Managing Perineal Nerve Pain: Tips for Relief and Treatment Options
Pudendal neuralgia Hello doctor, I have chronic prostatitis and went to a neurologist for trigeminal neuralgia. The doctor prescribed me Carbamazepine and Topiramate. Shortly after starting the medication, I developed perineal nerve pain, which has persisted for three months. Wha...
Dr. Jiang Junyi Reply:
Dear Mr. David, You mentioned that "chronic prostatitis... triggers my perineal neuralgia." It may be necessary to first consider pelvic nerve inflammation caused by prostatitis. When the dosage of Tamsulosin exceeds 200 mg, a small number of patients may experience se...[Read More] Managing Perineal Nerve Pain: Tips for Relief and Treatment Options
Managing Perineal Nerve Pain: Treatment Options and Recovery Insights
Pudendal neuralgia Hello, doctor. I have atypical trigeminal neuralgia, and my physician prescribed Lyrica, Topamax, and Depakote, but they haven't been very effective. After taking Depakote for a while, I developed perineal nerve pain due to my chronic prostatitis, which ha...
Dr. Huang Hongling Reply:
Hello: Pudendal neuralgia is not induced by a hernia. Additionally, the diagnosis of pudendal neuralgia must exclude other factors (such as prostatitis). Since you have a history of chronic prostatitis, it is recommended that you consult a urologist to rule out whether the pain i...[Read More] Managing Perineal Nerve Pain: Treatment Options and Recovery Insights
Do You Need Semen Analysis for Chronic Prostatitis Symptoms?
Does chronic prostatitis require semen analysis? Hello, I previously experienced symptoms of prostatitis, and at that time, my urine tests showed the presence of bacteria. After a period of antibiotic treatment, my urine tests are now sterile (or show only a negligible amount of ...
Dr. Li Xinyi Reply:
It is indeed advisable to consider a semen analysis, as it can aid in the diagnosis of chronic prostatitis. The treatment duration for chronic prostatitis can be lengthy, and the results may be less than satisfactory. Therefore, it is recommended to consult a urologist. Treatment...[Read More] Do You Need Semen Analysis for Chronic Prostatitis Symptoms?
Understanding Chronic Prostatitis: Causes, Symptoms, and Treatment Options
Chronic prostatitis? Hello doctor, I recently experienced a recurrence of prostatitis, which suddenly flared up due to holding in my urine. I would like to ask if prostatitis is related to benign prostatic hyperplasia (BPH). I read online that Cialis can be taken; can it help imp...
Dr. Du Shixi Reply:
Hello: The relationship with benign prostatic hyperplasia is not significant. The government-approved indication for Cialis is erectile dysfunction, but some doctors recommend daily use to improve urination, although it would be out-of-pocket. If you wish to use it, please discus...[Read More] Understanding Chronic Prostatitis: Causes, Symptoms, and Treatment Options
Understanding Chronic Prostatitis and Related Urological Issues
Chronic prostatitis, inguinal hernia, urinary issues, varicocele, erectile dysfunction? Hello Dr. Du, I hope you are doing well every day. Below are my symptoms: 1. Decreased rigidity of the genitalia: I can achieve an erection, but it feels soft. Even when fully erect, it can ...
Dr. Du Shixi Reply:
Hello: The best approach remains a healthy diet, exercise, and regular sleep. Health supplements are merely food and mostly serve as adjuncts; they cannot effectively improve symptoms. If symptoms are related to ejaculation, it is advisable to seek medical attention. If there has...[Read More] Understanding Chronic Prostatitis and Related Urological Issues
Understanding the Shift from Antibiotics to Diuretics in Chronic Prostatitis Treatment
Chronic prostatitis Hello, I previously inquired about switching medications from Trimethoprim and quinolones to Foxate F.C. tablets and Tamsulosin. You mentioned that the latter two are diuretics. I also had a prostate massage that day, as I've been experiencing discomfort ...
