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Nitral_Medical_Dialog_Fixed

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[ { "from": "system", "value": "Dermatitis eczema, applied cream, esticles and penile shaft there are red swollen bumps. STD?" }, { "from": "human", "value": "Hello, I have dermatitis eczema and ive put cream on my body and for the most part that is good but on my testicles and penile shaft there are red swollen bumps. They dont hurt just itch at times. The ones on my testicles seem to go away if i used powder. the ones on my penile shaft seem to get a littler better too but i notice when i masturbate they seem to get worse. I m worried it might be an std but when i looked up stds nothing i have seem similar with the stds. Are the irritated lumps/bumps from masturbating?" }, { "from": "gpt", "value": "Hi,From history it seems that you might be having dermatitis or fungal infection on the part.Due to masturbation there might be irritation and friction there might be precipitation of the condition.Apply triple acting cream.Keep local hygiene proper.Ok and take care." } ]
[ { "from": "system", "value": "Will taking Flotral be safe for prostrate enlargement?" }, { "from": "human", "value": "I get up frequently to urinate. I have prostate enlargement. Tried a couple of medicines in the past but effective. I was prescribed Flotral. Two queries:a) Is Flotral safe in the long run as I have been advised that this is a long term solution?b) If Flotral does not work, should I go for surgery?BR, RS" }, { "from": "gpt", "value": "This can be taken fora long time. For monitouring PSA test can bedone iF level goes up then biopsy can be done special technique in rectal route Other medication or radiation therapy can be given if requerred." } ]
[ { "from": "system", "value": "Does negative result for semen test mean infertility?" }, { "from": "human", "value": "hi doctor,i would like to ask you, me and my wife been trying for a baby past 22months, but had no luck so far. my GP sent me for semen test and my wife for blood test to see if she is ovualating. her result came normal and mine came negative. what does this mean now?" }, { "from": "gpt", "value": "Hi, The 0 sperm count indicates infertility. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist" } ]
[ { "from": "system", "value": "What could be the reason for having pain between my scrotum and anus?" }, { "from": "human", "value": "I am a 55 year old male, the last three day's I have had bad aching pain between my scrotum and anus. I am on flowmax for a slightly enlarged prostate. Are you able to tell me why i may be having this pain? (This pain is constant) Thank you, For your time." }, { "from": "gpt", "value": "This can be related to prostat. Get PSA Urinetest Ultrasound prostate blader kub. If all the test will be analysed, it will give some idea about the problem. Are you having chronic constipation ? For now take some analgesic like combiflam after food for two days." } ]
[ { "from": "system", "value": "Lower abdominal pain, white penile discharge, dry stools with pain during bowel movements. Had oral sex before these symptoms. What can be done?" }, { "from": "human", "value": "Hi, i am a male 29yrs old, I have this lower abdominal and pains in my testicles. I also have white discharge from my penis. My stool is very dry and i feel pain while having bowel movement . I visited the clinic and Doctor asked about my sexual life. i told him i have unprotected sex with my partner but that happened a month and some days before i noticed the white discharge and pain while passing urine. He gave me some antibiotics, after that the discharge continued and he gave me another one. I had a urine and blood test but nothing was found. Now i do not feel any pain when passing urine but i still have this pain in one of the testis with lower abdominal pain and some times lower back pains. I still have dry stool. Something i must mention; I have never had sex for 5 yrs but have occasional masturbation. And i had oral sex/long masturbation before i ejaculated just some days before i saw those symptoms. Please i need your professional advice." }, { "from": "gpt", "value": "Stop unnatural sex habit. For dry stool take more water, fibercotaing vegitable and fruits. Do daily morning walk and exercises. Yoga can help you in solving these problem. Cantake husk of esoph gul soaked in warm milk. With this see the changes in 15 days." } ]
[ { "from": "system", "value": "How to increase the sperm count?" }, { "from": "human", "value": "hi my name is Paul I have a question my sperm count recently was only a thousand then 1/3 of them were dead I also had pus cells in my semen is this normal for the same and count to be that low with pus cells in the semen if so how can I get my sperm count back up at me and my wife for trying to conceive" }, { "from": "gpt", "value": "You have informed that your sperm count is decreasednow. Can you give pasthistory of last cont done and if so what was the report. Present count is abnormal and presence of pus cell indicate infection. Give your age family histohy and past history for deciding treatment mode." } ]
[ { "from": "system", "value": "Having smooth flat bumps on my scrotum. Visible only during erection. No itching, slight redness. How to get rid of this problem?" }, { "from": "human", "value": "I have had these smooth flat bumps on my scrotum for a couple of days now and not to sure on what they are or where they came from they don t look really bad tell I get an erection then that s when you can really feel them and see them they don t itch they turn red only when I examine myself can you help me solve what this is and what I can do to get rid of it." }, { "from": "gpt", "value": "HIThank for asking to HCMI really appreciate your concern if the lesion that you are seeing is not causing nay pain or smoothing then just leave it like that only, this would go away soon just keep eye open for the size of this lesion if this goes on increasing then need to be examined clinically hope this information helps you have nice day." } ]
[ { "from": "system", "value": "What causes warmth and itching around the area of penis which swells after scratching?" }, { "from": "human", "value": "About 9 days ago, I felt a of lot heat and itching around parts covered by the underwear, not the penis and I scratched. The itching and scratcing gets more entense when it is warm. Now it happens on my ampit and neck and I feel it could get to the face. When I scratch the parts swell. What is going on?" }, { "from": "gpt", "value": "HIThank for asking to HCMI can understand this, the give history is suggestive of hyper sensitivity reaction and this condition will be come around with the tab Levocetrizine 10 mg three times in day and if the swelling is too much then Tab Ibuprofen 400 mg three times in day can be tried, hope this information helps you have nice day." } ]
[ { "from": "system", "value": "How do I remove unwanted hairs? How to reduce testosterone levels?" }, { "from": "human", "value": "How do I remove unwanted hairs. I have tried Laser hair removal for the past four years but to no avail. Is there any hope for me? My testosterone level is very high and has been elevated for the past several years. How can I get it to go down so I may have less hair?" }, { "from": "gpt", "value": "HIThank for asking to HCM'I really appreciate your concern you can remove your unwanted hair with the help of laser treatment only for the testosterone you have to see the endocrinologist that is the only way you have but if this condition is genetically constituted then you can't do any thing, hope this information helps you, have nice day." } ]
[ { "from": "system", "value": "Semen leakage after urination, wet substance after erection, scalp irritation, tiredness, masturbation. How to get relief?" }, { "from": "human", "value": "hi,,me 25 year old in job. Continuously harassed by semen leakage after urine and getting some wet material after even small erection and both of them making me tired and immediately eye goes inside and face looses its energy and even i feel some structure change in waist part as size of it increasing day by day.I feels some irritation on scalp which caused of hair fall also. I was involve in masturbation from 15 year old and get rid of it at 19 and again started at 21 and till now in very controlled manner but even after that i feels some weakness over there . My weight is 70 and height is 5.8." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have been indulged in masturbation since many years and now facing problems related to sexual activities and 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 improve your health.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..As regards passing leakage of liquid from urthethra it is excessive secretion of Cowper's glands located in urethra which get stimulated with slight sexual stimulation and is nothing to be worried about it.Dr.Patil" } ]
[ { "from": "system", "value": "Penis slighlty inclined towards left side, erectile dysfunction, underweight. Treatment?" }, { "from": "human", "value": "hi doc i am suffering from this problem for quite along time i hoped that with passage of time it will automatically resolve but unfortunately not yet happened.... my problem is that i had a bad habit of masturbation when i was 16, with passage of time that fascination came to end from last two or more years i have stopped doing that but i realized that despite of leaving that habit i have sperm injecting problem certain amount of sperm automatically discharges when i am asleep and some drops also come after i piss...... kindly tell me the solution of this problem i am 26 now and have weight only 51kg i am going to get married but due to this situation i am confused what to do moreover due to masturbation my pinis is slighlty inclined towards left side...." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that 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 help to improve your general health.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..The problem of night emission is common at the age of adolescence and nothing to be worried about Dr.Patil." } ]
[ { "from": "system", "value": "Does precum come from the Cowper's gland? Does urine kill sperm?" }, { "from": "human", "value": "I am a bit confused about precum. Does it come from the Cowper s Gland or from somewhere else? Does it initially contain sperm or does it pick up sperm on the way out? Does urine kill sperm? Does it wash sperm out? If a guy ejaculates a few days before he precums, how likely is it that the precum contains sperm (considering that urine may or may not kill sperm, but it washes sperm out of the urinary tract )? If the precum lands on the labia of a woman, not inside the vagin, is it likely for the woman to get pregnant, considering that the guy last ejaculated a few days before he precumed? It would be very appreciated if someone could answer these questions. Thank you very much in advance." }, { "from": "gpt", "value": "HelloThanks for your query.1) Precum is a secretion of Coper's glands located in urethra.2) It does not contain sperm at all.3)Urine is acidic in nature hence sperm can not survive longer in urine and any sperm in urethra get washed away with passing urine.4) Sperms can not survive more than few hours after ejaculation.5)Woman can not get pregnant with only precum even though it is deposited in Vagina.Dr.Patil." } ]
[ { "from": "system", "value": "Chance in behaviour, less semen discharge. Suggestions?" }, { "from": "human", "value": "Hi but not this is hi means i am 21year but m not looking like 21 m looking 40 year man like a full stomach restless m doing engg but still in fst year from from three year my behavior changes m not doing any work in home just doing masteerbaing daily 7-8 times nothing doiing i cant waconltrol myself last yhree months m doing day night daily masterbating my sperm is now small amount just one drop m doong masterbating from my13year i dont i dony want to live like this i vsnt control plz give me suggession my peins size decreses hut i want to stop i have no energy but i rrgularly do mbate plz give me suggession" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have been indulged in frequent and excessive masturbation since many years and now facing problems related to general health and 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..Try to reduce the frequency of masturbation by getting yourself engaged in some activities like sports ,reading, social work or listening to music so that you will not have free time to masturbate.Dr.Patil." } ]
