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[ { "from": "system", "value": "On masturbating, sperm starts tickling on nearing orgasm. Haven't felt orgasm yet. Taking some organic diet pills. Is it the cause for shooting sperm?" }, { "from": "human", "value": "When I masturbate and am nearing orgasm , sperm stars to trickle out (thick white sperm) and I haveny even orgasmed yet....when I do orgasm it just trickles out and feels really unorgasm like! I am taking some organic diet pills ..could this be the cause as before this I was shooting my sperm like I normally do. Please advise." }, { "from": "gpt", "value": "DearWe understand your concernsI went through your details. I suggest you not to worry much. The condition you are worrying about is the most common one with almost every man. Before orgasm some sperm escape and that is the reason why it is said that timely withdrawal of the penis just before orgasm may not prevent conception. As the age increases, the dripping of semen slowly stops and the quantity of semen also decreases. Also you must know that some lubrication liquid also escapes from the penis during intercourse, which is more clear than semen. In your case there is nothing to worry.You can post a direct question to me in this website. Include every detail as much as you can. I shall prescribe some sexology related psychotherapy techniques to control your condition. I am sure that the techniques should be a success.Hope this answers your query. Available for further clarifications.Good luck." } ]
[ { "from": "system", "value": "Very thin semen, having low sex drive, sexual weakness, getting dark circles. Can i use gonadil f tablets?" }, { "from": "human", "value": "i have my health problem my semen becomes very thin and i have low sex drive sexual weakness which is have and also my eye become very dark dark eye circles is on my eyes my health is very bad because of sexual weakness plz tell me that what can i do for make thick semen can i use Gonadil f tablets??? my semen is becomes as thin as a drops of water..?????" }, { "from": "gpt", "value": "DearWe understand your concernsI went through your details. I suggest you not to worry much. The viscosity of the semen is determined by so many factors including water intake, mental state while having sex, stress rate, physical debility, time of the sex etc. Means there are lot of factors which determines the thickness of semen. You just see whether it has the capacity to produce children. Unnecessary worrying about sexual matters induce sexual anxiety which inturn causes sexual debility and weakness. this could be reason for your dark circle under eyes. Do consult a psychologist.Thoughts are there to come and that is the duty of the brain. let the thoughts come. You need to divert the thoughts to more priority ones. Means be busy and divert thoughts. Relaxation and meditation plays an important role in controlling thoughts. Plenty of water, oxygen and exercise most important. For more sexual psychotherapy techniques, You can post a direct question to me in this website. Include every detail as much as you can. I shall prescribe some psychotherapy techniques to control your condition. I am sure that the techniques should be a success.Hope this answers your query. Available for further clarifications.Good luck." } ]
[ { "from": "system", "value": "Would it be beneficial to consume one's own sperm?" }, { "from": "human", "value": "Hi, may I answer your health queries right now ? Please type your query here...Hi there. Iv been doing research on consuming my own sperm and the nutritional benifits to it. Would it be beneficial in any way if I consumed my sperm say 5 times a week?" }, { "from": "gpt", "value": "Hi, There are already more researches about it, it is of no beneficial effects in consuming sperm. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist" } ]
[ { "from": "system", "value": "What is the treatment for the erectile dysfunction after a triple bypass surgery?" }, { "from": "human", "value": "I am 64, I had a triple bypass last year, unfortunately I recently found that I am unable to have an erection. I have previously had a very active sex life.Could ubiquinol help or can you suggest something else? I have recently started taking Larginine plus, so far no success. Any help most appreciated." }, { "from": "gpt", "value": "Though drugs such as sildenafil(VIAGRA) and tadalafil are very effective in the treatment of erectile dysfunction, I suppose that you will be taking nitrate tablet for your cardiac problem as you have undergone triple bypass. You cannot take these drugs as dangerous side effects may occur so the drug alprostadil may be suitable to you. Alprostadil is available in injectable, pellet and cream formulations; the drug should be injected into the muscles of the penis or drops of a cream should be inserted into the meatus of the urethra. Other modolities treatment available are: vaccum constriction device, penile prostheses and vascular reconstruction surgery." } ]
[ { "from": "system", "value": "What causes bleeding from stitches of circumcision for phimosis?" }, { "from": "human", "value": "Hi DocI had a circumcision for phimosis and am 46 years of age. Op was on 7 DecSeems like the stitches at bottom / under gland are working hardestSeems to bleed a littleHave big erinium (overweight) causing the wound to be kind of hidden sometimes. Have been cleaning 3 times per day with salt water after shower. Concerned about bottom stitch which seems to have loosened and little bleeding." }, { "from": "gpt", "value": "HIThank for asking to HCMThe penis have got the soft tissue and highly vascular region in the circumcisions the post surgical bleeding is common complication if it is too little then o need to worry about this, it would come around, this may get the swelling to but that is also not a big problem this would also gets alright, keep taking antibiotic and anti-inflammatory drugs bleeding would stop, hope this information helps you have a nice day." } ]
[ { "from": "system", "value": "What is the cause of ejaculating red semen?" }, { "from": "human", "value": "Hello docs n experts, Since yesterday I m ejaculating red semen. I noticed it yesterday while masturbating, even today I seen same thing when I was trying to confirm was it a normal one day case or a serious issue. Now I think it is a serious problem for me. Please help me." }, { "from": "gpt", "value": "HIThank for asking to HCMI really appreciate your problem, what the history you gave you here of red semen the possibility of blood stain semen could be there that might be happening due to infection or trauma to the system(From urethra to testicle region) this need to be investigated and the first test would be complete urine test, x-ray, and scanning study, hope this information helps you, have nice day." } ]
[ { "from": "system", "value": "Solution for pain in top of penis after sex due to cut. Taking Neo clobenate, amyclox and flexon" }, { "from": "human", "value": "Hello sir on my top of penis is paining in last night after sex its little bit rub/cut .please help waht medecine i should take. currently i am taking below medecine please look is it ok or not. 1)Neo Clobenate -GM 2)AMYCLOX 3)FLEXON LOOKING FORWARD FOR YOUR RESPONSE" }, { "from": "gpt", "value": "HIThank for asking to HCMI appreciate your concern, stop the medicine that you are taking because that wont be helpful here, better to apply \"Povidone Ointment\" three to four times in day keep the area clean, and no need to worry about this, this would come around soon, hope this information helps you, have nice day." } ]
[ { "from": "system", "value": "Having noticed difficulty in penetration" }, { "from": "human", "value": "I got married recently and I was unable to insert my penis in her.. We tried everythin and found something is obstructing the path where I insert my penis and it is very painful to her during the time of sex. Please help us in solving the issue. hoping for a reply. thanks and regards, satya" }, { "from": "gpt", "value": "Hi, The first intercourse is painful for girls because of intact hymen needs to be ruptured . Both of you please visit a counselar sexologist. Understand the facts. girl needs to be physically/psychologically assured./relaxed mild lubrication may help. surgical dilation of vagina by cutting hymen is usually not needed,but can be performed by a gynecologist . Thanks." } ]
[ { "from": "system", "value": "What is the cause of ejaculating red semen?" }, { "from": "human", "value": "Hello docs n experts, Since yesterday I m ejaculating red semen. I noticed it yesterday while masturbating, even today I seen same thing when I was trying to confirm was it a normal one day case or a serious issue. Now I think it is a serious problem for me. Please help me." }, { "from": "gpt", "value": "Blood is mixing from some point of bleeding. It is to be confirmed. Have a microscopic examination and get report. With all report consult family physician." } ]
[ { "from": "system", "value": "Semen analysis showed oligozoospermia with infection. What does it indicate?" }, { "from": "human", "value": "Hi, To night i get my semen analysis report . Regarding This report, i can t understand . i just brief you that report and my expectation to achieve a better suggestion. Report as bellow.... Physical Exam: Amount: 2ml Consistency: Viscid Colour: Whitish Reactio: Alkaline Microscopic Exam: Total count of spermatozoa : 20 Million/ml Motility: Active motile : 50% Weakly motile : 05% Immotile : 45% Morphology : 75% appears normal. Others Pus cells : plenty/ H.P.F Epithelial Cells : 8-10/H.P.F. RBC : 1-3/H.P.F. Comment : Oligozoospermia with infection." }, { "from": "gpt", "value": "HelloThanks for your query,based on report of your semen analysis that you have posted it appears that you total sperm count is low as per WHO standards(Oligospermia) and presence of plenty of puss cells is suggestive of infection either in SeminalVvesicle or Prostate .Please get your semen culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to.You need to take appropriate antibiotics for 4-6 weeks to combat infection .This will help to increase the sperm count and improve quality of sperms.Please repeat your semen analysis after completion of treatment with antibiotics.Dr.Patil.Dr.Patil." } ]
[ { "from": "system", "value": "BPH enlarged prostrate, on Flotral D. Had catheter in penis post difficulty in urination. Advised surgery after inspecting prostrate size. Can I get cured fully with medicines?" }, { "from": "human", "value": "i am suffering from BPH-enlarge prostate ...two year back passing out of urine has stopped suddenly..went to Dr prem kr,an urologist ..he put cathedral in my penis foe a week..after taking out cathedral. i started passing out my urine..then Dr prescribed me a combopack of FLOTRAL D medicine..he told me to intake 1 &1/2 litre of water in a day..,he also told me to continue the medicine for 2 to 3 years//after that he will examine the size of my proSTATE. THE SIZE OF MY PROSTATE WAE 77 GMS IN OCTOBER 2010.I AM AFRAID OF OPERATION..PLEASE TELL ME..CAN I GET CURED FULLY WITHOUT OPERATION SIR..?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you had acute retention of urine due to enlarged Prostate and further investigations have reveld that the size of your prostate is 77 gm which is significantly high .Though you have been taking Flotral D and has satisfactory urine flow it can be permanent solution for your problem .Since you already had retention of urine once and the size of the prostate being large You need to undergo surgery of endoscopic resection of prostate (TURP).This is a gold standard method of resecting prostate and practised world wide and gives satisfactory result that will help you to resolve your urinary symptoms and improve quality of life for rest of your life.Dr.Patil." } ]
