Seeking Help for Urological Issues: Expert Advice from Dr. Chou - Urology

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Response from the physician: Urology, Dr. Hsin-Pei Chou?


Your question: Hello, doctor! I'm too shy to seek medical attention, but I feel that the situation is serious, so I hope Dr.
Zhou can give me some advice.
Two months ago, during a sexual encounter, I experienced a severe tear of the frenulum, resulting in significant bleeding and a wound approximately 1 cm long and 0.2 cm wide.
I managed to stop the bleeding at the time but did not seek medical care.
At that moment, there was a prominent vein in the lower left area of the frenulum that appeared to be blocked and had burst.
After the wound healed, my nightmare began...
Now, during an erection, I find it very easy to lose firmness.
Although I can still insert, it just doesn't feel right.
The main issue is that I now ejaculate very easily, often without any sensation, which is completely different from before.
I can hardly engage in sexual activity anymore...
My girlfriend has gradually lost interest, and we are almost broken up...
I really don't know what to do...
Thank you for your response.
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Response from the doctor: Urology, Dr.
Zhou Xinpei's suggestion: Hello, regarding the issue of the frenulum tear you mentioned, I kindly advise you to visit a urology clinic in person for a thorough examination by a specialist to avoid impacting your daily life.
Thank you!
--------------------------------------------------------------
I apologize for bothering you again, but could you please advise me on where to go for an urgent consultation? I've already seen two doctors, but they don't plan to conduct any further examinations...
They just prescribed ointment for me to apply...
The wound has long since healed, and I don't know what I'm supposed to be applying it for.
Could you please tell me, Dr.
Zhou, who I should see? Which clinic would be most appropriate?

Xin, 20~29 year old female. Ask Date: 2012/09/26

Dr. Zhou Xinpei reply Urology


Hello: It is advisable to consult other specialists, as it is possible that psychological factors may be affecting your physical condition.
Please try to relax.
Thank you!

Reply Date: 2012/09/26

More Info


When it comes to urological issues, especially those stemming from trauma or injury, it is crucial to seek appropriate medical attention. Based on your description, it sounds like you experienced a significant injury during sexual activity, which has led to ongoing complications affecting your sexual function and overall well-being.
Firstly, the symptoms you are describing—difficulty maintaining an erection, premature ejaculation, and changes in sensation—can be indicative of several underlying issues, including physical trauma, nerve damage, or psychological factors stemming from the injury. It is understandable that you may feel embarrassed about seeking help, but it is essential to prioritize your health and well-being over any feelings of discomfort.

Given that you have already consulted with urologists who have not provided the in-depth examination you require, I would recommend seeking a second opinion from a different urologist, preferably one who specializes in sexual medicine or male reproductive health. These specialists are often more equipped to handle complex cases involving trauma and can provide a more comprehensive evaluation of your condition.

In terms of where to go, consider visiting a reputable medical center or hospital that has a dedicated urology department. Look for clinics that have urologists with a focus on sexual dysfunction or trauma-related injuries. You may also want to inquire about any specialized sexual health clinics in your area, as they can offer a more tailored approach to your concerns.

During your appointment, be open and honest about your symptoms and the impact they have had on your life. It may be helpful to prepare a list of questions or concerns beforehand to ensure that you cover everything during your visit. For instance, you might want to ask about potential diagnostic tests, treatment options, and whether any psychological support might be beneficial in your recovery process.

Additionally, if you are experiencing significant emotional distress due to these changes, consider seeking support from a mental health professional who specializes in sexual health. They can help you navigate the psychological aspects of your situation, which may be contributing to your physical symptoms.

In summary, while it can be daunting to address sensitive issues like this, it is vital to seek the appropriate medical care. A specialized urologist can provide the necessary evaluations and treatments to help you regain your sexual health and improve your quality of life. Remember, you are not alone in this, and many healthcare professionals are ready to assist you in your journey toward recovery.

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