excuse me?
Dr.
Hsu, I apologize for bothering you again.
When you mentioned testing for male hormones and examining testicle size and firmness, should I directly tell the doctor in the urology department that I want these tests after I make an appointment? Or should I first explain that I can achieve an erection normally, but I have no response when I want to engage in sexual activity? Thank you for your help in addressing these sensitive issues for everyone.
Xiao Wenti, 20~29 year old female. Ask Date: 2006/08/11
Dr. Xu Weikai reply Urology
Minor issue: Hello, you should first explain the medical condition before seeking advice (or suggestions) regarding examinations.
Note: Over 90% of questions online are about sensitive issues; everyone is the same, and I have gotten used to it.
Response from Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan.
Reply Date: 2006/08/11
More Info
When discussing hormone and erectile issues with your urologist, it's essential to approach the conversation with clarity and openness. Here are some steps and considerations to help guide your discussion effectively.
1. Prepare for Your Appointment
Before your visit, take some time to reflect on your symptoms and concerns. Write down specific issues you want to address, such as:
- Difficulty achieving or maintaining an erection during sexual activity.
- Changes in libido or sexual desire.
- Any physical changes, such as testicular size or firmness.
- Other symptoms that may seem unrelated but could be relevant, such as fatigue, mood changes, or weight gain.
2. Be Honest About Your Symptoms
When you meet with your urologist, start by being straightforward about your symptoms. You can say something like, "I've been experiencing difficulty with erections during sexual activity, even though I can achieve an erection at other times." This will help the doctor understand the context of your issue.
3. Discuss Hormonal Concerns
If you suspect that hormonal imbalances may be contributing to your erectile dysfunction, mention this to your urologist. You might say, "I’ve read that testosterone levels can affect erectile function, and I’d like to discuss whether hormone testing might be appropriate for me." This opens the door for your doctor to explain the relevance of hormone levels in relation to your symptoms.
4. Ask About Specific Tests
Inquire about the tests that may be necessary to evaluate your hormonal levels and erectile function. You can ask:
- "What specific tests do you recommend for assessing my testosterone levels?"
- "Will you check for other hormonal imbalances that could be affecting my sexual health?"
5. Discuss Treatment Options
Once your urologist has assessed your condition, they may discuss potential treatment options. Be open to hearing about different approaches, which may include:
- Hormone replacement therapy if testosterone levels are low.
- Medications for erectile dysfunction, such as PDE5 inhibitors (e.g., Viagra, Cialis).
- Lifestyle changes that could improve your overall health and sexual function, such as diet, exercise, and stress management.
6. Address Any Concerns About Side Effects
If you are prescribed medication or hormone therapy, ask about potential side effects. You can say, "What should I expect in terms of side effects from the treatment options you recommend?" Understanding the risks and benefits will help you make informed decisions about your health.
7. Follow-Up
After your initial discussion and any tests conducted, ensure you have a plan for follow-up appointments. Ask your urologist how soon you should return to discuss test results or if you should come back sooner if your symptoms worsen.
Conclusion
Discussing hormone and erectile issues with your urologist can feel daunting, but remember that these professionals are trained to handle such sensitive topics. By preparing ahead of time, being honest about your symptoms, and asking the right questions, you can foster a productive dialogue that leads to effective treatment. Don't hesitate to express any concerns you have, as this will help your urologist provide the best care tailored to your needs.
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