[ { "from": "system", "value": "Link between masturbation and gynecomastia. Why are my breasts swollen?" }, { "from": "human", "value": "I am 25 years old. In my case i am 100% sure that there is a link between Masturbation and my Gyne. Whenever i masturbate, i can feel some heavyness and discomfort in my Breast area, the discomfort stays for a day(this is happening for the last 9 years). In the last 1 month...i masturbated a lot, now the boobs appears to have become big. Even if i dont ejaculate, i can feel the heavyness and discomfort in my boobs while i am masturbating. I don t think it is due to the workout of my right arm during masturbation. There is some definitely some connection between Masturbation and Gynecomastia ." }, { "from": "gpt", "value": "HelloThanks fr your query.You have been indulged in frequent masturbation since long time and you have noticed heaviness in your breast and the size of the breast also gets increased on masturbation.Please note that Gynaecomastia is due to hormonal imbalance and not related to masturbation at all.First of all there is myth in a mind of common man that excessive masturbation is the reason of varied health 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.Please consult qualified endocrinologist for clinical examination hormonal assessment to rule out any hormonal imbalance as a cause of Gynaecomastia. Dr.Patil." } ]
[ { "from": "system", "value": "Taking sildenafil occasionally. Will it affect my erection?" }, { "from": "human", "value": "I have been taking sildenafil occasionally ( cavetra 25 mg ) , 10-15 times a year. Can this adversely affect my eraction during normal times when I have not taken Sildenafil. In other words as the body gets used to sildenafil , it loses the ability of normal eraction?" }, { "from": "gpt", "value": "HelloThanks for your query,You have been taking Sildenafil occasionally and have doubt about negative effect on your normal erection .Please note that the action of Sildenafil lasts only for 4-6 hours and there is no residual effect of the drug on erectile tissue .Please do not worry it will not have any effect on your normal sexual potency.Dr.Patil." } ]
[ { "from": "system", "value": "How can the foreskin be pulled back while having issues with its movement?" }, { "from": "human", "value": "My foreskin is not coming back then i asked the doctor and given the Lignocaine hydrochloride gel ip for pull back the fore skin i am trying doing excises’ from 1 week today after pulling back i did not pulled front i kept to back but now it was try to pull to front but it was not coming to front and with jell also I tried total red ball came front . I am very scared what to do now plz suggest" }, { "from": "gpt", "value": "Hi, If it is due to phimosis from your childhood, you can go only for surgery to get recover. If it is due to adulthood phimosis, then it can be recovered by local antibiotics and anti-fungals itself. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist" } ]
[ { "from": "system", "value": "Suggest treatment for painful swollen testicle" }, { "from": "human", "value": "Hi there,, a couple weeks ago my son (almost 14) had pain in his right testisle . he said it was hard pain but only lasted couple hours. today the pain is back and the left testicle is swollan. Do you have any known causes or treatments ? Thanks Kirk ," }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that your 14 years old son has swelling and pain of the Rt testicle since couple of days.This is most likely to be due to infection of Testis(Orchitis)Please consult qualified General surgeon or Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Haemogram 2) Routine urine test.3( Ultrasound scanning of the scrotum.He needs to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily for 2 -3 weeks.Dr.Patil." } ]
[ { "from": "system", "value": "Semen analysis done including viscosity, motility. Is the result normal?" }, { "from": "human", "value": "Hello Dr, i m 27 year old, Today I got my semen analysis results. Please tell me whether the above result is normal. my semen analysis report is as follows; Thanks a lot. volume 1.5 liquefication normal viscosity normal ph ----- WBC 8 - 9 / phf who parameters: concent 23/ml prog. motil 28% norm. morph 19% other data MSC 604 M/ml PSC 2.3 M/ml SMI 68 TOTAL IN SAMPAL ALL SPERM 34.50 M/ml MOTILE SPERM 9.60 M/ml FUNCUTION SPERM 3.45 M/ml" }, { "from": "gpt", "value": "HelloThanks for your query,based on report of your semen analysis that you have posted it appears that your semen analysis report is well within normal range as per WHO standards as for as morphology,sperm count and motility is concerned except the fact that presence of 8-9 WBC is suggestive of infection of either seminal vesicle or Prostate.You need to take antibiotics like Doxycycline for 4 weeks to combat theinfection .Repeat your semen analysis after 4 weeks.Dr.Patil." } ]
[ { "from": "system", "value": "White discharge. Why didn't I conceive? Can I conceive now?" }, { "from": "human", "value": "Hello Dr. I was getting white discharge for 9 months and i thought it was normal now when my hubby came down in feb i wanted to get conceive but i could not get he was there for 3 months feb march april but i did nt get conceive and wen wet get together next day my vagina gets itching and also on his penis my white discharge use to be there it was like thick milk cream. Please Suggest me what should i do as my hubby is gone back abroad. I have a kid who is 5 yr old. Was planning to have another one.Thanks." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have severe vaginal infection (Vaginitis) which is perhaps the main cause of not conceiving.Please consult qualified Gynaecologist for clinical and per speculum examination and get culture and sensitivity of the vaginal secretion done to find out the organisms causing this infection and antibiotics to which they are sensitive to.In the mean while start taking antibiotics like Augmentin and Metronidazole twice daily and later on switch on to appropriate antibiotics as per culture report.Wash your genitals and vagina with anti microbial solution like Betadine twice daily.Dr.patil." } ]
[ { "from": "system", "value": "Semen test done for colour, viscosity, reaction PH, sperum concentration, sluggish, pus cells. Is it normal?" }, { "from": "human", "value": "dear sir, my semen report is period of sexual abstinence 3 days,liquefication time 35 mins, colour: grey white,volume:1.0 ml, viscosity: poor, reaction PH:8.0,sperum concenration :45 m/ml,motility:rapid progressive 20%,moderately pogressive 40% ,sluggish 20%,non motile 20%, agglutination :absent. Morphology Normal 80%,abnormal 20%, microscopy pus cells2-4/hpf, red cells:2-4 hpf please tell me sir this is normal or not ? which way improve my health? 5" }, { "from": "gpt", "value": "HelloThanks for your query,based on report of your semen analysis that you have posted it appears that your semen analysis report is well within normal range as per WHO standards as for as morphology,sperm count and motility is concerned except the fact that presence of 2-4 pus cells and and 2-4 RBC is suggestive of infection of either seminal vesicle or Prostate.You need to take antibiotics like combination of Trimethoprim and Sulphamethoxaxole (Bactrim) for 4 weeks to control infection Repeat your semen analysis after 4 weeks.Dr.Patil." } ]
[ { "from": "system", "value": "Suffering from chronic prostatis, no improvement with allopathic and homeopathic medicines. Is it curable?" }, { "from": "human", "value": "i am suffering from chronic prostatis since 2003 onwards, for which i would various medicines from both alopathy and homoepathy medicine but till today it could not be cured, hence i want to know whether it can really be cured or not. if it can be cured, what is the best remedy you suggest me. i am 57 year old retired banker" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have problem of Chronic Prostatitis It is very notorious disease that does not respond to any antibiotics or medicines from any faculty of medicines.However I have been practising doing prostatic massage every day for 2-3 months in my patents and getting encouraging results.Please consult qualified health personnel to get prostate massage done .every day.This helps to discharge all the prostate secretions which is the prime source of getting infection.Dr.Patil." } ]
[ { "from": "system", "value": "Gets bumps on penis after ejaculation, having a hot body. What could be the cause?" }, { "from": "human", "value": "My husband gets small bumps on his penis after ejaculation . what are those? we first thought they were caused because of extreme body heat as my husband has a tendency of body heat. We had stopped having sex for a while and it was gone as never there. However, we had sex last time, and it came back. I am sure it is not because of me as though he uses condom, he gets them." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that your husband gets bumps over glans of penis after intercourse.This is most likely to be due to allergic reaction to chemicals used as a lubricant in condom .Please change the brand of condom and watch for any change . Dr.Patil." } ]
[ { "from": "system", "value": "Semen oozes while urinating. Also premature erection. Is this a wrong situation?" }, { "from": "human", "value": "Hi, may I answer your health queries? Please type your query here... hi I AM Rafiq Mansoori I have a Porblem My Semen comes out whil toilet pls Suggest is it Harmful for me ? even i have a sexual life problem wirth my wife while for play with wife semen comes out before getting interact with wife through my penis pls kindlky suggest" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have problem of leakage of semen while passing urine .Please note that what you suspect it to be semen is not a semen but excessive secretion of mucus glands located in Bulbar Urethra.You ejaculate when having a foreplay with your wife,This is due to excessive sexual stimulation and anxiety resulting into ejaculation before you get engaged in sexual intercourse.Following measure will help you to boost up your confidence and getting good erection.and delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..Please consult qualified Sexologist or Psychiatrist for counselling.Dr.Patil." } ]
[ { "from": "system", "value": "Having premature ejaculation and erectile dysfunction. What to do?" }, { "from": "human", "value": "m21...jst before doing sex(when my partner touches my penis and rubs it to make erect) or just starting i ejaculate and i dont have control over it....my penis size is good but the erecton occurs does not depend on whether i am doing sex or not..sometimes it does not get erect during sex time..i dont try sex due to this reason now...plz help what to do..." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have problem of Erectile Dysfunction and early ejaculation even without penetration of vagina.This is mostly due to anxiety and common during early period of sexual life ,There is nothing to be worried about it ,it will get resolve over a period of time .Following measure will help you to boost up your confidence and getting good erection.and delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..Dr.Patil." } ]
[ { "from": "system", "value": "Semen analysis test done for physical, volume, high viscosity microscopic motile non motile. Looking for advice" }, { "from": "human", "value": "Hello, I d been semen analysis test, and This s my result: Physical: Volume: 3ml pH: alkaline Total sperm account: 18 M/ml High Viscosity Microscopic Motile Non motile after 30 mint 40 % 60 % after 60 mint 35 % 65 % after 90 % 30 % 70 % Also Semen Culture: Their s no any growth after 2 days incubation So please, give me your advice, and what s that means?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have what is called as Oligoasthanozoospermia meaning there by that your sperm count and motility of the sperm is low (almost 0) as per WHO standards.Truly speaking there are no medicines that can increase sperm motility however following measure will help you to improve sperm count and motility of sperms.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..Dr.Patil." } ]