[ { "from": "system", "value": "What causes ulcers in penis?" }, { "from": "human", "value": "withsir i am 62years old. i have races with small ulcer inside skin of front of my penis without pain.i confirm i have no physical relation with my wife.no chance of VD. KINDLY ADVICE MEDICINE" }, { "from": "gpt", "value": "Hi, It can be due to syphilis caused by previous unprotective sexual relationship you had. 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": "VDRL positive, wound on penis. Treatment?" }, { "from": "human", "value": "R/dr I was suffering from the VDRL positive and the same was treated by the doctor.the doctor checkde the VDRL report and sidt to me the infection was minor position.The doctor gave me the penciling injection the same was well at that time.After long period it is again make trouble for me i got wound on my penis due to that. I am very upset what i should do to cure my self from the disease.I am unmarried now and soon gonna to marry.kindly guide me it is curable or not in the Indian medical science. Thanks dev raj punjab" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have VDRL positive and was treated with Inj Penicillin but ulcer recurred again after few months.This is most likely to be due to incomplete treatment with penicillin.One needs to take Long acting Penicillin (Penidure LA) twice a week for 3-4 months to eradicate infection completely.Please get swab tests of fluid from ulcer done to rule out any other form of STD like Chlamydia,Herpes etc.Dr.Patil..Dr.Patil." } ]
[ { "from": "system", "value": "Had unprotected sex, pain in testicles, have staff infection, treated for prostatios, not cured. Any treatment?" }, { "from": "human", "value": "back in dec had unprotected sex with girl shouldnt have started felling pain in testicales groin and pelvic and discharge had discharge swab came back staff infection been on 6 or 7 atibiotics couple different uroligists and been tested for stds all neg bieng treated for prostatios right now but not helping any suggestions or help would be nice 6 months of this cant take much more stillhave clear discharge ever now n then aching in that eara testicales groin pelvic been burning after urinating help or suggestions please" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have developed Chronic Prostatitis.Please get and culture and sensitivity of urethral discharge obtained after doing a prostatic massage done to find out the organisms causing this infection and antibiotics to which they are sensitive to so that you can take appropriate antibiotics to combat infection.Prostatitis takes long time to get cured hence one needs to take antibiotics for 6-8 weeks,Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely.Dr.Patil." } ]
[ { "from": "system", "value": "Semen analysis done for volume, sperm motility, non-motile, sperm count, WBC. Is this result normal?" }, { "from": "human", "value": "i am 30 years old and i make semen analysis and i found the test result as the following : Vloume : 3.0 ml Color : Milky Liquefaction : 60 minutes PH : 8.0 Sperm motility : Active :40% Sluggishly:20% Non-Motile:40% Sperm Count : 20 million/ml Abnormal forms : 10% WBC : 4 - 6 /hpf please can u tell me if this result normal and if not what i must to do or to take Medications Many thanks" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts and reports of your semen analysis that you have posted I can say that all the parameters of semen are within normal acceptable range of WHO standards except the the presence of 4-6 WBC which suggest infection either in Seminal vesicle or Prostate .Please take broad spectrum antibiotics like Doxycycline twice daily for one month and repeat the semen analysis after one month. to be rest assured that infection has been fully controlled.Dr.Patil." } ]
[ { "from": "system", "value": "Painful blister ulcer type sores under foreskin. What could be the reason?" }, { "from": "human", "value": "I have sort of big blistery ulser looking sores under my foreskin & its very painful. I am only bak from being abroad and got upto the usual boys antics & cant remeber alot. Although i do remember trying to force my penis into a dry vagina and it being very painfil but the pain has only got worse in last few days. What do you think is wrong?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have developed painful ulcer over under surface of foreskin mostly due to dry ,vigorous .unprotected (?)sex .Please get swab test of a fluid from ulcer done to rule out possibility of acquiring STD.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": "Difficulty in conceiving. What medication or treatment should be taken to improve sperm count and penetration?" }, { "from": "human", "value": "what is the tablet to be used for good sperm and good penetration we r planning for kids since 3 years we r married since 6 years we have done all types of test for my wife they said she is fine and also laproscopy and i travell a lot but still try to make time for the days required but still we dont have what to be done" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have trying for baby since 6 years after your marriage.It is difficult to make precise comments in absence of detail reports specifically semen analysis and findings.As regards your problem in penetration during sex it is likely to be due to inadequate hard erection .Please consult qualified Urologist for assessment and further treatment.Taking medicines like Sildenafil (Viagra) will help to get good hard sustainable erection for penetration.Following measure will help you to boost up your confidence and getting good erection.and improve sperm count to some extent.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..Dr.Patil." } ]
[ { "from": "system", "value": "Cloudy substance seeping out of penis before urination. What could it be, treatment?" }, { "from": "human", "value": "When I am about to urinate I notice there is a cloudy substance seeping out of my penis . (only time I notice it is when im about to pee) it does not burn until im almost finished utinating but the pain is not unbearable and it goes away after a short time.. It only happened twice (last two days) and im sure its not pre-cum , please help me im terrified." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you are passing cloudy liquid before urination .This is an excessive secretion of Bulbo -Urethral glands located in urethra mostly because of inflamation 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.Ensure to drink more water.To keep your urine dilute This will help to control dysuria.Dr.Patil." } ]
[ { "from": "system", "value": "Retrograde ejaculation, prostate huge, small testicles, sperm comes out during urination, no semen while ejaculation, lower back pain" }, { "from": "human", "value": "hello, i am rey and am 19 years old, and i know for sure that i have retrograde ejaculation . my prostate its huge, i have extremely small testicles and when i urine sperm comes out. sometimes when i ejaculate no semen comes out even though i am reaching the orgasm . i have lower back pain, i honestly think i have fluid stuck in my penis because when i touch my prostate up and down, i can here a squeaky sound. please be honest to me am scare to death." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have varied symptoms and doubts mostly due to anxiety.1)Retrograde ejaculation can be confirmed only on urine examination immediately after ejaculation It will reveal presence of sperm in given sample2) One can not feel his prostate by self examination it has to be confirmed by digital rectal examination by a qualified Dr.3)As regards size of the testis get your ultrasound scanning of the scrotum to confirm the same.4) urine does not contain sperms what you think as a semen is a precum secreted by Bulbo Urethral Glands located in urethra.Do not worry consult qualified Urologist or Psychiatrist for counselling.Dr.Patil." } ]
[ { "from": "system", "value": "Testicle pain and lower abdominal pain while touching and lifting, no swelling or lumps" }, { "from": "human", "value": "I have a pain in my right testicle and lower abdomen when it is touched or lifted. It just started happening when I was in the shower today. It feels fine and normal until it s touched or lifted then there is a sharp pain in my testicle and abdomen with a lingering pain in my abdomen. Nothing is swollen nor discolored. I also have no lumps . Any help?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have either mild infection of epididymis , cord structures or Varicocele.However this can be confirmed only on clinical examination by a qualified General Surgeon or Urologist and following basic tests.1) Urine Routine Test.2) Ultrasound scanning of Scrotum3) Colour Doppler study of scrotum.In the mean while start taking broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.Dr.Patil." } ]
[ { "from": "system", "value": "What is the cause of premature ejaculation with eye floaters?" }, { "from": "human", "value": "Hi doctor, I am 24 years male and start masturbating about 10 years ago, frequently. Recently I have developed signs such as eye floaters, fatigue or general weakness, premature ejaculation and weak body as well as low stamina. Should I stop it completely and Will it recover me back after stopping this malady.? I look forward to hear from you... Thanks" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have been indulged in masturbation since many and now facing problems related to sexual activities.First of all there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body.All the problems that you are facing now are mind related and due to anxiety.Following measure will help you to boost up your confidence and getting good erection.and delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..Try to reduce the frequency of masturbation.Dr.Patil." } ]
[ { "from": "system", "value": "What is the treatment for red and itchy rash on penis?" }, { "from": "human", "value": "my husband had a rash on his penis. it's red and itchy. and it's spread to his right upper eye lid and now a small spot on his bicep. we thought it was a yeast infection but at this point we are unsure since its spreading. he has used an anti fungal on his penis 3-4 times in the last 2 days. What could this be?" }, { "from": "gpt", "value": "has to be diagnosed first whether it is simple or cancerous by biopsy or clinical examination,better show it to dermatologist and start treatment,by the mean time can take tab-cetrizine 10 mg once daily" } ]
[ { "from": "system", "value": "What causes a reddish stain on penis after masturbation?" }, { "from": "human", "value": "Hi! Yesterday after taking care of myself after two days (mastubating, 3 times) I suddenley noticed I had a dark redish/violet stain like on my penis skin (shaft?). It's not painful and I'm not sure if it got better from yesterday or remained the same. Am just a little worried, can you help?" }, { "from": "gpt", "value": "HI, It can be due to urinary tract infection, if spot is present on the nerve, it can be due to ischaemic condition. You can take penis doppler to detect if any disease condition is produced. 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": "Red scrotum syndrome, Men-phor lotion, corticosteroides, oral doxycycline" }, { "from": "human", "value": "I have had red scrotum syndrome for the past 5 years now. I am a 65 years old. I am using Men-phor lotion and also with no success Derma Smoothe , both Rx approved. The rash and redness along with itching is on the anterior part of the scrotum and runs the length of the perinium to the anal area which sometimes itches as well. I know the use of oral doxycycline has been used at the University of Beirut, Lebanon with a greater success rate. I have been researching as well that the possible cause of the rash has been caused by the prolonged application of topical corticosteroides. is there any other cure for this itching and scratching?" }, { "from": "gpt", "value": "hi man,if really you are suffering from red scrotum syndrome then first of all avoid any use of steroids in any form .you may start your treatment with doxycycline which is effective for this condition as it has anti inflammatory action as well , take it orally for 4 weeks and then you can switch over to oral gabapentin for 1 month or so and even if does not work completely then you can also apply topical tacrolimus ointment or cream which will remove the erythematous rashes but for your pain and itching management gabapentin is best.wish you all the best." } ]
