Understanding Elevated PSA and PHI: Next Steps for Prostate Health
Elevated PSA levels, PHI > 36? Hello, doctor. I have been under follow-up for over a year. My PSA levels were 4.2 a year ago, then 4.1 after 3 months, 3.6 after another 3 months, and recently 4.6 after 6 months. Additionally, my self-paid PHI is 40.5, which is greater than 36....
Dr. Li Xinyi reply Urology
If there is a family history of prostate cancer, such as a father with a related history, it is advisable to consider a biopsy more proactively. Otherwise, if the PSA level is slightly elevated but the MRI does not show any potential lesions, close monitoring may still be an opti...[Read More] Understanding Elevated PSA and PHI: Next Steps for Prostate Health
Understanding Genital Herpes: Diagnosis, Misdiagnosis, and Family Planning
Genital herpes Hello, I recently noticed red spots on the inner side of my foreskin after retracting it, specifically in the area of the non-retracted folds. The red spots are itchy, and they hurt when exposed to water during bathing. The next day, I visited a urologist and found...
Dr. Li Xinyi reply Urology
The general IgG antibody test typically detects antibodies after an approximate window period of three months. If there is a concern, it is advisable to retest three months later. The symptoms of genital herpes can vary significantly; the purulent discharge and crusting you menti...[Read More] Understanding Genital Herpes: Diagnosis, Misdiagnosis, and Family Planning
Understanding Recurring Urethritis: Causes and Solutions
Recurrent urethritis? I have been experiencing recurrent urethritis for the past six months. Each time, it improves after taking antibiotics for about a week, but it relapses after a period of time (ranging from two weeks to two months). Bacterial cultures have shown no bacteria....
Dr. Li Xinyi reply Urology
If you had a girlfriend last January, she must also undergo complete treatment and follow-up examinations; otherwise, there is a risk of cross-infection. Otherwise, there is a possibility of being reinfected with a sexually transmitted infection, along with pathogens that may not...[Read More] Understanding Recurring Urethritis: Causes and Solutions
Understanding White Spots Near the Glans: When to See a Doctor
Around the glans? Hello doctor, I would like to ask about the three white spots located next to the glans, which I have pinched with my thumb in the photo center. What could these be? Do I need to see a doctor? The photos are in the following five links, and the password is 999. ...
Dr. Li Xinyi reply Urology
I'm really sorry, I usually don't click on links. In my previous experiences, I often couldn't see clearly. I still recommend that you visit a urologist for an in-person examination.[Read More] Understanding White Spots Near the Glans: When to See a Doctor
Understanding Testicular and Prostate Inflammation: Causes and Concerns
Unexplained Orchitis and Prostatitis Hello doctor, I would like to explain from the beginning. Starting from July 12, when I went to work, I suddenly experienced discomfort and pain in my right testicle. Later, I visited a urology clinic in San Chong, New Taipei City, where the d...
Dr. Li Xinyi reply Urology
Excessive exercise leading to excessive sweating and reduced urine output should be avoided, especially in your case. Additionally, prolonged activities such as cycling, DIY projects, or sexual intercourse, along with high stress levels, insufficient sleep, and poorly managed chr...[Read More] Understanding Testicular and Prostate Inflammation: Causes and Concerns
Understanding Ejaculation Pain: Causes and Concerns for Men
Ejaculatory pain Since around June 26, I have experienced a sharp pain in my right thigh at the moment of ejaculation while masturbating. I usually ejaculate multiple times in one session (not sure if this is normal, as I have phimosis), and each time I ejaculate, I feel pain. I ...
Dr. Li Xinyi reply Urology
It is recommended to consult a urologist regarding the issue of phimosis to determine if treatment is necessary, as improving hygiene may be more important. This could potentially alleviate some of the nonspecific symptoms you described.[Read More] Understanding Ejaculation Pain: Causes and Concerns for Men
Mild Pain at Urethral Opening During Urination: Possible Causes Explained
Mild pain at the urethral opening during urination? Hello, I initially sought medical attention due to painful urination (without burning sensation or discharge). After a urinalysis, all values were normal, and there were no common signs of inflammation. Later, upon examining the...
