Understanding Changes in Sexual Pleasure and Ejaculation During Masturbation
Masturbation process Doctor, during the process of masturbation, I do not feel any sexual pleasure in my penis, and there is almost no pre-ejaculatory fluid before ejaculation, yet I can still achieve ejaculation after a long time. However, it feels like I can't ejaculate. A...
Dr. Du Shixi Reply:
Hello: Retaining semen should not cause this type of situation. It is recommended to consult a physician specializing in sexual function at a medical center. Currently, it is important to maintain regular exercise and rest. Wishing you good health.[Read More] Understanding Changes in Sexual Pleasure and Ejaculation During Masturbation
Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment Options
Pudendal nerve The patient is experiencing neurological discomfort in the female genital area, characterized by a persistent sensation of being touched that is not related to sexual arousal. This has led to abnormal erections and discomfort that radiates to the right leg, persist...
Dr. Jiang Junyi Reply:
Hello, You mentioned that "there may even be discomfort extending to the right leg..." which may warrant consideration of lumbar nerve root compression. Typical symptoms associated with lumbar nerve root pathology include pain radiating from the buttocks down the leg,...[Read More] Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment Options
Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment Options
Pudendal nerve The patient is experiencing neurological discomfort in the female genital area, characterized by a persistent sensation of being touched that is not related to sexual arousal. This has led to abnormal erections and discomfort extending to the right leg, lasting for...
Dr. Jiang Junyi Reply:
Hello, You mentioned that "there may even be discomfort extending to the right leg..." which may indicate compression of the lumbar nerve roots. Typical symptoms associated with lumbar nerve root pathology include pain radiating from the buttocks down the leg, as well...[Read More] Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment Options
Understanding Urinary Tract Issues: Foreign Object Insertion, Infection, and Fever
Foreign body insertion, urinary issues, fever? Hello Doctor, here’s the situation: Two weeks ago, I inserted a suction catheter into my urinary tract quite deeply. When I removed the catheter, it was filled with blood, and my urine was also bloody. After two or three days, the bl...
Dr. Li Xinyi Reply:
It sounds like prostatitis. The absence of bacteria in the urine culture does not rule out a bacterial infection. You should promptly visit a urologist for proper treatment. Describe your symptoms to the doctor, and he will understand right away.[Read More] Understanding Urinary Tract Issues: Foreign Object Insertion, Infection, and Fever
Understanding Sexual Dysfunction: Causes and Solutions for Men
Sexual dysfunction Hello doctor, my ex-girlfriend previously helped me with manual stimulation, but during the process, I tried to hold back my ejaculation to avoid finishing too early. However, it seems I still reached orgasm without feeling it, and my penis quickly became flacc...
Dr. Sun Hongshun Reply:
Hello, based on what you have described, it is possible that you may be experiencing prostatitis. Of course, psychological factors cannot be ruled out, as a single unsuccessful sexual encounter can increase psychological stress. I recommend seeking medical attention to identify t...[Read More] Understanding Sexual Dysfunction: Causes and Solutions for Men
Understanding Urological Symptoms: Are They Related to STDs?
Is it caused by a sexually transmitted infection (STI)? I am 174455. I went to a major hospital for a check-up, including urine tests, blood draws, and a CT scan, and everything was normal. However, general tests cannot detect sexually transmitted infections (STIs) in the gastroi...
Dr. Du Shixi Reply:
Hello: I went to the hospital for a check-up, including a urine test, blood draw, and CT scan, and everything came back normal. However, routine tests cannot detect sexually transmitted infections (STIs) in the gastrointestinal tract, including urine tests and urine bacterial cul...[Read More] Understanding Urological Symptoms: Are They Related to STDs?
Understanding Elevated PSA and Low Free PSA: Other Potential Causes
Elevated PSA with low Free PSA? Hello Doctor, I am 36 years old. I had a health check-up on September 16, and my PSA level was 4.911. The hospital recommended that I retest my PSA along with Free PSA, and on September 21, my results were PSA: 4.67 and Free PSA: 13.21. I understan...