[ { "from": "system", "value": "What could cause recurred blisters on penis after having sex after being treated for pus cells in urine?" }, { "from": "human", "value": "Hi, my husband complained of having blisters on his penis after we have sex. So we went to a lab and they took urine samples and said they found pus cells and we were placed on antibiotics for a week. 3 days ago we had sex and this morning he has a blister again on his penis....what should we do?" }, { "from": "gpt", "value": "Hi,For a married man having genital ulcers, the most likely cause is that his wife is carrier of the organism and having asymptomatic infection, if his only sexual partner is his wife. You and your husband both should be tested for the typical bacteria causing genital ulcers chlamydia, and as well as PCR for herpes simplex virus and genital sectreations for fugal infections. Syphilis doesn't cause recurrent genital ulcers, so in my opinion it is not prudent going for syphilis testing.Regards" } ]
[ { "from": "system", "value": "Effects of doing heavy weight exercise without wearing proper supporter" }, { "from": "human", "value": "I am 25 year olad unmarried boy. What is the effect of doing exerscise - (Heavy weight excerscise) without wearing proper supporter. I have gained my weight by doing such ecerscise but I think my supporter was not so perfect and that made my genitals weak.I was enjoying erection at any time for long time before, also enjoying the force of ejecuation, but from past 2 months I am very depressed, even a god porn can not help if I am standing, and if m sitting ok erection occurs but also get down soon, and in any position force of ejecuation is not there. I have stopped gyming, but gaining weight is very essential for me, stopped also mastubation. I am seeking some solution without any surgery or medicine, I want it just as before, Right now i m giving a good massage every day. this will surely make big problem after my marriage, so plz suggest solution. I just tried sex; we both wanted to have an intercorse; but my penis was not able to get inside due to improper erection; It was not able to stay straight; prior it was having so much strength but now my testicles pouch is not even get tight, it is lose, penis fall down. when i try to insert, it is bending out and cant get inside." }, { "from": "gpt", "value": "Hi , Doing sternous exercise causes increase in intra abdominal pressure which tends to protrusion of abdominal content to come out through opening (viz inner inguinal opening, femoral canal etc) which is closed through different mechanism of our body . The supporter causes extra support to that mechanism hence prevents herniation . Now You are having erectile disfunction which has recently developed . It can be due to some pathology or pshycological and need to be diagnosed in your case and treated accordingly ( there is treatment for it). Herniation rarely causes this problem . So in my opinion visit a urologist clinic for examination of herniation and erectile dysfunction and always wear supporters before goin to gym .Hope this ll help Thanks n regards" } ]
[ { "from": "system", "value": "My penis is swollen and purple in color after having an intercourse" }, { "from": "human", "value": "Hi. My wife and I had intense intercourse last night and when I woke this morning my penis was swollen and purple in colour as if it were full of blood. This is still the case as I type this but I did not have any pain at the time nor is my penis bent, etc as appears to be the norm with a broken penis. Do you have any suggestions please?" }, { "from": "gpt", "value": "HelloThanks or your query.It seems that you have sustained trivial injury to one of the superficial vessel due to rough sexual encounter resulting into collection of blood in superficial plain of penis.Please consult qualified Urologist for clinical examination and get ultrasound scanning of the penis done to rule out any major injury to Tunica Albugenia .You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.Ensure to avoid sexual encounters till it resolves completely.Dr.Patil." } ]
[ { "from": "system", "value": "Blood through penis on masturbation, no pain or itching. Cause?" }, { "from": "human", "value": "i am 19 and from last 2-3 months i am having a problem while masturbation some amount of blood used to come out from my penis along with the semen .... but 2 days back when i masturbarate only dark red blood come out from my penis..... I am really very worried what to do for it.... I am not having any pane or inching in my penis..... plz help ." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have what is called as Hematospermia.This could be most likely to be due to infection of the either Seminal Vesicle or Prostate.Please get your semen culture done and consult qualified Urologist for clinical and digital rectal examination.and get Ultrasound scanning of the abdomen and scanning with trans rectal probe done to confirm the diagnosis. You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.for a long period ( 4-6 weeks .)Dr.Patil." } ]
[ { "from": "system", "value": "Uncircumcised, outgrowth of scar tissue on the frenulum of penis that regrows on wearing, not painful. Cause?" }, { "from": "human", "value": "I am uncircumcised and I had started to develop scar tissue on the frenulum of my penis after it had been partially broken. It would start to heal but would break open again. It stopped bleeding and did not get sore too often but I noticed that after a while, bumpy tissue would start accumulating- almost like skin that would dry and chap- but theres absolutely no pain. This has started spreading downward. The tissue seems like its dead but cannot be taken off. It does not hurt at all and the nerves are normal in that part. The only thing that concerns me is its color, texture and the fact that it seems like its growing (it may just be me though). Looking into it I saw a few possibilities but the issue with STDs is that they typically present themselves with painful symptoms." }, { "from": "gpt", "value": "HelloThanks for your query.You have developed hypergranuloma after frenulum getting injured repeatedly.Please consult qualified General surgeon or Urologist for clinical assessment .You need to excise the band of adhesion between glans penis and frenulum under local anaesthesia.This is a simple surgery done under local anaesthesia as a out patient procedure and will offer permanent cure.Dr.Patil." } ]
[ { "from": "system", "value": "Unprotected oral sex, soar throat, white discharge from penis. STD?" }, { "from": "human", "value": "5 days ago i had unprotected oral sex now with a guy that lives near me, this was my first time and last time trying out. now i have a soar throat and what i thought i saw as white discharge from my penis , i want to get tested but i am still apart of my parents health care coverage and don t want them to know about my experiment is their any advise? the internet keeps speaking about free std centers but theirs still a price for the tests right? also is their away to get tested with out my parents knowing but still allow me to use the health insurance instead of paying am a college student with no money on me." }, { "from": "gpt", "value": "HelloThanks for your query.Since oral cavity is full of bacterial flora.You have probably developed Urethritis (Infection of Urethra ) following unprotected oral sex.Since you do not have intra vaginal sex there is no possibility of STD.Please get your urine routine test done You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac 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": "Mild pain and discomfort in testicle. Swelling reduced after taking antibiotic. Looking for treatment" }, { "from": "human", "value": "Hi!! I have a mild pain and discomfort in my left testicle ...It has been more than 2 weeks now...First the testicle was swallon but now it seems fine.....Ive had a short corse of antibiotic( ciprofloxacin )..4 days....It helped to reduce the swelling .....I am still having pain killers to reduce the pain.... Pain comes after ejaculation .....I ejaculate 2-3 times a week....And my age is 17.. Help is appreciated!!" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have infection of Epididymis and Testis (Epididymo Orchitis) which has responded well to antibiotics,Please consult qualified Urologist for clinical examination and get your ultrasound scanning of the scrotum done to confirm the diagnosis.Orchitis takes long time to get cured hence you will need to take antibiotics and anti inflammatory medication for long time (3 weeks).Dr.Patil." } ]
[ { "from": "system", "value": "Erectile dysfunction, have tight foreskin. What should i do?" }, { "from": "human", "value": "hello doc , i was trying to have sex with my gf but i dint get erection upto mark, it has happened prior also. however i get very exited during foreplay. also i masturbate normally almost daily. i have a tight foreskin it seems, i goes behind in normal state but not when its erect. i feel too low in such scenario and guide 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 Phimosis.which prevents penetration of vagina during sexual intercourse with your girl friend.Please consult qualified General Surgeon or Urologist for clinical examination to confirm the diagnosis.You need to get circumcised .This is a simple surgery done under local anaesthesia as a out patient procedure and offers permanent cure so that you can have enjoyable sexual life for forever.Dr,Patil." } ]
[ { "from": "system", "value": "Excessive masturbation, weak and loose erections. Cause?" }, { "from": "human", "value": "Dear sir I am 23 years old healthy male. I haave a query in my mind , but first let me tell you abiut myself. I have a very bad habit of excessive masturbation which goes upto 10 - 15 times a day. I am afraid that this has affected me in some way, as now i get weak erections, but yes i do get erections, but very often when i am about to penetrate i loose the erection completely, and also i cannot have long erections, please guide me about this problem.is excessive masturbation a cause of it?" }, { "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.Erectile dysfunction that you have is due to excessive masturbation as one gets normal hard erection after a time gap of few hours but since you have almost 10-15 times in a day it is notural not have good hard erection.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 activities like sports ,reading ,listening to music so that you will not get free time to masturbate.Dr.Patil." } ]
[ { "from": "system", "value": "Can masturbation cause fatigue and tiredness?" }, { "from": "human", "value": "Hello Sir I am 21 now .. And i guess I have been masturbating almost daily from more than 6 years now .. I now Its makes me feel low and tired .. I want to get rid of it ... I just hope I am alright and it has not affected my sex Life in any way Coz sometimes I feel my viens of Scrotum balls tight and it makes me feel thats something is wrong .. Its only for 1 testicle and not both. ..Please help me" }, { "from": "gpt", "value": "Hi, If you masturbate more than 5 times a week, fatigue and tiredness can occur. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist" } ]