Dr. Li Xinyi reply Urology
It sounds like there may be urethral discharge; it is recommended to see a urologist for an examination and further discussion with the physician.[Read More] Mild Pain at Urethral Opening During Urination: Possible Causes Explained
Understanding Epididymitis: Symptoms, Diagnosis, and Treatment Options
Epididymitis issues? Doctor, I would like to inquire about my situation. On June 12, I had unprotected intercourse with a sex worker. The next day, I experienced severe itching in my scrotum, which turned into intense pain by June 17. On June 19, I visited a urologist and had a u...
Dr. Li Xinyi reply Urology
The diagnosis of sexually transmitted infections (STIs) can be quite challenging, especially if you have undergone multiple courses of antibiotic treatment. My recommendation is to either closely follow up with a physician for empirical antibiotic therapy or visit a sexually tran...[Read More] Understanding Epididymitis: Symptoms, Diagnosis, and Treatment Options
Possibility of Unmarried Male Vasectomy: Understanding the Regulations and Options
The likelihood of unmarried men undergoing sterilization? Hello, I would like to inquire about the possibility of voluntary sterilization for unmarried men. I have seen that most discussions online interpret the Eugenics Protection Act, which states that individuals who do not me...
Dr. Li Xinyi reply Urology
Generally, sterilization procedures are not intended to treat diseases, and therefore, health insurance does not cover them. This requires a consensus between the physician and the applicant. Essentially, applicants are typically middle-aged or older, and after reaching an agreem...[Read More] Possibility of Unmarried Male Vasectomy: Understanding the Regulations and Options
Is It Normal for One Testicle to Be Larger and Lower?
Testicular issues I recently noticed that my right testicle is larger and hangs lower than the left one. The right one is slightly bigger than my hand, while the left one is about the same size as my hand. I would like to ask if this is normal, as I haven't felt any noticeab...
Dr. Li Xinyi reply Urology
Based on your description, it doesn't seem like there is a specific issue; however, if you have concerns, it is still advisable to undergo an ultrasound examination in the urology department and discuss it further with your physician.[Read More] Is It Normal for One Testicle to Be Larger and Lower?
Understanding Red Rash Around the Glans: Causes and Solutions
Rash around the glans penis? Hello, doctor. Recently, I had urethritis and was taking medication for it, but I continued my habit of masturbation every day. This morning, I noticed a rash around the glans and some discomfort. Could this symptom indicate that my urethritis has not...
Dr. Li Xinyi reply Urology
It is recommended not to wash too thoroughly with soap; rinsing with clean water is sufficient. During hot and humid summer months, the skin is more prone to inflammatory reactions, so it is important to keep the perineal area well-ventilated and cool. Of course, inflammation cou...[Read More] Understanding Red Rash Around the Glans: Causes and Solutions
Understanding Pain After Ejaculation: Possible Causes and Solutions
Experiencing slight pain in the penile urethra after consecutive ejaculations? Masturbating approximately every 2 to 3 days, and experiencing mild pain at the junction of the pubic hair and penis after ejaculating twice in a row a few days ago, along with an increased frequency o...
Dr. Li Xinyi reply Urology
Frequent urination or pain may indicate a urinary tract infection, and it is recommended to see a urologist for an examination.[Read More] Understanding Pain After Ejaculation: Possible Causes and Solutions
Can You Continue Exercise with Varicocele? A Runner's Guide
Varicocele Hello, doctor. About a month ago, I visited a urologist due to some pain in my testicles. The doctor diagnosed me with mild varicocele and prescribed some anti-inflammatory medication along with other drugs, but did not clarify whether the pain was caused by the varico...
Dr. Li Xinyi reply Urology
You can do any activity, but the most important thing is to avoid excessive vigorous exercise, prolonged aerobic workouts, or exercising in excessively hot environments. A common characteristic of these activities is a decrease in urine output, which can easily lead to urinary sy...[Read More] Can You Continue Exercise with Varicocele? A Runner's Guide
Can You Use Acyclovir for Balanitis? Understanding Treatment Options
Medication application issues? Can the blue can of Astringent Gold Iodine solution be used for glans and foreskin inflammation?