Dr. Du Shixi Reply:
Hello: It is not a diuretic, but it helps with urination, which is beneficial for prostate conditions and can also improve the symptoms of chronic prostatitis. Wishing you good health.[Read More] Understanding the Shift from Antibiotics to Diuretics in Chronic Prostatitis Treatment
Understanding Chronic Prostatitis: Medication Changes and Their Implications
Chronic prostatitis? Hello doctor, I have been suffering from chronic prostatitis for several years. The clinic I usually visit previously prescribed Trimethoprim and quinolones. Recently, I switched pharmacies, and the medications were changed to Foxate F.C. tablets and Tamsulos...
Dr. Du Shixi Reply:
Hello: The last two are not antibiotics; they are diuretics. Wishing you good health.[Read More] Understanding Chronic Prostatitis: Medication Changes and Their Implications
Understanding Prostate Issues: Concerns About Prostatitis in Young Men
Mammary gland inflammation Hello, Doctor. I had a urine test done a couple of weeks ago, and it showed no infection. I'm still worried that it might be prostatitis. The doctor mentioned that at my age, it's usually not common. However, last week I think I engaged in mas...
Dr. Du Shixi Reply:
Hello: There is still a possibility of sexual activity, but the chances of non-sexual activity at the age of 16 should be minimal. Wishing you good health.[Read More] Understanding Prostate Issues: Concerns About Prostatitis in Young Men
Understanding Lafuzo XL Dosage for Chronic Prostatitis Treatment
Chronic prostatitis medication consultation? Hello, Director Du. I visited the clinic due to chronic prostatitis, and the doctor prescribed Lafuzo XL 10mg. I checked online, and the medication leaflet indicates a dosage of one tablet per day, but the clinic doctor prescribed one ...
Dr. Du Shixi Reply:
Hello: If you are experiencing difficulty urinating, this medication will relax the prostate and improve urination. Generally, the dosage is one tablet per day, but if symptoms are severe, it can be taken twice a day. Once symptoms improve, you can check during your follow-up vis...[Read More] Understanding Lafuzo XL Dosage for Chronic Prostatitis Treatment
Recurring Bacterial Infections in Semen: Causes and Solutions
Semen culture consistently shows different types of bacteria? Hello Doctor: Over the past year, I have experienced burning during urination, itching of the penis, and perineal pain. After seeing a doctor and undergoing semen culture, bacteria were found. After taking antibiotics,...
Dr. Xu Wencang Reply:
Please have the physician evaluate the treatment of chronic prostatitis with a course of antibiotics over a period of time.[Read More] Recurring Bacterial Infections in Semen: Causes and Solutions
Link Between Candida Infection and Chronic Prostatitis: What You Need to Know
What is the relationship between Candida albicans and chronic prostatitis in terms of antibiotics? 1. At the beginning of September, three days after having sexual intercourse with my wife, I experienced pain at the urethral opening during urination, redness and itching of the gl...
Dr. Du Shixi Reply:
Hello: Your symptoms seem to indicate chronic prostatitis. However, chronic, non-bacterial prostatitis is inherently difficult to treat and diagnose. The use of antibiotics is almost always recommended. Please discuss this with your physician during your follow-up visit. Addition...[Read More] Link Between Candida Infection and Chronic Prostatitis: What You Need to Know
Understanding Recurring Urethral Inflammation: Causes and Solutions
Recurrent inflammation Hello Doctor, I have been experiencing urethritis since July, but it's strange because only the urethral opening hurts. I have had urine tests done at both a clinic and a hospital, and the results were normal. The pain is not constant; it occurs interm...