Dr. Li Minghui Reply:
Hello: Generally, inflammation of the glands or pressure from procedures such as digital rectal examination or prostate massage can lead to an increase in urethral endoscopy findings. Additionally, some suggest that prolonged pressure on the perineum from cycling may also be a co...[Read More] Understanding Elevated PSA and Low Free PSA: Other Potential Causes
Understanding PSA and Free PSA Results: Beyond Prostate Cancer
Prostate issues? Hello, doctor. I am 36 years old. I had a health check-up on September 16, and my PSA level was 4.911. The hospital recommended that I retest my PSA along with Free PSA, and on September 21, my results were PSA: 4.67 and Free PSA: 13.21. I understand that sexual ...
Dr. Du Shixi Reply:
Hello: Generally, inflammation of the glands or pressure from procedures such as digital rectal examination or prostate massage can lead to increased urethral sensitivity during endoscopic examination. Additionally, prolonged pressure on the perineum from cycling may also be a co...[Read More] Understanding PSA and Free PSA Results: Beyond Prostate Cancer
Understanding Swelling and Hard Lumps in the Perineum: Symptoms and Treatments
There is a hard lump swelling in the perineal area? There is a hard swelling in the perineal area, currently accompanied by redness, swelling, heat, and pain. I would like to inquire about what symptoms this might indicate. Is surgery necessary? Since I am currently in a quaranti...
Dr. Jian Weihong Reply:
Hello: The information provided here is for reference only and cannot replace a physician's examination or diagnostic tests. A hard swelling in the perineum may indicate a urinary tract issue if there are problems with urination. However, if there are no urinary issues and t...[Read More] Understanding Swelling and Hard Lumps in the Perineum: Symptoms and Treatments
Understanding Perineal Swelling: Symptoms, Treatment, and When to Seek Surgery
Perineal swelling There is a hard swelling in the perineal area, currently accompanied by redness, swelling, heat, and pain. I would like to inquire about what symptoms this might indicate. Is surgery necessary? Since I am currently in a quarantine hotel abroad and unable to see ...
Dr. Du Shixi Reply:
Hello: The information provided here is for reference only and cannot replace a physician's examination, assessment, or diagnostic tests. A hard swelling in the perineum may indicate a urinary tract issue if there are problems with urination. However, if there are no urinary...[Read More] Understanding Perineal Swelling: Symptoms, Treatment, and When to Seek Surgery
Understanding Urological Issues: Symptoms and Concerns Explained
Penile issues Doctor, I would like to ask you a few questions. I had prostatitis during the first semester of my first year in high school. At that time, I went to a nearby community hospital for examination and received medication. After about three weeks, my symptoms showed sig...
Dr. Li Minghui Reply:
Hello: Your symptoms do not necessarily indicate a recurrence of the previous condition, but it is essential to pay attention to your lifestyle, including diet, hydration, and activity levels. If you are engaging in sexual activity, practicing safe sex is important. The likelihoo...[Read More] Understanding Urological Issues: Symptoms and Concerns Explained
Understanding Prostatitis: Symptoms, Concerns, and Treatment Options
Prostatitis Doctor, I would like to ask you a few questions. I had prostatitis during the first semester of my first year in high school. At that time, I went to a nearby community hospital for examination and medication. After about three weeks, my symptoms significantly improve...
Dr. Du Shixi Reply:
Hello: Your symptoms may not necessarily indicate a recurrence, but it is essential to pay attention to your lifestyle, including diet, hydration, and activity levels. If you are engaging in sexual activity, practicing safe sex is important. As for the likelihood of other disease...[Read More] Understanding Prostatitis: Symptoms, Concerns, and Treatment Options
Understanding Chronic Urinary Issues: Interstitial Cystitis or Prostate Problems?
The frequent urination issue that has been troubling you for 10 years could be related to interstitial cystitis or prostate problems? I previously experienced suspected interstitial cystitis due to the use of ketamine. Ten years ago, I underwent water distension cystoscopy at Tai...
Dr. Li Minghui Reply:
Hello: Your symptoms are a result of ketamine's side effects. However, when the symptoms are severe, medication can be used to alleviate them. If you experience cloudy urine or blood in your urine, you should seek medical attention. It's important to pay special attenti...[Read More] Understanding Chronic Urinary Issues: Interstitial Cystitis or Prostate Problems?
Understanding Perineal Swelling: Insights into Urological Issues
There is a feeling of swelling in the perineal area? I have previously experienced suspected interstitial cystitis due to the use of ketamine. Ten years ago, I underwent water distension cystoscopy at Taipei Veterans General Hospital. Previously, I had a persistent feeling of swe...