Dr. Li Xinyi reply Urology
Povidone-iodine can be applied topically, but its effectiveness may be limited. It is recommended to consult a urologist for examination and further treatment.[Read More] Can You Use Acyclovir for Balanitis? Understanding Treatment Options
Understanding Penile Discomfort After Frequent Ejaculation: Causes and Solutions
Mild pain in the penile urethra after consecutive ejaculations? Masturbating approximately every 2 to 3 days, and experiencing mild pain at the junction of the pubic hair and penis after ejaculating twice in a row a few days ago, along with an increased frequency of urination (wi...
Dr. Li Xinyi reply Urology
It sounds like it could be prostatitis (possibly related to the sudden increase in frequency), or it may be urethritis or cystitis. It is recommended to see a urologist for an examination and discuss it further with the physician.[Read More] Understanding Penile Discomfort After Frequent Ejaculation: Causes and Solutions
Understanding Watery Semen: Causes and Concerns in Urology
The semen appears watery? Hello doctor, I have noticed that after a longer period of abstinence (about a few weeks), the semen I ejaculate is very fluid and watery. However, I read that semen after a longer duration of ejaculation should be thick and viscous. What could be the po...
Dr. Li Xinyi reply Urology
Watery semen may indicate issues with semen quality, prostatitis, or varicocele, and could also be related to insufficient zinc intake. If there are concerns, it is advisable to consult a urologist for examination.[Read More] Understanding Watery Semen: Causes and Concerns in Urology
Chronic Prostatitis: Understanding Causes, Treatments, and Antibiotic Options
Prostatitis Hello Doctor, I have been suffering from chronic prostatitis for almost two years. During this time, I have tried many medications and consulted various doctors, but my prostate still tends to become inflamed repeatedly. I would like to ask a few questions: 1. I ha...
Dr. Li Xinyi reply Urology
Both cultures showed growth, which indeed suggests a possible infection. Enterococci have strong antibiotic resistance and can easily develop resistance to quinolones. If it really doesn't work, we may need to consider hospitalization for intravenous antibiotics based on the...[Read More] Chronic Prostatitis: Understanding Causes, Treatments, and Antibiotic Options
Understanding Tamsulosin Side Effects: Impact on Ejaculation and Recovery
Drug side effects Due to prostatitis, the doctor prescribed Tamsulosin HCl. I found online that it can cause retrograde ejaculation. Recently, I have been experiencing orgasms during masturbation but noticed that no semen is being expelled. Will this condition return to normal af...
Dr. Li Xinyi reply Urology
Yes, it will return to normal after stopping the medication for two to three days.[Read More] Understanding Tamsulosin Side Effects: Impact on Ejaculation and Recovery
Left Prostate Nodule Found During Exam: Is Cancer a Concern?
There is a hard mass on the left side during digital rectal examination, and the PSA level is normal? Hello doctor, I previously had aseptic prostatitis, and whenever I accidentally ate something too spicy, I would experience symptoms including a tight, heavy feeling in the perin...
Dr. Li Xinyi reply Urology
Basically, it resembles a phenomenon of fibrosis following inflammation, and the likelihood of cancer is very low. However, no doctor can provide an absolute guarantee; a definitive diagnosis requires a biopsy. If a biopsy is not performed, careful monitoring in an outpatient set...[Read More] Left Prostate Nodule Found During Exam: Is Cancer a Concern?
Understanding Recurring Ulcers: Herpes Diagnosis and Testing Accuracy
A ulcer-like lesion appeared beneath the glans, diagnosed as herpes. There has been one recurrence. Blood tests showed no herpes infection. Inquire about the accuracy of the test? Previously, frequent masturbation led to a skin tear below the coronal sulcus (without ulceration). ...
Dr. Li Xinyi reply Urology
Based on your description, the sexually transmitted infection (STI) tests are mostly negative. If there are deeper ulcers, the primary concern is likely a bacterial infection (which may also be accompanied by a viral infection). If there is also dampness, such as in the case of n...[Read More] Understanding Recurring Ulcers: Herpes Diagnosis and Testing Accuracy