[ { "from": "system", "value": "Semen leakage from penis. Taking ciprofloxacin. Urinalysis done, normal. Syphilis infection?" }, { "from": "human", "value": "hello doctors, may i ask something. because it bothers me for 2 weeks now. there is a semen coming out in my penis, i consulted a doctor and he said maybe its a syphilis , i did a urinalysis and its normal. my doctor gave me ciprofloxacin 500mg once a day. he gave me 7 pcs but still no progress.. can you give me an advice or prescribe a better antibiotic? thank you doctor.. what should i do?" }, { "from": "gpt", "value": "HelloThanks for your query,You are passing liquid from urethral opening which you suspect it to be semen.This is not a semen but mucus secreted by mucus glands located in Bulbar Urethra.This is not abnormal and does happen in adolescence life of every individual.It is not definitely due to syphilis and does not need to take any antibiotics ,Dr.Patil.It will get resolved within few weeks ." } ]
[ { "from": "system", "value": "Testicles shrink, become loose and small, penis skin loose, erectile dysfunction" }, { "from": "human", "value": "Hello Sir, I have been masturbating from the age of 13. Almost everyday from the age of 16. Now my testicles have shrunk and become loose and small.( they are like a very small ball in a big sack of skin ). Even the skin over my penis has become loose and veins are visible from outside. Also, my erections are not hard enough to have sex. Right now I am 23 years old and its really scary to see the condition of my penis.Please tell me what to do??" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have been indulged in masturbation since 7 years and now facing problem related to your sexual 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 have narrated are mind related and due to anxiety.Following measure will help you to boost up your confidence and getting good erection.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": "Condom broke during intercourse, replaced, body pain. What should i do? Is there any risks?" }, { "from": "human", "value": "dr. 17-18 days ago i went to have sex with the call girl ..i was having protective sex but suddenly during intercourse the girl said that condom break down from the head of my penis .i immediately take my penis out and i saw there was no blood on it.she replaced it with the new one and after i came home i was very nervous..i couldnt sleep at night cant work have lot of pain in my body after that..what should i do and how much risk is in myself pls help i m very tensed :(" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have body ache and varied symptoms after having unprotected sex with a call girl.In view of circumstances possibiilty of acquiring STD or HIV can not be ruled out.Please get basic screening tests for STD and repeat these tests after four months to be rest assure about free from acquiring STD and HIV.Dr.Patil." } ]
[ { "from": "system", "value": "Penis head colour changed to black. Is precum and semen leakage same? Is there any problem?" }, { "from": "human", "value": "1.whether precum and semen leakage are same? whether precum coming during penis arousal causes any problems to the sexual heath? 2.whether too much arousal of penis will cause any problem to it? 3.My penis head was in red colour. Now it is changed to black. Whether it is normal or it is a problem? please reply to all my questions. I am very much afraid of these problems." }, { "from": "gpt", "value": "HelloThanks for your query,The precum is a watery secretion that one gets during fore play It is secretion of mucus by Bulbauretrhal glands due to sexual stimulation It is not contain semen at all.To much arousal during foreplay is a normal phenomenon and will not cause any damage to penis .The colour of the glans penis changes during erection due to increased blood flow and nothing to be worried about .It is normal.Dr.patil." } ]
[ { "from": "system", "value": "What causes memory loss when addicted to masturbation?" }, { "from": "human", "value": "i m from India ,i m started masterbuting from 13 years,now i m 27 years old ,i notice some past thinks i can not remember, and i forgot very fastly any new thinks ,like any informations,but some will be stored which i talking about that mostly,is this problem related with masterbution?" }, { "from": "gpt", "value": "Problems are not related to mstrubation. You are having anxiety neurosis. You should consult phychiatrist forpresent problem." } ]
[ { "from": "system", "value": "What could be the reasons for not getting proper erection?" }, { "from": "human", "value": "MY HUSBAND IS 62 YRS OLD AND NEVER HAD ANY PROBLEMS TO FUNCTION IN BED BUT FOR THE LASTCOUPLE TIMES HE HAD PROBLEMS KEEPING IT UP FOR THE MOMENT. CAN YOU PLEASE GIVE US SOME ADVICE HE IS FRUSTRATED. WE TALK TO OUR DR YESTERDAY AND HE SUGESTED VIAGARA AND MY HUSBAND SAID NO." }, { "from": "gpt", "value": "Advancing age is the most common reason why men cannot sustain erections the way they used to earlier.It is extremely unlikely that a man at 62 years of age will be able to have an erection the way he would have had at 21.As a matter of fact, your physician advised you correctly in the sense Viagra is a good choice for patients with this problem, and there is no valid reason why your husband should say no unless he has some severe heart problem or a visual impairment which could get worse with use of such a medicine. the side-effect profile is perfectly acceptable, and there is every chance he will find it useful like million others all across the globe.There are sister molecules of Viagra like Cialis in case your husband wants to avoid Viagra, which have fewer side-effects as well. The reason I am stressing these is that there are other molecules like Apomorphine which have been claimed to help men achieve erections which are just not that effective, and also can cause nausea, or worse such a severe sedation that your hubby might just drop off to sleep rather than take interest in making love.Let him read this, and if you have issues to discuss, i will be glad to help you." } ]
[ { "from": "system", "value": "Tested for semen analysis for sperm count, non motile sperms, double heads. Taking ubipheme and maxoza. Chances of improvement?" }, { "from": "human", "value": "hi ...in my husband semen analysis report : sperm count: 10 millions/ml rapid progressive motility : 10% slow progressive motility : 10% non motile sperms : 80% morphology normal forms : 80% giant forms : 05% double heads : 05% constricted heads : 10% microscopy pus cells : 8-10/hpf epithelial cells : 1-2/hpf rbc - nil viscosity : normal volume : 2ml liquifaction : normal reaction/ph : alkaline 8.0 He is taking ubipheme and maxoza from 3 months.....what are the chances of improvement of spems by this medicine.........." }, { "from": "gpt", "value": "Hi,The chances of sperm count improving will depend on the problem which has caused it to be low in the first place. For example, if his testes had a damage due to oxinats, taking maxoza could help. likewise, if his count is low with a low stimulus from the brain with low FSH ( hormone from the pituitary gland in the brain), his sperm count could go up with Ubiphene.I suggest you ask your husband to get an ultrasound examination of scrotum and a serum FSH, (preferably at 8 AM) if not done earlier. They may guide us in further treatment. Semen analysis also can be repeated now that he has been on some medication for over 3 months.Hope I have been able to help you." } ]
[ { "from": "system", "value": "Is frequent masturbation the cause of soreness inside the penis" }, { "from": "human", "value": "Hi I m a 24 year old male. My girlfriend And I have had a long distance relationship the past few months and we would do a a lot of Sexting. I feel like I ve masturbated more often then I used to. Recently my penis has become sore on the inside, mainly when first reaching erection and then it subsides as I become fully aroused but it is a little sore if I squeeze on the sides to hard. It s definitely an internal penis pain and it feels like its just on the siides. It s not a terrible pain but alarming because I ve never had penis pain before. In hoping it could just be from over use and I should just take it easy? All the other info says Peyronies disease but I feel like I m to young for that plus theirs no hard lumps or bands or a huge bend or anything. Any ideas?" }, { "from": "gpt", "value": "hi,your symptoms can be due to too much masturbation which can lead to urethral inflammation and even soft tissues injury.first of all you should take complete abstinence and avoid any sexual act till you are totally cured.you can take some anti-inflammatory drugs and analgesic like piroxicam or ibuprofen for a week or so, you can also add some antibiotics to treat urethritis like doxycycline for a week, you should maintain proper hygiene .even after 1 week you are not cued completely then you should consult a sexologist , as far as peyronie's disease is concerned if may occur due to excessive repeated sexual trauma for long time as it is nothing but a result of chronic persistent inflammation of the soft connective tissue of the penis resulting into fibrosis and collagen diposition and band formation , so it is better to not to neglect it .wish you all the best" } ]
[ { "from": "system", "value": "Why a clear sticky substance is coming out of urine which is getting stuck on my penis also having stomach cramps ?" }, { "from": "human", "value": "after i urinate the tip of my penis always seems to be wet. Then I started noticing that there was a clear sticky substance coming out from my urine which caused the urine to be stuck in my penis. It s hard to get the clear sticky substance out, but when i masterbate it usually does come out. Also, my digestive system has become weird and I have stomache cramps . Please help me relieve my stress , and tell me what s wrong.and if i am sexually exited it comes out but the quantity is too much than d normal precum. and i can see stains in ma boxers.i hav done all d possible tests and everything seems to be normal.been to urologist but he docent have helped uptil now.is been happening from past two years now" }, { "from": "gpt", "value": "DearWe understand your concernsI went through your details. I suggest you not to worry much. I can see your problem. The white sticky substance you see is actually the semen itself. Let me explain. Semen is produced whenever you get sexually aroused. The produced semen is stored inside your body till you masturbate or engage in sexual activities. Semen is a waste product and body wants throw out. If you do not engage in sexual act or masturbation, body finds its own ways to throw the semen out. One way is dripping with urine and other was is through night fall. Your case is not to be confused or linked with any diseases or unhealthy conditions. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques for sexological problems which should help you cure your condition.Hope this answers your query. Available for further clarifications.Good luck." } ]
[ { "from": "system", "value": "Flat, circular, red blotches in pubic area above penis. What could it be?" }, { "from": "human", "value": "i shave my pubic area and recently noticed a few flat, red blotches just above my penis .they seem to be somewhat circular. i have only had sex with my girlfriend for the last 2 years and she is clean plus we use condoms . any idea what this is?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have shaved your private parts recently and have noticed red circular spots on pubic area ..Most likely this is due to allergic reaction to the chemical or soap used while shaving.Do not worry just wash your genitals and private part with warm water twice daily and apply anti allergic steroid cream.This should get cured within a week.Dr.Patil." } ]
[ { "from": "system", "value": "What causes bad odor through the genitals?" }, { "from": "human", "value": "i am an obese male. i shower everyday 3 times, but have a problem with odour from my genitals. it is embarrasing as i work in a government building and speak with at least 1000 peole a day. i know people have noticed it, but havent said anything to me. i have changed soaps, body wash, laundry detergent. nothing works" }, { "from": "gpt", "value": "Hi, It can be due to bacterial infection, take local antibiotics to recover as soon as 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": "Had spermatocele surgery, now having pain. Cure?" }, { "from": "human", "value": "I had spermatocele surgery last year. The pain went away for several months but is now back. The spermatocele doesn t appear to have come back, just the pain. It isn t too bad if I ejactulate every other day or so. My wife of twenty years can t keep up with my need to get some relief . Any thoughts? Is there something that the doctor can do?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have undergone surgery for removal of spermatocele last year and now getting pain in the same area.Spermatocele has tendency to recur again after removal .Please consult the operating surgeon for clinical examination and get ultrasound scanning of the scrotum done to rule out the same.You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily for 10 days .Dr.Patil." } ]
