can only see the lump or red ring when erect or foreskin pulled back. Should i be worried. will this heal and go away itself or do i go to a doctor?"
},
{
"from": "gpt",
"value": "Welcome to the forum.The lump may be an insignificant lesion, but the red ring needs examination, as it can be bacterial or fungal infection.It is better to consult a urologist or a general surgeon.Sincerely,"
}
] |
[
{
"from": "system",
"value": "Skin infection on penis, white spots, blisters. History of nightfall's. Medication for infection?"
},
{
"from": "human",
"value": "good morning sir my name is XXXX and i m suffering from a skin infection on inner layer of penis . The infection is spreading rapidly in past few days. As i am working on ship i cannot see a doctor soon. I predicted it would had been some infection due to sweat and i applied cream ringguard but found ineffective. Later i realized this may be because of my nightfalls and sperms remain at location till i wash it when i wake up in morning. The infection started with white spots underneath the penis skin and small blisters are creating on penis head. The inner layer is sore and reddish and itchy. I am confused whether its bacterial or Fungal infection . Please advise me appropriate Ointment along with Antibiotic . Awaiting for your kind reply soon"
},
{
"from": "gpt",
"value": "welcome.Along with antifungal ointment you may also use anti- bacterial ointment to get relief.In addition, daily cleaning with soap and water is a must.Once u are in land, meet a doctor asap"
}
] |
[
{
"from": "system",
"value": "Suggest treatment for pimples on scrotum"
},
{
"from": "human",
"value": "I have what appear to be pimples on my scrotum. It started out with just one or two several years ago after I had a vasectomy and had to shave the area for the procedure. As the hair began to grow back it itched like crazy so I have continued to keep that part of me shaved on a regular basis. The \"pimples\" are roundish, white in color and firm to the touch. They don't hurt unless squeezed nor do they itch. My question is whether these are ingrown pubic hairs or some form of testicular wart? Hoping you can help me with some direction.Thanks"
},
{
"from": "gpt",
"value": "HelloThanks for your query,based on the facts that you have posted it appears that you have what is called as Sebaceous Cyst over scrotum.The scrotal skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin.Normally they fade away without treatment however they need to be treated if increase in size or get infected.Please consult qualified General Surgeon for clinical evaluation and further treatment.If needed some of them which are bigger may need to get excised in Toto (Completely along with the sac)Dr.Patil."
}
] |
[
{
"from": "system",
"value": "What causes jelly like semen discharge?"
},
{
"from": "human",
"value": "Hello sir i m 21 year old. i used to masturbate since 10 years. but i leave it now. but my sperm becomes viscous now.. in jellly form nw i want to knw will it affect in getting a child after getting married ?? sir plz give me suggestions what should i do ?? now?Thank you"
},
{
"from": "gpt",
"value": "HelloThanks for your query,based on the facts that you have posted it appears that you have been indulged in masturbation since many years and now worried about your fertility in future.As regards your doubt about viscosity of semen I would like to state that normal consisyency of semen is viscus and it gets liquefied after 30 -40 minutes ,There is nothing to to be worried about.Masturbation does not affect fertility of a man.Following general measures will help to boost up your general health and sexual potency.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..Dr.Patil."
}
] |
[
{
"from": "system",
"value": "What are the side effects of using Viagra?"
},
{
"from": "human",
"value": "I am 56 years old ,I bought 5 100 mil. viagra. I took 50 mil. the first few times and wasn;t to impressed it wasn t real hard and was kind of painful. The last time I took it I took 75 mil and no change . And now my penis is bent upwards at the end quite badly when I have an erection,I stopped taking the stuff as soon as this happened ,this makes it almost impossible to have sex it is bent that bad ,what can I do ?"
},
{
"from": "gpt",
"value": "HIThank for asking to HCM I really appreciate your concern looking to the history given here I could say that \"Sildenafil citrate\" could cause Priapism this is the main side effect of this drug beside this this could create the positive entropic action as long as the heart is concern without the proper indication this must not be taken , take care and have a nice day."
}
] |
[
{
"from": "system",
"value": "Should i perform the surgery?"
},
{
"from": "human",
"value": "Spermogram: 48h of restVolume 4.5mlCount: 60million/mlPH: 8Morphology: normal 40%Motility: active 60%Viable after 3h: active (40%); sluggish (5%); nonmotile (55%)Semen still unliquified after 180 minutes70% head; 20%neck, 10% tailI'm 30 years old with varicocele on my left testicle should i do the surgery?Regards"
},
{
"from": "gpt",
"value": "HIThank for asking to HCM I really appreciate your concern if you have a varicocele and your does not have marked abnormality then you can think about the surgery later as seen in your case, here your case can be consider subfertility category, non surgical method are also available and for that you need to discus with the urosurgeon, hope this information helps you, have a nice day."
}
] |
[
{
"from": "system",
"value": "Numerous bumps after shaving off pubic hair, no itching or burning. Chances of genital warts?"
},
{
"from": "human",
"value": "I am a 50 year old male. I have what would appear to look like genital warts , but it does not itch , burn or appear redning. However I have noticed that when i have shave my pubic hair off, it would appear that i may have nick a wart as there patern lines up to overlap each other. Are genital warts transferable by razor blade when shaving and do they always burn, itch or have redness, because mine never do and 1 is dark brown like a mole or freckle?"
},
{
"from": "gpt",
"value": "Thanks for contacting HCM. It appears from your description that you do have genital warts. Yes, genital warts can be transferred by razors. Usually they are asymptomatic i.e. they do not burn or itch and have no redness. They could be like mole or could be skin coloured. regards"
}
] |
[
{
"from": "system",
"value": "What diet and medicine increases the sexual stamina?"
},
{
"from": "human",
"value": "Hi Doctor, I got married one year back , While our marriage life is going wel wit no issues however ,I am not able to have proper intercourse. Earlier i had circumization done as well because my skin does not move backward when erected ,so doctor advised me to have it done. Besides i feel very tired when coming from office.I involve in foreplay and masterbate as well.Penis get rection however not able to perform intercourse. Now we planning to baby but not sure how to achieve it. is there any medicine /physical activity needs to be taken .Please Advise"
},
{
"from": "gpt",
"value": "Hi,List of exercise:KegelGlute bridgeReclined butterfly poseLying leg raisePlankPush upSquatHip flexor lungeSwimmingRunning or fast walk for 5 minsYogaFood:StrawberryAppleAvocadoSweet potatoSesame seedAlmondGarlicLittle chocolateHope I have answered your question. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist"
}
] |
[
{
"from": "system",
"value": "What causes falling of semen at night and frequent urination with no sexual drive?"
