Addressing Male Urological Concerns: Seeking Effective Solutions and Guidance - Urology

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Function and therapeutic efficacy issues?


Hello Dr.
Hsu,
Due to multiple inquiries and your enthusiastic and detailed explanations, you have gained the trust of many people.
You have always been my best mentor for health-related consultations online.
Today, I have some questions that have been on my mind for a long time and I would like to hear your insights:
1) I often see many reports stating that men should seek medical help or take certain supplements if they experience functional issues.
However, during my visits to doctors, they seem to dismiss my concerns.
The medications prescribed are often antidepressants or testosterone injections, which have no real effect.
They do not provide any advice or warnings.
Perhaps the high volume of patients leads to "professional burnout"? (Even medications for benign prostatic hyperplasia that cause urinary difficulties have shown no improvement after long-term use.) We are hesitant to buy unknown medications on our own.
Is it necessary to take medications like Cialis or others for them to be effective? I have also taken some medications that resulted in no improvement and even caused many side effects, which raises doubts.
I truly feel helpless regarding the lack of assistance from doctors in this area.
What should I do?
2) The "Six Methods and Three Protections" manual is well-written, but it seems like a marketing tactic to sell medications.
Has medical efficacy in this area become such a complex issue?
3) I am eager to know how to overcome or alleviate my concerns.
I exercise almost every day, yet I still feel helpless in this regard.
4) I have followed your advice to take zinc and selenium along with a male B-complex supplement.
After a period of time, I feel like I haven't noticed any improvement.
I apologize for the lengthy message and hope to gain some clarity from you.
I also hope for your understanding.
Thank you!

Gong Yu, 60~69 year old female. Ask Date: 2010/09/13

Dr. Xu Weikai reply Urology


Dear Mr.
Gong Yu,
Hello.
In fact, erectile dysfunction can generally be improved through lifestyle changes, such as regular exercise and maintaining a consistent daily routine.
Additionally, current medications, aside from Viagra, have limited effectiveness and may have various side effects.
Therefore, I personally recommend addressing the root cause by improving overall health.
This can include a balanced diet, nutritional supplements, and exercise, which can gradually lead to improvement.
However, this process may take a considerable amount of time.
If you have any further questions or need clarification, please feel free to ask, and we can discuss and research together.
Sincerely,
Director Hsu Wei-Kai
Urology Department
Taitung Hospital, Department of Health, Executive Yuan

Reply Date: 2010/09/13

More Info


Addressing male urological concerns can be a complex and multifaceted issue, often requiring a combination of medical intervention, lifestyle changes, and psychological support. Your questions reflect common concerns among men regarding urological health, particularly issues related to urinary function, sexual health, and the effectiveness of treatments. Let’s break down your concerns and explore potential solutions.

1. Seeking Effective Medical Treatment: It’s understandable to feel frustrated when medical professionals do not seem to take your concerns seriously or provide effective treatment options. Urological issues, such as benign prostatic hyperplasia (BPH), can lead to significant discomfort and impact quality of life. If medications prescribed for BPH are not yielding results, it may be worth discussing alternative treatments with your healthcare provider. Options may include alpha-blockers, 5-alpha-reductase inhibitors, or even minimally invasive procedures. If you feel your concerns are not being addressed adequately, consider seeking a second opinion from a urologist who specializes in male health issues.
2. Understanding Treatment Options: The "六法三保" (Six Methods and Three Protections) approach you mentioned may indeed seem like a marketing strategy for certain supplements or medications. While some supplements, like zinc and selenium, can support overall health, they are not a substitute for medical treatment. It’s essential to approach supplements with caution and consult with a healthcare provider before starting any new regimen, especially if you have underlying health conditions or are taking other medications.

3. Lifestyle Modifications: Regular exercise is beneficial for overall health, including urological health. Maintaining a healthy weight can reduce the risk of developing conditions like BPH and diabetes, which can exacerbate urological issues. Additionally, dietary changes, such as reducing caffeine and alcohol intake, can help alleviate urinary symptoms. Staying hydrated is also crucial, but be mindful of fluid intake before bedtime to minimize nighttime urination.

4. Psychological Factors: Anxiety and stress can significantly impact urinary function and sexual health. If you experience performance anxiety or stress related to urination in public settings, consider techniques such as mindfulness, relaxation exercises, or cognitive-behavioral therapy (CBT) to help manage these feelings. Speaking with a mental health professional can provide strategies to cope with anxiety and improve your overall well-being.

5. Communication with Healthcare Providers: It’s vital to have open and honest communication with your healthcare provider. If you feel that your concerns are not being taken seriously, express your feelings and ask for a more thorough evaluation. You have the right to seek comprehensive care, and a good physician will work with you to find the best solutions.

6. Monitoring Symptoms: Keep a journal of your symptoms, including frequency, intensity, and any triggers you notice. This information can be invaluable for your healthcare provider in diagnosing and treating your condition effectively.

In conclusion, addressing male urological concerns requires a holistic approach that includes medical treatment, lifestyle changes, and psychological support. If you feel your current treatment is ineffective, do not hesitate to seek a second opinion or explore alternative therapies. Remember, you are not alone in this journey, and there are resources and professionals available to help you navigate these challenges. Your health and well-being are paramount, and taking proactive steps can lead to significant improvements in your quality of life.

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