Chronic Prostatitis and Dry Orgasm: Understanding the Connection
Prostatitis and dry orgasm without semen? Hello doctor, I just had a urology appointment the day before yesterday, and the doctor diagnosed me with chronic prostatitis. Later, I found online that an appropriate frequency of ejaculation can help with prostate metabolism. However, ...
Dr. Li Xinyi Reply:
It sounds like retrograde ejaculation caused by medications used to treat prostatitis.[Read More] Chronic Prostatitis and Dry Orgasm: Understanding the Connection
Understanding Chlamydia Infection in Chronic Prostatitis: Treatment Options and Concerns
Clostridium infection Hello Doctor, I have been diagnosed with acute or chronic prostatitis (different doctors have differing opinions; some say it doesn't seem chronic, while others say it is chronic). Although I only recently started experiencing symptoms and sought medica...
Dr. Sun Hongshun Reply:
Hello, regarding your concerns, prostatitis is highly suspected. Have you undergone any semen analysis? If it is indeed a chronic inflammation, a two-week or one-month course of medication may not be sufficient. In addition to antibiotic treatment, prostate massage and low-energy...[Read More] Understanding Chlamydia Infection in Chronic Prostatitis: Treatment Options and Concerns
Is It Chronic Prostatitis? Understanding Symptoms and Next Steps
Is this chronic prostatitis? Hello, Dr. Du: My symptoms have persisted for two to three years, and I mainly have two symptoms: 1. During urination, the flow is smooth initially, but towards the end, there is a blockage where I need to wait for several seconds and exert effort to ...
Dr. Du Shixi Reply:
Hello: The diagnosis cannot be made in the clinic, but it seems unlikely unless there has been a previous confirmed urinary tract infection, which would make it somewhat possible. In my personal opinion, lifestyle changes may be necessary. 1) Practice safe sex during sexual activ...[Read More] Is It Chronic Prostatitis? Understanding Symptoms and Next Steps
Chronic Prostatitis: Challenges in Antibiotic Treatment and PSA Levels
Acute or chronic prostatitis, with PSA levels above 12, shows poor sensitivity to oral antibiotics? Hello Dr. Li, I would like to describe my medical history as it has been quite distressing and painful for me. I apologize for the lengthy details. Urological History: I have a ...
Dr. Li Minghui Reply:
Hello: 1) These types of antibiotics are generally effective, but they require several months of treatment along with strict lifestyle precautions. However, if the patient does not see results, changing medications may not be certain. As for muscle-related side effects, they are ...[Read More] Chronic Prostatitis: Challenges in Antibiotic Treatment and PSA Levels
Understanding Chronic Prostatitis: Symptoms, Diagnosis, and Treatment Options
Chronic prostatitis Hello Doctor, I would like to share my medical history as it has been quite distressing and painful for me. I apologize for the lengthy details. Urological History: I have a history of anxiety disorder and often engage in sexual activities (either masturbat...
Dr. Du Shixi Reply:
Hello: 1) This type of antibiotic is generally effective, but it requires several months of treatment along with strict lifestyle precautions. However, since the patient has not seen results, changing medications may lead to uncertainty. As for muscle side effects, they are not c...[Read More] Understanding Chronic Prostatitis: Symptoms, Diagnosis, and Treatment Options
Understanding Chronic Prostatitis: Symptoms, Diagnosis, and Treatment
Chronic prostatitis? Hello doctor, I have a problem with premature ejaculation. After ejaculation, my penis becomes painful when I try to get an erection again, and the area around my epididymis feels swollen. About 30 minutes after urination, I feel like I haven't completel...
Dr. Xu Wencang Reply:
Chronic pelvic pain can be managed by making lifestyle changes and engaging in moderate exercise. You may also consider trying some physical therapy. Please return for a follow-up appointment for your physician to evaluate your condition.[Read More] Understanding Chronic Prostatitis: Symptoms, Diagnosis, and Treatment
Understanding Enterococcus: Its Role in Chronic Prostatitis and Oral Sex Risks
What is Enterococcus doing in the prostate? I am a patient with chronic prostatitis? In September 2017, my then-girlfriend performed oral sex on me without brushing her teeth before bed and upon waking up. I could clearly smell a strong odor, and that day I experienced pain in my...