[ { "from": "system", "value": "Which medication to be taken for fast healing of epididymitis?" }, { "from": "human", "value": "Hello Doctor, I had STD ,last year and got it treated,within some months i had to go urine and had to look into the sperm duct and saw a sore,which i was scared and didnt tell anyone at first,later i was feeling internal itch ,which i had to use the normal antibiotic which only stopped the itch and not healed the sore in there,So i told a friend who told me to try agumentin which i did,I felt relief but not sure if the sore healed,so i had sex again,but i felt pains again,My friend told me to go get get another agumetin and use for a week,I need to know if there is any stronger antibiotic i could use,i read about drugs like Doxycycline , trimethoprim , levaquin ..Pls i needto get rid of this epididymits because i am scared it could lead to somethin else.. Thanks." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have Epididymitis and have been taking antibiotics antibiotic.off and on .Epididymitis in your case may be secondary to STD that you had .Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1)Routine Urine test and Urine culture to find out the organisms causing this infection and antibiotics to which they are sensitive to.2)Ultrasound scanning of the scrotum .There is no term like strong antibiotic to combat any infection it is appropriate antibiotic detected on culture that helps to control infection.Please take broad spectrum antibiotics like Cefexine along with urinary antiseptic like Nitrofurantoin twice daily and urine alkaliser thrice daily.Later on switch on to appropriate antibiotics as per culture report.Please note that Epididymitis takes long time to get cured hence you will need to take antibiotics continuously for 3-4 weeks.Dr.Patil." } ]
[ { "from": "system", "value": "Does progressive motility affect the pregnancy?" }, { "from": "human", "value": "Hi Doctor. Iam 35 years old and my wife 27. She had an abortion twice. The analyses of my sperm showed all normal results except: 1- progressive motility (24%)!2- motile ratio (40%)!i would like to know if this can affect the pregnancy or the abortion that she had before! and any advice from you will be highly appreciated." }, { "from": "gpt", "value": "Hi, The chances of pregnancy is very low due to low progressive motility, progressive motility of above 40% only able to make pregnancy possible. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist" } ]
[ { "from": "system", "value": "Lump on left groin, swelling on exerting. Blood test, urine test normal. Ultrasound shows inguinal hernia. Causes for lump?" }, { "from": "human", "value": "I have a lump in my left groin for few months. I had my ultrasound scan done but the result is uncertain as inguinal hernia . I had blood test , urine and physical check up but no sign of hernia. It s hurting me and causing discomfort. It swells when ever I stand for longer hours and exert pressure when lifting. I am a bit anxious about this lump. Please help. Thank you" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have lump in left groin which increases in size on standing and hurts on lifting weight.This is definitely Lt Inguinal Hernia and the lump that you feel is content of the sac either omentum or intestine .Please note that hernia can not be cured with medicine ,Surgery is the only treatment option for inguinal hernia.Please consult qualified general surgeon for examination and get operated at earliest..Dr.Patil." } ]
[ { "from": "system", "value": "Frequent masturbation, shrinking of testicles, decreased penis size. Will I recover if I stop masturbating?" }, { "from": "human", "value": "i have masturbated alot since i started puberty and this has caused my testicles to shrink to the size of maltesers :( i wanna know if they will grow back to normal size if i stop masturbating and also does masyurbating effect the penis size ? can you please answer these questions i would much appriciate it doctor :) Thank You" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have You had been indulged in masturbation since many years and now facing problems related to general health First of all there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body.All the problems that you are facing now are mind related and due to anxiety.Following measure will help you to boost up your confidence and getting good erection.and delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking.Get yourself engaged in some social activities ,sports,reading etc so that you will not get free time to masturbate.Dr.Patil.." } ]
[ { "from": "system", "value": "Reddish swollen tender lump on the penis. Infected hair follicle? Treatment?" }, { "from": "human", "value": "I have a red swollen bump where the shaft of my penis starts to grow hair. I am overweight , so a skin fold forms there. The bump sometimes has hair growing out of it, and is tender to touch, but does not burn or itch. I have ha. It looked at by my GP, and she said it was an infected hair follicle . It seems when the weather warms up, it comes back. I have an issue squeezing and taking tweezers to the bump when they occur, which seems to make them worse. Any idea?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have either staphylococcal infection of hair follicle or infected sebaceous cyst on base of the penis .Please take You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.Observe proper personal hygiene by washing your genitals with warm water twice daily.Dr.Patil." } ]
[ { "from": "system", "value": "Recurrent bump on penis shaft with pus and blood coming out on squeezing" }, { "from": "human", "value": "Hello, I have recently got this pimple-like bump on the shaft of my penis near the head and just below the foreskin . It does not hurt. It comes to a head every couple of days and when I pop it, some pus comes out and a little bit of blood afterwards. It keeps filling up though and I dont know how to make it go away. I dont want to see a doctor because it is embaressing and I dont want to tell my family. I am not sexually active and I never have had sex." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have what is called as Infected Sebaceous cyst on shaft of the penis.The penile 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 take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.for a week .If persists even after taking antibiotics you will need to consult qualified General Surgeon for clinical evaluation and further treatment.If needed it may need to get excised in Toto (Completely along with the sac)under local anaesthesia.Dr.Patil." } ]
[ { "from": "system", "value": "Swollen & painful nipple with lump underneath, painful lump on armpit, milky discharge on squeezing nipple" }, { "from": "human", "value": "I am 19 year old male. on friday night I was drinking at a party and later on went in a hot tub for a while, I was pretty intoxicated at the time. that morning I woke up and my left nipple was slightly swollen and hurt to touch. It feels like it has a lump underneath. by sunday it had swollen up a tiny bit more and throbs occasionally. my armpit also feels like it has a pea sized lump in it that hurts when i press my arm to my side. it is now monday and nothing has changed. the lump is not directly under the pointy part of the nipple but about a centimetre off. when i squeezed my nipple there was a very small amount of clear/milky discharge that cam out, but from the side not the tip of the nipple." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have tender nipple with enlarged lymph node in axila.This could be a primary infection of a nipple or staphylococcal infection of a hair follicle (Boil) near nipple.You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.Do not worry this will get cured within a week.Dr.Patil." } ]
[ { "from": "system", "value": "Purple bump on skin of the testicle skin. What could it be?" }, { "from": "human", "value": "hello. i have a purple bump on my testicle sack in the skin ( not on the testicles ) i have had it for many many years but lately i noticed that it has gotten a bit bigger. has a vein look if you ask me. like when my grandma had vericose on her legs thats what they looked like. i can email a picture if email provided. thank you." }, { "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 .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).This is simple surgery done under local anaesthesia as a out patient procedure.Dr.Patil." } ]
[ { "from": "system", "value": "Painful penis while cleaning up left over ejaculation. Is it normal, how to get relief?" }, { "from": "human", "value": "gernerally i ejaculate normally but the odd time there will be a little left over and when i go to clean it up it is really stringy.... it sticks to the klenex or whatever im cleaning with and the string just stretches until i get the most painfull feeling from inside my penis ... hurts like nothing else.. is it healthy and normal? what can i do to fix it? hurts like hell and i would like to avoid this feeling. help would be greatly appreciated." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have pain in penis after ejaculation .During erection and ejaculation ther is increased blood flow to entire penis to the extent of 20 times more than normal that results in congestion of entire penis This is a natural process and the pain is the result of this congestion.which remains for 30 minutes to 1hour and gradually gets subsided ,Please drink more water and pass urine immediate after ejaculation .This will help to relieve pain.Dr.Patil." } ]
[ { "from": "system", "value": "Suffering from necrospermia. Suggest medicine to increase sperm count and increase the sperm motility" }, { "from": "human", "value": "hello sir is there any medicine to increase sperm count and increase the sperm motility . and i m suffering from necrospermia. in the span of 4 months my sperm count have been decreased to 20million/ml from 68 million/ml. how to regain my original sperm count and motility? please provide the best suitable medicine thanks santosh" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have Necrospermia.Necrospermia is mainly due to either presence of infection in seminal vesicle or prostate or due to presence of anti sperm antibody which kill the sperms.There are no medicines to be proved effective to treat Necrospermia.and to improve sperm count .Please consult qualified infertility specialist for further evaluation to find out the cause of Necrospermia and or else to explore possibility of conceiving with the help of newly assisted reproductive techniques like Sperm concentration,.IVF or ICSI.Dr.Patil." } ]
[ { "from": "system", "value": "Foreskin tip started stinging after sex, thick swollen vein seen on penis. What treatment should be done?" }, { "from": "human", "value": "After sex 1 month ago the very tip of my foreskin started stinging. Its only a very tiny piece on the right hand side of the loop. There are no boils or scabs and no noticeable cuts. I have however noticed that I now get a very thick swollen vein right along the top of the shaft and it leads to what looks like lots of dark swollen veins at the top of the foreskin. A month on and I still can t walk without my clothes touching the stinging part." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have developed infection of the foreskin (Posthatitis) after having ( ?unprotected )sex.Since it is a presenting symptom of diabetes ,get your blood sugar levels test done to rule out diabetes.You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.along with topical antibiotic ointment like Neosporin twice daily.Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely.Dr.Patil." } ]
[ { "from": "system", "value": "Occasional cuts on the foreskin after oral sex, used candid powder. Cause and effective remedy?" }, { "from": "human", "value": "Hellow Doctor I am 42 years old and very active in sex. For last 6 months I have noticed that my forskin is getting cut during intercourse and after completion of intercourse and after a good was if I apply candid powder the problems is going away after a day or two. This is also not happening in every intercourse and especially after having oral enjoyment from my wife. Please advice" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have noticed cracks in your foreskin after oral sex which gets cured wit candid powder.Oral mucosa contains plenty of bacterial flora hence one is prone to get infection of the foreskin(Posthatitis) after oral sex .Since cracking of foreskin is presenting symptom of diabetes Please get your blood sugar levels done rule out Diabetes .Dr.Patil." } ]
[ { "from": "system", "value": "Does kidney infection lead to infertility?" }, { "from": "human", "value": "good evening im a 22year old man recently i got married. at the age of 12 or 13 i had suffered with piles afterwards im totally fit. at the age of 16 i particapated in sex with my ex girlfriend for about 2years now im suffering with kidney infection. my doubt is can i become father plz kindly tell any medicines to increase sperm count." }, { "from": "gpt", "value": "Hi, Yes, kidney infection definitely leads to infertility. To improve your sperm count, you can go with a balanced diet, regular exercise, physical games and yoga. Test for a thyroid issue, testosterone and ultrasound abdomen scrotum. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist" } ]
