Testicular Pain, Ejaculation Issues, and Medication Concerns - Urology

More Info

---

Understanding testicular pain, ejaculation issues, and medication concerns can be complex, as these symptoms may arise from various underlying conditions or medication interactions. Let's break down your concerns systematically.

1. Testicular Pain During Masturbation: The pain you experience in your testicles and lower abdomen during masturbation, which subsides after ejaculation, could be related to several factors. One possibility is that the pain is due to increased pressure in the reproductive system during arousal and the act of masturbation. This pressure can lead to discomfort, especially if there is any underlying condition such as epididymitis (inflammation of the epididymis), testicular torsion, or even a hernia. The fact that the pain resolves after ejaculation suggests that it may be related to the buildup of seminal fluid and the release of tension during ejaculation. However, if this pain persists or worsens, it is essential to consult a healthcare provider for a thorough evaluation.

2. Ejaculation and Semen Consistency: The variability in your semen's appearance—sometimes being semi-transparent and watery, and at other times appearing normal—can be influenced by several factors, including hydration levels, frequency of ejaculation, and overall health. Semen consistency can change based on how long it has been since your last ejaculation. If you are ejaculating frequently (every 2-5 days), it is not uncommon for the semen to appear thinner. However, if you notice any significant changes in color, consistency, or if there are any accompanying symptoms like pain, swelling, or fever, it would be prudent to seek medical advice.

3. Medication Interactions: Regarding your question about taking "必利勁" (Dapoxetine) with "犀利士" (Sildenafil), it is important to approach this with caution. Dapoxetine is a selective serotonin reuptake inhibitor (SSRI) used for the treatment of premature ejaculation, while Sildenafil is a phosphodiesterase type 5 (PDE5) inhibitor used to treat erectile dysfunction. While there is no direct contraindication for using these medications together, combining them can lead to increased side effects, such as dizziness, headache, and changes in blood pressure. Additionally, since you mentioned having mild mitral valve prolapse, it is crucial to consult your healthcare provider before combining these medications, as they can assess your overall cardiovascular health and any potential risks associated with these medications.

In summary, while some of your symptoms may be within the realm of normal physiological responses, persistent pain or significant changes in your sexual health should not be overlooked. It is advisable to consult a healthcare professional who can provide a comprehensive evaluation, including a physical examination and possibly further testing, to rule out any underlying conditions. Additionally, always discuss any medication changes or combinations with your healthcare provider to ensure safety and efficacy.