Regarding the previous inquiry about penile issues?
First of all, thank you for the doctor's response.
I have visited the outpatient clinic, but the doctor didn't say much.
However, the medication prescribed was "TRAZODONE (MESYREL)," which is used for "antidepressant and pain adjunct therapy." It seems that the doctor might think my condition is related to psychological factors, which is why I received this prescription.
Additionally, my girlfriend noticed that the color of my glans seems different from before; it appears a bit grayish-white and lacks blood color.
Could this be related to the condition I mentioned earlier? I'm worried that if I move my penis, I might rupture a blood vessel and cause bleeding.
I hope I'm just overthinking it.
If I need to explain my symptoms to the doctor, how should I phrase it to ensure they understand? I'm particularly concerned that if it's not a psychological issue, it might delay the treatment.
I have a full health check scheduled around November 20th, and I would like to ask the doctor to arrange for an examination that day.
If there is bleeding, could delaying treatment lead to any serious consequences? Thank you for your response.
nan sheng, 20~29 year old female. Ask Date: 2004/11/05
Dr. Lin Wenxu reply Urology
Hello: I think you may be overthinking it.
Generally, "venous" erectile dysfunction is more commonly characterized by a shortened duration of erection hardness (less persistent) rather than abnormal penile sensation (lack of feeling).
On the other hand, traumatic penile injury is most commonly presented as "penile fracture," which manifests as sudden severe pain accompanied by penile hematoma during sexual intercourse, and this indeed requires emergency surgical repair.
Therefore, I still believe your situation is more akin to psychogenic erectile dysfunction.
I suggest you relax; perhaps take a vacation or change your location and atmosphere, which should help alleviate your current concerns.
Lin Wen-Hsu
Reply Date: 2004/11/05
More Info
It sounds like you have a number of concerns regarding your penile health and the treatment you are currently receiving. Let's break down your questions and address them one by one.
Firstly, the medication you were prescribed, Trazodone (Mesyrel), is indeed an antidepressant that is often used to treat depression and anxiety disorders. It can also be prescribed off-label for pain management. The fact that your doctor prescribed this medication may suggest that they suspect there could be a psychological component to your symptoms. This is not uncommon, as many physical health issues can be exacerbated by stress, anxiety, or depression. However, it is essential to communicate openly with your healthcare provider about your symptoms and concerns to ensure that all potential underlying causes are considered.
Regarding the change in the color of your glans (the head of the penis), it is important to note that variations in color can occur for a variety of reasons, including changes in blood flow, skin conditions, or infections. A grayish or whitish appearance could indicate a few different things, such as a fungal infection, a skin condition, or even a lack of blood flow. It is crucial to have this evaluated by a healthcare professional, as they can provide a proper diagnosis and treatment plan.
You mentioned a fear of injuring yourself or causing bleeding while moving your penis. While it is natural to be concerned about your health, it is essential to approach these fears rationally. If you are experiencing pain or unusual symptoms, it is best to avoid any activities that exacerbate these symptoms until you have been evaluated by a doctor.
When you visit your doctor, it is important to be as clear and detailed as possible about your symptoms. You might say something like, "I've noticed a change in the color of my glans, and I'm concerned about the implications. I've also been experiencing some discomfort and have fears about potential injuries or bleeding. I would like to understand if these symptoms are related and what steps we can take to address them." This approach will help your doctor understand your concerns and guide them in conducting a thorough evaluation.
As for your worries about delaying treatment, it is always better to seek medical advice sooner rather than later. If you suspect that you may have a serious condition, it is advisable to communicate this urgency to your healthcare provider. They can prioritize your concerns and potentially expedite any necessary tests or referrals.
In conclusion, it is essential to maintain open communication with your healthcare provider regarding your symptoms and concerns. Changes in penile health can arise from various causes, and a thorough evaluation is necessary to determine the appropriate treatment. If you feel that your concerns are not being adequately addressed, do not hesitate to seek a second opinion. Remember, your health is paramount, and timely intervention can often lead to better outcomes.
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