Understanding Erectile Dysfunction: Causes, Symptoms, and Solutions
Erectile dysfunction Hello Doctor: During intimate moments with my boyfriend, I observed that he seems to have erectile dysfunction, although I'm not entirely sure. Here are the details: My boyfriend is 29 years old. Before intimacy, he appears excited and has the desire, bu...
Dr. Xu Weikai Reply:
S: Hello. 1. Erectile dysfunction needs to be confirmed using specialized instruments. It is recommended to seek medical attention as soon as possible for relevant medical diagnosis. 2. The simplest solution is to engage in regular exercise, especially moderate to high-intensity ...[Read More] Understanding Erectile Dysfunction: Causes, Symptoms, and Solutions
Long-Term Use of Prostate Enlargement Medications: Risks and Alternatives
Long-term use of medications for benign prostatic hyperplasia (BPH)? Hello Dr. Lin, the doctor said that my benign prostatic hyperplasia (BPH) issue requires lifelong medication. I would like to ask about these three medications (Tamsulosin, Finasteride, and Doxazosin) and whethe...
Dr. Lin Hexing Reply:
Hello: Where do you have your outpatient consultations? You should consult your attending physician. Aside from the medication that affects urination, which inhibits testosterone and may impact sexual function and libido, the other two options are generally acceptable. Surgery ca...[Read More] Long-Term Use of Prostate Enlargement Medications: Risks and Alternatives
Medications vs. Surgery for Enlarged Prostate: What’s Best for You?
Is it better to treat benign prostatic hyperplasia with medication or surgery? Hello Doctor: I have benign prostatic hyperplasia (BPH), and my condition has improved with medication, but I am experiencing a lot of side effects such as orthostatic hypotension, gastrointestinal dis...
Dr. Xu Weikai Reply:
Hello, if the surgery goes smoothly, there may be no need for medication afterward. However, some individuals may experience prostate enlargement again after 5-10 years, which might require another surgery. You can choose medications with fewer side effects. If there are any uncl...[Read More] Medications vs. Surgery for Enlarged Prostate: What’s Best for You?
Managing Chronic Prostatitis: Concerns About Finasteride and Alternatives
Medication issues I have been diagnosed with chronic prostatitis, and my doctor prescribed Finasteride 5 mg (Proscar) to take once daily. After about a week of taking it, I am experiencing some bothersome side effects, including a decrease in libido and a less intense ejaculation...
Dr. Xu Weikai Reply:
Hello, 1. I have been taking Finasteride 5mg (Proscar) daily for about a week for chronic prostatitis, and I am experiencing some bothersome side effects, including a decrease in libido and a less intense orgasm. Since I previously had a urine culture for bacteria and need to w...[Read More] Managing Chronic Prostatitis: Concerns About Finasteride and Alternatives
Understanding Urinary Weakness: Causes of Dribbling and Incomplete Emptying
Weak urinary stream, dribbling after urination, and the sensation of incomplete bladder emptying? Hello Doctor: My symptoms include weak urine flow and a feeling of incomplete bladder emptying, as I experience dribbling after urination. Even when I sit or squat after urinating, a...
Dr. Xu Weikai Reply:
Concerned Young Person: At 25 years old, you are unlikely to experience issues related to benign prostatic hyperplasia (BPH), which typically occurs in men aged 55-60 and older. Given your situation, it may be related to autonomic nervous system issues. Have you not exercised and...[Read More] Understanding Urinary Weakness: Causes of Dribbling and Incomplete Emptying
Understanding the Link Between BPH Treatment and FNH: What You Need to Know
Benign Prostatic Hyperplasia (BPH) & Focal Nodular Hyperplasia (FNH) of the Liver Hello Doctor: Two years ago during a health check-up, I discovered that I have a sizable benign focal nodular hyperplasia (FNH) in my liver. After doing some research online, I found that this t...
Dr. Lin Hexing Reply:
Hello: You are only 40 years old, and your benign prostatic hyperplasia is just beginning. It is not advisable to take finasteride (Proscar) without proper medical guidance; this seems to be your own assumption. The side effects of finasteride are minimal, primarily related to se...[Read More] Understanding the Link Between BPH Treatment and FNH: What You Need to Know
Understanding Testosterone Supplementation and Prostate Enlargement Issues
Information on testosterone supplementation in men and issues related to benign prostatic hyperplasia (BPH)? Dear Dr. Hsu, Many years ago, I was diagnosed with benign prostatic hyperplasia (BPH) by a doctor. I took medication for a period of time, but the effects were not signif...