},
{
"from": "human",
"value": "hi, sir my question is a lot of semen fall out at night dream & at time of latrine from age of 12years & i am unmarried at this time my age is 32 years i do not feel about sex looking for women/ladies, my marriage is going in six months please tell me about good madicin & good suggetion about health."
},
{
"from": "gpt",
"value": "dear patient, thanks for contacting HCM . There is nothing wrong with you. this is normal for guys not having sex or masturbating as semen production is a continuous process through out the life and when there is no release then it comes out during urination or defecation or during erotic dreams at night. You are a fit young man with no sexual problems whatsoever, so don't waste your time and money. Regards."
}
] |
[
{
"from": "system",
"value": "Small scabs on head of penis. Family history of chlamydia. Causes and treatment?"
},
{
"from": "human",
"value": "I have small non itchy non painful scabs on the back of the head of my penis . I have two children and during the first pregnancy my wife was treated for chlamydia . So was I. During the second pregnancy, she had no STDs. My wife has been my only sexual partner for the las 13 yrs. if she has no STDs then neither should I. What could these scabs be?"
},
{
"from": "gpt",
"value": "Hello,Thanks for the consult: 1. Small non itchy non painful scabs on the back of the head of your penis is look like of having Sexually transmitted disease (STD) and the likely disease is syphilis caused by Treponema pallidum 2. Chlamydia causes painful or tender scabs so it can be ruled out 3. tests you should be done like Polymerase chain reaction test (PCR) to check for micro organism and other serological tests 4. Penicillin Injection is the treatment of choice if test is positiveThis information helps"
}
] |
[
{
"from": "system",
"value": "What causes pain and bump on top right of testicle?"
},
{
"from": "human",
"value": "Hi, I ve been having pain in my left testicle... It s been going on for 4 days and i once ejaculated and i felt a sharp pain. I stopped masturbating and i still feel a ache, very uncomfortable especially when i lay down. I did a self exam and i felt this tiny bump on the top right, but it feels on a vein? I m not sure the difference and the bottom i felt a line i think its a vein."
},
{
"from": "gpt",
"value": "HelloThanks for query.Based on the facts pain in left testicle is likely to be due to infection of Epididymis (Epididymitis).You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily for a week.Ensure to drink more water.It should get cured within a week.Dr.Patil."
}
] |
[
{
"from": "system",
"value": "What are the side effects of masturbation?"
},
{
"from": "human",
"value": "Hi Dr. SamuelI am Sam & 45years of oldI am habitual in musterbation despite of being married. Please let me know if it has any side effect. I had brain surgery due cyst in my sculp. Please let me know the side effect if i do a heavy musterbation.Regards.SAM"
},
{
"from": "gpt",
"value": "Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.First of all, there is a myth in the mind of a 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.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. P. T. Patil"
}
] |
[
{
"from": "system",
"value": "what should be done to have baby after one testes removed?"
},
{
"from": "human",
"value": "Good day,i have a 1 testes on my left side and got my right side removed due it is undescended. i haven't yet gone througth sperm count...i am married and me and my really wanted a bby of our own...what do you recommend mostly?thanks! i'l be waiting of your kind response..thanks and more power!"
},
{
"from": "gpt",
"value": "HelloThanks for your query.You have only one testes as your one testes has been removed .It does not make any difference as for as sperm count /ml of semen is concerned.Even one testis is capable of producing required quantity of sperm for reproduction.You do not need any special treatment for having only one testis.Dr.Patil."
}
] |
[
{
"from": "system",
"value": "What causes pain and inflammation in scrotum and pus cell in urine is 160-180 hpf?"
},
{
"from": "human",
"value": "I've got a painful scrutum which seemed bulging/inflamed at the center (not the left and right scrutum). A gentle hit of anything would cause some pain in my groin (left side). I had a Urinalysis and the Pus cells in my urine is 160 to 180HPF... what's my condition? thanks"
},
{
"from": "gpt",
"value": "HelloBased on information provided it appears that you have developed infection of Epididymis (Epididymitis)You need to take broad spectrum antibiotic like Cefexine and anti inflammatory drug like Diclofenac twice daily.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": "Deep bruise, swelling after leg injury. Trauma to several veins. Lack of sensation in penis. Possible reason?"
},
{
"from": "human",
"value": "I injured my left leg a month or so ago and got a deep bruise and swelling occurred.......I had it sonogrammed and the doc said i had trauma to several veins deep in my leg.....the knot used to be the size of a tennis ball but is smaller.......however, I noticed that I had some lack of feeling in my penis about that time, which never has happened......is this due to the trauma and lack of good blood flow???"
},
{
"from": "gpt",
"value": "Hello, Thanks for the consult: 1.The sensation in penis is bought about by the nerve Pudendal nerve which is orginated from the sacral plexus 2. You have a lack of feeling in the penis that might be possible due to the damage to the Pudendal nerve injury or to the blood supply to the penis by the Pudendal arteryThis information helps"
}
] |
[
{
"from": "system",
"value": "Suffering from sclerosing lymphangitis, three veins on penis, not movable, hardening on touching. Treatment?"
},
{
"from": "human",
"value": "hi there. I am suffering from sclerosing lymphangitis. There are 3 vein like hardened things on both sides of my penis which are unmoveable. So this is certain that these are not veins. These are hardedned on touch and painless. I have abstained from sex since 2 weeks but these are still present. Plz help me what to do and advise me some medicine thanx"
},
{
"from": "gpt",
"value": "Usually the treatment is surgery. This is risky and can cause loss of errections.Please rate 5 stars. I strive to provide you the best answer for your question!"
}
] |
[
{
"from": "system",
"value": "Diagnosed with scabies and shingles, have mood swings, history of stroke. What is the prognosis?"
