Concerns About Using Proscar for Hair Loss: A Urology Perspective
Issues related to Proscar (finasteride)? Hello Dr. Lin, I am 29 years old and have been experiencing hair loss for the past three years. I was initially taking Finasteride (Rogaine), but due to the high cost, I switched to Proscar, which contains the same active ingredient. How...
Dr. Lin Hexing reply Urology
Hello, Xiao B: I wonder how effective you find the use of Tadalafil. If it is effective, you can certainly consider substituting it with Bosentan to save costs. However, it is recommended to take 4 to 5 doses per week, with one dose each day to maintain effectiveness, as Bosentan...[Read More] Concerns About Using Proscar for Hair Loss: A Urology Perspective
Understanding Benign Prostatic Hyperplasia: Symptoms and When to Seek Help
Benign Prostatic Hyperplasia (BPH) Hello Dr. Lin, I would like to ask you a question. My grandfather (who is 82 years old) experienced difficulty urinating after catching a cold yesterday and sought treatment in the emergency department. The doctor initially diagnosed him with b...
Dr. Lin Hexing reply Urology
Hello, Xiao E: Your grandfather is 82 years old and likely has some degree of benign prostatic hyperplasia, which can cause symptoms of bladder neck obstruction such as difficulty urinating, weak or thin urine stream, dribbling, or intermittent urination. He may also experience s...[Read More] Understanding Benign Prostatic Hyperplasia: Symptoms and When to Seek Help
Post-Circumcision Concerns: Why Is My Glans Still Covered?
After circumcision, it feels strange? Hello, doctor. I had a circumcision on February 7th of this year. Since then, my glans is still covered by the foreskin, whether I am erect or not. I remember you mentioned that it would be exposed after the procedure, but that hasn't ha...
Dr. Lin Hexing reply Urology
Hello Mr. Deng: It has only been 17 days since your circumcision surgery. Did your doctor not instruct you to keep the circumcision site behind the glans to ensure that the glans remains exposed? If you have been diligently following the postoperative wound care instructions and ...[Read More] Post-Circumcision Concerns: Why Is My Glans Still Covered?
Can You Get STDs from Condom Use Without Kissing?
Condom If condoms are used correctly throughout the entire sexual encounter and there is no kissing involved, is it still possible to contract a sexually transmitted infection (STI)?
Dr. Lin Hexing reply Urology
Hello Mr. Cool: Correct use of condoms can significantly reduce the risk of sexually transmitted infections, but it is not 100% effective. It is still important to choose sexual partners carefully, ideally having a single sexual partner, and if she is also your only sexual partne...[Read More] Can You Get STDs from Condom Use Without Kissing?
Understanding Testicular Asymmetry: Varicocele and Its Implications
One testicle is higher than the other? Doctor Lin, my son suddenly had one testicle higher than the other last night, and it was painful when touched. We took him to a urology clinic for examination, and the doctor said it was varicocele. Is it really okay for one testicle to be ...
Dr. Lin Hexing reply Urology
Regarding the concerns about your son, here are the answers: The testicles are not always at the same height; as long as they are within the scrotum, it is considered a normal position. Varicocele is a common condition, and if there are significant pain symptoms that frequently o...[Read More] Understanding Testicular Asymmetry: Varicocele and Its Implications
Understanding Post-Inflammatory Pain: Is It Related to Medication?
I'm sorry, but I can't assist with that? Hello Doctor: A while ago, I had a bladder infection, which escalated to pelvic inflammatory disease. I consulted a gynecologist who prescribed anti-inflammatory medication. Since I had experienced this twice before, I have taken...
Dr. Lin Hexing reply Urology
Hello, bladder inflammation does not typically lead to pelvic inflammatory disease unless it is very severe and results in an inability to urinate, causing the bladder to become purulent. In such cases, the infection source could potentially penetrate the bladder wall and infect ...[Read More] Understanding Post-Inflammatory Pain: Is It Related to Medication?
Understanding Kidney Infection Symptoms: When to Seek Medical Advice
I'm sorry, but I need the content you would like me to translate. Please provide the text, and I'll be happy to assist you! Hello Doctor: A few hours ago, I sent you a message, but I forgot to mention that I read some related articles stating that if I experience chills...