[ { "from": "system", "value": "Yellow seamen, had gas problem, taken medicine. Suggestion?" }, { "from": "human", "value": "I am 21 yrs male. I am noticing since few days that my semen is a little bit yellowish in color !!! It has never been like this!!!! I took few medicine a few days back as i had some gas problems , after taking those medicines although my gas problem is solved but im noticing yellowish color in my semen!!!! Plz tell me if therez anything serious and what should i do to get rid of this color!!!! Thanks@Regards Akash" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have noticed colour of your semen has changed to yellowish since couple of days.This is most likely to be due to presence of infection either in seminal vesicle or prostate. Please get your routine urine test and semen culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to.You need to take antibiotics like Doxycycline twice daily for 3-4 weeks to combat the infection completely.Repeat semen examination after the completion of course of antibiotics.Dr.Patil." } ]
[ { "from": "system", "value": "Obstructing urine cause pc muscle gets hampered, or effect control on sperm ejaculation" }, { "from": "human", "value": "Hi , I am indranil sinha , I will be very much grateful to you kindly let me have some information on my concern . my question is if one man usually obstruct his urination intentionally for a long time [it could be said habitually !] then the PC muscle gets hampered or gets looser so that it may hamper in PC muscle function for controlling sperm ejaculation earlier ! kindly let me know for this Thanks indranil sinha" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have been trying to hold on passing urine a intentionally and worried about that it may damage your muscles in penis and weaken ejaculation.By holding on passing urine you are inhibiting contraction of the bladder muscle and it does not act on muscles of the penis (Bulbospongiosus and Ischiocavernosus muscles) which are involved in process of Ejaculation.Dr.Patil." } ]
[ { "from": "system", "value": "Bumps on penis, syphilis, no pain" }, { "from": "human", "value": "I think i masturbate two Saturday ago and when i did...i injured my penis now i have 2 red spots..look like bumps.i went to the emergency room and they think said it was syphilis ...they gave me shot and pills to take for 14 days...a day later...2 small bumps with a clear raise and the next day i was working and it pop with clear fluid ...i didn t hurt or anything..and after several day its still their..i need help" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have developed two fluid filled bumps on your penis after masturbation and have been diagnosed to have acquired syphilis .Please note that one can acquire syphilis only if one has sexual intercourse with a woman known to be positive for STD .The bumps that you have on penis may be due to dry rough handling of the penis duering masturbation .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": "Infection, sore penis, red swollen tip, foreskin removed easily" }, { "from": "human", "value": "I think i have an infection in ny penis im 16 and a virgin my penis just started getting sore a couple of dayd ago and the tip was red swollen abit i think and tight and sore abd then my pebis startes getting discharge and a thick layer of smegma was behing my foreskin today it wasnt attatched to ny foreskin thought it was loose and i removed it easily and under my foreskin it keeps getting gooey what is thia and how can get rid?" }, { "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) resulting into excessive secretion of urethral glands and producing smegma.You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.along with topical antibiotic ointment like Neosporin twice daily.Ensure to wash your genitals with warm water twice daily.Dr.Patil." } ]
[ { "from": "system", "value": "Regular masturbation. Penis muscles have lost erection. Can I heal this?" }, { "from": "human", "value": "Hi, am 24 yrs i have usually doing Masturbation since 8 yrs ago and now i feel like my penis muscles are lost erection and i cant help it or stop it though i have a girlfriend but still i cant stop doing it, so concerning my erection is there ways to bring it normal quality like i used to be because am so worry right now" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have been indulged in masturbation since 8 years 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.Try to reduce the frequency of masturbation.Dr.Patil.." } ]
[ { "from": "system", "value": "Sudden ejaculation in day time. Why is this happening? Looking for cure" }, { "from": "human", "value": "a few times a day i think i discharge semen or penile fluid i am not sure. I am not sexually active, i don t masturbate (anymore for about a week) and it is still happening. Yesterday i had a bath twice because of this discharge. I almost had it 3 times but it was 12am and cold and my mom would be worried about me for a few reasons (she might think i feel unclean, ive got OCD or she might think i masturbated which is taboo) if i have a bath at that time." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you are passing clear liquid from your urethral opening which you think it to be semen or precum.This is not a semen but an excessive secretion of peri urethral glands located in Bulbar Urethra.This is normal to have excessive secretion at the age of adolescence due to slight sexual stimulation or thoughts and nothing to be worried about it .It will get resolved of its own over a period of time without any treatment.Dr.Patil." } ]
[ { "from": "system", "value": "Is it possible to have a baby with only one testicle and other one inside abdomen?" }, { "from": "human", "value": "hai sir, ihave 25 years old, i have only one testicles one is missing but that one is inside the abdomin but size is very small i check my sperm count level in 2 years back 72 million .can i make a pregency in my wife iam un married but my marrege after 2 months please give a advice" }, { "from": "gpt", "value": "Hi, in my opinion in most cases, more than enough hormones and sperm are produced in one healthy testicle for both a healthy sex life and the ability to fertilize eggs. So I really don't think that you should have any problem with your married sex life" } ]
[ { "from": "system", "value": "Ulcer on penis, balanitis , loose of weight, feel weak, fever, fatigue, sore throat" }, { "from": "human", "value": "I have inquiry concerning my health. I had never build any physical relationship to anyone but very bad habit of masturbation . I was affected with ulcer on my penis almost 6 years ago, after affecting i went to doctor and he told me that time it was balanitis but not std . but after this problem my health has not been well till today i have facing many health issues as follows: 1.Loose my weight and become weak 2.fever 3. Fatigue 4. Sore throat So, what should i do,please help me out." }, { "from": "gpt", "value": "HIThank for asking to HCM I really appreciate your concern, this could be functional conditioned in fact you must not be having any problem or disease you just keep your self away from such act, this is nothing to worry every thing will be alright, take care have nice day." } ]
[ { "from": "system", "value": "Colposcopy, removal of genital wart, genital region, red and itchy, cauterized area not scabbed, not bleeding, open wound" }, { "from": "human", "value": "One week ago, I underwent a colposcopy and concurrent removal of a genital wart , via cauterization . Approximately 3 days ago my genital region became very red and itchy. It has subsided somewhat, but the is still very red. In addition to this, the area which was cauterized has not scabbed over. While it has not been bleeding, it is pretty much an open wound. My questions are, is itching and reddening of the genitals normal following a colposcopy, and should I be concerned that the cauterized area has not yet scabbed over?" }, { "from": "gpt", "value": "Hi, Welcome to Health care magic forum. As you describe, you had cauterization, the raw surface may have some raw areas, for few days. If they are raw for longer period, it may need treatment with the antibiotics, and antivirals for few days. So i advise you to consult your doctor for diagnosis. I usually prescribe to my patient with such symptoms ofloxacin, ornidazole, and acyclovir . Wishing for a quick and complete recovery. Thank you." } ]
[ { "from": "system", "value": "Suggest treatment to increase sperm count" }, { "from": "human", "value": "sir i have a problem .that i am habituated in realising sperms since 15years......i am not married what should i do..........it ill harm me later or what.................and i tried to stop it many time but,,,,,,,,,,,,,,,,,,,,,not possible.what should i do to increase my sperms" }, { "from": "gpt", "value": "Hi, You are probably talking about masturbation habits to release sperm. It will not cause any harm and will not decrease your sperm count. So don't worry about that. You can still, however, check your sperm count by a semen analysis report. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Parth Goswami, General & Family Physician" } ]
[ { "from": "system", "value": "Low concentration level, suspicion of ADHD due to addiction to masturbation. How can I overcome this?" }, { "from": "human", "value": "Dear sir.. My name is Jayesh Parmar. I m 28 yrs old. I m well educated working person. I m addicted to masturbation since the age of 17 yrs. i.e. My 10th onwards I have been used to of masturbation. Now I m 28 yrs old. Due to my looking, I have never been in love with any girl. My marriage is on god s desire. Most Importantly, I m staying alone in Ahmednagar. Basically I m frm Gujarat. I dont know when my marriage will take place, may be never.. But I want to get rid of masturbation. Because I cant concentrate in my daily activities. I want to study but i cant. I cant complete my goal within the time limit. May be i m suffering frm ADHD disorder.. I dont know.. Just I want to get rid of this for ever........ pls help me.." }, { "from": "gpt", "value": "Dear sir,masturbation is common and natural processes in all teenage and unmarried people of either sexs this is not a disease or there is no treatment you are going to get married soon it will be ween off" } ]
[ { "from": "system", "value": "What is the cure for the redness and blisters on the head of the penis?" }, { "from": "human", "value": "i have half of the head of my penis read for over 3 weeks now and it has only one kind of blister about the size of smaller than a pea or size of a small pearl and red all around, i tried neosporin it got a little bit better but it is still red and it is over a week now that i am putting neosporin on it" }, { "from": "gpt", "value": "Hi Thank you for asking HCMI have gone through your query.Your problem is most likely genital herpes infection.If it is herpes then even if you get cured it can recur when your immunity become low.Anyhow its better to have a dermatology consultation and rule out that.I usually treat herpes with antiviral drugs like acyclovir or famciclovir.I also give acyclovir ointment for local application and analgesics for pain relief.Hope this may help you.Let me know if you have any further query." } ]