},
{
"from": "human",
"value": "my father had a stroke in July of 2008 and in October of 2011 he was diagnosed. He is getting very had to get along with and I love him so much. Am I getting close to the end of losing my father. Sorry, I forgot to add that in October of 2011 he was diagnosed with scabies and shingles but he is very moody and very hard to get along with at times. What do you think his extened life span may be from this point foward."
},
{
"from": "gpt",
"value": "It is hard to say. If he improves with the infection and is able to exercise then he can continue for some time.Please rate 5 stars. I strive to provide you the best answer for your question!"
}
] |
[
{
"from": "system",
"value": "Had protected sex. Noticed swollen lymph nodes in leg and weight loss. Are they related to HIV?"
},
{
"from": "human",
"value": "I had a protected sex with a lady but i fingered her and she suck my penis on the 18th of may and three days later i experience a slight swollen lymph nodes in my right leg.couple of weeks later till now,i;m experiencing light coloured stool , coloured urine and weight loss .I suspect i am affected with hypertits.Please i want to know if any of this symptoms are related to hiv ."
},
{
"from": "gpt",
"value": "Not necessarily. Many things can cause this, including oral intercourse, skin infections and generalized swelling.Please rate 5 stars. I strive to provide you the best answer for your question!"
}
] |
[
{
"from": "system",
"value": "What causes a ring of vein on the penis with premature ejaculation?"
},
{
"from": "human",
"value": "dear doc. I am a male of 33 years and from last 17 years i have been masturbating. Its been more than 4 years of my marriage but I never had any intercourse with my wife as I ejaculate just before entering. A ring of vein is also clearly visible on upper portion of my organ. is that some thing to be worried and can it be cured along with premature ejaculation. I also feel completely exhausted and weak after each ejaculation."
},
{
"from": "gpt",
"value": "Hi, The ring of vein may be due to regular use and the premature ejaculation is due to hormonal imbalance, stress induced, improper diet, lack of exercise, diabetes, hypertension and prostate infection.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist"
}
] |
[
{
"from": "system",
"value": "Tingling, numbness in testicles with increased sensitivity, no pleasure on ejaculation, numbness in arms and fingers, leg swelling. How can I regain the feeling in penis?"
},
{
"from": "human",
"value": "i am 24 and have never had problems with sex or masturbation but resonantly it hasnt been feeling right at all my testicles are tingly and my end feels numb and sensitive an the sensation is no longer there, there is no pleasure when i ejaculate and it feels really wrong! i can still get an erection but i dont no what the problem is? I have also been getting numbness in my left arm and at times can not feel my 2 index fingers and it goes up to my elbow and sometimes my left leg aswell, i have been getting lower back pain and have been gettin pains in my testicals. The other day i feel 2 the flour in pain because something felt like it poped by my lungs and i felt it hard 2 breath or move for about 10 mins then it went and i have rashes all over my chest and back? i dont no wether these are all related but my main issue is my penis and will i ever get the feeling back!"
},
{
"from": "gpt",
"value": "You should get checked for diabetes.If your diabetes is uncontrolled you can have these problems.Please rate 5 stars. I strive to provide you the best answer for your question!"
}
] |
[
{
"from": "system",
"value": "Tingling sensation on top of penis. Irregular bowels. Pus cells found in urine test. Remedy?"
},
{
"from": "human",
"value": "Hi, I have been experiencing a tingling sensation at the top of my penis , I do not feel it all the time, when I press against the urine pipe I can feel it. I have had more than one case of anal discharge , however both times when my bowels were pretty messed up due to alcohol and food. My doctor gave me Trimethopin which i have taken but the symptoms are still there. I did a urine test and there was pus cells found inside but said there was no infection. They want me to take another one, however I leave the country soon. What do you think it is?"
},
{
"from": "gpt",
"value": "I would recommend taking a course of antibiotic to see if it makes it betterPlease rate 5 stars. I strive to provide you the best answer for your question!"
}
] |
[
{
"from": "system",
"value": "I did masturbation within one week after testicular torsion surgery. Any problem?"
},
{
"from": "human",
"value": "My testicular torsion surgery did after 17 hours on my left testicle.But it did not remove. Sir, I want to know that how much possibility is there that my left testicle work properly? I have also another doubt that i did masturbation within one week after surgery , is there is any problem related to that?"
},
{
"from": "gpt",
"value": "I think that is too soon. Let it rest for one to two weeks than you can resume.Please rate 5 stars. I strive to provide you with the best answer possible to your question!"
}
] |
[
{
"from": "system",
"value": "White spots and discharge from penis, sexually active. Treatment?"
},
{
"from": "human",
"value": "recently i have bin sexually active but i was safe but did have oral but i have two white spots at the bottom of my penis lips at first i noticed when my pee kinda bothered me(not anymore) this was like a week ago & also my pee hole was giving off this white discharge now i see these 2 white spot. i squeeze them & the same white substance come out b"
},
{
"from": "gpt",
"value": "you should have the discharge tested for an std.Please rate 5 stars. I strive to provide you with the best answer possible to your question!"
}
] |
[
{
"from": "system",
"value": "Red rash on scrotum, itching, burning, white bump with pus, frequent urination. STD symptoms?"
},
{
"from": "human",
"value": "hi, i have a reddish rash showing up on my scrotum that is itchy at times, and is starting to burn a bit. the rash showed up over night. there is also a white bump on my scrotum, doesn t hurt but not sure what it is. i have had similar whiteish bumps that when i pop them a sort of pus comes out with a solid piece. only one white bump. I should say that i had unprotected vaginal sex with a new partner about two weeks ago... bad decision... but i can t find any std that would describe this. also, i have a slight burning in the tip of the penis , and somewhat frequent urination . (been going on about 5 days now) oddly, there is no burning when i urinate, only after. it is almost gone today though, doesn t burn much at all right now. it gets worse when i sit down, as i get up and walk around it almost goes away. this problem is my main concern. I am mostly worried about std s. i know the most common symptom of an std is no symptoms at all. that being said, i have had every symptom of every std i know of in the last week and a half. which brings me to my conclusion that i am a hypochondriac. but still would like a clean bill of health that says so on paper. is it too soon to get tested for std s? i know three weeks is the standard, but I m getting anxious here! i should also include that im 25 years old, heterosexual, and only ever had one unprotected partner. I hope i explained everything well enough.. Thanks"
},
{
"from": "gpt",
"value": "You should have your urine and penis tested for chlamydia which may not show up on tests. Or take a course of treatment to see if things get better.Please rate 5 stars. I strive to provide you with the best answer possible to your question!"
