Ejaculation Issues: Seeking Help After an Accident - Urology

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Hello, doctor.
I am 22 years old and about to enlist in the military.
I have been struggling with nocturnal emissions that I haven't been able to resolve, despite seeing both traditional Chinese medicine and Western medicine and taking medication for two years.
I had a car accident in the third grade, which was a head-on collision.
Since then, my memory has been deteriorating day by day, and my reaction time has slowed down.
When there are too many people in the restroom, I get anxious and can't urinate.
Additionally, my urine stream is scattered rather than straight.
Sometimes, I wake up in the middle of the night to find my underwear damp with semen.
Most concerning is that I no longer experience morning erections.
Could this be related to my car accident? Also, could you recommend a skilled doctor in Taichung City? How long does it typically take to treat this condition, and which specialty should I consult? Would it be better to see a specialist?

kk, 20~29 year old female. Ask Date: 2004/09/16

Dr. Lai Ronghao reply Urology


Hello, you can find a nearby urologist in Taichung City for consultation and assistance.
China Medical University and Taichung Veterans General Hospital have many highly professional and excellent physicians.
Dr.
Lai Rong-Hao, attending physician of the Urology Department at Hsinchu Hospital, Ministry of Health and Welfare, sends his regards.

Reply Date: 2004/09/16

More Info


Hello, thank you for reaching out with your concerns. It sounds like you have been experiencing a range of troubling symptoms since your car accident, and I understand how distressing this can be. Let's break down your issues and discuss potential steps forward.

First, regarding your ejaculation issues and the other symptoms you've described, it's important to consider the possibility of a connection between your car accident and your current health problems. Trauma, especially to the head or spine, can lead to various neurological and psychological effects. The symptoms you've mentioned, such as decreased memory, delayed reactions, and changes in urination patterns, could potentially be linked to the trauma you experienced during the accident.

The fact that you have been experiencing nocturnal emissions (wetting your underwear at night) and a lack of morning erections could indicate an underlying issue with your hormonal balance or nerve function. These symptoms can be distressing and may affect your quality of life, so it’s crucial to address them with a healthcare professional.

Given your history and the complexity of your symptoms, I recommend that you see a urologist, who specializes in male reproductive health and urinary issues. They can conduct a thorough evaluation, including hormone tests and possibly imaging studies, to determine if there are any physical causes for your symptoms. Additionally, a neurologist may also be beneficial to assess any potential neurological impacts from the accident that could be contributing to your issues.

As for the duration of treatment, it varies widely depending on the underlying cause of your symptoms. Some conditions may resolve with appropriate treatment within a few months, while others may require longer-term management. It’s essential to have a comprehensive evaluation to tailor the treatment plan to your specific needs.

In terms of finding a qualified doctor in Taichung, I recommend looking for a urology clinic or a hospital with a good reputation for treating male health issues. You can also ask for referrals from your primary care physician or consult online reviews and ratings to find a specialist who is well-regarded in your area.

Lastly, it’s important to address any psychological aspects of your symptoms as well. Stress and anxiety can exacerbate physical symptoms, so consider speaking with a mental health professional who can help you manage any emotional distress you may be experiencing.

In summary, I encourage you to seek out a urologist and possibly a neurologist for a comprehensive evaluation of your symptoms. Addressing both the physical and psychological aspects of your health will be crucial in finding a path to recovery. Don’t hesitate to reach out for help, and remember that you are not alone in this journey.

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