Urological Concerns: Addressing Symptoms and Anxiety

Q: Urological Concerns: Addressing Symptoms and Anxiety

Ray： Hello, I don't think it's a prostate issue. <br>It could be autonomic nervous system dysfunction. <br>This is likely a lifestyle-related condition, and there have been many cases in recent years. <br>Spending too much time in air-conditioned rooms, lack of exercise, and not

It feels strange there?

Hello doctor, I would like to ask you about my current situation.
I am 21 years old and have a habit of masturbating 1-2 times a week.
However, a few weeks ago, I suddenly lost my sex drive.
Recently, I decided to test myself by masturbating, and shortly after, I ejaculated, but the fluid was clear and contained some particles.
At that moment, I felt a strange sensation on the left side, but it wasn't painful.
After ejaculation, I experienced some soreness on both sides of my penis for a while.

I have researched online and feel like I might have prostatitis.
Recently, I've been experiencing a warm, itchy sensation in my bladder, and my kidneys feel warm intermittently, which is bothersome.
Sometimes, I also feel soreness in my lower back on both sides, and my abdomen feels uncomfortable.
I have already visited a urologist, who conducted tests on my urine, kidneys, and X-rays.
The doctors said there was no inflammation, no blood in my urine, no white blood cells, and no stones, so they couldn't find a diagnosis.
I have seen all the urologists at that hospital, and none could identify the issue.

I do not experience pain while urinating, during erections, or ejaculation, and there is no blood in my urine or frequent urination.
However, sometimes I feel soreness on the right side of my penis.
Recently, I have noticed that I sometimes have to stand for a moment before I can urinate, while other times I don't.
When I feel the urge to urinate, my penis seems to retract a bit, and the force of my urine stream doesn't feel as strong as before.
All the doctors have told me that I am very young and that it is unlikely to be a prostate issue, but this problem has been bothering me for 2-3 weeks now.
I previously had irritable bowel syndrome; could that be causing these symptoms?

ray, 20~29 year old female. Ask Date: 2015/12/28

Dr. Xu Weikai reply Urology

Ray: Hello, I don't think it's a prostate issue.
It could be autonomic nervous system dysfunction.
This is likely a lifestyle-related condition, and there have been many cases in recent years.
Spending too much time in air-conditioned rooms, lack of exercise, and not sweating for a long time may contribute to this.
I recommend regular exercise, at least 40-60 minutes each time, 3-5 times a week.
If you commit to exercising seriously, you could see improvement in 1-2 weeks.
If you have any further questions, feel free to ask, and we can discuss and research together.
Please note that online responses should only serve as a reference; if necessary, you should seek medical attention at a healthcare facility.
This message is from Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2015/12/28

More Info

It sounds like you're experiencing a range of symptoms that are causing you significant concern and anxiety. Based on your description, it seems you have been dealing with changes in sexual desire, discomfort in the genital area, and some urinary symptoms. While I cannot provide a diagnosis, I can help you understand some potential factors and considerations regarding your situation.

Firstly, the sudden decrease in libido can be attributed to various factors, including psychological stress, hormonal changes, or even lifestyle factors such as diet, exercise, and sleep. Given your age, hormonal fluctuations are common, and they can impact sexual desire. Additionally, anxiety and stress can significantly affect libido. If you are feeling anxious about your symptoms, this could create a cycle where anxiety further decreases your sexual desire.

The symptoms you describe, such as the transparent fluid with particles and the occasional discomfort in the penis, could be concerning. However, since you have already seen multiple urologists and undergone tests that have ruled out infections, stones, or other acute issues, it is essential to consider other non-infectious causes. Conditions like prostatitis (inflammation of the prostate) can sometimes present with similar symptoms, even in younger individuals. However, if the doctors have ruled this out, it may be worth exploring other avenues.

Your mention of having irritable bowel syndrome (IBS) could also be relevant. IBS can lead to increased anxiety and stress, which may manifest in various physical symptoms, including those in the pelvic region. The gut-brain connection is well-documented, and stress can exacerbate gastrointestinal symptoms, which in turn can lead to increased anxiety about bodily functions, including sexual and urinary health.

It's also worth noting that psychological factors can lead to physical symptoms. Anxiety can manifest in various ways, including muscle tension and discomfort in different areas of the body. If you are experiencing anxiety about your health, it may be beneficial to address this through counseling or therapy. Cognitive-behavioral therapy (CBT) is particularly effective for managing anxiety and can help you develop coping strategies.

In terms of your urinary symptoms, the feeling of needing to stand to urinate or a decrease in the force of your urine stream can sometimes be related to pelvic floor muscle tension or anxiety. Pelvic floor dysfunction can occur due to stress and anxiety, leading to symptoms that mimic urinary tract issues. A pelvic floor physical therapist could help assess and treat any underlying muscle tension or dysfunction.

Given that your symptoms have persisted for several weeks, it may be beneficial to follow up with a healthcare provider who specializes in pelvic health or a mental health professional who can help you manage anxiety. They can provide a comprehensive evaluation and work with you to develop a treatment plan that addresses both your physical and psychological symptoms.

In conclusion, while your symptoms are concerning, the absence of significant findings on medical tests is a positive sign. It is essential to continue seeking support and exploring both physical and psychological avenues to address your symptoms. Remember, you are not alone in this, and there are professionals who can help you navigate these challenges.

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