}
] |
[
{
"from": "system",
"value": "Semen analysis done. Coagulation present. Few pus cells found. Need to continue medicines?"
},
{
"from": "human",
"value": "quantity 2 ml, liquefaction up to 30 min,viscosity thick, color opaque grey,reaction(ph) 7.5, coagulation present,microscopic exam. 20%,sluggish 20% dead 60, pus cells 4-6, epith cells nil,r.b.c nil total spermatozoa count 45 million.please suggest me Is it normal report ? presently i am taking the medicine Endro Gardian,c-c 50 and lyco capsul Is their any need to continue it ?"
},
{
"from": "gpt",
"value": "yes i would continue to help your semen parameters further.Please rate 5 stars. I strive to provide you with the best answer possible to your question!"
}
] |
[
{
"from": "system",
"value": "Gynecomastia, puffy nipples. Reduced body fat, built muscle, tried herbal medication. Treatment?"
},
{
"from": "human",
"value": "Hi, I m 17 and I ve suffered from what I think is Gynecomastia for 2 years. It s not a huge case of enlarged breast tissue , but a case of puffy nipples . I ve tried exercise and have got my body fat below 10% and built muscle over my chest, it s defined but my nipples stand out. I ve also tried herbal medicines, such as, Tribulus Terrestris and Vitamin B6 . But Neither have worked. Is there anything I can do to fix this?"
},
{
"from": "gpt",
"value": "surgical corrections is the next step with a general or plastic surgeon.Please rate 5 stars. I strive to provide you with the best answer possible to your question!"
}
] |
[
{
"from": "system",
"value": "Recurring UTI. On cefalexin medication, no relief. Hysterectomy, catherization done. Can I take nitrofurantoin?"
},
{
"from": "human",
"value": "Hi I have a reoccurring UTI , apparently the same bacteria as I have had 3 times previously this year! Didn t help I had a hysterectomy 4 weeks ago and being catheterised didn t help. Anyway I was originally put on cefalexin for close to two weeks, but still I ended up at A&E in agony they prescribed ciprofloaxin that I took for ten days and still no joy. After a culture test it turns out bacteria was resistant to the cafelexin ( so took it for no reason) now prescribed nitrofurantoin which makes me terribly breathless, I m at my wits end.should I stop taking it? The doc is away its Saturday. Just can not cope with being so breathless. Also I m allergic to penicillin and NSAIDs what other meds could I take?? Please help"
},
{
"from": "gpt",
"value": "if no allergy, then yes take a low dose daily to prevent UTIPlease rate 5 stars. I strive to provide you with the best answer possible to your question!"
}
] |
[
{
"from": "system",
"value": "Recurring tingling sensation on the penis post oral sex, test negative for gonorrhea. Taken doxycycline, zithromycin. What could be the cause?"
},
{
"from": "human",
"value": "Hi I had oral sex with a girl about three weeks ago and after a few days had a sore throat followed by a tingly sensation in the tip of my penis I thought it may have been gonnarea so took 1000 mg zithromycin and 400mg cefixime the symptoms subsided a couple of days later symptoms were back ,I went to doctor who prescribed me doxycycline 200mg for 10 days had a urine test came back negative for gonorrea stil waiting for result on the rest have finished the doxycycline now notice the tingling on the end of my penis again please help"
},
{
"from": "gpt",
"value": "could be persistent inflammation from urethritis. Take ibuprofen for 3-4 daysPlease rate 5 stars. I strive to provide you with the best answer possible to your question!"
}
] |
[
{
"from": "system",
"value": "Suffered groin strain, pain in left testicle, leg and back. How to get relief?"
},
{
"from": "human",
"value": "i had suffered from groin strain a month back. i had pain in my left testicle , left leg and back too.i recoveres graduualy but 2 days back i got a lot of cough n it re occoured.........my leg n back were paining whole day........it has stopped today and there is just slight discomfort......and my left test is hanging lower than right 1....when i push my tummy in out it moves....please help"
},
{
"from": "gpt",
"value": "cold compress; relaxationthe muscles that are tense will relaxPlease rate 5 stars. I strive to provide you with the best answer possible to your question!"
}
] |
[
{
"from": "system",
"value": "What causes swollen and bulged foreskin after masturbation?"
},
{
"from": "human",
"value": "sir i found my pennis foresin at the tip got swollen or bulged after mastrubating am not feeling any pain or sensation of hurt there...for reference am attaching some pics...please let me know what i had to do......sir i stayed in uk for 2 years and came back 6 months ago...when i was in uk i got pennis infectiona and my doctor prescribed me CANESTEN HC CREAM...i used it and the cream is over...even now adays am getting that infection on my pennis sometimes..is this cream available in INDIA...?? or else please prescribe me some other....thanking youRegardsravikiran"
},
{
"from": "gpt",
"value": "Hi, It can be due to hyperglycemia, check your blood glucose level. The cream you mentioned is available in INDIA you can order in online.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist"
}
] |
[
{
"from": "system",
"value": "Suggest treatment for penile infection"
},
{
"from": "human",
"value": "I had some lesions on my penis but never had the flu like symptoms of herpes. Start Taking acyclovir they went away. And at the same time One side of my groin itch like crazy. Then right below the head of my penis had a lot of white skin and then turned red. And I started itching where my penis laid against my testicles all day. I doctored it for yeast infection and the skin below the head split or tore."
},
{
"from": "gpt",
"value": "HIThank for asking to HCMI really appreciate your concern looking to the history given here I could say that this could be fungal infection and may be associated with secondary bacterial infection if I would be treating physician then I would suggest to apply \"Povidone ointment\" with Tab Doxycycline 100 mg once in day for 10 days\" hope this information helps you, take care and have a nice day."
}
] |
[
{
"from": "system",
"value": "What causes a tickling sensation in the scrotum?"
},
{
"from": "human",
"value": "Hey, I have a tickling sensation in my scrotum; it seems to be isolated to the location behind my left testicle. I've been researching online and it seems to be either the epididymis or veins which are in that location. If you could offer some advice that would be much appreciated. Regards."
