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Can Tadalafil and Finasteride Be Safely Taken Together Long-Term?

Can Tadalafil and Finasteride be taken together? Hello Dr. Tsai, I have been experiencing issues with male pattern baldness and started taking finasteride. Initially, I was on Propecia, but later switched to finasteride. However, I have experienced significant side effects such a...


Dr. Cai Zhuorong reply Urology
1. It is possible. 2. Medication can be stopped directly. 3. It should be determined based on individual needs.

[Read More] Can Tadalafil and Finasteride Be Safely Taken Together Long-Term?


Managing Side Effects of Wart Cream: What You Need to Know

Topical medication for warts (cauliflower) side effects? On July 1st, I visited the urology clinic, and the doctor diagnosed me with genital warts. He prescribed an external ointment called "Anyou" to be applied once daily before bedtime for treatment. Starting July 8th...


Dr. Cai Zhuorong reply Urology
The usage of Podophyllotoxin is three times a week, which can be scheduled for application at bedtime on Monday, Wednesday, and Friday, or Tuesday, Thursday, and Saturday. Treatment should continue until the genital or anal area is completely cleared, or for a maximum of 16 weeks...

[Read More] Managing Side Effects of Wart Cream: What You Need to Know


Understanding Urinary Symptoms After Unsafe Sexual Practices: What You Need to Know

Unsafe sexual behavior Recently, I had unprotected sexual intercourse, and it has been three weeks without any symptoms of a sexually transmitted infection (STI). The only issue I have is an increased urge to urinate, but I do not experience nocturia. Should I consider this frequ...


Dr. Cai Zhuorong reply Urology
It is recommended to seek medical attention for an examination.

[Read More] Understanding Urinary Symptoms After Unsafe Sexual Practices: What You Need to Know


Understanding Testicular Discomfort from Frequent Masturbation

Issues related to masturbation? I currently masturbate every two days, occasionally once a day. 1. When I masturbate once a day, sometimes I experience a slight dull pain in my testicles. Is there any issue with this? 2. Are there any methods to prevent any unusual sensations whe...


Dr. Cai Zhuorong reply Urology
Medications may help alleviate your discomfort.

[Read More] Understanding Testicular Discomfort from Frequent Masturbation


Understanding Coronary Groove Pain After Unintentional Exposure

Coronal groove issues? I accidentally pulled down my foreskin while masturbating, and as a result, the glans and the coronal sulcus were exposed (it was the first time I saw it). That day, I experienced pain in the glans. How many days will it take to heal?


Dr. Cai Zhuorong reply Urology
If the pain persists, you can seek medical attention to obtain a prescription for topical ointment treatment.

[Read More] Understanding Coronary Groove Pain After Unintentional Exposure


Understanding Treponemal Tests: Can a Negative Result Rule Out Syphilis?

Syphilis testing If the last vaginal intercourse occurred on March 15 and a Treponemal test for syphilis was conducted on April 29 with a negative result, it is likely that syphilis infection can be ruled out, especially since there are no symptoms present. However, it is importa...


Dr. Cai Zhuorong reply Urology
The incubation period for primary syphilis is approximately 10 to 90 days.

[Read More] Understanding Treponemal Tests: Can a Negative Result Rule Out Syphilis?


Understanding Testicular Discomfort: Causes and Solutions

The scrotal skin is very tight? Hello doctor, yesterday after waking up, I noticed that the skin on my right testicle feels tight, almost like it got pinched. The sensation persists when I touch it, and whenever I move my right leg or walk, I feel a tightness in the skin of the t...


Dr. Cai Zhuorong reply Urology
It is recommended that you seek medical attention for a physician's examination.

[Read More] Understanding Testicular Discomfort: Causes and Solutions


Understanding HPV and STD Symptoms: What You Need to Know After Exposure

Cauliflower (Condylomata Acuminata) Hello Doctor, On April 2nd, I engaged in sexual activity with a woman. During this time, she performed oral sex on me without a condom and also had unprotected contact with my scrotum, while I used a condom for vaginal intercourse. I was very...


Dr. Cai Zhuorong reply Urology
The incubation period for various diseases varies. If you have any concerns, it is advisable to seek medical attention. Sexually transmitted infections (STIs) are primarily transmitted through sexual contact and rarely through other means. There is no need to undergo circumcision...

[Read More] Understanding HPV and STD Symptoms: What You Need to Know After Exposure


Understanding Fever After Urethritis: Is It a Cause for Concern?

Fever after urethritis? After going to the hospital for an X-ray, ultrasound, and urinalysis (hematuria), the doctor diagnosed me with urethritis. I was prescribed five medications: Doxycycline capsules, Sulfamethoxazole/Trimethoprim film-coated tablets, Ketorolac film-coated tab...


Dr. Cai Zhuorong reply Urology
If symptoms persist after taking medication, it is recommended to seek medical attention promptly.

[Read More] Understanding Fever After Urethritis: Is It a Cause for Concern?


Understanding Scrotal Lesions: What Could That Spot Be?

Scrotal foreign body Hello doctor, I would like to ask: Recently, while cleaning my scrotum, I noticed a small spot on it, about the size of a mole. It appeared black at first glance, but when I took a photo, it looked black from some angles. However, when I took a second photo w...


