Regarding infertility caused by rapid venous flow and medications?
Hello, doctor! I have two questions.
1.
My symptoms are such that when I intentionally position my penis at an angle greater than ninety degrees (possibly while lying down), it can maintain an erection.
However, when I allow it to return to a natural angle (while standing or sitting), it becomes flaccid within a few seconds.
I underwent an injection test to check for normal erectile function, and the doctor assessed it as a "congenital issue." I also had an ultrasound of what was supposed to be the bladder or prostate (likely the prostate), which revealed a problem with excessive venous flow velocity, causing blood not to be retained.
Is this due to venous leakage? Would surgery be necessary?
2.
Recently, I have been experiencing gastrointestinal issues, including gastroesophageal reflux, and despite seeing many doctors, I haven't found relief.
My parents mentioned a medication that has been effective, so I went to the pharmacy and bought a white oval tablet marked with "DJ," which I found out is called CIMEWELL F.C.
TABLETS 400MG.
Upon checking the ingredients, I found that it contains CIMETIDINE, which can cause infertility, erectile dysfunction, and gynecomastia in men.
If this is medication-induced, is the effect temporary or permanent? (This is unrelated to the first question.) I'm wondering whether I should take it, as my gastrointestinal issues have persisted for a long time.
robert, 20~29 year old female. Ask Date: 2018/06/10
Dr. Du Shixi reply Urology
Hello: 1) Venous leakage can vary in severity.
Please consult the examining physician to determine if surgery is necessary (it is important to engage in physical activity and avoid prolonged sitting or standing).
2) The side effects of medications are mostly short-term; however, if there are existing issues, it is not advisable to continue taking them.
There are many types of gastric medications available, so it is better to choose one with minimal side effects.
Wishing you good health.
Reply Date: 2018/06/10
More Info
When it comes to understanding the relationship between rapid venous flow, erectile dysfunction, and medication-induced infertility, it’s essential to break down your concerns into manageable parts.
1. Rapid Venous Flow and Erectile Dysfunction
From your description, it seems you are experiencing a condition known as venous leakage, which can indeed lead to erectile dysfunction (ED). In a healthy erection, blood flows into the penis and fills the erectile tissues, causing it to become firm. However, if the veins are unable to constrict properly, blood can flow back out too quickly, preventing the maintenance of an erection. This is often referred to as "venous leakage" or "venous insufficiency."
The fact that you can achieve an erection at certain angles but lose it quickly in a natural position suggests that there may be a mechanical issue or a problem with the blood vessels. A thorough evaluation by a urologist is crucial, as they can perform tests to confirm the diagnosis and determine the severity of the condition.
In terms of treatment, surgical options may be available, especially if conservative measures (like medication or vacuum devices) do not yield satisfactory results. Surgical interventions can include procedures to repair the veins or even penile implants in more severe cases. It’s important to discuss these options with your healthcare provider to understand the risks and benefits.
2. Medication-Induced Infertility and Cimetidine
Regarding your second question about Cimetidine (CIMEWELL F.C. TABLETS), it is indeed known to have side effects that can impact male reproductive health. Cimetidine is an H2 receptor antagonist commonly used to treat conditions like gastroesophageal reflux disease (GERD) and peptic ulcers. While it can be effective for these conditions, it has been associated with side effects such as gynecomastia (enlargement of breast tissue in men), decreased libido, and erectile dysfunction.
The effects of Cimetidine on fertility are generally considered to be reversible. If the medication is discontinued, most men will see a return to normal erectile function and libido. However, the timeline for recovery can vary from person to person. If you are experiencing significant gastrointestinal issues, it’s crucial to weigh the benefits of treating those symptoms against the potential side effects of the medication.
Conclusion
In summary, you are dealing with two separate but important issues. For the erectile dysfunction related to rapid venous flow, it’s advisable to consult a urologist who can provide a comprehensive evaluation and discuss potential treatment options, including surgical interventions if necessary.
On the other hand, regarding the use of Cimetidine, it’s essential to consider your gastrointestinal health and the potential side effects on sexual function. If you are concerned about the impact of this medication on your fertility, discussing alternative treatments with your healthcare provider is a prudent step. They may suggest other medications that can effectively manage your gastrointestinal symptoms without the associated risks to your reproductive health.
Always remember that open communication with your healthcare provider is key to managing these conditions effectively. They can help you navigate your treatment options and make informed decisions based on your specific health needs.
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