[ { "from": "system", "value": "Gonorrhea due to sex. The disease is not cleared as said by the physician. Can it be true?" }, { "from": "human", "value": "my husband had affair 18 months ago, and got gonorrhea , he recieved medication , today he went to clinic and they told him he has a mild gonorrhea and did he go back for a follow up when he first got it in 18 months, he said he didnt as he thought the tablets cleared it , he told them he has only has sex with me since the affair, obviously i have gone mad over this and dont believe him but he insists he hasnt has intercourse since only with me . The clinic says he might not have cleared up , is this true" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that your husband has acquired Gonorrhoea after having sex with other woman which was treated with antibiotics .However during his recent visit your Dr has reported it to be incompletely cured Iit is possible that it has not been completely cured .This is known fact that infection remains dormant for couple of months and recurs again without any sexual contact especially if the Gonococcal infection is incompletely and iltreated Dr.Patil." } ]
[ { "from": "system", "value": "Had unprotected oral sex. Getting tingly sensation at penis tip. Feels uncomfortable and sore testicle. Should i be worried?" }, { "from": "human", "value": "hello, I received unprotected oral sex 3 days go and now i have this tingly sensation at the tip of my penis .it s not painfull but a little uncomfortable. I am not circumsized and when i was receiving oral my foreskin was pulled back a little too hard. I also experienced a bit of soarness in my testicules. Should i be worried?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have tingling at the tip of your penis after having oral sex .Since oral cavity contains plenty of bacterial flora it is common to get infection of the glans penis after oral sex.You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.along with topical antibiotic ointment like Neosporin twice daily.Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it gets cured completely.Dr.Patil." } ]
[ { "from": "system", "value": "Semen analysis done, low sperm motility. Confirmed varicocele, suggested surgery. Will pregnancy occur after surgery?" }, { "from": "human", "value": "Hi doctor,I and my hubby have been ttc for a year.so we had an appointment with the gynae who adviced my hubbto go for semen analysis .based on the results of d test,my husby has low sperm motily.and so he was referred to a Urologist who confirmed that he has varicocele .and only a surgery wud correct it.I want to kno if after cthe surgery?I would get pregnant for sure??" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that your husband has varicocele and his semen analysis has revealed Asthanospermia,(Low sperm motility). but you have not posted semen analysis report in details I would like to state that varicocele can not be cause of low sperm motility.As regards improvement in sperm motility after varicocele surgery one can not assure you to improve sperm motility after surgery.There are 30 % chances of improvement in sperm count.Hence it is very difficult to predict that you will conceive after surgery. Please consult qualified Infertility specialist for further guidance and explore possibility of pregnancy with the help of new assisted reproductive techniques like IVF or ICSI.Dr.Patil." } ]
[ { "from": "system", "value": "Swollen testes with moderate discomfort on sitting, walking after bilateral inguinal hernia repair. How long will it persist?" }, { "from": "human", "value": "I have swelling of testes (no bruising), following bilateral inguinal hernia repair (with mesh, using the tension-free method) 7 days ago. It appears to become more pronounced further into the day, with my my testes at time 2-3 times the normal size. It is resulting in a moderate discomfort when sitting, standing and walking. How long could I expect this to last for?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have undergone surgery for Bilateral Inguinal Hernia 7 days ago and now has testicular swelling.It is common to have testicular swelling after hernia surgery which gets resolved within 2-3 weeks.You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.Dr.Patil." } ]
[ { "from": "system", "value": "Pink splotches on the scrotum, increasing in size, no itching, cracking and dryness in winter. What could this be?" }, { "from": "human", "value": "Hi, I ve a had pink splotches on my scrotum for years now that have slowly grown over time. During the winter these patches become quite dry and sometime even crack so I put lotion on them. They don t hurt or itch any other time. It s now mostly one big pick splotch on my scrotum, and also base of penis . It s not very visually appealing, and I would like to know why it is like that. Could someone please help me?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have what is called as multiple Sebaceous Cysts over scrotum and base of the penis.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": "Sperm analysis done. No kids. Taken lycopene, vitamin C, zinc, vitamin B. How can the results be improved?" }, { "from": "human", "value": "I hve been married since 3 years and no kids.My sperm analysis showed Colo:Opaque grey,Visc:high,Reactn:alkalaine,Liq: 2 hrs,Actv motile:15,Sluggsh mot:60 and Non mot:25 Pus cells:8-10/h, Testicular cell :present,Nature of sperm-Normal size:70 Long tail:10,Elongated tail:10,Pin head :5,Giant head -5 Iam really worried plz help .I had taken 4 months of lycopene and vit c.still no change again now put on zinc ,vitaminb complex ,a,c,e." }, { "from": "gpt", "value": "HelloThanks for your query,You have not mentioned total sperm count in your report based on the facts and report of your semen analysis that you have posted it reveals presence of 8-10 pus cells suggestive of infection of either seminal vesicle or Prostate .Please get your semen culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to.You need to take apropriate antibiotics for 4-6 weeks to eradicate the infection completely.Repeat your semen analysis after completion of treatment.Dr.Patil." } ]
[ { "from": "system", "value": "Constant lump on the testicle, hurts on touching, increasing in size. Sign of cancer?" }, { "from": "human", "value": "Im 17 and i have a little lump on my left testicle it was about 1mm and only hurt a little when I touched itthe lump has been their for a long time and I m not sure when it came or if I was born with it (I ve only noticed it in the last year or to) recently it has grown to about 2mm and is about more sore when I touch it ( it only hurts when I touch it). Im worried this is testicular cancer and I don t want to lose a testicle, what should I do" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have what is called as Spermatocele.This is a benign condition and needs no treatment unless it increase in size or becomes painful.Do not worry this is not a cancer of the testis at all.Dr.Patil." } ]
[ { "from": "system", "value": "Any natural/herbal or allopathic medicine for erectile dysfunction?" }, { "from": "human", "value": "Dear Doctor, I am having erectile dysfunction for the past 10 years. i am 59 year old. Otherwise i am a very active guy. Please recommend good natural/herbal or alopathic medicines for this condition Vijay" }, { "from": "gpt", "value": "Yohimbine and horny goat weed can make erections come back, but these medicines have cardiac side effects. Please rate 5 stars! I strive to provide you the best answer to your questions!" } ]
[ { "from": "system", "value": "Why does my foreskin adhere to bottom of glans?" }, { "from": "human", "value": "I am 71yr healthy male. from time to time my foreskin begins to adhere to bottom of glans, maybe resulting in only 99% retreat. .....as if there is cellular rejoining happening. is there a pharma substance/cream that will undo this? it tends not to be a permanent occurrence." }, { "from": "gpt", "value": "This is called phimosis and can happen overtime. As men age these skin changes are seen frequently. I recommend applying a cream called betamethasone 1% to your penis three times a day for one month. This will help loosen the skin and make it not adherent. Please rate 5 stars! I strive to provide you the best answer to your questions!" } ]
[ { "from": "system", "value": "Done prostate biopsy, size normal, had questionable area, no urinary problem, elevated PSA, fPSA. Possibility of undetected infection other than cancer?" }, { "from": "human", "value": "My 46 year old husband just had a prostate biopsy . Prostate was normal in size but a questionable area was found. No urinary problems, erectile problems or pain. PSA was 2.8 in 2009, 3.6 in 2011 and 5.4 in 2012. fPSA was tested last month and also 5.4. Because everything is normal other than increasing PSA and low fPSA, is it possible this could be an undetected infection other than cancer? We are so worried." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that your husband has marginally high PSA (5.4)..The high PSA could be due infection of Prostate itself(Prostatitis).Prostate biopsy is the only confirmative test to confirm or rule out cancer of the prostate.If the prostate biopsy report does not reveal any positive finding suggesting cancer of the prostate you not need not worry at all.Dr.Patil." } ]
[ { "from": "system", "value": "Suggest medicine to improve sex life" }, { "from": "human", "value": "Hi, may I answer your health queries right now ? Please type your query here... SIR I AM 39 YEARS OLD AND I AM ABLE TO SEX WITH MY WIFE AS MY LING IS NIT IN A POSITION TO HAVE A SEX WITH MY WIFE SI I AM FEEL VERY SHAMFUL KINDLY ADVISE ANY MEDICINE TO ME TO IMPROVE MY SEX" }, { "from": "gpt", "value": "Hi, You can go with aerobic exercise, mild weight lifting and take balanced diet to improve your sex life. You can also take tab Nanoleo once a night. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist" } ]
[ { "from": "system", "value": "Will masturbation cause any damage after urethral stricture surgery? Refraining from sexual activity required?" }, { "from": "human", "value": "Will I cause any damage by masturbation after urethral stricture surgery? I recently had surgery to treat a stricture with an cytoscope (I believe) about a week ago and I m wondering if I can cause any damage or worsen the condition by masturbation. My doctor didn t tell me anything about refraining from sexual activity and the stricture itself is fairly far down in the urethra, close to the base of the penis as I recall. From what I ve read, 4-6 weeks is roughly the recovery period but I have very little willpower for this situation. Will I be ultimately ruining the procedure or causing further damage?" }, { "from": "gpt", "value": "HelloYou have undergone endoscopic surgery of Visual Internal Urethrotomy for stricture Urethra a week ago.Normally it takes 2 weeks to for complete healing of the incised urethra after VIU.Sexual encounter of any form either intercourse or masturbation may damage the incised segment of urethra and will delay the process of healing .So it is better to avoid sexual encounter either sex or masturbation for 2 weeks,Dr.Patil." } ]
[ { "from": "system", "value": "Had intercourse, getting small purple spots on penis tip. What could be this?" }, { "from": "human", "value": "Hi I had sex last night with a condom... however my penis did come in contact with her vagina for about 30 seconds while spooning... she gave rough oral sex w/o a condom and the condom became dried out during sex and the sperm trap at the end of the condom was pulled tight over the end of my penis. That was last night about midnight... today around 3pm while going to the bathroom I noticed 3 small purple spots on the tip of my penis and im freaking out... what could this be..." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have developed infection of the glans penis (Ballanitis) due to unprotected vaginal and oral sex.Please get your routine urine test done and start taking broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.along with topical antibiotic ointment like Neosporin twice daily.Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely.Dr.Patil." } ]