},
{
"from": "gpt",
"value": "HIThank for asking to HCMI really appreciate your concern as you said here that you are experiencing the tickling sensation in your scrotum then this could be delusive phenomenon just similar to the hallucination, the epididymis is the internal structure of whole scrotum and that does not cause any thing like that try to forget this every thing would be fine, and no need to worry about this, hope this information helps you, take care and have a nice day."
}
] |
[
{
"from": "system",
"value": "Back and leg pain, testicular pain radiating around from back and into testes. Lumbar MRI showed herniation and nerve root compression. Cause of testicle pain?"
},
{
"from": "human",
"value": "Hi, my husband has been having back pain and pain in his legs. His recent Lumbar MRI revealed herniation at L5-S1 and compression on the nerve root . He also had pain radiating around from back into his testicles. So i have two questions: 1. Could this testicle pain be from the herniation and nerve root compression? 2. What should we do from here? The family physician ordered him to go to a gastrointerologist for other stomach pains he was having and he has an appoinment for a testicular ultrasound . The family doctor never referred him to an orthopedic surgeon for further evaluation. I appreciated whatever guidance you may be able to give. Toniann"
},
{
"from": "gpt",
"value": "Welcome to the forum.I would approach in the following order.1. Look for local cause like hernia, hydrocele or other swelling in that area.2. Look for ureteric stones that can cause similar pain.3. Finally attribute to nerve root compression if no cause is found.Sincerely,"
}
] |
[
{
"from": "system",
"value": "Consistent infection, difficulty in impregnation, semen analysis showed normal motility and count. What could be the cause?"
},
{
"from": "human",
"value": "I am 36 yrs of age, i have a sturborn infection that has refused to go, although i am presently taking medication . i did a semen test and the result is as follows : Volume:1.3ml, Viscosity: Moderate. Morphology- Normal Forms - 75%, Abnormal Forms -25%, Apperance- Creamy white, PH: 8.0 Motility- Active-80%, Sluggish: 10%, Dead- 10%. Count- 6.5 x 10/6 ml Others: Pus Cells+, Bacteria + Culture yielded no significant growth. Pmy wife has been unable to get pregnant, am facing alot of pressure. Please advise . Thanks"
},
{
"from": "gpt",
"value": "Welcome to the forum.I went through your analysis.Your motility and morphology are normal, but the main issue is that the count is very low.You fall under the category called SEVERE OLIGOSPERMIA.You need to consult a urologist and get checked for varicocele.Sincerely,"
}
] |
[
{
"from": "system",
"value": "Prostate problem, have difficulty in urination and bowels movements, continuous vomiting after taking Hydroxycut. Treatment required?"
},
{
"from": "human",
"value": "Hi. My husband 62 years old, has prostrate problems, took 2 Hydroxycut pills yesterday. One in the morning and one in the afternoon. Today he has had problems urinating and bowel movements, and has been vomiting most of the day. I threw the bottle away. He is stubborn about going in to the doctors. Is this something that will pass in a day or two, or should I hog tie him, throw him in the car and take him to emergency? He insists he is getting better, but the moaning and groaning tells me different. Thank you for your response in advance, Kathy"
},
{
"from": "gpt",
"value": "Welcome.Your description is not encouraging.He may well become normal but, it is not worth taking the risk.Kindly go to the A and E asap.Sincerely,"
}
] |
[
{
"from": "system",
"value": "Pain on urinating, testicular pain, body heat, dizziness. Treatment?"
},
{
"from": "human",
"value": "Hello Dr, i am a 31 year old man. I have been experiencing pain when weeing, not in my penis but in my lower groin area. Its got alot worst today, mid wee i had a real pain and i had to stop and lie down. I got all hot and it felt like i was drained of all blood . im feeling dizzy n spaced out now. is it worth me going to A&E?"
},
{
"from": "gpt",
"value": "Welcome to the forum.Your description fits with urinary tract infection and infection of testicles.Kindly attend A and E asap to get examined, get proper diagnosis and to get antibiotics.Sincerely"
}
] |
[
{
"from": "system",
"value": "Painful pimple on the penis, looks bluish in flaccid state causing discomfort. Remedy?"
},
{
"from": "human",
"value": "hi doctor i am 25 year old from last 3 month i am facing some problem related to my penis .on starting of my foreskin one strip of very small pimple had form before some day it was itching now it has stop sligt pain i am feeling on sulcus when anit look light blue when it is not erected.i am feeling un confortable every tine with my penis.please help"
},
{
"from": "gpt",
"value": "Welcome.It fits with infection called balano-posthitis.Kindly get examined and early treatment will do good.Local creams will suffice.Sincerely"
}
] |
[
{
"from": "system",
"value": "Suggest treatment for penile injury"
},
{
"from": "human",
"value": "dear sir, i m 24. i had an accident recently causing blood through penis. doctor says that hereafter i cant hav intercourse and said tat my sperm mixes with urine......... please tell me whether any remedy present now-a-days for tis problem.......... plz do reply sir......"
},
{
"from": "gpt",
"value": "HIThank for asking to HCMI really appreciate your concern you have not described the nature of injury that you have you simply said that the \"Penile Injury\" and that is not enough to answer your query you should have described this injury in detail to have some opinion form HCM, I would advise you to have a second opinion if the injury is serious, hope this information helps you, have a nice day."
}
] |
[
{
"from": "system",
"value": "Pain on the top of one testicle, chest and stomach pain after vasectomy. What could be the cause?"
},
{
"from": "human",
"value": "I had a vas preformed about a year ago and have been having pain on top of my left testicle since then I have had antobotics for infection. Now with the teticle pain at the top im also having chest pain and pain in my stomach . what could this be. my doctor said the epidtimus we probaly need to be removed but would that cause these problems?"
},
{
"from": "gpt",
"value": "Welcome to the forum.Unless examined, a diagnosis cant be reached.Post vasectomy sperm granuloma can cause the pain which may need removal - as your doctor had suggested.But the chest and stomach problems seem unrelated.Sincerely,"
}
] |
[
{
"from": "system",
"value": "Rash on the glans with smegma with itching. Had unprotected sex in the past. What treatment should be taken?"
