Urological Concerns: When to Seek Medical Help

Question

If there are no changes at all, what should be done? There is no development of pubic hair or any other signs, and if masturbation does not result in ejaculation, and the size is very small, is it really necessary to go to the hospital? Or could weight loss be a factor? I wouldn't say I'm too overweight.
Please advise, doctor.

Chao Ji Niu, 10~19 year old female. Ask Date: 2006/06/30

Dr. Xu Weikai reply Urology

Hello, I think further examinations are still necessary to know for sure.
It is best to consult a specialist.
This is a response from Dr.
Hsu Wei-Kai, Director of Urology at Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2006/06/30

More Info

When it comes to urological concerns, particularly regarding issues related to sexual health and development, it is crucial to understand the importance of seeking medical help. The symptoms you describe, such as a lack of development in the genital area, absence of pubic hair, and difficulties with ejaculation, could indicate underlying medical conditions that require professional evaluation.

Firstly, it is essential to recognize that sexual development varies significantly among individuals. However, if there are noticeable delays or abnormalities, it may be indicative of hormonal imbalances, genetic conditions, or other health issues. For instance, conditions like Klinefelter syndrome or hypogonadism can lead to underdeveloped genitalia and lack of secondary sexual characteristics, such as pubic hair. These conditions often stem from issues with the testicles or hormonal signaling from the pituitary gland.

If you are experiencing these symptoms, it is advisable to consult a healthcare provider, preferably an endocrinologist or a urologist, who specializes in male reproductive health. They can conduct a thorough evaluation, which may include physical examinations, blood tests to check hormone levels (such as testosterone), and possibly imaging studies to assess the anatomy of the reproductive organs.

Regarding your concern about weight, while being overweight can affect hormone levels and overall health, it is not the sole factor in sexual development issues. Weight loss may improve some aspects of health, but it is not a guaranteed solution for developmental concerns. Therefore, it is essential not to delay seeking medical advice based on assumptions about weight alone.

In terms of the specific concerns you mentioned, such as the inability to ejaculate, this could be related to several factors, including psychological aspects, physical blockages, or hormonal deficiencies. A healthcare provider can help determine the cause and recommend appropriate treatments, which may include hormone therapy, counseling, or other medical interventions.

In summary, if you are experiencing any of the symptoms you described, it is crucial to seek medical help. A healthcare professional can provide a proper diagnosis and treatment plan tailored to your needs. Ignoring these symptoms or hoping they will resolve on their own can lead to further complications or prolonged distress. Remember, seeking help is a positive step toward understanding and improving your health.

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