[ { "from": "system", "value": "Had unprotected intercourse, frequent urination, tender penis. Could constant checking cause urethritis or balanitis?" }, { "from": "human", "value": "I have had several sexual encounters over the past year. All but 1 with a condom and 1 where a condom broke. After the one where the condom broke, I have been constantly checking myself. (multiple times per day). About a month later, out of the blue I had to urinate constantly and my penis was very tender. I got checked from Chlamidia and gonorhea and negative. I made myself quit checking so often and it has subsided. My question is, could constantly checking myself like that cause urithritis or balantis which could cause me to have to urinate constantly. By the way...Not other symptoms other than that..No discharge , no lesions....my penis was irritated , but I beleive that was from it rubbing as I shave that area, but had not dones so in two weeks. It think it was rubbing on the growing hair...as soon as I shaved, that stopped as well." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have developed infection of the urethra and glans (Urethritis and Ballanitis)due to unprotected sex .Please get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to.Please take broad spectrum antibiotics like Cefexine along with urinary antiseptic like Nitrofurantoin twice daily and anti inflammatory medicine like Diclofenac twice daily..Later on switch on to appropriate antibiotics as per culture report.Get the prescription of medicines from your family Physician.Ensure to drink more water.To keep your urine dilute This will help to control dysuria.Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely.Dr.Patil." } ]
[ { "from": "system", "value": "What could cause ejaculation of red colored semen?" }, { "from": "human", "value": "Hello docs n experts, Since yesterday I m ejaculating red semen. I noticed it yesterday while masturbating, even today I seen same thing when I was trying to confirm was it a normal one day case or a serious issue. Now I think it is a serious problem for me. Please help me." }, { "from": "gpt", "value": "HelloThanks fr your query.You have what is called as Haematospermia and needs to be investigated .Source of blood could be either from Seminal Vesicle or Prostate.Please consult qualified Urologist for clinical and digital rectal examination ad get following basic tests done to find out the source of bleeding and confirm the diagnosis.1) Semen Examination 2) Ultrasound scanning and scanning with Rectal probe(TRUS) to find out any pathology in seminal vesicle.In the mean while You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.Dr.Patil." } ]
[ { "from": "system", "value": "Sperm analysis report shows good sperm count, less motility, pus cells found. Is the report normal?" }, { "from": "human", "value": "sir i m 28 years old married man,,, my sperm analysis report is as follows,,,liquefication time 30 min,,volume 1 ml ph ,sperm count 92million/ml,active motile 25%sluggish motile 35%non motile 40% pus cel 1-2/hpf normal forms 96%abnormal forms 04 sir is it normal?,,,at that time when i took the sperm , i was worried and and i ejaculated without erection" }, { "from": "gpt", "value": "HelloThanks for your query,based on the report of your semen analysis I would state that your semen parameters like sperm count,sperm motility and morphology of the sperms are well within normal range of WHO standards except presence of pus cells which indicates infection either in seminal vesicle or prostate.Please take antibiotics like Dixycycline for 4 weeks and repeat semen analysis after four weeks.Dr.Patil." } ]
[ { "from": "system", "value": "Could the bruising and swelling of the testicles after Hernia be serious?" }, { "from": "human", "value": "i had bilateral hernia surgery last Tuesday and now my testicles are not only swollen but almost black with bruising. My testicular pain and discomfort is much worse than from the incisions. Is the bruising so serious that I should go to an emergency room?" }, { "from": "gpt", "value": "HelloThanks for your query.You have bruising and swelling of both the testicles after surgery of Bilateral Inguinal Hernia.The swelling of the testicles is common after hernia surgery but the bruising needs to be taken seriously .It could be due to haematoma in scrotal sac,Please consult your operating surgeon and get ultrasound scannind of the scrotum done to rule out presence of blood clots in scrotum.If turns out to be positive you may need to drain the haematoma.You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.Dr.Patil." } ]
[ { "from": "system", "value": "Can masturbation cause nausea and amnesia?" }, { "from": "human", "value": "hi,I am single, I am male.I do a lot masturbation. I have more time headache ,I find Forgetting to learn and forgot name of some people,I have pain on back of my head,I feel Nausea.Amnesia,I from Afghanistan,there is no system for paying money for you what shod I do,I kindly request you to help me,thanks" }, { "from": "gpt", "value": "HelloThanks for your query,You had been indulged in masturbation since many and now facing problems related to general healthFirst of all there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body.All the problems that you are facing now are mind related and due to anxiety.Following measure will help you to boost up your confidence and getting good erection.and delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..Dr.Patil." } ]
[ { "from": "system", "value": "Is there ay diet to increase the sexual interest s I lost during 7 years of masturbation?" }, { "from": "human", "value": "Hi doctor i undergoes self sex (masterbat) for last 7 year. Almost 3times a weak. My temperment of my pennis is reduced while i goto normal sex and i need to sex fast to make sperm out. Now next year i goto marry bit scary. How to over come from this? Is there any food or medic to help my problem?" }, { "from": "gpt", "value": "HelloThanks for your query.You had been indulged in masturbation since many and now facing problems related to sexual activities.First of all there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body.All the problems that you are facing now are mind related and due to anxiety.Following measure will help you to boost up your confidence and getting good erection.and delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..Please get yourself engaged in social activities,sports ,reading etc so that you will not get free time to masturbate.Dr.Patil.Dr.Patil." } ]
[ { "from": "system", "value": "Semen analysis done. Sperm has a -3 grade. Does this need any treatment?" }, { "from": "human", "value": "Hi Dr. s I got my semen analysis a few days ago, rest all is normal excelt on thing i.e. my sperm has a -3 grade which is fast but undirected movement. Does this need any treatment? If so what sort of treatment should I get? Is this a cause for not getting my wife pregnant? I am married since last 4 years and my wife had 3 miscarriages and the last one was 1 and half year ago." }, { "from": "gpt", "value": "HelloThanks for your query.Your semen analysis revealed motility of the sperms to be grade 3 .Normally it is grade one sperms which move in a straight direction are capable of fertilising female eggs to result into pregnancy.The minimum percentage of grade one sperms accepted by WHO standards is 12-15% to result into conception .Truly speaking there are no medications that can increase the percentage of grade one sperms.However Following measure will help to improve the motility of sperms to some extent.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..Dr.Patil.4) Avoid alcohol and smoking.." } ]
[ { "from": "system", "value": "Is there any connection between regular masturbation, sleeplessness and back pain?" }, { "from": "human", "value": "Hello dr I am 34 years mail ..ido masturbation on regular basis from last seven or eight years ...twice or thrice in a day..without doing masturbation I could not sleep..three to four year I am also suffering from lower back pain. .is it related to masturbation. .plz help me out thanks" }, { "from": "gpt", "value": "It is not related to masturbation but you are having psycho logical problem for which you should go for counselling." } ]
[ { "from": "system", "value": "Suggest treatment to stop urine and semen leakage" }, { "from": "human", "value": "Had painful prostatitis and was treated with a heavy anti-biotic. 6 months later my prostate is normal with no pain but I still leak urine for 10-20 minutes after I urinate and leak semen after i ejaculate. I never had precum until a year ago and that's when the prostatitis started. After long erections without relief i still have a large amount of precum. How do i stop the urine/semen leakage?" }, { "from": "gpt", "value": "Hello, To avoid semen leakage you can masturbate and take urine culture in order to retest for prostatitis. Gently massage your prostate to get relief. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist" } ]
[ { "from": "system", "value": "Suffered of releasing sperms during sleep. What is the reason?" }, { "from": "human", "value": "My Name is rahul ,I suffered my releasing my sperm during sleep,twice a month from past 2 years,i dont know to do mastrubate,,,is there any problem after marriage or before.once i tried for mastrubate but penis get swelling for a day but didnt ejaculate anything.but my sperm will realeasing during sleep, what is the reason .pls sujjest me for good health........." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have problem of night emission .This is a normal phenomenon to get night emission at the age of adolescence and nothing to be worried about it .It wlll get resolved itself without any treatment over a period of time.Try to practice moderate exercise everyday for 45 minutes and take high protein diet with fruits and vegetables and vitamins .This will help to built up your general health.and to get good sound sleep.Dr.Patil." } ]
[ { "from": "system", "value": "How to treat white lump on the bottom of penis along with tiny red bump?" }, { "from": "human", "value": "Hello I recently have noticed a white lump on the bottom of my penis after having sex. Never noticed it before. Now being a week later it is still there. Now I also have one tiny red bump as well. I do masurbate alot as well. Can this be irritation or should I be worried of an std?" }, { "from": "gpt", "value": "HIThank for asking to HCMI can understand this, the possibility of STD would be nil this could be skin lesion may be due to the friction just apply the Povidone ointment and keep the area clean, stop doing the masturbate till it get better, no need to worry abut this, take care and hope this information helps you have nice day." } ]
[ { "from": "system", "value": "How to treat recurring itch between genitals and thigh?" }, { "from": "human", "value": "Hi doctor i have an itching problem since last month, my family doctor prescribed me itcmosol, after using it the problem was cured but after some days it repeated again and again. The shape is like cloudy and i affected my lap exatly near about area of penis, how could i cure it" }, { "from": "gpt", "value": "It is candida and allergic infestation. Hygiene is to be maintained.proper under gar ment cleaning after bath candibpoweder is to be sprinkled. teniaderm lotion can be applied to the area." } ]
[ { "from": "system", "value": "Does masturbation cause painful urination and blood in urine?" }, { "from": "human", "value": "hello, I have not been sexually active for months and I have been recently masturbating at least every day for the past 2 weeks. Today I noticed painful urination and some blood in my urine. Is masturbation related? I am also in another country and the food is different from that in the U.S." }, { "from": "gpt", "value": "Hello and welcome to health care magic. Pain during urination and Hematuria are signs of urinary tract infections and not due to Masturbation. My advice is to visit a Urologist /Physician and let him test your urine and blood. He will give you antibiotics like Norfloxacin for 5 days and bladder muscle relaxants like flavoxate to reduce the pain. Make sure to drink at least 2 litres of water per day. And this UTI is not food related. Hope this discussion will be helpful to you. Thank you." } ]