},
{
"from": "human",
"value": "Hi, thanks for taking the time to read and reply. I have a rash on my glans , small red dots to be precise. My Frenulum goes through varying degrees of sensitivity depending on the interval between retractions of the foreskin , the longer the interval the greater the sensitivity. Also, there is a usually quite a build up of what I assume is smegma (a white substance that covers the glans, but it is easily removed. There is also some degree of itching, but it is managable. I had unprotected sex once about sex months ago, but this condition only started occuring about two, maybe three weeks ago. And I am gay. I am really quite concerned, are there over the counter treatments for whatever ails me? Or should I see my GP at the first opportunity? Thanks UberConcerned"
},
{
"from": "gpt",
"value": "I feel your red dots are not any infection as there has been a long time between the incident and the problem. The sensitivity and smegma are normal. You should keep the glans clean with daily washes it will help to decrease the sensitivity as well. However, I would suggest you get tested for HIV, HBsAg, anti HCV and VDRL. These tests will rule out most sexually transmitted diseases and all are simple blood tests. But, always and always indulge in protected sex - Double protection would be safer. Its not worth contracting a disease that will mar your life. Feel free to contact again. Take care."
}
] |
[
{
"from": "system",
"value": "Suggest good diet to increase the quality and quantity of semen"
},
{
"from": "human",
"value": "hi sir good eveningi have recently done my semen analysis, my results are showing as less count of sperms. and my morphology shows double heads with no tails can you please suggest for a good diet. I already have one kid and now planning for the second but unable to conceive. pls suggest"
},
{
"from": "gpt",
"value": "Hi,You can take food having high protein, low fat and a lot of fruits. Yoga and exercise can also help you.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist"
}
] |
[
{
"from": "system",
"value": "Redness, swelling on the testicles with pain, presence of small itchy wounds on the penis and anus. What should be done?"
},
{
"from": "human",
"value": "My son is complaining of his testicles hurting the are red and swollen on t bottom of the ball sack there does appear to be a small wound, bite single entry hole but in two locations. And has one near his anus . They itch and hurt to the touch. He gas had chigger bite a lot In different locations. We do live in country. Lots of bugs he gas had an infection on his taint before. A sicst which looks similar but different"
},
{
"from": "gpt",
"value": "What would be the age of your son? It definitely seems like some kind of mild infection leading to the skin eruptions. Is he running fever? I would suggest getting blood test for a complete blood count and seeing a good Physician, Paediatrician or a Dermatologist (Skin Specialist). Take care and feel free to post a query again."
}
] |
[
{
"from": "system",
"value": "Bend in penis, pain on erection, no semen during intercourse. Taking Roliflo OD, changed to flotral. Treatment for symptoms?"
},
{
"from": "human",
"value": "my doctor suggested me Roliflo OD 4 daily which I am taking for last 6 months. I found no semun while intercouse and also obseve that my pennis bended left causing pain while erecting. doctor stopped Roliflo and startes Flotral for last one month. Littelsemun started comming but pennis still bended in between . what to do . pl advice"
},
{
"from": "gpt",
"value": "It seems you could be having some problem with the tube that takes the sperm from the testicles to the penile urethra where it actually comes out from. The medicines you are taking are for prostate enlargement. Knowing your age would be helpful as also whether this is a recent problem or has it been like this for a long time. If it has been for a ling time then you should undergo testing to dleineate the tract carrying the sperms but a baseline Ultrasound of the Prostate and bladder is a must. Feel free to post a query again with the information asked. Take care."
}
] |
[
{
"from": "system",
"value": "Suggest treatment for varicocele"
},
{
"from": "human",
"value": "I am unmarried, I got confirmed that I have varicocele 2 years before after undergoing various tests.I get little pain sometimes which is tolerable and I never had sex. May be by another 1 year i will get married.Please suggest me if I have to under go treatment now, does this reduces sperm dilution or infertility."
},
{
"from": "gpt",
"value": "Hi, Varicocoele by itself does not need treatment unless it is proven to be the cause of low sperm count and male infertility. It usually never causes severe pain, so please do not consider surgery for varicocoele for pain relief alone. You can get a sperm count by a proper semen analysis done (after 3-4 days of abstinence) from masturbation at a good lab which specializes in infertility work. If the quality of sperm is poor, you may need to get a more detailed evaluation."
}
] |
[
{
"from": "system",
"value": "How to treat penile pain during sex?"
},
{
"from": "human",
"value": "hi... i have few clarification on penis problem. I got married before 1yr. My foreskin is not tight and it is easily pull back while doing sex. But nowadays i felt some pain while doing sex. I noticed that my penis is attached with foreskin head. I dont know how its happened. Please help me what to do further."
},
{
"from": "gpt",
"value": "HiThank you for asking HCMI have gone through your query.Your problem is most likely due to tearing of foreskin during sex.Conservative measures only give temporary relief. Circumcision is the definite treatment for that.You can approach a general surgeon for that.Two weeks after circumcision you can enjoy painless sex.Hope this may help you.Let me know if you have any further query."
}
] |
[
{
"from": "system",
"value": "How to treat bed wetting in adults?"
},
{
"from": "human",
"value": "hello doctors my name is sameer and i am 24 year old and now i would like to tell you about my problem actually i am facing one problem so long time. that is WET DREAMS (NIGHT FAULT) please tell me doctor what should i have to do for solv this problem"
},
{
"from": "gpt",
"value": "HiThank you for asking HCMI have gone through your query.It is usual for most youngsters at this age to have wet dreams.Some they don't get because the masterbate a lot.So there is no need to worry about that.Have good exercise everyday then the frequency of it may decrease.Hope this may help you.Let me know if you have any further query."
}
] |
[
{
"from": "system",
"value": "Darkness on testicular sack with a bruise, on rigorous workout and training. Had lost one testicle due to atrophy, history of bilateral hernia repair. What could be the cause?"
},
{
"from": "human",
"value": "I just noticed that my testicular sack has become very dark, almost looks like A bruise on left side. I actually have almost no testicle on the left due to atrophy from an accident when I was A teenager, I am 50 years old, 153 lbs, and in good health I had bilateral hernia repair 5 years ago, with no complications I have begun working out and training over the past 6 weeks to prepare for a Mini triathlon, 400 meter swim, 5 mile spin bike, and 1 mile run. I have been completing this circuit or more at least 3 to 4 times a week with no Discomfort or difficulty along with doing core work and strength training with Weights"
},
{
"from": "gpt",
"value": "Thank you for the detailed description. Do you feel any pain in the affected area? Any history of trauma to the involved part? It could most likely be a bruise or a blood clot due to cycling. I advice you to get a coagulation profile done if it persists or you find such lesions elsewehere on your body. I would not think any cause for worry with your problem. Take care."