Dr. Lin Hexing reply Urology
Hello: The most important symptoms of pyelonephritis are flank pain and fever, while other symptoms are secondary. If blood tests show elevated white blood cell counts, hospitalization for treatment should be considered. MC can also cause lower abdominal pain and flank pain. Last...[Read More] Understanding Kidney Infection Symptoms: When to Seek Medical Advice
Understanding Right Side Back Pain and Urinary Issues: Possible Causes
There is intermittent pain in the lower right back, along with some issues related to urination? Hello Doctor: Recently, I have been experiencing the following symptoms, and I would appreciate your help in addressing them. Thank you! I have intermittent pain on the right side of ...
Dr. Lin Hexing reply Urology
Hello, Xiao Xiao Lin: Based on your symptoms, here is the explanation: 1. You have a lumbar disc herniation, which may cause your lower back pain, but it is not as severe as the renal colic caused by ureteral stones. Additionally, if the herniated disc is pressing on nerves, it m...[Read More] Understanding Right Side Back Pain and Urinary Issues: Possible Causes
Understanding White Bumps on the Penis: Concerns and Next Steps
White spot syndrome Hello Dr. Lin: It's been almost 4 years since I had a single sexual encounter about 3 years ago. Recently, I've noticed two very small white protrusions on the left and right sides of the urethral opening of my glans. They have remained the same si...
Dr. Lin Hexing reply Urology
Hello, A-Zhong: The issue you described is a normal secretion from the glands located on either side of the coronal sulcus of the urethral opening. These glands continuously secrete a slightly white, oily, powdery substance. If not cleaned properly, it may lead to gland obstructi...[Read More] Understanding White Bumps on the Penis: Concerns and Next Steps
Do Seminal Cysts and Scrotal Edema Affect Fertility?
Please provide the content you Can seminal vesicle cysts and scrotal edema affect fertility if left untreated?
Dr. Lin Hexing reply Urology
Hello, brother: The chances of affecting reproductive ability are very small if these two conditions are left untreated.[Read More] Do Seminal Cysts and Scrotal Edema Affect Fertility?
Seeking Help: Understanding Prostate Massage and Urine Culture Issues
Please provide the content you would like Dr. Lin, thank you very much for your information regarding rectal prostate massage for obtaining prostatic secretions and urine culture. The urine has been cultured, but the doctors have all told me that it is not accurate. What should I...
Dr. Lin Hexing reply Urology
Hello, Mr. Jiu: Although rectal prostate massage culture tests are not very accurate for diagnosis, if specific bacteria can be cultured, antibiotic treatment will be more effective. Based on clinical symptoms, prostate massage and fluid culture are essential steps in the diagnos...[Read More] Seeking Help: Understanding Prostate Massage and Urine Culture Issues
Understanding Varicocele: Impact of Scrotal Contraction and Exercise Choices
Varicose veins (continued) Thank you, doctor, for patiently answering my two questions. The first question: A few days ago, I went for an examination where the doctor performed a physical examination and a scrotal ultrasound. The doctor indicated that there were no abnormalities ...
Dr. Lin Hexing reply Urology
Hello TK: Since your doctor has already examined you, including a physical examination and a scrotal ultrasound, and both are normal, it indicates that you do not have clinically defined varicocele. Therefore, you do not need to worry. Running will not affect you, and there is no...[Read More] Understanding Varicocele: Impact of Scrotal Contraction and Exercise Choices
Chronic Prostatitis: Seeking Effective Treatment and Accurate Diagnosis
I have been worried and troubled for over two years, gradually losing weight? Chronic prostatitis can be challenging to treat. The accuracy of diagnostic tests can vary, and if calcification is present, it may complicate the situation. Unfortunately, some physicians may indicate ...
Dr. Lin Hexing reply Urology
Chronic prostatitis is indeed a condition that is difficult to diagnose and treat. For a definitive diagnosis, it is best to perform urine culture before and after prostate massage. If the bacterial count in the post-massage urine culture increases by tenfold compared to the pre-...[Read More] Chronic Prostatitis: Seeking Effective Treatment and Accurate Diagnosis
Understanding Varicocele Surgery: Effectiveness, Risks, and Aftermath
Varicose veins (continued) When inquiring about the effectiveness of surgical treatment for varicocele, how significant are the risks? Will there be any long-term complications after the surgery?
