Male Health Issues: Early Ejaculation and Hormonal Concerns - Urology

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Brother's story!


Dear Doctor,
I have many questions I would like to ask! Thank you...
I have had a habit of masturbation for a long time, and now I have noticed issues with premature ejaculation and erectile dysfunction.
Additionally, my testicles seem to be smaller (both of them)! Also, I have less body hair; I only have a little underarm hair, and my Adam's apple is not very prominent.
When I speak, I sound very much like a girl (even my gestures are similar)! I really want to be like a man, but I feel helpless about my body! I truly don't know how to seek medical advice, and I apologize for that! I have been taking herbal medicine from a Chinese medicine clinic (for kidney strengthening)! Some people say Western medicine is not good, and that Chinese medicine is better! I really don't know what to do! I hope the doctor can give me more advice! Thank you...
I appreciate it...

Xiao Huang, 10~19 year old female. Ask Date: 2006/10/03

Dr. Xu Weikai reply Urology


Hello, generally we will first confirm a few things: hormones, chromosomes, or genes can determine if you have any congenital abnormalities.
If not, it is usually a psychological factor.
You can consult a major hospital for this matter.
This is a response from Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2006/10/03

More Info


Understanding male health issues, particularly those related to sexual function and hormonal balance, is crucial for overall well-being. Your concerns about early ejaculation, erectile dysfunction, and physical characteristics such as reduced body hair and smaller testicular size are valid and warrant a thorough evaluation.

Firstly, early ejaculation and erectile dysfunction can stem from various causes, including psychological factors, hormonal imbalances, and physical health issues. Psychological factors such as anxiety, stress, or past experiences can significantly impact sexual performance. It's essential to consider whether any recent life changes or stressors might be contributing to these issues.
Hormonal concerns are also significant. Testosterone plays a vital role in male sexual health, influencing libido, erectile function, and even physical characteristics like body hair and muscle mass. If you notice symptoms such as reduced body hair, smaller testicles, or changes in voice, it may indicate a hormonal imbalance, possibly low testosterone levels. A healthcare provider can conduct blood tests to evaluate your hormone levels, including testosterone, luteinizing hormone (LH), and follicle-stimulating hormone (FSH), to determine if there is an underlying hormonal issue.

Regarding your experience with traditional Chinese medicine (TCM) and the use of herbal remedies, it's essential to approach this with caution. While some individuals find relief through TCM, scientific evidence supporting its effectiveness for conditions like erectile dysfunction or hormonal imbalances is limited. It’s advisable to consult with a healthcare professional who understands both Western and Eastern medicine to ensure a comprehensive approach to your health.

When seeking medical advice, consider visiting a urologist or an endocrinologist. A urologist specializes in male reproductive health and can address issues related to erectile dysfunction and ejaculation. An endocrinologist can help evaluate hormonal levels and diagnose any potential endocrine disorders.
In addition to medical evaluation, lifestyle changes can also play a significant role in improving sexual health. Regular exercise, a balanced diet, and maintaining a healthy weight can enhance overall well-being and potentially improve sexual function. Avoiding excessive alcohol consumption and quitting smoking are also beneficial.

If you feel uncomfortable discussing these issues with a healthcare provider, remember that these professionals are trained to handle sensitive topics with confidentiality and respect. Open communication is vital for accurate diagnosis and effective treatment.

In summary, your concerns about early ejaculation, erectile dysfunction, and hormonal issues are important and should be addressed through a comprehensive medical evaluation. Consulting with a urologist or endocrinologist, considering lifestyle changes, and being open to various treatment options, including both Western and Eastern medicine, can help you find a path toward improved sexual health and overall well-being. Don't hesitate to seek help; addressing these issues can lead to significant improvements in your quality of life.

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