[ { "from": "system", "value": "What causes rashes on thighs and shaft of penis?" }, { "from": "human", "value": "A week ago I noticed a small rash on my right thigh. It itched like crazy for about two days, and then stopped. The rash stayed there, but no more itching sensation. Then a couple days ago, two more small rashes appeared. One on my left thigh and the other on the shaft of my penis. The rashes are only the size of a pinky nail. I m pretty nervous, and have searched all over the web terrified I have some sort of std. Please help" }, { "from": "gpt", "value": "Hello and welcome to health care magic. Rashes in genitals associated with itching is most probably due to fungal infections. My advice is to visit a Skin specialist and let him have a look at your symptoms. He will give antifungal ointments like Clotrimazole and antihistamines like fexofenadine to reduce the itching. You have to wash all your undergarments in boiling water and have to iron them. That's because these fungus deposit their spores in whatever clothes that touch them and will produce a reinfection after 2 weeks. Hope this discussion will be helpful to you. Thank you." } ]
[ { "from": "system", "value": "How safe is minidoxil for hair loss and need medication for erectile disfuntion?" }, { "from": "human", "value": "Sir/Mam, I am 22 and suffering from Erectile Dis-function and premature ejaculation.I don t know why but i have too much desire of sex. I have been masturbating since i was 14. But now i have stopped it. can You please tell me is it curable ? I am also suffering from hairfall since last 2 year.. and i have lost around 50% of my hair. should i use minidoxil 5% ?" }, { "from": "gpt", "value": "Hello and welcome to health care magic. Masturbation is not a disease. It's a way of expression of sexual energy in the absence of a sexual partner. There are no long term health problems reported with it except for fatigue. If you want to control it, try yoga and meditation. Using drugs to suppress can result in long term effects like impotence. About erectile dysfunction, it can be psychogenic or vascular problems or due to hormonal imbalances, diabetes etc. My advice is to visit an Andrologist/Urologist so that he can have a look at your symptoms. He will perform a doppler scan and blood tests for hormonal levels and evaluate the cause and will treat accordingly. Hope this discussion will be helpful to you. Thank you." } ]
[ { "from": "system", "value": "What could be the reason for having a tiny tear on the top of my penis?" }, { "from": "human", "value": "There seems to be a tiny tear on the top of my penis where the frenulum attatches to the penis, it stings a small bit and especially when I pull my skin back. I have been stretching my foreskin rescue rly this may have caused it? What should I do about it?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have sustained an trivial injury to the band of adhesion between frenulum and glans penis .Please do not worry this will get healed up within a week,You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.along with topical antibiotic ointment like Neosporin twice daily.Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely.Dr.Patil." } ]
[ { "from": "system", "value": "Flat spot on the penis, pain in lower abdomen, testicle and penile pain, tingling sensation while urinating post sexual encounter. Reason?" }, { "from": "human", "value": "Hi Doc, it has been more than 3 weeks now since my last sexual encounter and i noticed that my lower abdomen and testicles hurt. I have a tingling sensation sometimes when i urinate and occasional pain inside my penis i hardly even notice. I noticed a white flat spot on the top of my penis head (near the hole) that is sometimes not even visible. (i wear tight jeans most of the time). what could be the reason to this?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have developed UTI and prostatitis following sexual encounter .Please get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to.Please take broad spectrum antibiotics like Cefexine along with urinary antiseptic like Nitrofurantoin twice daily and urine alkaliser thrice daily.Later on switch on to appropriate antibiotics as per culture report.Get the prescription of medicines from your family Physician.Ensure to drink more water.To keep your urine dilute This will help to control dysuria.Since prostatitis takes long time to get cured you will need to take medictions for 4-6 weeks.Dr.Patil." } ]
[ { "from": "system", "value": "Having nightfall. Itchy penis, not having fever or pain. What could be the problem?" }, { "from": "human", "value": "i have white liquid discharge on my penis when i woke up this morning. this has been going on for about a week now. i experience itching at the tip of my penis where the urine goes out. i don t experience fever , pains, or anything. just a feeling sometimes of discharge at any given time of the day. i didn t engage in sexual intercourse with others except for my wife. i haven t gone to the doctor for a check up. i thought i would research first about my condition. what could be the problem? thanks for your help in advance..." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have watery discharge from your penis and itching at the tip of penis,Most of the times itching associated with watery discharge is the presenting symptom of Diabetes .Please get your blood sugar levels on empty stomach and 2 hours after lunch done to rule out diabetes.In the mean while take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.Dr.Patil." } ]
[ { "from": "system", "value": "Been masturbating with Neosporine dome. Noticed red bumps on penis. Genital warts?" }, { "from": "human", "value": "I am married, 37, 180lbs, 5 10 , I have been masturbating with Neosporine dome until I started noticing small red bumps on the base of my penis and on my scrotum . They are dome shaped and then turned skin color after days with masturbation. They dont itch all the time, but now and again one or two do. I am worried they are something like genital warts ." }, { "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 Cysts on penis and scrotum.The scrotal and penile 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": "Could the low hanging testicles be due to excess weight?" }, { "from": "human", "value": "Largest male human testicles. Pictures of low hanging testices and is it because of the weight of the testicles in the scrotum that makes them hang low and can a circumsized penis have a forskin be surgically put back over the glans of the penis. If so how much does it cost and where can it be done? Can't aford to sign up. Thanks." }, { "from": "gpt", "value": "Hello, The size of the testicles depends on the man's physique and therefore it is not possible to way whether they are largest or not.Unless you have a problem, that is normal. Therefore, I suggest consulting an urologist for physical examination, diagnosis and treatment. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist" } ]
[ { "from": "system", "value": "Suggest remedy for frequent penis erections" }, { "from": "human", "value": "Hi I am a male 17 years old. I have been mastrubating for the past 3 years , my penis is getting erected frequently and I cannot control it . It affects my day to day life. Please tell me the cure for this malfunction. My mail id is YYYY@YYYY . Kindly, send me all the details regarding this . Thank you" }, { "from": "gpt", "value": "Hi, Check your thyroid and testosterone levels and do regular exercise, yoga and physical games. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist" } ]
[ { "from": "system", "value": "What is the remedy for premature ejaculation?" }, { "from": "human", "value": "i am in big confusion. I have a weak erection, low libido, premature ejaculation, less semen. I am 26 years old, no BP, diabetics, no infection in genitals area, and i am not taking any medications . I am so worried about it. Help me to get back my sex life back" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have problem of erectile dysfunction ,loss of libido and premature ejaculation.In absence of any major health issue like diabetes ,hypertension,cause of these symptoms is mind related and due to performance anxiety.Following measure will help you to boost up your confidence and getting good erection.and delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..Dr.Patil." } ]
[ { "from": "system", "value": "Done semen analysis. Is it a sign of infection?" }, { "from": "human", "value": "HI I have a question. I m 23 years old. I ve just taken semen analysis yesterday. I hadn t known before so I ejaculated 3 days ago. My result is not very good. No.: 30 million/ml. Fast forward: 25%, Slow forward: 10%. Liquefaction: 120MIN. Normal morpho: 70%. ph 9. my liquefaction is long, I m afraid it s a sign of infection. What kind of service I should take at a hospital next???" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that your semen analysis is well within normal range as compared to WHO standards except the factthat semen liquefaction time is 120 minutes .This could be due to infection of the prostate (Prostatitis).If you are married and trying for conception please consult qualified Infertilty specialist and get Post Coital Test of your wife done to confirm presence of sperms in cervical mucus If the test is positive you need not worry at all .However if the test id negative and there are no sperms or dead sperms in cervical mucus you may need to take antibiotics for 2-6 weeks to combat infection.Dr.Patil." } ]
[ { "from": "system", "value": "Is it normal to get erection while testicle examination and ejaculation during rectal examination?" }, { "from": "human", "value": "I recently had a prostate exam and embarrassingly got an erection while the doc checked my testicles which I thought had a strange lump. Then when he did the rectal exam and inserted a sonar thing I ejaculated. Is this normal for a guy of 50? It is very embarassing." }, { "from": "gpt", "value": "Yes it can happen so you have no reason to be embarrassed! When having an exam in that region, spinal nerves which your brain does not control can react and cause an erection. It doesn't mean you were aroused or anything. When you have a rectal exam, the physical pressure on the prostate causes ejaculation of semen. We see this often when we do our prostate exams. Again nothing sexual. Please rate 5 stars! I strive to provide the best answer I can to your quetsions!" } ]
[ { "from": "system", "value": "Having sore penis, looks like peeling from a sunburn. Using KY yours and mine. Allergic reaction or yeast infection?" }, { "from": "human", "value": "I am a male, and lately my penis has been sore. to the point that i really do not want to have sex with my girlfriend. In the shower I noticed that it almost looked as if my penis was peeling from a sunburn . It does not burn, but after using KY yours and mine (for the first time, since me and my girlfriend are not very much into that) then I ejaculated with a burning sensation. It did not feel good. I dont know if this could be an allergic reaction or maybe a male yeast infection? someone please give me some answers?" }, { "from": "gpt", "value": "This could be superficial skin infection of the penis. Penile cellulitis. This will be cleared with an oral antibiotic for a week or so. Please rate 5 stars! I strive to provide the best answer I can to your quetsions!" } ]
[ { "from": "system", "value": "Have MS. Ejaculation tough. Treatment for this?" }, { "from": "human", "value": "This is the first time that I have used your services. I have had MS for over 22 years now. It has become difficult for me to have an ejaculation , at this point I have not had an ejaculation in over 6 months. Is there any treatment for this condition? I realize that MS can cause this problem to get worse, is there anything I can do to help with my problem?" }, { "from": "gpt", "value": "unfortunately this is likely due to ms and may not get better. We have no medicines to help ejaculation at this time. Please rate 5 stars! I strive to provide the best answer I can to your quetsions!" } ]