Dr. Cai Zhuorong Reply:
In medicine, urethritis is often associated with sexually transmitted infections, and further examination is recommended. Additionally, the causes of urethral pain should also consider ureteral stones, cystitis, and chronic prostatitis.[Read More] Understanding Recurring Urethral Inflammation: Causes and Solutions
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:
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
Chronic Prostatitis and Its Impact on Sexual Function: What You Need to Know
Sexual dysfunction caused by chronic prostatitis? Hello Doctor: Recently, I have been experiencing prostatitis, and I read online that prostatitis can affect sexual function. I have become increasingly paranoid about having issues with my sexual function, and I feel like I am exp...
Dr. Xu Wencang Reply:
Information on the internet may not always be accurate. Please follow medical advice and be patient with your treatment. It is recommended to maintain a regular routine, engage in moderate exercise, and adhere to a light diet. Thank you.[Read More] Chronic Prostatitis and Its Impact on Sexual Function: What You Need to Know
Understanding Prostate Issues: Chronic Inflammation and Treatment Options
Prostate issues Hello, Doctor: I would like to ask about my condition. I have been suffering from chronic prostatitis since I was 32 years old. Bacterial cultures of my sperm have shown the presence of bacteria, but I have been unable to eliminate them. However, my urinary sympto...
Dr. Du Shixi Reply:
Hello: Surgery may not be recommended at this time. Currently, embolization procedures are not advised in urology, and surgery would only be suggested if symptoms are severe. Wishing you good health.[Read More] Understanding Prostate Issues: Chronic Inflammation and Treatment Options
Understanding Prostate Cysts: Causes, Symptoms, and Treatment Options
Prostatic cysts Hello Doctor: I developed chronic prostatitis after having epididymitis five years ago. Due to pain during ejaculation, I only ejaculate once every three months. At the beginning of last year, I experienced brown blood in my semen. The clinic doctor advised agains...
Dr. Du Shixi Reply:
Hello: The vesicles you mentioned do not require special attention. To treat epididymitis and prostatitis, please note that prostatitis can be difficult to treat. Some individuals may need to take medication for an extended period, possibly several months, and should not disconti...[Read More] Understanding Prostate Cysts: Causes, Symptoms, and Treatment Options
What to Do If Your PSA Levels Are Abnormal: A Guide for Men
What should I do if my PSA levels are abnormal? At 31 years old, I experienced gastritis at the age of 30, which led to a fever. Subsequent endoscopy revealed gastroesophageal reflux disease (GERD), which has not improved for nearly a year. At 31, I continued to undergo follow-up...
Dr. Sun Hongshun Reply:
Hello: Based on what you described, it is likely that you have acute or chronic prostatitis. I recommend getting an ultrasound or semen analysis at the hospital. Once a diagnosis is confirmed, we can discuss whether antibiotic treatment or other therapies are necessary. Wishing y...[Read More] What to Do If Your PSA Levels Are Abnormal: A Guide for Men
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:
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
Chronic Prostatitis: Exploring Treatment Options for Long-Term Relief
Chronic prostatitis Hello, doctor. I have been suffering from chronic prostatitis and urethritis for a long time, along with multiple episodes of epididymitis for over ten years. Now, whenever my immune system weakens, I end up with a fever and hospitalization, which has signific...
Dr. Du Shixi Reply:
Hello; your situation is complex, and I do not have similar experience. Please seek treatment at a medical center's urology department. Wishing you good health.[Read More] Chronic Prostatitis: Exploring Treatment Options for Long-Term Relief
Chronic Prostatitis and Hematuria: Understanding the Connection
Chronic prostatitis and hematuria? Hello Doctor, I was diagnosed with chronic prostatitis in 2018, and since then, I experience hematuria approximately once a year, usually occurring after exercise or a few days after hiking. Each time I consult a doctor, they say everything is f...
Dr. Du Shixi Reply:
Hello: 1. I have never experienced hematuria before my prostatitis. Could the prostatitis be causing my exercise-induced hematuria? -- The two may not necessarily be related; it is also possible that the exercise itself is causing the hematuria. 2. If I experience hematuria af...[Read More] Chronic Prostatitis and Hematuria: Understanding the Connection