Dr. Xu Weikai Reply:
Hello, DHEA is currently classified as a dietary supplement, and the National Health Insurance only covers medications. Unlike drugs, supplements generally have fewer side effects. However, this also means that their effects may be slower to manifest. Additionally, consuming exce...[Read More] Understanding Testosterone Supplementation and Prostate Enlargement Issues
How Long Should You Take Medication for Benign Prostatic Hyperplasia?
How long should medication be taken for benign prostatic hyperplasia (BPH)? Hello Dr. Liu: I have benign prostatic hyperplasia (BPH). Why do other doctors say that I need to take medication for the rest of my life? Is there no cure for BPH? Currently, my symptoms are manageable w...
Dr. Liu Jiaju Reply:
Hello, benign prostatic hyperplasia (BPH) is considered a condition associated with longevity, and its symptoms tend to worsen with age. Oral medications can only manage the symptoms but cannot cure the condition. If the symptoms are severe and poorly controlled by medication, su...[Read More] How Long Should You Take Medication for Benign Prostatic Hyperplasia?
Understanding Treatment Options for Benign Prostatic Hyperplasia
Treatment options for benign prostatic hyperplasia (BPH)? Hello Dr. Liu: Is it true that if benign prostatic hyperplasia (BPH) is treated with resection, it can provide a permanent solution? I've also heard that there may be other side effects, but I don't want to be on...
Dr. Liu Jiaju Reply:
Prostate surgery primarily involves the removal or vaporization of excess prostate tissue. Regardless of whether traditional electrosurgery or laser surgery is used, there is a possibility of recurrence within 5 to 10 years postoperatively. Both traditional and laser surgeries ha...[Read More] Understanding Treatment Options for Benign Prostatic Hyperplasia
Understanding Urinary Issues: Common Problems and Solutions
Urinary issues Hello Dr. Lin: I have the following issues with urination: 1. Sometimes I wet my outer pants. 2. Sometimes after urinating, I feel like there is still a little bit of urine left, and when I put my penis back in my underwear, a small amount of urine leaks into my un...
Dr. Lin Hexing Reply:
Hello: Based on your age and symptoms, you may be experiencing symptoms of benign prostatic hyperplasia (BPH). It is advisable to visit a urology clinic for examination and treatment. Wishing you peace and happiness.[Read More] Understanding Urinary Issues: Common Problems and Solutions
Understanding Prostate Issues and Kidney Stones: Treatment and Management
Prostate and Urinary Tract Stones Hello, Dr. Hsu. About 7 to 8 years ago, I had a urinary stone episode that woke me up in the middle of the night due to pain. The doctor treated me with medication for the stones, and I haven't had that issue since. However, a few years late...
Dr. Xu Weikai Reply:
1. The prostate gland tends to enlarge with age, and symptoms may become increasingly severe. Generally, there are two treatment options: medication and surgical intervention. Both are quite effective. Note: Medication requires lifelong adherence, while surgery may have a possibi...[Read More] Understanding Prostate Issues and Kidney Stones: Treatment and Management
Managing Benign Prostatic Hyperplasia: Exercise, Sleep, and Medication Tips
The issue of benign prostatic hyperplasia (BPH)? Dear Dr. Hsu, I have been diagnosed with benign prostatic hyperplasia (BPH) and have a few questions: 1. What types of exercises are recommended for individuals with BPH? 2. What sleeping position is better for someone with BPH? ...
Dr. Xu Weikai Reply:
Anonymous: Hello, 1. Any exercise is acceptable, with no restrictions. However, some suggest avoiding cycling or taking a 3-5 minute break every 20 minutes. 2. Sleeping position does not have an impact. 3. Work does not have an impact. 4. If these medications do not interfere wit...[Read More] Managing Benign Prostatic Hyperplasia: Exercise, Sleep, and Medication Tips
Recurrent Urinary Tract Infections and Fever in Older Adults: What to Know
Recurrent urinary tract infections with high fever? Hello Doctor, my father went to the emergency room at a major hospital two months ago due to a persistent high fever, and he was diagnosed with a urinary tract infection (UTI). Recently, he started experiencing fever and chills ...
Dr. Xu Weikai Reply:
Hello Mr. Robin, First, we need to investigate the underlying causes of recurrent urinary tract infections (UTIs). Repeated occurrences are unlikely to be due to simple UTIs and often involve additional urinary tract issues or lifestyle factors. For instance, if benign prostati...[Read More] Recurrent Urinary Tract Infections and Fever in Older Adults: What to Know
Understanding Prostate Size: When to Seek Treatment for Adults
Prostate in adults 1. In adults, medication or treatment for the prostate is typically considered when the prostate gland weighs more than 30 grams. 2. The standard size for an adult prostate is generally considered to be within 15 to 25 grams. It is often accepted that a prost...