[ { "from": "system", "value": "Diagnosed with multiple sclerosis. Have erectile dysfunction. Treatment?" }, { "from": "human", "value": "Having sort erection dysfuntion problem since last month looks like may mental was very much fine till 6 month ago i was diagnosed with Multiple schulorisis way back 12 years ago my doctor gave me clean chit that is has been resolved 3 years back so do need to have some health strong med for this you know this quiet upset thing to happen to any male" }, { "from": "gpt", "value": "You can try meds like viagra, they can help. Some men with MS will have a nerve issue that will not allow erection without a vaccuum pump Please rate 5 stars! I strive to provide the best answer I can to your quetsions!" } ]
[ { "from": "system", "value": "Was addicted to drugs, penis size decreased, erectile dysfunction. Will testanon 250mg injection recover sex power?" }, { "from": "human", "value": "Sir, I am not good in english. I was addicted to a drug for last 11years. That one bottle drug contain codeine phosphate 10mg, chlorpheniramine maleate 4mg and other 2item. Everyday I took 4-5 bottle of that drug. As result I lost my sex power totaly. My penis cann t be strong, rarely get strong but simen out quickly, penis size also decreased. My local doctor advised me to take testanon 250mg injection after every 4days (40days, 10inj) Is that advice will recover my sex power? Any side effect? Please answer me..." }, { "from": "gpt", "value": "It will help. There are side effects like heart disease and cancer with the meds so be aware of the risks. Please rate 5 stars! I strive to provide the best answer I can to your quetsions!" } ]
[ { "from": "system", "value": "77 year old, having inguinal hernia, want to go for surgery. Open or laparoscopic?" }, { "from": "human", "value": "Hello Doctor, My father age 77 years having inguinal hernia . I would like to know if at this age will doctor recommended to go for a surgery. If yes: 1)which surgery is recmmended- Open or Laproscopic 2) how many days my father need to be in hospital after the surgery 3) how many weeks of bed rest after discharge of hospital. Thanks, Subroto" }, { "from": "gpt", "value": "Laparoscopic will be well tolerated (less pain and quicker recovery) Typically it is oupatient surgery - home the same day Bed rest for 1-2 days then normal activity. Please rate 5 stars! I strive to provide the best answer I can to your quetsions!" } ]
[ { "from": "system", "value": "Spermatocele, causing pain, don't want surgery. Looking for natural or herbal remedies" }, { "from": "human", "value": "I ve been diagnosed with a spermatocele and although it s very small, it s causing me an immense amount of pain. From all my research, this seems wrong, especially for such a small cyst . Is there something similar to a cyst that would fool a Urologist (he did both a physical check and an ultrasound)? Also, are there any natural/ herbal remedies for this? I DO NOT want surgery, but this pain is pretty unbearable." }, { "from": "gpt", "value": "There are none that will cause the spermatocele to disappear. It may be painful because it is infected, so I would try one week of ciprofloxacin antibiotic. This may help. If not, then I agree that surgery is next step. Please rate 5 stars! I strive to provide the best answer I can to your quetsions!" } ]
[ { "from": "system", "value": "Itching in penis, white bump on lower tip. Taking benedryl, allergic reaction. Herpes or STD?" }, { "from": "human", "value": "Well im 16 years old and I recently(2weeks ago) have been persistently been itching inu penis and well I m terrified if it herpes or some sort of STD ...I ve been attracting putting oinents and taking benedryl for thinking its an allergic reaction . So far the benedryl hasn t work completely as no less as the ointments, my penis still itches, and now in the morning I find a white bump on the lower tip of my penis on the left hand side. Can anyone tell me what may be the cause? I m terrified it may be herpes...for red bumps occurred several days back, but no flu/like symptoms,muscle/back/headaches haven t occurred as well and no discharge or pain urinating. I d really hope some one can answer my question. Please!" }, { "from": "gpt", "value": "It sounds like herpes. Allergic reactions are flat and not causative of bumps. You can see a doc that can swab it to confirm. Please rate 5 stars! I strive to provide the best answer I can to your quetsions!" } ]
[ { "from": "system", "value": "Suggest remedy for frequent urination due to excess mastrubation" }, { "from": "human", "value": "Hi, I have been mastrubating from my youth may be for the past 10 years. last 2 years I have been mastrubating for 2-3 times a day. From yesterday I feel numb and i am not getting errections in the morning and i feel pain and i am urinating frequently. I am worried and tensed and also depressed may I my self made impotent. Please help me to get out of this issue" }, { "from": "gpt", "value": "Hi, There is no link between the absence of erection and urination. you can go with regular exercise, yoga and physical games. consume a lot of water. If not cured with these remedies, consult a psychologist. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist" } ]
[ { "from": "system", "value": "Smoking addiction, have early erection followed by loss of desire in sex, no improvement with technique, lycopodium. What else can be done?" }, { "from": "human", "value": "Dear Sir, would you help me please to remedy my premature ejaculation problem? Name: Piyal Roy Age: 25 Height:5 5 weight:50 kg Addiction: only smoking (16 to 17 cigarettes) sir, I m having problem with my girlfriend for early erection .normally i erect within less than 1 min.and after that i don t get any desire to sex at all.i tried lots of time doing stop and start technique.but i didn t work.then after reading some blogs and some therapy i took lycopodium 30 c ( liquid ) for 1 month.it didn t work too.i need a solution that would remove this problem permanently. would you help me sir?" }, { "from": "gpt", "value": "I would give a trial of antidepressant called SSRI. They can help with premature ejaculation. Please rate 5 stars! I strive to provide the best answer I can to your quetsions!" } ]
[ { "from": "system", "value": "Lump on scrotum. Is it epididymal cyst?" }, { "from": "human", "value": "Hi Sam, I was doing a testicular exam a couple of weeks ago and I came across a fairly sizeable lump at the top of my scrotum just below the base of my Penis, it is located at top top of my scrotum on the right hand side, I ve been reading into it and I think it may be a epididymis cyst but I m not sure, what other things could this be because it s a pretty large lump that s visible, it s almost like a 3rd testicle in size, it s slightly smaller (PS. none sexually active 16 year old)" }, { "from": "gpt", "value": "Yes it does sound like that. typically we do nothing for them unless they are bothersome. Please rate 5 stars! I strive to provide you the best answer I can for your questions!" } ]
[ { "from": "system", "value": "Problem of erectile dysfunction and difficulty in urinating. Renal cyst found. How to rectify problems?" }, { "from": "human", "value": "Hello, i am 36 yrs old married male. i am suffering from ED problem for one year and also suffering difficulty urinating. So, i follow up a local urologist about my problems. He gave some test and found that a right renal cyst in the mid cortical region measuring 34.1 mm * 24.6 mm, urine bladder is normal, PVR is 28 ml, prostate is normal in size with uniform echopattern (T*base-apex * AP= 27.6 mm * 37.1 mm * 30.0 mm). weight of the prostate is 16.9 grams, Volume of the prostate is 16.1 cc.outline is well defined. capsule is intact. No indentation at the bladder base is noted, urine color is straw, apperrance is clear, RBC not found, Pus cell 0-2 / HPF, sugar nil, uroflowmetry, peak flow, 22ml, mean flow 10 ml, voiding time 104 sec, flow time 95 sec, time to peak flow 8 sec, voided volume, a00a ml. After reporting, he prescribe of medicine maxrin 0.4 mg, ocarnix, e-gel 200, forgest 20. mg. so iam taking this medicine for two month. i mean to say you that my difficulty urinating problem has somewhat better than previous condition, but ED problem has not improved. in view of above, is it my ED problem is any serious something and how can i get rid of ED problem completely. please clarify about my contions. Thanks Mr. Haasan" }, { "from": "gpt", "value": "Renal cyst is likely unrelated. Would recommend medicines like viagra to help with ED Please rate 5 stars! I strive to provide you great answers to your questions." } ]
[ { "from": "system", "value": "Throbbing pain in the thigh after masturbation. Could it be due to a blood clot?" }, { "from": "human", "value": "I don t know what s going on... I masturbated earlier, then after that I noticed my left leg kind of had a throbbing pain on the back of the thigh. Then I noticed when I touch my penis , or squeeze it, the pain shoots down into the same spot on my thigh. I kind of got bad anxiety so the worst is coming to mind I m thinking of a blood clot lol. However the rational side of me thinks it s a nerve, i don t know it s never happened to me before... Being dead serious here, it s freaking me out." }, { "from": "gpt", "value": "DearWe understand your concernsI went through your details. I suggest you not to worry much. Please do not over react. I don't think that the thign pain has to do something with your masturbation of nerve problem. But to have a proper diagnosis of your condition you should consult a physician immediately if you are that much troubled by that pain. Consider anxiety and other contusion that might be reason. If anxiety is the cause, then I shall be of help. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some Sexology related psychotherapy techniques which should help you cure your condition.Hope this answers your query. Available for further clarifications.Good luck." } ]
[ { "from": "system", "value": "Lumpy discharge when ejaculating, having safe sex. Diabetes or diet related?" }, { "from": "human", "value": "I am 18 years old, I find a gloopy/lumpy discharge when I ejaculate. I m pretty sure I don t have an STI , as i have safe sex , and this has been a problem before I had any sexual activity. Reading other article it was suggested that this could be diet related or even due to diabetes , I don t have diabetes and restricted my diet to low sugar, and this had no effect. It is an inconsistent amount, and somedays there will be none at all. Infact I often find the day after a sexual encounter I no longer have the discharge, but then later returns as time passes." }, { "from": "gpt", "value": "DearWe understand your concernsI went through your details. I suggest you not to worry much. You are just 18 and you are being more exaggerating. The lumpy semen is a sign of health. It comes so because of your masturbation habits. Those lumps are clusters of sperm cells, ready to more forward inside the vagina and inseminate female eggs. Don't worry about your sexual health. The amount and viscosity of semen depends on so many things like, stress level, water intake, time of sex or masturbation etc. Do not worry about that too. You are teen ager. Don't succumb to anxiety and think too much about sex or sexual matters. Concentrate on studies and career.For sexology solutions 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.Hope this answers your query. Available for further clarifications.Good luck." } ]
[ { "from": "system", "value": "PCOS, over weight. Taking metmorphin. How to have erection without sex?" }, { "from": "human", "value": "My wife and I have been married for about a year and a half now, we bought a house and are living stable. But, she has PCOS and worries constantly that we will not be able to have a baby. She has very light PCOS. She is a bit overweight , but she is working very hard and losing it, and doing a good job, because we have read, and her doctor has told her that that will help. I have read many success stories about women with PCOS who have just taken metphormin and been fine. Doctor asked semen report for me. I don t know how to take sperm out by hand . I tried by hand its not temper. But intercourse time penis will come big size. please give me the suggestion." }, { "from": "gpt", "value": "DearWe understand your concernsI went through your details. I suggest you not to worry much. What you should do is to have intercourse. Just before your orgasm, remove your penis from the vagina and then you can collect the semen using a small vessel. Another way is to learn masturbation while sitting naked with your wife and fondling her breasts and vagina. The procedure is very easy and you do not have to try hard to have erection and ejaculation. Don't try. Do it.Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some Sexology related psychotherapy techniques which should help you cure your condition.Hope this answers your query. Available for further clarifications.Good luck." } ]