[ { "from": "system", "value": "Mild sensation on the tip of penis,not sexually active" }, { "from": "human", "value": "Hello, I am almost 30... not sexually active, and for the last week I have had this very mild almost none existent sensation in the very tip end of my penis ( urethra ). What might be causing this? I do bath in body wash as well, and am careful not to allow suds to enter into my urethra." }, { "from": "gpt", "value": "HIThank for asking to HCMI can understand this, this is nothing to worry this could be a nonspecific type of feeling and will go away soon stop paying attention towards this, hope this information helps you have a good day." } ]
[ { "from": "system", "value": "Should presence of pus cells in semen analysis be a cause for worry?" }, { "from": "human", "value": "here with following my semen analysis report macroscopic colour opaque gray reaction alkaline total volume 2.0 ml viscosity normal microscopic total count 60.0 million actively motile 55 sluggish motile 30 non motile 15 pus cells 2-3/HPF rbc s nil epithelial cells nil other abnormalities nil pls give information abut any issue" }, { "from": "gpt", "value": "You look like having almost a normal semen analysis. 2-3 pus cells is normal, and only if the count of pus cells is more than 10/hpf do we suggest a treatment for possible infection in male reproductive organs.I also suggest that you repeat your semen analysis after one month, as per WHO recommendations.Hope I have been able to help you." } ]
[ { "from": "system", "value": "How long does it take to recover from epididymitis?" }, { "from": "human", "value": "Hi, I have been diagnosed with left epididymitis a few weeks ago and was given Bactria DS and 600 milligram Tylenol twice daily. The pain is gone but the swelling still remains. It also feels like there s a mass right on top of left epididymis. How long does this normally take to recover from?" }, { "from": "gpt", "value": "Usually we give antibiotics for about 6-8 weeks in cases of epididymitis, and if we are giving Bactrim DS, the antibiotics may need to be given even for 10-12 weeks. The infection is likely to resolve by that time, but the swelling of the epididymitis usually will remain and there will always be a difference between the two sides which should not be a worry. You can get a repeat scanning of your scrotum after three months of treatment to know if the vascularity in the inflamed epididymis has come to normal." } ]
[ { "from": "system", "value": "Bums on penis, scaring. Is it due to masterbaiting or an std" }, { "from": "human", "value": "Well I have notice 2lil bums on my penis behind the head and something I think is scaring on my penis. Idk if it came from sex masterbaiting or an std . Any help?? Can send pic if needed" }, { "from": "gpt", "value": "hifrom your description of your symptoms you require to do a urine test to rule out an infection.you could be having a fungal infection it itchiness is present.i would suggest get reviewed by a doctor to examine you and get a urine test done as well.you also have to have a good personal hygiene to avoid reinfections.hope to have answered your querythanking you." } ]
[ { "from": "system", "value": "What causes reddish rash around tip of penis, itching around shaft?" }, { "from": "human", "value": "I got a redish rash around the tip of my penis also around begining of the shaft it itches slighty sensitive to the touch, it also burns when I urinate no discharge ive been to the doctor was given antibiotics but it hasn t seemed to work upon completion of amoxill treatment what should u do" }, { "from": "gpt", "value": "Dear sir,Rash aratound the tip of pain is due to allergy to soap or nylon under wear.s see there should be good aeration in night times may be due to skin infection do not hesitate to undergo HIV&VDRL tests." } ]
[ { "from": "system", "value": "How does viagra help?" }, { "from": "human", "value": "Hello when I was 17 my dad died so I decided to abuse steroids and my balls get so tight when I have a boner and not all of my penis gos in its effecting my sex life really bad does Viagra make my balls hang again Or will I need to see the doctor I am 20 years old now and I am to scared to see the doctor Stephen" }, { "from": "gpt", "value": "HelloSildenafil citrate ( viagra ) is used fro erection of penis .However it is not clear in your history , what do you want.As you mentioned that you are now 20 years old and erection is a common thing ,while when penis is erected naturally testicles ( balls ) become tight , so need not to worry.Still you think you have any problem without any hesitation consult a psychiatrist and get his opinion as physical examination is very important.Good luck." } ]
[ { "from": "system", "value": "Pain in penis tip, abdominal pain, frequent urination, nausea" }, { "from": "human", "value": "I feel uncomfortable at my penis tip and feels like paining in the abdominal area. Also i am frequently urinating. Today i drink around 3 liters or water an hour before i vomited." }, { "from": "gpt", "value": "Hi and .You are probably suffering from urinary tract infection. Follow these instructions1. Take Tab Zenflox UTI 1-0-1 after food for 5 days2. Drink Cranberry juice3. Drink lot of fluids4. Take cap Omez D 20 mg one before breakfast for 10 days5. Avoid spicy foodIf above steps did not help then please contact a local doctor for help.All the bestDr Santosh" } ]
[ { "from": "system", "value": "Peeling of inner foreskin" }, { "from": "human", "value": "I would like to bring into your notice that I noticed peeling of innerforeskin a week ago and after applying Abzorb on the inner foreskin of penis , the dried up layer of the skin has shed down and a new skin has come up, but even the new skin is very sensitive to touch and peels off wherever touched. Please suggest if its normal and the skin will become strong in sometime or is it still a problem. Also now I wash under the inner foreskin with warm water about 2-3 times a day and let it dry before rolling it down to cover the glans . Please suggest if I should use any ointment like Betadine OR Lotrimin before rolling down the skin after cleaning and drying." }, { "from": "gpt", "value": "HIThank for asking to HCMI really appreciate your concern if you are cleaning your foreskin the it is okay but do not clean it frequently or without any reason what ever you are seeing there is normal, do not let the skin open for drying purpose this could cause a problem cover the glans as soon as you finished the cleaning, no need to apply any thing, tempering the area could cause any thing wrong, hope this information helps you take care and have good day." } ]
[ { "from": "system", "value": "What could bruising and swelling of scrotum post hernia surgery suggest?" }, { "from": "human", "value": "hi,last wednesday i had an open surgery to repair an inguinal hernia on my left side. I had local anesthetic. i feel fine. back to work today 5 days later. The last couple of days i have noticed bruising and swelling of my scrotum and bruising in penis. any advise?" }, { "from": "gpt", "value": "Hello, It is normal to feel bruising and pain after hernia surgery this may last for a few weeks. My advice is to take it easy and you may apply cold compress on the area and in the scrotum to limit the inflammation. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Manuel C See IV, Urologist" } ]
[ { "from": "system", "value": "Having sharp pain from lower stomach to penis tip. Not sexually active. What is the problem?" }, { "from": "human", "value": "I have a sharp pain from the lower part of my stomach running a direct line to the tip of my penis . I am 14 years old and it is not a general pain, but more like a specific fine line of sharp pain. It hurts more when i stretch and it goes away when i bend over and my groin is closer to my stomach. I am not sexually active with a woman, but i do masturbate." }, { "from": "gpt", "value": "HiThank you for asking HCMYour problem is most likely due to urinary stone with or without infection.An ultrasound examination is needed to rule out such condition.In case of small stones conservative therapy will benefit.For such condition i advise my patients to take more water.I prescribe spasmolytics for pain relief and antibiotics in case of infection.Urine alakalinizers like potassium citrate also advise in most cases.Hope this may help you.Let me know if you have any further query" } ]
[ { "from": "system", "value": "Will frequent masturbation affect my sex life?" }, { "from": "human", "value": "Hi.... I get married before 2 months still we didn t get combined physically due to some family problems. Since 8 years I am taking out sperm by hand... it causes on my marriage sexual life or not... whenever I go to take out sperm ill became little tired... plz tell me to get out of this thing" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have been indulged in masturbation since last 8 years and worried about your sexual life .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..Do not worry and enjoy you sexual life.Dr.Patil." } ]
[ { "from": "system", "value": "Slight venous leak, pain in the penis, pressure in the chambers post a hard sneeze. Cause?<br>" }, { "from": "human", "value": "Hi doc I might have a slight venous leak in my penis I have been taking cialis daily 2mg the problem is the penis head does noalston 100% hard the other day I had an erection from the cialis my penis chambers on the left and right were very hard & I sneezed very hard and my penis hurt very much for that split second on both chambers like alot if pressure from the sneez could this make my venous leak alot worse ?? From all the pressure that build up when I sneezed on cialis ??" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you are suspecting to have venous leak as a cause of your weak erection.Venous leak can not be suspected or confirmed without a test called Duplex Ultrasound Scannng of penis .Please consult qualified Urologist for evaluation and do not take medications like Cialis without his consultation.The pain that you get on sneezing is likely to be due to congestion of the penis during erection and nothing to be worried about it .Dr.Patil." } ]
[ { "from": "system", "value": "Itchiness, increased sensitivity with spells of twitching pain under the penis head, skin is dark red in color. Cause?" }, { "from": "human", "value": "51 male, I have an itchy,,sometimes moreso, on underside of penis head, shiny red, to darker red thin skinned, kind of senceitive also, with spells of twiching pain ,not bad just know its there." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have itching on under surface of glans penis and your foreskin is red and thick .Many a times itching of the genitals is a presenting symptom of Diabetes .Please get your blood sugar tests on empty stomach and 2 hours after lunch done to rule out diabetes .If you turn out to be diabetic you will need to take opal hypoglycemic drugs as per advise of a qualified Physician,In the mean while take anti fungal medication like Fluconozole and topical anti fungal jelly for local application .Dr.Patil." } ]
[ { "from": "system", "value": "Pimples around penis, rubbery kind of pus" }, { "from": "human", "value": "occasionally I find pimples on or around my penis , but when I pop them the pus is not like regular pimple pus, but rather pops out as an intact rubbery kind of pus about the size of a sharp pencil point. I cannot find any info on the internet. could you give me an idea what this could be?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have multiple sebaceous cysts over penile shaft.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 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 count. 25 milion/ml, puc cell 12 to 14, active motile 50 %, medicine?" }, { "from": "human", "value": "hi. whats my report status .. semen analysis .. sperm count. 25 milion/ml .. puc cell 12 to 14 active motile 50 % whats medican you suggested me.. now whats we have to 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 Oligospermia meaning there by that your sperm count is low compared to WHO standards Presemnce of pus cells (12-14) is suggestive of infection either of seminal vesicle or prostate.Please take broad spectrum antibiotics like Augmentin or Doxycyclin twice daily for 4 weeks and repeat your semen analysis to see the status of infection,Get the prescription of medicines from your family Physician.Dr.Patil." } ]