Dr. Li Yilun Reply:
The treatment for patients with benign prostatic hyperplasia (BPH) is primarily assessed based on the severity of urinary symptoms rather than the weight of the enlarged prostate. However, it is common for the prostate to enlarge with age. The normal anatomical weight of an adult...[Read More] Understanding Prostate Size: When to Seek Treatment for Adults
Managing Benign Prostatic Hyperplasia: Dietary Tips and Lifestyle Changes
Benign Prostatic Hyperplasia (BPH) Hello, doctor. I would like to ask what special precautions I should take in daily life regarding benign prostatic hyperplasia (BPH). Are there any dietary restrictions I should be aware of? Or are there any foods I should eat more of? Thank you...
Dr. Liu Jiaju Reply:
Benign prostatic hyperplasia (BPH) is a common condition among men as they age, with the likelihood of occurrence increasing with age. It is recommended to avoid holding in urine, maintain adequate hydration, and engage in regular physical activity. Dietary recommendations includ...[Read More] Managing Benign Prostatic Hyperplasia: Dietary Tips and Lifestyle Changes
Can You Do Push-Ups with Benign Prostatic Hyperplasia?
Benign Prostatic Hyperplasia (BPH) Can I do push-ups if I have benign prostatic hyperplasia?
Dr. Liu Jiaju Reply:
Benign prostatic hyperplasia (BPH) does not prevent one from performing push-ups; this aspect should not be affected.[Read More] Can You Do Push-Ups with Benign Prostatic Hyperplasia?
Understanding Prostate Enlargement in Young Men: Symptoms and Solutions
Hello, Dr. Hsu? Dr. Hsu: After watching videos and having intimate contact with my girlfriend, I experience cramping pain in my abdomen and discomfort in my testicles, whether I'm walking or sitting. (I don't have these symptoms when I engage in self-stimulation.) (I ca...
Dr. Xu Weikai Reply:
1. It cannot be benign prostatic hyperplasia. 2. It may be caused by nerve excitation, which can be improved with local heat application. 3. Inflammation may be present as well.[Read More] Understanding Prostate Enlargement in Young Men: Symptoms and Solutions
Understanding Prostate Health Issues: Symptoms, Treatments, and Concerns
Prostate issues? Dear Dr. Hsu, I have been experiencing prostate issues for the past three to four years at a teaching hospital in Taipei. My PSA levels have consistently been elevated, ranging from 5 to 7, with a free PSA ratio around 11. My prostate size is approximately 40 gr...
Dr. Xu Weikai Reply:
A concerned citizen: Hello, I empathize with your situation. Prostate biopsy does carry a very small risk of sepsis. Additionally, a bladder puncture should not cause any sexual dysfunction and is unlikely to affect urination. Urinary issues would only arise if there were pre-exi...[Read More] Understanding Prostate Health Issues: Symptoms, Treatments, and Concerns
Best Supplements for Managing Mild Frequent Urination in BPH
Benign Prostatic Hyperplasia (BPH) For mild urinary frequency associated with benign prostatic hyperplasia (BPH), I recommend considering dietary supplements that may support prostate health. Some options include: 1. Saw Palmetto: This herbal supplement is commonly used to allev...
Dr. Xu Wencang Reply:
Hello, In response to your inquiry, I recommend choosing dietary supplements that contain lycopene or pumpkin seed extract. If your symptoms do not improve, I suggest you visit a hospital for further examination and treatment. Wishing you health and happiness.[Read More] Best Supplements for Managing Mild Frequent Urination in BPH
Understanding Varicocele and Nocturia: Causes and Consultations
Regarding varicocele and nocturia issues? Hello, Doctor Hsu! 1. I have been experiencing frequent left-sided lower back pain recently, which I initially thought was due to a muscle strain. However, after taking medication, there has been no improvement. When sitting, I feel a d...
Dr. Xu Weikai Reply:
Anonymous: Hello, varicocele can be diagnosed through a physical examination or an ultrasound. As for benign prostatic hyperplasia (BPH), the prostate typically begins to enlarge around the age of 35, with an average increase of 0.5 to 1.5 grams per year, and issues related to pr...[Read More] Understanding Varicocele and Nocturia: Causes and Consultations