Dr. Du Shixi Reply:
Hello: Your symptoms are a result of ketamine's side effects. However, if the symptoms are severe, medication can be used to alleviate them. If you experience cloudy urine or blood in your urine, you should seek medical attention. It's important to pay special attention...[Read More] Understanding Perineal Swelling: Insights into Urological Issues
Burning Sensation in Urethra After Ejaculation: Causes and Solutions
Burning sensation in the urethra after ejaculation? After ejaculation, I experience a tingling and burning sensation at the tip of the urethra that lasts for about 5 to 10 minutes, which is very uncomfortable. At the same time, I also feel soreness and swelling in the perineum. W...
Dr. Liu Mingyue Reply:
Hello: If you have not engaged in sexual activity, you can observe your condition, drink plenty of water, avoid spicy foods, and refrain from sitting for long periods—make sure to get up and move around. If you have engaged in sexual activity, you should seek medical examination....[Read More] Burning Sensation in Urethra After Ejaculation: Causes and Solutions
Understanding Post-Ejaculation Discomfort: Causes and When to Seek Help
Ejaculation issues After ejaculation, I experience a tingling and burning sensation at the tip of the urethra for about 5 to 10 minutes, which is very uncomfortable. At the same time, I also feel soreness and swelling in the perineum. Whenever I have to urinate, I do so to allevi...
Dr. Du Shixi Reply:
Hello: If you have not engaged in sexual activity, you can monitor your condition, drink plenty of water, avoid spicy foods, and refrain from sitting for long periods without getting up to move around. If you have engaged in sexual activity, you should seek medical evaluation. Wi...[Read More] Understanding Post-Ejaculation Discomfort: Causes and When to Seek Help
Understanding Urological Issues: Ejaculation Problems and Treatment Options
I'm not sure what the problem is? Hello doctor, I encountered a problem after masturbation last month. During that session, I tried to suppress my urges by tensing my abdomen, but it seemed like I still reached orgasm. However, while my mind felt like it had climaxed, no sem...
Dr. Du Shixi Reply:
Hello: Please note that this response is for reference only and cannot replace a doctor's consultation. 1. The doctor hasn't clearly explained my condition, and my symptoms persist. Could I have chronic prostatitis or other issues? -- It's hard to say. If there ha...[Read More] Understanding Urological Issues: Ejaculation Problems and Treatment Options
Understanding HPV Type 16: Testing and Cancer Risk for Partners
HPV type 16 transmission Hello Doctor: My boyfriend currently does not have any visible genital warts, but after I discovered that I have HPV type 16, we decided to get the nine-valent vaccine. How can my boyfriend check for the virus? Although he doesn't have any visible sy...
Dr. Du Shixi Reply:
Hello: Generally, it cannot be detected. You should observe for any protrusions (in the perineum, scrotum, foreskin, or genital area) and seek medical attention if present. It is advisable to practice safe sex and use protection. Abdominal pain is not one of the symptoms. The can...[Read More] Understanding HPV Type 16: Testing and Cancer Risk for Partners
Erectile Dysfunction and Ejaculation Issues: Causes and Concerns
Erectile and ejaculation issues? Currently, I am experiencing slow erections that require continuous manual stimulation to maintain. During masturbation, I feel increasing tightness at the base of the urethra, which is painful (around the perineum area), and I have difficulty eja...
Dr. Cai Zhuorong Reply:
I don't understand what you mean by "using the abdomen." The abdominal area does have the rectus abdominis, which is a skeletal muscle that can be contracted, but it should be under conscious control. Normal ejaculation does not require voluntary "contraction ...[Read More] Erectile Dysfunction and Ejaculation Issues: Causes and Concerns
Understanding Painful Ejaculation: Is It Related to Epididymitis?
Epididymitis and pain during ejaculation? A few days ago, I experienced pain in my undescended testicle and today I saw a doctor. An ultrasound showed that I have epididymitis. The physician said that my testicles looked clean, but they still want to do a blood test to check for ...
Dr. Du Shixi Reply:
Hello: 1. I would like to ask if pain during ejaculation is significantly related to the epididymis --> If there is no severe inflammation, it should not be related. 2. Could pain during ejaculation be due to excessive masturbation? --> It is possible. 3. What cancers are a...[Read More] Understanding Painful Ejaculation: Is It Related to Epididymitis?