[ { "from": "system", "value": "Cause of penis tip hurting while urinating/ masturbating and leakage of white fluid since 4 days?" }, { "from": "human", "value": "while urinating it hurts in the closely to the tip of my penis. there is few white, yellowgreen fluid coming out of my penis. when i masterbate when its cuming it hurts too. its like every minute there is a drop of white fluid coming out. its been 4days. what was my condition??? do i have std? please help" }, { "from": "gpt", "value": "HelloThanks for your query.Burning urination and pain at he tip of the penis with yellowish discharge or due to inflammation of urethra (Urethritis)Please get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to.Please take broad spectrum antibiotics like Cefexine along with urinary antiseptic like Nitrofurantoin twice daily and urine alkaliser thrice daily.Later on switch on to appropriate antibiotics as per culture report.Get the prescription of medicines from your family Physician.Ensure to drink more water.To keep your urine dilute This will help to control dysuria.Dr.Patil." } ]
[ { "from": "system", "value": "Advice on semen analysis test?" }, { "from": "human", "value": "Volume 7 mlCount / ml 12.8 million Count / ejaculate 89.6 million Motility 61%Rapid progressive 46%Morphology: Normal 20%Slightly amorphous 11%Abnormal 69%Please advise" }, { "from": "gpt", "value": "Hello and welcome to health care magic. I will analyse it step by step. Your volume is adequate - only 2 ml is needed. Sperm count is low - 20 million is needed ; you have only 12.8Motility is good - only 50% is needed ;you have 61 %motile sperms About morphology - at least 15% normal sperms are needed and you have 20%So overall it's suggestive of low sperm count. There can be different causes like varicocele, abnormal antibodies, hormonal imbalances, surgical obstructions, environmental factors like exposure to xrays, intake of certain drugs. So as next step will try to find out the cause and treatment depends on the causative factor. Hope this discussion will be helpful to you. Thank you." } ]
[ { "from": "system", "value": "Is there any medicine to get rid of masturbation?" }, { "from": "human", "value": "Hello Sir,I have masterburate from my age of 11 or 12 ..i feel it is one of the biggest mistake of my life.Now i feel very tired and feel there is nothing in my body .Is there any medicine to get rid of it ..please suggest otherwise i will get more weak day after day..." }, { "from": "gpt", "value": "Hi and .Masturbation is very common among adults, no need to feel guilty about this. It is not abnormal and most of the people would have masturbated in their life time. Masturbation wont make you weak, its all in your mindIf you are masturbating very frequently that is almost daily then you have to control this habit. Twice or thrice weekly is acceptable, but their are no strict rule about frequency of masturbation.Here are few tipsAvoid watching porn if you have habit of watchingdont be lonely, try developing some new hobby, Listen music, Play some outdoor games. Eat nutritious foodDivert your concentration to studies or some productive workTheir is no such medicine to git rid of this habit.If nothing helps, then dont hesitate to consult a local doctorOnce again i stress, this it is not biggest mistake of your life, Dont be guilty about this. RegardsDr Santosh" } ]
[ { "from": "system", "value": "On and off nightmares, screams and cries, affects sleep schedule and school performance. Opinion?" }, { "from": "human", "value": "My daughter is 13 and for about a year now her nightmares have been coming back off and on. At first it was just a rude awakening for her and she would go right back to sleep but now they have become so real to her (as she says). She screams and cries like it is really happening and it is affecting her sleep schedule and performance in school along with her other activities such as girl scouts and band. I have looked for therapists but Im just not sure yet if I should take her or just help her at home." }, { "from": "gpt", "value": "Hello,I understand that you are worried about your daughter's sleep problems. Now, everyone experiences nightmares sometimes, bit they can be quite distressing if they happen very frequently.Frequent and distressing nightmares in children can indicate stress or anxiety-related disorders. In your daughter's case, since her symptoms are resulting in significant dysfunction and affecting her school and social life, I would advisr you to seek professional help from a psychiatrist or child psychologist.Best wishes." } ]
[ { "from": "system", "value": "Can pre ejaculatory liquid cause pregnancy?" }, { "from": "human", "value": "hey doctors! i think i might of got a bit of pre-ejaculated sperm on my hands when i was buttoning up my trousers. Then i rubbed my girlfriends vagina through her clothes while she was sitting on a chair, but then maybe about five minutes later i actually fingered her, i know when it gets wiped of it dies, but how likely is it for her to be pregnant?" }, { "from": "gpt", "value": "Hi, Since the pre-ejaculate liquid contains a lot of sperms, it can make your girlfriend pregnant. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist" } ]
[ { "from": "system", "value": "What causes bumps on shaft of penis as if hair being pulled?" }, { "from": "human", "value": "Me Andy wife finally got some alone time Sunday nite and had a very hard sexual nite , while we were having sex i felt discomfort on the sides of my pens like my hair was being pulled Tuesday i had some white simple like bumps on my shaft but really looked like grown hair pumps cause there was a hair coming out of them i popped them put a little alcohol on them still a little sore" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have what is called as ebaceous cyst.The penile 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 to confirm the diagnosis and for further treatment.You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.along with topical antibiotic ointment like Neosporin twice daily.Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely.Dr.Patil." } ]
[ { "from": "system", "value": "Why am I not able to ejaculate during the intercourse?" }, { "from": "human", "value": "I do too much masturbation with my hand...I have good erection but I can't satisfy since I can't ejaculate during intercourse...I ejaculate only when I rub my penis with my hand i.e. masturbation. Please help me how can I ejaculate during intercourse?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you are unable to ejaculate during sexual intercourse where as able to ejaculate on masturbation .During masturbation one gets excessive sexual stimulation due to holding the penis tightly with grip of hand which . lacks during intercourse .This is the reason for not getting sexual stimulation enough to get ejaculation.Please spend more time in fore play .You may take Sildenafil (Viagra) as on demand .Please get prescription from your family Physician,Dr.Patil.This will help in getting good hard sustainable erection and ejaculation." } ]
[ { "from": "system", "value": "Could hernia repair by laparoscopic surgery cause long term impotence?" }, { "from": "human", "value": "I am scheduled to meet with a surgeon this coming monday for possible hernia repair. The medical site advertised laparoscopic surgery under local anethesia, etc. However, I AM very concerned about long term impotence. what is the danger of becoming impotent ?" }, { "from": "gpt", "value": "It is very rare actually. I would recommend a skilled surgeon who can take care of the problem. Please rate 5 stars! I strive to provide the best answer to your questions!" } ]
[ { "from": "system", "value": "How long does it take for Cialis to work?" }, { "from": "human", "value": "how long before taking Cialis before it works and will I suffer much if she is not about as I never had a girlfriend before now, I am 56 so this is new to me and she is very understanding about this but very causious also as she was married to someone who was on testogel and she blames this for him abusing her child. So I need to tread carefully." }, { "from": "gpt", "value": "Best to take it several hours before intercourse.IT is known as a weekend pill, so you can take it on day 1 and it will still work for day 3.Please rate 5 stars! I strive to provide the best answer to your questions!" } ]
[ { "from": "system", "value": "Is it normal to get an unwanted erection?" }, { "from": "human", "value": "is it normal to get an erection while at the doctor s office-----I am 38 and I know its about time for prostate physical exam..but im sooooo embarrassed that I will get an unwanted erection...im scared that the dr will freak out (she is a very young beautiful dr....)" }, { "from": "gpt", "value": "That is common.The prostate has nerves for erections around it so the exam can cause an erection. I wouldn't be embarrassed. As a doctor, she would know this!Please rate 5 stars! I strive to provide the best answer to your questions!" } ]
[ { "from": "system", "value": "Suggest treatment for swelling in testicles" }, { "from": "human", "value": "About four years ago while getting out of my car I twisted my right testicular and may have testicular torsion. I am 54 and this went away, but comes back about once a year.This time however it happen again, and now my ball sack is the size of a greatfruit, I don't want to have surgery but I am scared.If I do have surgery is it safe? Please is there anything I can do to reduce this swelling? Warm water and ice hasn't help and swelling got worse over night. please respond fast thanks and God bless" }, { "from": "gpt", "value": "What you have is a hydrocele. These can be surgically corrected with outpatient surgery. Options to avoid surgery include draining the fluid with a needle, which has a high chance of recurrence.Please rate 5 stars! I strive to provide the best answer to your questions!" } ]
[ { "from": "system", "value": "Treatment for pain in varicocele when wearing tight clothing?" }, { "from": "human", "value": "Respected Sir, its my honour to consult with you...sir, when my age was 17 i had consult with dr. kundu in silchar., now my age is 27....well after observation he has suggested me dont take any tension its normal and prescribed me Evion 400 capsule for 60days....and said that (1) one minor operation is required but you can do this after 10 years dont worry..your life is normal... (2) Scrotal support suspensory bandage (medium size) when i asked him why it occurs to me..he said there are lot of cause but your case is different..as i already said him(dr. kundu) that my hobby is cycling (by-cycle)..he said too much cycling is also one cause..so i stop cycling..as he suggested.... after that what i realize that when i wear some tight jeans or do some hard work or walk long distance specially with wearing jeans i feel little bit pain in my left varicocela.. sir i am very worried about that and also for my future..what should i do at now suggest me please...and very scare about operation.. and by the way how much money is require for Varicocele embolization or catheter-directed embolization...please help me..with regards kapil" }, { "from": "gpt", "value": "I want to reassure that the operation for varicocele repair is a very safe and mild surgery. We typically perform as an outpatient and perform this surgery even on kids! Please rate 5 Stars! I strive to provide you the best answer to your questions." } ]
[ { "from": "system", "value": "What could be the sticky white substance on the penis tip after sex?" }, { "from": "human", "value": "hi, after having sex with a girl , i saw a whitish substance on my penis that was sticky. it was her 1st sex as she claimed. i didnt see any blood. was she truly virgin? what was that white thing? the following day when we had sex, the white thing had gone. pls explain" }, { "from": "gpt", "value": "It was likely vaginal mucous. This is produced with sexual stimulation and is the body's natural lubricant. Please rate 5 Stars! I strive to provide you the best answer to your questions." } ]