Dr. Li Xinyi Reply:
Enterococcus is widely distributed in various locations, including the oral cavity and gastrointestinal tract. It can cause urinary tract infections and even prostatitis, which are not uncommon. The problem is that, generally speaking, it has a strong resistance to antibiotics. G...[Read More] Understanding Enterococcus: Its Role in Chronic Prostatitis and Oral Sex Risks
Understanding Chronic Prostatitis: Symptoms, Recovery, and Treatment Options
Chronic prostatitis Hello, Dr. Hsu. I have been suffering from chronic prostatitis for about a year. When it was severe, I was abroad and treated it with traditional Chinese medicine. By the time I returned to Taiwan, my condition had improved significantly. I underwent tests for...
Dr. Xu Wencang Reply:
Follow-up visit is recommended for the physician to evaluate treatment.[Read More] Understanding Chronic Prostatitis: Symptoms, Recovery, and Treatment Options
Understanding Ejaculation Issues in Chronic Prostatitis Patients
Regarding ejaculation issues in chronic prostatitis? Dear Doctor: After taking Harnalidge® D Tablets 0.2 mg, it seems that there is not much semen flowing out during ejaculation. Where could the semen be going?
Dr. Li Xinyi Reply:
This is referred to as retrograde ejaculation, where semen flows into the bladder and is expelled during urination.[Read More] Understanding Ejaculation Issues in Chronic Prostatitis Patients
Impact of Harnalidge® on Semen Quality in Chronic Prostatitis
Regarding ejaculation issues in chronic prostatitis? Recently, due to chronic prostatitis, my doctor prescribed Harnalidge® D Tablets 0.2 mg. Since last week, I have noticed that my semen is not as thick as it used to be, and the volume has decreased, sometimes only a few drops o...
Dr. Li Xinyi Reply:
Yes, the situation you described is more likely caused by livertoxins, and there is no need to worry as stopping the medication will lead to recovery.[Read More] Impact of Harnalidge® on Semen Quality in Chronic Prostatitis
Understanding Low Semen Volume: Causes and Concerns
Semen volume I have chronic prostatitis, and during my most recent ejaculation, the semen volume was only a few drops, even though it has been 10 days since my last ejaculation. This has never happened before. What could be the possible reasons, doctor?
Dr. Cai Zhuorong Reply:
Retrograde ejaculation and obstruction of the ejaculatory duct are both possible causes.[Read More] Understanding Low Semen Volume: Causes and Concerns
Long-Term Use of Pentoxifylline for Chronic Prostatitis: Is It Safe?
Regarding chronic prostatitis? Dear Doctor: I have been undergoing treatment for chronic prostatitis for three months. During my recent outpatient visit, the doctor prescribed pentoxifylline 400 mg/tab (Forflow), which has shown good results. Additionally, my previously frequent ...
Dr. Xu Wencang Reply:
Sure, we can discuss it further during your next appointment with the doctor.[Read More] Long-Term Use of Pentoxifylline for Chronic Prostatitis: Is It Safe?
Post-Surgery Discomfort: Understanding Urethral Pain After Urination
After urination, there is discomfort from the contraction of the urethra that radiates to the urethral opening, transitioning into a burning sensation? Two and a half years ago, I underwent laser surgery to address benign prostatic hyperplasia. One month post-surgery, I experienc...
Dr. Sun Hongshun Reply:
Hello Mr. Chen: Regarding what you mentioned, the previous treatment at the hospital was thorough and comprehensive, but chronic prostatitis or pelvic pain syndrome cannot be completely ruled out. There is now a low-energy shockwave device available for both diagnosis and treatme...[Read More] Post-Surgery Discomfort: Understanding Urethral Pain After Urination
Understanding Chronic Prostatitis: Symptoms, Diagnosis, and Treatment Options
Regarding chronic prostatitis? Hello Doctor: The urology diagnosis is chronic prostatitis, with symptoms including yellow urine, burning sensation during urination, and a feeling of incomplete bladder emptying. There is no difficulty in urination. The doctor prescribed Harnalidge...