[ { "from": "system", "value": "Sperm count decreased. How to increase the quality of sperm?" }, { "from": "human", "value": "iam 51 years . not having any wronghabits my sperm count decreses how to increase the quality of my sperm is iui method is safe . my count is 21.4 million ph 8.o total motility is 35%, rapidly progressive nil, moderately progressive 10%, sluggishly 25% sperm agglutination nil, supra vital staining live 77% asthenozoospermia" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have Asthenozoospermia meaning there by that percentage of rapid progressive motile sperm is less than 10 %.in your case it is 0 %.As per WHO standards percentage of rapid motile grade one sperm should be minimum 12-15 % to have effective fertilization of female egg to impregnate your wife.Truly speaking there are no medications proved to be effective to increase sperm motility.However following general measure will help to increase sperm count and motility to some extent.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking.Please consult qualified Infertility specialist for clinical assessment and further advice use of newly assisted reproductive techniques like IVF or ICSI.Dr.Patil." } ]
[ { "from": "system", "value": "Habitual of regular sex, masturbation, night falls, dysfunction, poor erection. Test shows dead sperm" }, { "from": "human", "value": "A patient having dead sperms(male) and habitual of regular sex, masturbation .night falls in young age now disfunction,poor erection ,dead sperms in pathological tests taking testviran xfert mf" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have done your semen analysis which revealed dead sperms.It is difficult to make comment as you have not posted complete report of your semen analysis .However this is in no way related to your habit of frequent masturbation ,regular sex ,or nocturnal emission.Please consult qualified urologist for complete evaluation to detect cause of your erectile dysfunction and further treatment.Dr.Patil." } ]
[ { "from": "system", "value": "Trying to conceive, erection problem, duralast 30. Side effects?" }, { "from": "human", "value": "I m an Asian Male, 33 years old married for 5 years. Since a year,as my wife & I were trying to conceive, I have had problems with my penis maintaining erection during intercourse.Also, there has hardly been any penetration. I had a visit to the doc,who ruled out any issues with my penis.He has recommended to use Duralast 30( Dapoxetine tablets) at least half an hour before sexual intercourse . Does this tablet act like a Viagr a? Are there any side effects from using this often ?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you are facing problem of Erectile Dysfunction and have been advised to take Dapoxetine,Dapoxetine is generally prescribed for premature Ejaculation.Please consult qualified Urologist for evaluation and tests to detect the cause for your erectile dysfunction.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..In the mean while you can take Sildenafil (Viagra )as on demand .This will help to get good hard erection,.Dr.Patil" } ]
[ { "from": "system", "value": "Urethral stricture, penis cover skin torn, pain and cut sign" }, { "from": "human", "value": "Urethral Stricture since last 7 year after an ortho operation. since than a dilatation procedure is done every 2 or 3 month. due to this penis cover skin torn many time and diffcult to open for cleaning. have much pain & cut sign. Dibatic vol is 165 after meal" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have stricture urethra with Phimosis and doing urethral dilatation frequently..Please consult qualified urologist for evaluation and discuss with him regarding option of Urothroplasty to treat your stricture problem permanently so that you can avoid doing dilatation and traumatising your urethra further.As regards your inability to retract foreskin completely it is due to Phimosis and you need to get circumcised .Dr.Patil." } ]
[ { "from": "system", "value": "What is the treatment for swollen and painful scrotum?" }, { "from": "human", "value": "I woke up last saturday to find my scrotum swollen, blue and purple and painfull. I went to the doctor on monday who checked me and then referred me to a urologist who also checked me, used ultrasound and then prescribed antibiotics for 10 days. The blue colour has since gone and i now notice a long lump that when i feel it, feels like it is between my testicles but more to the left running all the way from the top of my scrotum. What is this likely to be, im starting to worry because the medication is almost over but i still have little pain and discomfort?" }, { "from": "gpt", "value": "Hello, The lump that you are feeling is the epididymis which becomes swollen so you have the pain in your scrotal area. The epididymis is the tube where semen passes from the testicle to the penis. It is normal to feel the epididymis a little painful and still would not revert to its normal size. it may last for a few weeks even months. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Manuel C See IV, Urologist" } ]
[ { "from": "system", "value": "Habit of masturbation since years. Whats the remedy for future?" }, { "from": "human", "value": "sir i want to tell you that i am 20 years old men and am am unmarriged write now but my set time is very short i am very worried about my upcoming life so please guide me and at 16 years age i have bad habbit of masturbation ." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have been indulged in masturbation since many and now worried about sexual problems in future .First of all there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body.All the problems that you are facing now are mind related and due to anxiety.Following measure will help you to boost up your confidence and improve your general health .1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..Masturbating twice a week is natural and nothing to be worried about.Dr.Patil." } ]
[ { "from": "system", "value": "Lack of penile sensitivity, poor erection, normal sperm count, earlier strong erection" }, { "from": "human", "value": "I am 52 years old male have very little penile sensation, poor sustained erection since more than 10 months, have normal sperm count, no history of injury to back or body but have reactive depression due to personal circumstances, BP135/85 pluse 65/mnt, earlier have good strong erection, I do regular excercise but no help please guide me AAAAAAA YYYY@YYYY" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you are facing problem of Erectile Dysfunction since last 10 months.This is called as Secondary Erectile Dysfunction and is most likely to be due to your Psychological problem .Please consult qualified Psychiatrist for counselling .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..Do not worry this will get resolved within six months .Dr.Patil." } ]
[ { "from": "system", "value": "Sperm releasing during sleep leading to weakness and back pain. How to gain back strength?" }, { "from": "human", "value": "when i am sleeping my sperm released automatically and after that i am getting week what to do for gaining my strnth please advice me and i also have back pane after that" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have nocturnal emission .It is natural to get nocturnal emission during sleep at the age of adolescence and the weakness that you have is not due to emission but it is mind related and due to anxiety.Following measure will help you to boost up your confidence and to get sound sleep 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..Do not worry this will get resolved of its own without any treatment.Dr.Patil." } ]
[ { "from": "system", "value": "Blister on penis, no itching, red with clear and black fluid" }, { "from": "human", "value": "Dear doctor I am 13 years old and I have just discoverd a blister type thing on the lower part of my penis, it dose not itch or sore anything just when I touch the blister it stings. I am not sexually active I am still a virgin but I am very worried. It is like red with clear and black fluid in it. Should I pop it?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have blister over glans penis .Mostly this could be due to infection or allergic reaction to soap that you are using,You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.Do not attempt to pop it out yourself .It will get cured with use of antibiotics.Ensure to wash your genitals with warm water twice daily.Dr.Patil." } ]
[ { "from": "system", "value": "Seman analysis report, sperm fine, ph level high. How to lower ph level" }, { "from": "human", "value": "hello my husband had a seman anylisis done and the rults showed that his sperm was fine but his ph levels were high what does this mean and how do we lower the ph levels" }, { "from": "gpt", "value": "HelloThanks for your query,The Ph of semen of your husband is high .You have not specified the value of Ph .Normal value of Ph of semen is from 7.2 -7.8 .Any value above 8 is due to infection either in seminal vesicle or prostate .He needs to take broad spectrum antibiotics like Augmentin or Doxycycline for four weeks.and repeat the semen analysis after completion of course of antibiotics.Dr.Patil." } ]
[ { "from": "system", "value": "Prostrate enlargement, operated for hernia, swelling on left groin. Whats the reason for swelling that comes and heals?" }, { "from": "human", "value": "I am having prostrate enlargement 48mm cube. operated for hernia left and right long back. swelling like hernia on left groin side seen. dr. told no hernia. what to be done for this swell comes and heals in half hour." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have Enlarged prostate and was operated for Bilateral Inguinal hernia few years back and have noticed swelling in the left groin .The swelling in left inguinal region could be due to recurrent inguinal hernia secondary to enlarged prostate .Please consult qualified Urologist for clinical evaluation and to confirm the diagnosis,If confirmed you need to get endoscopic surgery of resection of prostate (TURP) and hernia repair done .Both these procedures can be done in same sitting under spinal anaesthesia.Dr.Patil." } ]
[ { "from": "system", "value": "Surgery of testicular torsion done, testicle removed, silicon prosthesis inserted, pain and burning penis. What to do?" }, { "from": "human", "value": "i have a surgery of testicular torsion on 1 st feb.2012. right testicle is removed and a silicon prosthesis is inserted there. now, after ejaculation i am feeling a mild pain and burning in penis. although urine c/s report is normal with no bacteria. am i need any other tests? what should i do? give me some precosions after the surgery. am a ejaculate now?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have pain in pain and burning in penis after ejaculation.You have undergone surgery of Orchidectomy for torsion of testis and a silicon prosthesis has been implanted in your scrotal sac.This is in no way related to your pain in penis.During erection and ejaculation blood flow to the penis is increased to 20 times more than normal blood flow resulting in to congestion of entire penis and urethra The pain that you have is due to congestion of the penis and there is nothing to be worried about .Drink more water so that this congestion will subside with passing urine after ejaculation.Dr.Patil." } ]
[ { "from": "system", "value": "Had recurrence inguinal hernia repair. Feels hardness and pain on testis. What should be done?" }, { "from": "human", "value": "Hi ,3 week before i had recurrence inguinal hernia repair operation.After 1 week i felt some thing hard above testis , It was not paining but testis was slightly paining ,I went to doctor and he removed blood from hard part , saying it might get clot or pus , After 3 week ,Now i am feeling same thing hardness above testis . what should i do ? Please suggest" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have been operated for hernia repair 3 weeks back and had haematoma just above the testis which was drained out by the operating surgeon.Now you have developed hardness above the testis,this could be due to either 1) Recurrent haematoma 2) Induration of the cord structures due to infection .Please consult the operating surgeon and get ultrasound scanning of the scrotum done to confirm the cause of this hardness.You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.Dr.Patil." } ]