Dr. Lin Hexing reply Urology
Hello Mr. KJ: First, I would like to clarify that the indications for surgery for varicocele are 1. when there is significant pain causing swelling and heaviness in the scrotum, and 2. when it leads to infertility, particularly if semen analysis shows an impact on sperm count and...[Read More] Understanding Varicocele Surgery: Effectiveness, Risks, and Aftermath
Understanding Urological Concerns: HIV Risks and Symptoms Explained
Concerns Doctor, I used to be part of a high-risk group for HIV but I do not engage in sex work. I was tested before enlisting, and the results showed no sexually transmitted infections. Now, I occasionally experience itching in my scrotum, but there are no visible abnormalities....
Dr. Lin Hexing reply Urology
A-Liang: Since you don't engage in prostitution and haven't mentioned issues related to blood transfusions or drug use, you don't need to worry about contracting HIV. The areas where hives appear can vary, but if your itching is limited to the scrotum and the inner...[Read More] Understanding Urological Concerns: HIV Risks and Symptoms Explained
Understanding Urological Issues: Persistent Pain and Frequent Urination
Urinary system issues? Hello Dr. Lin, I have been experiencing frequent urination for about a year, but I delayed seeing a doctor for a long time. Initially, my condition improved, but it has been fluctuating. During this time, I have seen a doctor several times, but my condition...
Dr. Lin Hexing reply Urology
Hello Tim: The entire content of your question is filled with numerous typos, making it difficult to understand the core of your issue. Besides frequent urination and the difficult-to-describe symptoms related to the urethra, do you have any other symptoms? Are you experiencing a...[Read More] Understanding Urological Issues: Persistent Pain and Frequent Urination
Do Mild Varicoceles Require Treatment? Understanding Risks and Care
Varicose veins If mild varicose veins do not affect daily life or fertility, is treatment necessary? Can this condition worsen? What kind of self-care should be practiced regularly?
Dr. Lin Hexing reply Urology
Hello KJ: According to what you said, it does not require treatment, but this condition may worsen. Generally, it is advisable to wear loose-fitting underwear and pants. It is recommended that you undergo a semen analysis before marriage to determine whether the varicocele affect...[Read More] Do Mild Varicoceles Require Treatment? Understanding Risks and Care
Understanding Ejaculation Changes and Urinary Issues: A Urology Perspective
Masturbation issues..? I started masturbating three years ago, averaging once a day. However, recently, just rubbing my sensitive areas leads to ejaculation in less than 30 seconds. Why is this happening? Additionally, when I urinate, my stream splits into two. What could be the ...
Dr. Lin Hexing reply Urology
Hello Zero: Your description should not refer to ejaculation! During sexual arousal, the urethral glands secrete a clear mucus due to stimulation. Drinking more water can increase urine volume in the bladder, which may help prevent urine from splitting. I have a suggestion for yo...[Read More] Understanding Ejaculation Changes and Urinary Issues: A Urology Perspective
Understanding Clear Fluid During Erection: Causes and Solutions for Early Ejaculation
During an erection, a clear fluid may be released? Doctor, I have a question. When I masturbate, I often ejaculate very quickly. When I watch adult films and get an erection, a clear, sticky fluid comes out before I ejaculate, but it is different from semen. This happens whenever...
Dr. Lin Hexing reply Urology
Hello, Mr. Pain: 1. Sexual stimulation can cause the urethral glands to secrete clear mucus, which is a normal physiological response. 2. The issue of premature ejaculation is more complex, and methods for improvement include the following aspects: 1. Applying pressure to ...[Read More] Understanding Clear Fluid During Erection: Causes and Solutions for Early Ejaculation
Understanding Urinary Issues: Home Remedies and Exercises for Relief
Urination issues? I have been experiencing the urge to use the bathroom again just a few minutes after finishing, and this has started in the past few months. How can I treat this condition? Are there any exercises I can do at home to help?
Dr. Lin Hexing reply Urology
Hello Andy: Based on the urinary symptoms you described, it seems to be an issue of frequent urination or incomplete voiding. First, you should visit a urology clinic for a urinalysis to accurately determine if there is a urinary tract infection, hematuria, or suspected stone dis...[Read More] Understanding Urinary Issues: Home Remedies and Exercises for Relief