Urinary Issues: Frequent Urination, Pain, and Testosterone Concerns

Q: Urinary Issues: Frequent Urination, Pain, and Testosterone Concerns

Hello： Generally, this is the usual treatment. <br>If the effects are not satisfactory, then we consider some less common causes. <br>I suspect that since pain relief has been prescribed, the physician likely advised reducing physical activity. <br>In cases of testosterone defici

Could you please provide the content you would like me to translate?

About two months ago, I discovered I had a frequent urination issue.
When I feel the urge to urinate, it is very urgent, and I also experience premature ejaculation (though I still have morning erections).
I visited a urologist, who performed a urine culture, but no bacteria were found.
They also conducted a physical examination and a uroflowmetry test, which showed normal flow rates.
During the examination, I experienced pain similar to a pinprick when pressure was applied.
The doctor prescribed Harnalidge, Ocas, Voren, Enteric, Rowapraxin, and Uroprin coated, but I feel that my libido has decreased after starting the medication (I'm unsure if this is due to the medication or psychological factors).
Subsequently, blood tests were arranged, and the doctor indicated that I have low testosterone levels.
They recommended that I self-pay for injections and take Clomiphene while stopping my usual exercise routine (which includes weight training once a week, playing basketball once a week, and running once a week).
As far as I know, doesn't exercise also help increase testosterone levels? Is this diagnostic direction correct? Thank you for your assistance.

Niming, 40~49 year old female. Ask Date: 2024/03/11

Dr. Du Shixi reply Urology

Hello: Generally, this is the usual treatment.
If the effects are not satisfactory, then we consider some less common causes.
I suspect that since pain relief has been prescribed, the physician likely advised reducing physical activity.
In cases of testosterone deficiency (whether there is any intake of certain supplements), physicians often recommend supplementation and further investigation into the causes.
Testosterone deficiency is usually due to multiple factors, and it is advisable to seek consultation at a major hospital.
Wishing you good health.

Reply Date: 2024/03/11

More Info

It sounds like you are experiencing a complex set of urinary issues, including frequent urination, urgency, and a decrease in sexual desire, which can be quite distressing. Based on your description, it seems that you have already undergone a thorough evaluation, including urinalysis, urine culture, and physical examination, which have ruled out infections and indicated normal urine flow. However, the pain you experience during examination and the subsequent medications prescribed may be contributing to your symptoms.

The medications you mentioned—Harnalidge, Ocas, Voren, and Uroprin—are typically used to manage urinary symptoms, particularly in cases of benign prostatic hyperplasia (BPH) or overactive bladder. Harnalidge (tamsulosin) is an alpha-blocker that helps relax the muscles in the prostate and bladder neck, making it easier to urinate. Ocas (solifenacin) is an anticholinergic that reduces bladder contractions, helping to manage urgency and frequency. Voren (diclofenac) is a non-steroidal anti-inflammatory drug (NSAID) that can help with pain. Uroprin (phenazopyridine) is a urinary analgesic that can relieve pain and discomfort in the urinary tract.

Regarding your concerns about decreased libido, it is important to note that some medications can indeed have side effects that impact sexual desire. Anticholinergics, like solifenacin, can sometimes lead to sexual dysfunction, although this is not universally experienced. Additionally, the psychological impact of dealing with ongoing urinary issues can also contribute to decreased sexual desire. It’s essential to communicate these side effects to your healthcare provider, as they may consider adjusting your medication regimen.

The diagnosis of low testosterone (hypogonadism) is another critical aspect of your situation. Testosterone plays a significant role in sexual desire, energy levels, and overall well-being. If your testosterone levels are indeed low, testosterone replacement therapy (TRT) may be beneficial. However, it is essential to discuss the potential risks and benefits of TRT with your doctor, as well as any concerns about the impact of stopping your regular exercise routine.
Exercise is known to have a positive effect on testosterone levels, and regular physical activity can help improve mood, energy levels, and sexual function. While your doctor may have specific reasons for recommending a temporary cessation of exercise, it is worth discussing this further. You might want to explore whether a modified exercise plan could be implemented instead of a complete halt, as maintaining some level of physical activity could be beneficial for both your testosterone levels and overall mental health.

In summary, your diagnosis and treatment plan appear to be on the right track, but it is crucial to address the side effects you are experiencing and the implications of low testosterone. Open communication with your healthcare provider is key. You might consider asking the following questions during your next visit:
1. Can we review the side effects of my current medications, particularly regarding sexual desire?
2. What are the potential benefits and risks of testosterone replacement therapy in my case?
3. Is it possible to modify my exercise routine instead of stopping it completely?
4. Are there alternative treatments for my urinary symptoms that may have fewer side effects?
By discussing these points, you can work collaboratively with your healthcare provider to find a treatment plan that addresses both your urinary issues and your concerns about sexual health.

Similar Q&A

Understanding Urinary Issues: Frequent Urination and Testicular Pain

I have been experiencing frequent urination, about once every hour, for the past month. I visited a clinic for a urinalysis, and the doctor said everything was normal, so I was prescribed some medication. I noticed slight improvement, but now I have developed other issues: I feel...

Dr. Lin Wenxu reply Urology
Based on your description, it is suspected that emotional factors may be causing frequent urination (overactive bladder), and pelvic floor muscle tension may be leading to testicular and inner thigh pain as well as difficulty urinating (often diagnosed as chronic prostatitis). It...

Understanding Urinary Issues: Symptoms, Concerns, and Next Steps

Hello, Dr. Hsu. I have been experiencing frequent urination, incomplete voiding, a lot of foamy urine, and a strong odor in my urine (without hematuria) for the past few months. Sometimes, I feel a bit uncomfortable in my lower region, with a slight pressure pain (sometimes sharp...

Dr. Xu Weikai reply Urology
Dear Worried One: It's perfectly normal to be concerned about your health; it shows that you care about yourself. However, excessive worry can lead to unnecessary anxiety! A cholesteatoma is a type of normal gland that every healthy male has. I hope you understand my point! ...

Frequent Urination at 17: Causes and Concerns Explained

Hello doctor, I am 17 years old. Recently, for the past week, I have been experiencing a constant urge to urinate. After I go, I feel the need to go again, sometimes producing a lot of urine, and other times just a few drops, or even having difficulty urinating while standing at ...

Dr. Lin Hexing reply Urology
Hello: After exercise, you should consider whether the issues you are experiencing could be symptoms of acute cystitis or urinary stones. There's no need to overthink the problem; just visit a urology clinic for evaluation. Regarding your final question, you should consult t...

Struggling with Urination: Causes and Dietary Solutions Explained

I would like to ask a question! Recently, I often find it difficult to urinate. Sometimes I feel a strong urge to go, but when I get to the restroom and see many people, I can't seem to urinate, which is very frustrating! What should I do? Could it be related to my diet? I w...

Dr. Lin Wenxu reply Urology
Hello Mr. Afa: Based on your description, it seems more like "chronic prostatitis" or "pelvic floor muscle syndrome." The symptoms are quite similar to those of benign prostatic hyperplasia in older adults, such as difficulty urinating, weak urine flow, or dri...