}
] |
[
{
"from": "system",
"value": "What could pain in the genital with history of having blisters, swollen and sensitive testicle indicate?"
},
{
"from": "human",
"value": "I had a blister like on my genital 4weeks ago and my family doctor prescribed a antibiotic cream to apply localy .it took 3weeks to get better. Now I have a pain on the same side where the infection was in my lower abdomen and there is physical reverence of swelling plus my left testicule is very sensitive. What do you think could be the problem?"
},
{
"from": "gpt",
"value": "HIThank for asking to HCMI really appreciate your concern looking to the history given here I would say that your past history of lesion that you had and you had treatment for that that is nothing to do with the present complain of pain, this could be functional one you need to wait for sometime this would disappears if not the you can try the Tab Dicylomine three times in day, even if this is persistence then this need to be examined clinically hope this information helps you, have a nice day."
}
] |
[
{
"from": "system",
"value": "Sudden increase in PSA level, had injured the crotch, have a healthy lifestyle with regular workout. What is the cause of elevation?"
},
{
"from": "human",
"value": "My Psa level 1 year ago was 3.18 it iwas 10.53 2 weeks ago. I am 56 years old, top physical condition no health issues but i was climbing on a roof about 4 weeks before my blood work and pulled something in my whole croch area really bad. i continued running 5 miles evry other day after it happened and did a 18 mile bycycle ride 5 days before blood work and i continued may weight trainning all along lifting 1,000 lbs plus on leg days with out any discomfort. the only time it hurt was the first 3/4 of a mile when i was jogging. once i warmed up i was good to go but the first 3/4 mile was painful, i thought i justed needed to warm up so i did a walk jog combination to start. can any of this have something to do with the sudden jump in my PSA level?"
},
{
"from": "gpt",
"value": "The cause of suuden rise is usually acute infection of the prostate. That can also happen post injury. You should get the PSA repeated after 4 weeks of the previous sample and a Ultrasound of the prostate to be sure. You can let us know the reports if you need. Take care."
}
] |
[
{
"from": "system",
"value": "What does this semen test showing total spermatozoa count suggest?"
},
{
"from": "human",
"value": "Hello Doctor According to my Semens test report done today the findings are as below- Quantity- 4.00 ml Reaction- Alkaline Total Spermatozoa- 80 million cc Actively Motile Spermatozea- 60% Sluggishly Motile Spermatozea- 20% Non Motile Spermatozea- 20% Pus Cells- 8 to 10/ HPF is this ok? or need any medication?"
},
{
"from": "gpt",
"value": "Hello Thanks for writing to HCMYour semen analysis report suggests infection.Infection is indicated by the presence of pus cells in semen. Normally there shouldn't be any pus cells in semen.Infection may be due to prostatitis,UTI etc.You need antibiotics for infection.You need few more investigation like routine hemogram,Semen culture and sensitivity,RBS,Ultrasound of pelvis should be done.Trans rectal sonography of prostate can be done if needed.Proper antibiotics should be prescribed after culture and sensitivity report.Other findings like sperm count and motility is within normal limit.Get well soon.Hope I have answered your question.Take CareDr.Indu Bhushan"
}
] |
[
{
"from": "system",
"value": "Suggest treatment for nightfall problem during sleep"
},
{
"from": "human",
"value": "hello myself viswanath age:25 i am suffering from nightfall problem for past 5 years due to this i am losing weight and i became thin. for every week i suffer from this problem some time two days once but it happens only when i dream about intercourse during my sleep. pls kindly suggest to overcome from this problem"
},
{
"from": "gpt",
"value": "Hi,Nothing to worry, this is common at this age.Seeing hot and sexy things during day time will precipitate night discharge during night in sleeping.Avoid seeing hot movies or porn or sex videos.Wear loose clothes during night time.Do not think about sex during day time.Night discharge never gives any sexual weakness or body problem, this feeling is psychological.Ok and take care."
}
] |
[
{
"from": "system",
"value": "Is the nil sperm count condition curable?"
},
{
"from": "human",
"value": "My friends husband, has erection problem, his penis didn't get erected atleast for an year after marriage..even if it erects does not penetrate in, by that time it lose ite temper. After some treatement with the help of tablets, he is able to have sex..But until now my friend she didn't get pregnant. he took a sperm count test. But it is Nil. Is it curable?"
},
{
"from": "gpt",
"value": "Hi, It is based on the cause. If it is due to hormonal imbalance, it can be treated. If it is due to anatomical issue, surgery can be done.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist"
}
] |
[
{
"from": "system",
"value": "Suffering from memory loss due to excess masturbation. How to stop it?"
},
{
"from": "human",
"value": "Hi dr im a 30 years old professional, i used to mastubrat alot which in effect my memory badly. You know Dr nowaday it become very defficult for me to work specialy in a stressful situation. I may get terminated from my job due to this memory loss. Please help Dr. Thanks"
},
{
"from": "gpt",
"value": "Thanks for your query,based on the facts that you have posted it appears that you havebeen indulged in frequent masturbation since many years and facing problem of loss of memory.First of all there is myth in a mind of common man that excessive masturbation is the reason of all problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body.All the problems that you are facing now are mind related and due to anxiety.Guidance and help of qualified Psychiatrist will be of much help to resolve your problem.Dr.Patil.Dr.Patil."
}
] |
[
{
"from": "system",
"value": "Mild hepatomegaly, marginal prostatomegaly, have intense back pain and body aches. On medicines for high BP, uric acid elevation. Which medicines can be taken?"
},
{
"from": "human",
"value": "I have mild hepatomgaly and marginal prostatomegaly. My weight is 96 kegs for the height of 6 ft. I am 45 years old and on bp medicine telma 20 . Last 2-3 years I am having back and body aches. Ouse to be regular ten is player but now even two sets of doubles I find difficult as they give me pain. I am also on medicine for high uric acid ."