Dr. Xu Wencang Reply:
Chronic prostatitis requires a long treatment duration and often has unsatisfactory results. It can be combined with physical therapy and lifestyle changes. Treatment with alfuzosin or antibiotics may be considered; some patients in the literature report gradual improvement of sy...[Read More] Understanding Chronic Prostatitis: Symptoms, Diagnosis, and Treatment Options
Understanding Chronic Epididymitis: Symptoms, Causes, and Treatment
Recurrent epididymitis? Hello Doctor, I had sexual intercourse in August, and about three weeks later, I was diagnosed with epididymitis at the clinic. I took medication and recovered, but I have had recurrent inflammation since then, and this is now the third time. I currently h...
Dr. Du Shixi Reply:
Hello: 1) If the lump starts to soften gradually and becomes smaller without any pain, it indicates that the treatment is effective, and it is likely that it will not recur. However, a small number of patients may experience a recurrence of symptoms and will require further treat...[Read More] Understanding Chronic Epididymitis: Symptoms, Causes, and Treatment
Understanding Chronic Prostatitis: Symptoms, Diagnosis, and Treatment Options
Regarding chronic prostatitis? Hello Doctor: For the past month, I have been experiencing yellow urine and a slight burning sensation during urination. After consulting a urologist, I was diagnosed with chronic prostatitis. The prescribed medications include Tamsulosin 0.2 mg/tab...
Dr. Du Shixi Reply:
Hello: Chronic conditions may require treatment for several months, and it is important to pay attention to lifestyle habits and engage in moderate exercise, especially practicing safe sex. It is advisable to wait a few weeks after starting treatment to assess any improvements. Y...[Read More] Understanding Chronic Prostatitis: Symptoms, Diagnosis, and Treatment Options
Understanding Chronic Bacterial Prostatitis: Symptoms, Treatments, and Concerns
Chronic bacterial prostatitis About five years ago, I had acute urethritis, and after taking medication and receiving injections, the symptoms disappeared, allowing me to return to normal life. Recently, I noticed that there is a sticky discharge from the urethral opening even wi...
Dr. Li Xinyi Reply:
Since I am not the person involved, and you also do not seem to be a medical professional, I don't fully understand the situation you described between you and your attending physician, but it does seem a bit strange. My suggestion is that if there is poor communication, it ...[Read More] Understanding Chronic Bacterial Prostatitis: Symptoms, Treatments, and Concerns
Understanding Prostatitis: Symptoms, Diagnosis, and Treatment Options
Is it a problem related to prostatitis? Hello Doctor, I have been experiencing persistent nerve pain in the perineal area, which sometimes feels like it's near the base of the penis or around the testicles. I can't pinpoint the exact location of the pain. I visited a cl...
Dr. Cai Zhuorong Reply:
Chronic prostatitis is a possible diagnosis; unfortunately, there are no definitive tests to confirm chronic prostatitis, nor are there direct and effective treatment options available. Management primarily focuses on symptom relief. It is essential to rule out other diagnoses fi...[Read More] Understanding Prostatitis: Symptoms, Diagnosis, and Treatment Options
Understanding Ejaculation Disorders: Causes and Solutions
Regarding ejaculation disorders? Hello doctor, I had sexual intercourse with my girlfriend in the doggy style position while wearing a condom. During ejaculation, due to tightness, the semen could not be expelled from the urethra and I had to withdraw to release the semen from th...
Dr. Li Xinyi Reply:
Chronic prostatitis may be related to the narrowing and partial obstruction of the ejaculatory duct. If there are issues with infertility, it is advisable to consult the urology department at a major hospital for examination.[Read More] Understanding Ejaculation Disorders: Causes and Solutions
Understanding Urethral Pain: Causes and Concerns After Sexual Activity
Urethral pain Hello, Doctor Tsai. Two weeks ago, I had sexual intercourse with my partner twice in a short period (both times with a condom), and afterward, I started experiencing urethral pain. After observing the symptoms for three days, I went to the hospital and was prescribe...
Dr. Cai Zhuorong Reply:
Based on the symptoms you described, the more common possible diagnoses include: gonococcal or chlamydial urethritis, bacterial acute cystitis, ureteral stones, chronic prostatitis, among others. If symptoms do not improve, it is advisable to seek further evaluation and testing.[Read More] Understanding Urethral Pain: Causes and Concerns After Sexual Activity