Decreased Sensitivity and Ejaculation Issues in Men - Urology

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Decreased sensitivity and ejaculation issues in men can stem from a variety of physiological and psychological factors. Based on your description, it seems that you are experiencing a combination of reduced sensitivity in the glans (the head of the penis), changes in ejaculation, and the presence of a clear discharge after urination. Let's break down these concerns and explore potential causes and recommendations.


1. Decreased Sensitivity and Ejaculation Issues
The decrease in sensitivity of the glans and changes in ejaculation can be influenced by several factors:
- Nerve Damage or Compression: Given your history of spinal surgery, it is possible that nerve pathways related to sexual function may have been affected. The spinal cord plays a crucial role in sexual arousal and ejaculation, and any injury or surgery in that area can lead to altered sensations or reduced reflexes.

- Hormonal Changes: Testosterone levels can significantly impact sexual function, including sensitivity and ejaculation. If you have not had your hormone levels checked recently, it may be worth discussing this with your healthcare provider.

- Psychological Factors: Anxiety, stress, or depression can also lead to decreased sexual sensitivity and changes in ejaculation. If you are experiencing any emotional distress, it might be beneficial to speak with a mental health professional.

- Medical Conditions: Conditions such as diabetes, multiple sclerosis, or other neurological disorders can affect nerve function and lead to decreased sensitivity and ejaculation issues. Even if initial tests have come back normal, it may be worth pursuing further evaluations if symptoms persist.


2. Clear Discharge After Urination
The clear, slippery discharge you are experiencing after urination could be due to several reasons:
- Pre-Ejaculatory Fluid: The body produces a clear fluid known as pre-ejaculatory fluid, which is released from the Cowper's glands. This fluid can sometimes be present even without sexual arousal or stimulation. It serves to lubricate the urethra and neutralize any acidity in the urethra before ejaculation.

- Prostate Health: The prostate gland can also produce fluid that may be released after urination. If there are any issues with the prostate, such as inflammation or infection, it could lead to changes in the fluid produced.

- Infection or Inflammation: While you mentioned that you have seen a neurosurgeon and had tests done, it may be worthwhile to consult a urologist if the discharge continues or if you experience any other symptoms, such as pain or discomfort.


Recommendations
1. Consult a Urologist: Since you have already seen a neurosurgeon, the next step would be to consult a urologist. They specialize in male reproductive health and can perform specific tests to evaluate your symptoms further.

2. Hormonal Evaluation: Request a comprehensive hormonal panel to check your testosterone levels and other relevant hormones. This can help identify any hormonal imbalances that may be contributing to your symptoms.

3. Psychological Support: If you suspect that anxiety or stress may be playing a role in your symptoms, consider seeking support from a mental health professional. Therapy can help address any underlying psychological issues that may be affecting your sexual health.

4. Lifestyle Modifications: Maintaining a healthy lifestyle, including regular exercise, a balanced diet, and adequate sleep, can positively impact your overall health and sexual function.

5. Follow-Up: Keep a record of your symptoms and any changes you notice. This information can be valuable for your healthcare providers in diagnosing and treating your condition.

In conclusion, while your symptoms may be concerning, there are various avenues to explore for diagnosis and treatment. It is essential to communicate openly with your healthcare providers and seek the appropriate specialists to address your concerns comprehensively.