},
{
"from": "gpt",
"value": "I would suggest you see a Rheumatologist as you could be having generalized joint problems leading to pains. For your back, if its crippling or you have numbness or weakness in your limbs then an MRI of the Lumbosacral spine should be able to tell what the problem is and treatment can then be directed to that. Take care and feel free to consult us."
}
] |
[
{
"from": "system",
"value": "Advised surgery for varicoceles in testicle. Antibiotics for correcting thick bladder. Sperm Agglutination, pus cells present in semen analysis. Advice?"
},
{
"from": "human",
"value": "Hello, I am 23 years old healthy male and I am unmarried. I am doing bodybuilding for the past 1 year. 6 months a ago I felt pain in my left testicle and the very next day I went to the Urologist . He examined my testicles physically and then advised me to have a scrotal ultrasound . An early varicocles on the left side was found in ultrasound. He advised my to wait and see if the pain still exist then a surgery have to be done to correct it. I waited for 4 months and fortunately the pain has gone but there is another problem occurred and that is when I urinate, I feel pain on the right of my testicle. I feel pain only when my bladder is full and after I urinate. Again I went to the same Urologist and told him the situation. He ask me to do two test: Urine and UTI . I did both tests. Urine test was ok and in the UTI test, my bladder wall was found thick due to infection or inflammation. As per my reports, I undergo some antibiotic treatment for 1 week. The problem has gone now, no pain on either of the testicles. After two months of my above mentioned tests, I have been advised by the doctor to have a semen analysis . and the report is as follows: Volume: 4 ML Colour: Grayish White Viscosity: Normal Reaction: ALKALINE Liquifacation Time: 30 Mins Normal Forms: 70% - Oval Forms Abnormal Forms: 30% Pus Cells: 6-8 / hpf Sperm Agglutination - Present MOTILITY: Active after 1/2 hours: 30% Sluggish after 1/2 hours: 40% Non-Motile after 1/2 hours: 30% The doctor saw this report and said Your report is good but it is still advisable to have a surgery to treat varicoceles, Puss cells are there but no need to have another antibiotic treatment cos you already had it once to UTI infection Need your advice here."
},
{
"from": "gpt",
"value": "Ok. great description of your problem. Do you have any problem presently? What is the total sperm count per ml in the report - I did not find it here, Your sperm report is near normal. I dont think you need any treatment at all - no medicines and no surgery. There is no need for Varicocele surgery if it does not cause any problems like a low sperm count which I cannot establish in absence of absolute count. Feel free to let us know and will guide you further. Take care and relax."
}
] |
[
{
"from": "system",
"value": "Suggest adverse effects of masturbating"
},
{
"from": "human",
"value": "What are the negative effects of masturbating too much (seven or more times a week) for males? I heard it could lead to sunken eyes and protruding cheek bones, hair loss, and nervousness associated with anxiety (which I suffer from). Is any of that true?"
},
{
"from": "gpt",
"value": "HelloThanks for your query,based on the facts that you have posted it appears that you have been indulged in frequent masturbation since many years and worried about the side effects of 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.Dr.Patil."
}
] |
[
{
"from": "system",
"value": "Is phimosis curable and will penis size increase?"
},
{
"from": "human",
"value": "I'm 16, and I have phimosis. My father tried to pull my foreskin back when I was about 4, but I said NO, because it was too painful. Now, I regret about that.And I don't want to go to the doctors(I'm ashamed of my parents)I mean, I have erections, and I have masturbated, but while I was watching porn with my friend, I was commenting penises of actors, and my friend said that he has the same one. Then, i searched Web, and found that I have phimosis.Masturbating every day I am able to pull foreskin more and more. (what is a non-medic way to cure phimosis)Ill keep masturbating more and more, and maybe Ill be able to pull it totally!i want to know, when phimosis is cured, does penis size increases,or stays same?"
},
{
"from": "gpt",
"value": "Hi, The definative treatment of phimosis is circumscision .Masturbation is not the solution for it n later it may led to loss of libido , premature ejaculation , etc. Just talk with your parent regarding phimosis (don't feel ashamed as plenty of people suffer from it and leaving it like that may lead to other complication in your life) and visit a urologist for further management .HOPE THIS WILL HELP THANKS N [email protected]"
}
] |
[
{
"from": "system",
"value": "How safe is Veltam plus for enlarged prostate ?"
},
{
"from": "human",
"value": "my father is 81. ha enlarged prostate[benign].given Veltam plus and taking for almost 25 days. 25 days prior he could not urine and had to use catheter for the first time to drain urine.now he is passing good amount of urine but sometimes feels a burning sensation while passing urine which goes the moment he passes urine. his urologist has asked him to see him after a month.is the burning sensation because of veltam plus. he doesnot have any other problem.no medicines expect supradin(vitamin) once a day.kindly please guide me."
},
{
"from": "gpt",
"value": "Hi,There might be mild burning urination because of the fact that he had an indwelling catheter for some time, but this should not be a problem and will disappear with time usually. Veltam is a reasonably good rug in that it will help your father avoid retention of urine, especially if it has been combined with Dutasteride. Importantly, your father might be feeling he is voiding urine well, but the correct estimate of how well he is voiding is to get a test called Uroflowmetry done, followed by an estimate of post-void residue in bladder. If the flow is poor or if the residue is very high,he could still benefit from endoscopic prostate surgery which is, under normal circumstances, a very simple procedure."
}
] |
[
{
"from": "system",
"value": "Is clomfranil safe for night fall treatment?"
},
{
"from": "human",
"value": "Hello My Name is Yasir My age is 28 I am suffering from night fall from last 8 years i used all kinds of medication but it was not cured now i am using clomfranil tablet at night before sleep and my night fall has stopped please guide me should i continue to use it"
},
{
"from": "gpt",
"value": "Night fall is a common issue among young adults, especially if you are not used to self stimulation and masturbation. By itself it is harmless, and I would personally suggest that you need not use any medicine for it. But if you really are insistent on using a drug, Clofranil is good but has its side-effects. You should not abruptly discontinue it. Day time sedation can be a problem in some patients. Before you withdraw from the medicine, please consult the doctor who has prescribed you this and see if he can taper the drug slowly. Night fall is likely to come down once you have regular intercourse."
}
] |
Subsets and Splits