Dr. Cai Zhuorong reply Urology
It is recommended that you seek medical attention for a physician's examination.

[Read More] Understanding Scrotal Lesions: What Could That Spot Be?


Understanding STD Infection Risks from Contaminated Bedding

Questions about sexually transmitted infections (STIs) Hello doctor, last week when I was abroad, I sweated a lot at night in the hotel because it was too hot. I was startled awake by the sensation of being wet and realized that not only my clothes were soaked, but the bed was al...


Dr. Cai Zhuorong reply Urology
The probability is very low.

[Read More] Understanding STD Infection Risks from Contaminated Bedding


Can You Catch STDs from Public Restroom Faucets? Expert Insights

Concern about sexually transmitted infections (STIs) Hello, doctor. If I use a faucet in a public restroom to wash my hands and the water is automatically dispensed, causing water to spray everywhere, is it possible that if the previous person had a sexually transmitted infection...


Dr. Cai Zhuorong reply Urology
Cauliflower, gonorrhea, and syphilis are rarely transmitted through indirect contact.

[Read More] Can You Catch STDs from Public Restroom Faucets? Expert Insights


Understanding Penis Sensitivity Issues After Masturbation

Penile issues After masturbating today, my penis felt numb for a while and I had some difficulty achieving an erection. Currently, my overall sensation is normal, with a normal temperature. However, I have reduced sensitivity in the upper part, while the lower part feels normal.


Dr. Cai Zhuorong reply Urology
If symptoms persist, it is advisable to seek medical attention.

[Read More] Understanding Penis Sensitivity Issues After Masturbation


Assessing HIV Risk: Safe Practices in Oral and Manual Sex

Oral sex, intercourse, masturbation, HIV? If both partners used condoms during oral and penetrative sex but did not use protection during mutual masturbation, the risk of HIV transmission is generally low. However, it is important to consider other sexually transmitted infections...


Dr. Cai Zhuorong reply Urology
The probability is low, but if there are concerns, it is recommended to undergo anonymous screening.

[Read More] Assessing HIV Risk: Safe Practices in Oral and Manual Sex


Where to Get STD Testing and 7-in-1 Screening in Changhua?

Sexually Transmitted Infection (STI) Testing I would like to inquire about where to find sexually transmitted disease (STD) testing or a seven-in-one STD screening service in Changhua, as well as detailed pricing information. Thank you.


Dr. Cai Zhuorong reply Urology
Our hospital does not offer this screening service.

[Read More] Where to Get STD Testing and 7-in-1 Screening in Changhua?


Can Herpes Symptoms Appear Just One Day After Exposure?

Is it possible for herpes to appear the next day? Hello, I had sexual intercourse with a woman recently, and during oral sex, I did not use a condom. The next day, I noticed a ring of small spots on the corona and four small white blisters near the frenulum. After noticing this, ...


Dr. Cai Zhuorong reply Urology
You can visit the outpatient clinic for an evaluation.

[Read More] Can Herpes Symptoms Appear Just One Day After Exposure?


Concerns About HIV After High-Risk Behavior: Symptoms and Testing Explained

Concerned about being diagnosed with HIV? I apologize for the interruption. After engaging in high-risk behavior on October 6, I began experiencing a dry sore throat a week later. After seeking medical attention, my condition improved until early November when I developed a high ...


Dr. Cai Zhuorong reply Urology
If there are any concerns, another blood test can be performed.

[Read More] Concerns About HIV After High-Risk Behavior: Symptoms and Testing Explained


Understanding Prostate Enlargement: Cialis and Ginkgo Biloba Combination Therapy

Benign Prostatic Hyperplasia (BPH) Hello doctor, I have benign prostatic hyperplasia and overactive bladder. I previously started taking medications for these conditions, including Cialis and medications for overactive bladder. Sometimes I also take Viagra. During my follow-up ap...


Dr. Cai Zhuorong reply Urology
The effects of Cialis may be more pronounced than those of Ginkgo biloba, so you might consider taking Cialis alone.

[Read More] Understanding Prostate Enlargement: Cialis and Ginkgo Biloba Combination Therapy


Assessing STD Risk After Unprotected Oral and External Contact

What is the probability of contracting a sexually transmitted infection (STI) in this situation? Hello, engaging in unprotected oral sex with a sex worker, as well as unprotected external rubbing (with lubricant), followed by protected intercourse, and then immediately showering,...


Dr. Cai Zhuorong reply Urology
There is still a chance of infection; if there are any concerns, it is recommended to seek medical attention for evaluation.

[Read More] Assessing STD Risk After Unprotected Oral and External Contact


Understanding Recurrent Balanitis: Causes, Treatments, and Prevention

Recurrent balanitis seems to be persistent and difficult to resolve? Last October, I developed balanitis, and the doctor prescribed a steroid ointment. After using it, I saw significant improvement, but three weeks later, it turned into posthitis-balanitis (symptoms included: red...


Dr. Cai Zhuorong reply Urology
If there are recurrent inflammations, circumcision may be considered.

[Read More] Understanding Recurrent Balanitis: Causes, Treatments, and Prevention


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