Hello, doctor?
Hello, doctor.
I have a few questions to ask you.
Regarding the penile bruising you mentioned last time, you said it was caused by trauma.
Does that require surgery, or can it be improved with topical ointments and oral medications? Also, I'm not sure what's going on, but I'm 19 years old, and recently I've noticed that the amount of semen I ejaculate seems to be very low and it comes out in a stream.
I masturbate about every three days.
Is there something wrong? Thank you, doctor.
Awei, 10~19 year old female. Ask Date: 2009/07/07
Dr. Xu Weikai reply Urology
Awei: Hello, I previously mentioned in similar situations that one can observe the extent of bruising and the level of pain to determine whether emergency medical attention is needed.
If there are no specific symptoms, observation is sufficient, and if there is no broken skin, there is no need to apply ointment.
Severe injuries may require surgery.
The volume of ejaculation, the hardness of erections, and the length of the penis are all related to the level of arousal.
If you frequently engage in DIY activities, the stimulation will become habitual, and the subsequent natural responses will gradually diminish.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Sincerely, Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan.
Reply Date: 2009/07/07
More Info
Hello! Thank you for your questions regarding urology, particularly concerning bruising and sperm concerns. Let's break down your inquiries and provide some clarity on these issues.
Bruising of the Penis
Bruising or discoloration of the penis, often referred to as penile bruising, can occur due to trauma or injury. This might happen during vigorous sexual activity, masturbation, or even from an accident. In most cases, if the bruising is mild and there are no other concerning symptoms (like severe pain, swelling, or difficulty urinating), it can often be managed conservatively.
Management Options:
1. Rest: Avoid any activities that could exacerbate the injury, such as vigorous sexual activities or masturbation.
2. Ice Application: Applying a cold pack wrapped in a cloth to the affected area can help reduce swelling and discomfort.
3. Pain Relief: Over-the-counter pain relievers like ibuprofen or acetaminophen can help alleviate pain.
4. Topical Treatments: In some cases, a topical ointment may be recommended, but this is generally not necessary unless there are skin issues.
If the bruising persists, worsens, or if you experience significant pain, it is crucial to seek medical attention. A healthcare provider may perform a physical examination and, if necessary, imaging studies to rule out any serious injuries, such as a fracture of the penile shaft or other complications.
Concerns About Sperm Volume
Regarding your concern about a decrease in sperm volume and the consistency of your ejaculate, there are several factors to consider. It's important to note that variations in sperm volume can occur due to a variety of reasons, including frequency of ejaculation, hydration levels, and overall health.
1. Frequency of Ejaculation: Ejaculating every three days is generally considered normal. However, if you notice a significant change in volume or consistency, it may be worth monitoring. Frequent ejaculation can lead to temporary decreases in sperm volume.
2. Hydration: Dehydration can affect semen production. Ensure you are drinking enough fluids throughout the day.
3. Diet and Lifestyle: A balanced diet, regular exercise, and avoiding smoking and excessive alcohol can positively influence sperm health.
4. Medical Conditions: Certain medical conditions, hormonal imbalances, or medications can impact sperm production. If you have any underlying health issues or are taking medications, these could be contributing factors.
5. Stress and Anxiety: Psychological factors can also play a role in sexual health and sperm production. High levels of stress or anxiety can affect libido and ejaculation.
When to Seek Help
If you continue to experience concerns about the volume of your ejaculate or if you notice other symptoms such as pain during ejaculation, changes in urination, or any unusual discharge, it would be advisable to consult a urologist. They may recommend tests such as a semen analysis or hormonal evaluations to assess your reproductive health.
In summary, while mild bruising of the penis can often be managed at home, persistent or severe cases warrant medical evaluation. Similarly, changes in sperm volume can be influenced by various factors, and if these changes are concerning to you, a healthcare professional can provide guidance and reassurance. Always prioritize your health and don't hesitate to seek medical advice when in doubt. Thank you for your questions, and I hope this information helps!
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