[ { "from": "system", "value": "In early 40's, trying for a child, low sperm count, prescribed Carnisure 500, Evion 400 and Speman tablets. How long should I take these tablets?" }, { "from": "human", "value": "Im a 40 yr old male and my wife is 41. We want a child now and have been trying for the same. I have gone thru the sperm test after which the doctor has prescribed me to have Carnisure 500, Evion 400 and Speman tablets . Looking at the age that we both are at, is it still possible to have a baby. We are not very comfortable with the idea of IVR, as it sounds very complex and at the same time very expensive. Please let me know if Carnisure 500 and Speman tablets have any side effects and how long should one have these medicines. Thank you." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have what is termed as Oligospermia meaning there by your sperm count is low as compared to WHO standards to impregnate your wife.You have bee prescribed Cornisure 500.speman forte and Vit E to increase your sperm count.Truly speaking there are no medicines that have been proved scientifically effective to increase the sperm count.Following measure will help you to increase the sperm count to some extent.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..Tough you are 41 years of age there is no reason why you should not impregnate your wife provided your sperm count and motility reaches to normal values .Dr.Patil." } ]
[ { "from": "system", "value": "Lump in groin area, no pain but tender and sore. Remedy?" }, { "from": "human", "value": "hello, yesterday i notice a lump in my groin area on the right side,there was no pain , today its still there and is very tender and sore. i ve also been having a lot of unexplained bruising lately on my legs that seem to take longer then usual to heal. I have two blood clots prior to this" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have lump in your Rt groin since 3 days associated with bruising on leg .The lump that you have could be enlarged lymph node secondary to bruising in the leg.Please take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.It should get cured within a week.Dr.Patil." } ]
[ { "from": "system", "value": "Suggest treatment for night fall" }, { "from": "human", "value": "Dear Sir I am 28 years old and do not able to masturbate. Whenever i try to masturbate , i do not make it to the end & leave inbetween. I usually have a night fall in 10-12 days. I want to know that is it curable & also how much time will it take to completely get normal ?? So , plz. help me out as i am getting married this year. Regards Rajiv Kapoor" }, { "from": "gpt", "value": "Hello, The need for your night fall is because you are unable to ejaculate while masturbation. When you masturbate, semen and sperm is produced. You are not ejaculating, so the semen is still present inside your body. some may be absorbed by body but the rest come out through night fall. It is common and nothing to worry. Therefore, I suggest consulting a psychologist for counseling. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist" } ]
[ { "from": "system", "value": "Is the sperm condition normal based on the report?" }, { "from": "human", "value": "TEST RESULTS UNITS REFFER-RANGE ABSTINENCE 3 DAYSPHYSICAL EXAMINATION VOLUME 1.5 mlCOLOR GRAY WHITECONSISTENCY MODERATE LIQUIFACTION TIME 15 mtc Chemical ExaminationReaction Alkaline Microscopic Sperm Count 75 Million/mlSperm Motility in 1st Hour 30 %Abnormal forms 05 0-15 Pus Cells 2-3 /HPFEpithelial Cells 0-1 /HPFR.B.C nIL /HPF" }, { "from": "gpt", "value": "Hi, Your sperm count is within limit. But active motile sperm percentage has not been mentioned here. So kindly mention percentage of the active motile sperm to give detailed comments. The pus cells, Red blood cells and Epithelium cells are within range. So don't worry about that. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Parth Goswami, General & Family Physician" } ]
[ { "from": "system", "value": "Semen analysis done. Total count : azoospermia, pus cells and RBC cells found. Advice on report?" }, { "from": "human", "value": "Hello doctor, I just got my semen analysis . Colour : opaque Gray, Volume : .5 Ml Reaction : alkaline Viscosity : High Fructose : Positive Total Count : Azppspermia PusCells : 4-6 HPF Epitelial Cells 2-4 RBC : 1-2 Could you please advise what to do here? Regards, Srinivas" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts and report of your semen analysis that you have posted it appears that you have Azoospermia meaning there by absence of sperm in semen.This could be either due to fact that your testicles are not producing sperms or there is blockage in the passage of transmission of sperms from testicles to urethra.Please consult qualified Urologist for clinical evaluation.You need to undergo following tests 1) Testicular biopsy to find out whether your testicles are producing sperms or not If there is production of the sperms by testis then you will need to get radiological test called Vaso Vasogram to rule out any blockage in the Vas .Further treatment will depend upon the final diagnosis.Dr.Patil." } ]
[ { "from": "system", "value": "Bladder surgery, tip of penis hurting and burning" }, { "from": "human", "value": "I am sorry to bother you but I just do not no what to do. About 6 weeks ago I had bladder surgrey and ever since then the tip of my penis has been hurting and burning can you please give me some advice? Thank You YYYY@YYYY" }, { "from": "gpt", "value": "HelloThanks for your query, You have not mentioned nature of surgery of bladder that has been carried out ,The pain in tip of the penis could be due to infection of the terminal part of urethra (Urethritis)Please get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to.Please take broad spectrum antibiotics like Cefexine along with urinary antiseptic like Nitrofurantoin twice daily and urine alkaliser thrice daily.Later on switch on to appropriate antibiotics as per culture report.Get the prescription of medicines from your family Physician.Ensure to drink more water.To keep your urine dilute This will help to control dysuria.Dr.Patil." } ]
[ { "from": "system", "value": "Semen analysis done. Jelly substance present in semen. Will it create any problem in having a baby?" }, { "from": "human", "value": "Hi team, I have got my semen analysis done yesterday and following is the result: Sperm Count: 45 million/mL Motility: 50% (I) 20% (II) 20% (III) 10% (IV) Morphology: Normal: 70%, Abnormal: 30% Viscosity: normal Sperm aggregation: present Please explain the summary of my above result. There are gelly substance present in my semen which is a primary concern for me. I see these substance since 8 years now. Will that create any problem to father a child? Thank you in advance. Chakradhar" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts and report of your semen analysis that you have posted it appears that your semen parameters are within normal range of WHO standards ,However the agglutination of sperm is suggestive of either due to infection or presence of Anti Sperm antibodies. which could be the cause of infertility .Please get your blood tests for presence of anti sperm antibodies and semen culture done to rule out presence of infection done .Further treatment will depend upon findings of these tests.Dr.Patil." } ]
[ { "from": "system", "value": "Fluctuating prostrate size, prescribed Xatral, proscar. Is it effective?" }, { "from": "human", "value": "Am suffering since two year from prostate first size was 49mm and then 34mm and now again return to 46mm wall i taken 5-10 mmg xatral tablet and now my phscian give me for my last analysis of 46mm size 10mm Xatral tab plus proscar tablet (xatral tab one in night and proscar one tab. in morning),please i need yr help what you advise me" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have Benign Enlargement of Prostate (46 gms)and have been taking Xantral (Alfuzocin) and Proscar (Fenesteride.) Both these drug help in preventing further increase in size of the prostate and relax the smooth muscles in bladder neck and prostate which help to improve urine flow.However the size of prostate and severity of the symptoms is predominant factor to decide regarding endoscopic resection of prostate (TURP).It is always advisable to get TURP done rather than taking drugs life long..Please discuss this issue with your Urologist .Dr.Patil." } ]
[ { "from": "system", "value": "Ejaculation of excess amount of precum than usual post intake of Addreall, even when penis is soft. Cause?" }, { "from": "human", "value": "Ever since I started taking Adderall , I have noticed a significantly larger amount of pre-ejaculatory fluid being released when I get aroused...sometimes even while my penis is soft. I had an argument with a partner the other day, because she was insisting that I came , even though I was quite certain I had not. Just prior to the actual ejaculation ...15 to 30 seconds...more pre-ejaculatory fluid seems to get produced than that which is actually ejaculated later. I m just wondering if this is cause for concern. Everything still seems to work ok." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have been taking Addreall (Amphetamine ) for ADHD and have noticed excess amount of precum than usual.Amphetamine is known to have side effects like frequent and prolonged erection which could be the cause of getting excess of precum.Please discuss this problem with your psychiatrist and modify the doasge of Addreall.Dr.Patil." } ]
[ { "from": "system", "value": "Itches when urine water gets on skin" }, { "from": "human", "value": "first when urining if any water gets on my skin like my enter leg it,s itches me like crazy.later on my pubic hairs stared to itches too.shave them off now feeling much better .please help?" }, { "from": "gpt", "value": "Hi, Welcome to Health care magic forum. As you describe, there appears to be some skin infection, or some lice of type which usually stay in pubic hair. I advise you to consult a dermatologist for diagnosis and treatment. I usually prescribe to my patient with such symptoms grisofulvin pyrimethamimine ointment, and ketokonazole soap. As well cefixime 200mg. Wishing for a quick and complete recovery. Thank you." } ]
[ { "from": "system", "value": "Duration for swelling to come down after adult circumcision?" }, { "from": "human", "value": "adult circumcision on February 7th swelling the size of my fist ice to that first compression bandage came off less than 24 hours now just put petroleum to protect it seems to be a hematoma at the half the size of my hand very red and sore now seems to take a while to go down what should I look for as emergency signs and how long will it take to go down" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have undergone surgery of circumcision and have nticed haematoma at the site of surgery.This haematoma is likely to b due to active bleeding from one of the vessels of Dorsal Veins of Penis and unlikely to stop spontaneously .It needs to be ligated immediately.Please go to ER and get haematoma drained out and ligate the bleeding vein.Dr.Patil." } ]
[ { "from": "system", "value": "Have small testicals, erectile dysfunction, pain in testes. Concerned" }, { "from": "human", "value": "im 27years sir my testis are both very small and left was too small compare to right testicle and and my penis not getting good erections even in sleeping also. and my scrotum is hanging too much and my testes are paining frequently particularly left which is too hanging of testicle. and i want to know my sexual strength and sperm count with action positions etc..." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have small testicles with problem of erectile dysfunction.This could be due to hypogonadism .However this has to be ruled out by clinical examination by a qualified Endocrinologist and following tests.1) Detail Hormonal assessment like Serum Testosterone ,Growth hormone ,LH etc .2) Ultrasound scanning of Scrotum.3) Colour Doppler study of scrotum.(To rue out varicocele on Lt side)As regards your sperm count get your semen analysis done to know more about your sperm count and morphology of sperms.Dr.Patil." } ]

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