Can the troubles of adolescence be cured?
Dear Dr.
Hsu Wei-Kai: Regarding the previous question about arterial insufficiency or venous incompetence, is surgery necessary? How expensive is it, approximately? Are there any risks involved? Would simple treatment with medication be effective? In the morning, or when my bladder is full, I experience natural erections, but they are not very firm, and the angle is not high, about 40 degrees.
Is there a way to treat my condition? If I haven't ejaculated for a week, I do respond physically when in contact with someone I like, but the reaction fades quickly.
Is this normal? Could you recommend a specialist in sexual dysfunction in Taichung City, along with their address? Thank you again, Doctor.
A Dong, 20~29 year old female. Ask Date: 2003/11/09
Dr. Xu Weikai reply Urology
A-Dong: Actually, you don't need to be too anxious.
So far, your issues have only been addressed through verbal consultations and have not reached a specialized physician.
Perhaps the situation is not as dire as it seems.
Getting back to the point, if after evaluation it is confirmed that you have venous insufficiency, surgery would be a better option.
The surgical method typically involves making a small incision at the base of the penis to ligate the affected veins.
As for the cost, I'm not very sure.
Taichung actually has relatively abundant resources; you can consult Dr.
Liu Chang-Mao or Dr.
Jiang Guan-Chung at Cheng Ching Hospital, Dr.
Chen Guo-Liang at China Medical University Hospital, or Dr.
Su Chong-Guang and Dr.
He Hao-Zhong at Taichung Veterans General Hospital, among others.
Reply Date: 2003/11/09
More Info
Understanding adolescent urological issues, particularly those related to erectile function and potential vascular problems, is crucial for both physical and psychological well-being. Your concerns about arterial insufficiency or venous leakage are valid, and addressing them requires a comprehensive approach.
1. Diagnosis and Treatment Options: The first step in managing erectile dysfunction (ED) or related urological issues is a thorough evaluation by a healthcare professional. This typically includes a physical examination, medical history, and possibly diagnostic tests such as ultrasound or blood tests to assess blood flow and hormone levels. If vascular issues are confirmed, treatment options may include lifestyle changes, medications, or surgical interventions.
2. Surgical Considerations: Surgery may be necessary in cases of significant vascular insufficiency. However, it is essential to weigh the benefits against the risks. Surgical procedures can be costly, and the price can vary widely depending on the complexity of the surgery and the healthcare facility. In the U.S., costs for such procedures can range from a few thousand to tens of thousands of dollars, depending on insurance coverage and other factors. Risks associated with surgery can include infection, scarring, and potential complications affecting erectile function.
3. Medication Alternatives: For some individuals, medications such as phosphodiesterase type 5 inhibitors (e.g., Viagra, Cialis) can be effective in treating ED. These medications work by increasing blood flow to the penis, facilitating an erection when sexually stimulated. However, they may not be suitable for everyone, particularly if there are underlying vascular issues. It’s essential to discuss these options with your healthcare provider to determine the best course of action.
4. Understanding Normal Responses: Regarding your experiences with erections and sexual arousal, it’s important to recognize that variations in erectile function can be normal, especially during adolescence. Factors such as anxiety, hormonal changes, and overall health can influence erectile quality. The fact that you experience some degree of arousal in response to stimuli, even if the erection is not fully rigid, is not uncommon. However, if this is causing distress or impacting your quality of life, it’s worth discussing further with a specialist.
5. Finding a Specialist: In terms of locating a specialist in Taichung for sexual dysfunction, I recommend searching for urologists with a focus on sexual medicine or erectile dysfunction. Many hospitals and clinics have dedicated departments for sexual health. You can also look for recommendations from primary care physicians or consult online resources and patient reviews to find qualified professionals in your area.
6. Next Steps: When you visit a healthcare provider, be open about your symptoms and concerns. It may help to keep a journal of your experiences, including any patterns you notice regarding your erections, arousal, and any other relevant factors. This information can assist your doctor in making a more accurate diagnosis and developing an effective treatment plan.
In summary, while surgical options exist for addressing vascular issues related to erectile dysfunction, many patients find success with non-invasive treatments. It’s essential to consult with a qualified healthcare provider who can guide you through the evaluation process and help you understand the best treatment options for your specific situation. Remember, addressing these issues early can lead to better outcomes and improved quality of life.
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