Understanding Chronic Prostatitis: Treatment Challenges and Solutions
Chronic prostatitis issues? Hello Doctor, I have been suffering from chronic prostatitis for a year. During this time, my semen culture has shown bacteria at times and at other times it has not. The first culture revealed Enterococcus faecalis, and I was prescribed oral Norfloxac...
Dr. Li Xinyi Reply:
Initially, it was Enterococcus faecalis. Are there any issues related to anal intercourse or sexually transmitted infections (STIs)? The pathogens of STIs are often difficult to culture and diagnose, and if risky sexual behaviors continue, the problem may not be resolved. I suspe...[Read More] Understanding Chronic Prostatitis: Treatment Challenges and Solutions
Understanding Urethritis and Prostatitis: Symptoms, Treatment, and Recovery Tips
A few days ago, I saw a doctor, and the doctor said I have urethritis? During the visit, the doctor mentioned that I have urethritis and then said I also have prostatitis. The symptoms started when I woke up that morning; I was urinating normally at first, but suddenly I experien...
Dr. Li Xinyi Reply:
If urethritis affects the prostate, it can lead to prostatitis, which requires nearly a month of treatment and close monitoring by a urologist. During the acute phase, sexual activity should be avoided, as even masturbation can be uncomfortable. It is essential to discuss the det...[Read More] Understanding Urethritis and Prostatitis: Symptoms, Treatment, and Recovery Tips
Impact of Medication on Ejaculation Issues in Prostate Enlargement Patients
Abnormal ejaculation caused by medication? I have been suffering from benign prostatic hyperplasia for a long time, with a PSA level between 6 and 7. Following my doctor's advice, I have been taking dutasteride capsules. After long-term use, I have gradually experienced side...
Dr. Du Shixi Reply:
Hello: No, it may be due to the relaxation of the prostate, causing semen to flow into the bladder and being expelled during urination. Wishing you good health.[Read More] Impact of Medication on Ejaculation Issues in Prostate Enlargement Patients
Understanding Chronic Prostatitis: Symptoms, Diagnosis, and Management
Chronic prostatitis Two years ago, I sought medical attention for urethritis, which has recurred intermittently. At the beginning of last year, I was diagnosed with overactive bladder, experiencing frequent urination both day and night, but without pain. Towards the end of last y...
Dr. Du Shixi Reply:
Hello: This information is for reference only and cannot replace a physician's examination. Regarding the examination and tests: 1) Chronic prostatitis is a possibility. 2) This condition requires attention to lifestyle and dietary habits, as well as regular exercise, for lo...[Read More] Understanding Chronic Prostatitis: Symptoms, Diagnosis, and Management
Understanding Electrocautery Surgery for Non-Bacterial Prostatitis
Electrosurgery I apologize for the inconvenience, but I frequently experience nocturnal emissions. After examinations, it was determined that I have non-bacterial prostatitis, and medication hasn't improved my condition. I feel like my lower abdomen is loose. A doctor once m...
Dr. Li Minghui Reply:
Hello: Dreaming will not have any physical effects, so there is no need for concern. Wishing you good health.[Read More] Understanding Electrocautery Surgery for Non-Bacterial Prostatitis
Understanding Frequent Nocturnal Emissions: Causes and Treatments
Frequent nocturnal emissions? I apologize for my frequent nocturnal emissions. After examinations, it was determined that I have non-bacterial prostatitis, and medication hasn't improved my condition. I feel like my lower abdomen is very loose. The doctor once mentioned that...
Dr. Du Shixi Reply:
Hello: Dreaming will not have any physical effects, so there is no need for concern. Wishing you good health.[Read More] Understanding Frequent Nocturnal Emissions: Causes and Treatments
Can Ureteral Stent Removal Affect Sexual Function and Ejaculation?
Erectile dysfunction Last year, I had a double J stent placed due to urinary tract stones. I would like to know if endoscopic surgery and the removal of the stent could potentially harm sexual function, such as causing issues with ejaculation or a decrease in semen volume?
Dr. Xu Wencang Reply:
No, but if prostate treatment medications are used, it may cause such a condition.[Read More] Can Ureteral Stent Removal Affect Sexual Function and Ejaculation?
Understanding Genital Burning: Causes, Diagnosis, and Treatment Options
Genital burning sensation Hello doctor, my symptoms include burning in the genital area, frequent urination, and discomfort in the genital area when I have a full bladder, but the amount of urine is not significant. This has been ongoing for a year, during which I have taken vari...
Dr. Li Xinyi Reply:
A normal PSA level does not necessarily indicate that there is no inflammation of the prostate. The detection of enterococci in stool may suggest anal sexual activity without proper hygiene and protection. If an infection is confirmed and treated successfully, with no bacteria re...[Read More] Understanding Genital Burning: Causes, Diagnosis, and Treatment Options
Understanding Enterococcus Faecalis Infections and Urological Symptoms
Enterococcus infection Hello Doctor, I have been experiencing a burning sensation in my genital area, specifically around the urethra, for a year. Recently, I tested positive for Enterococcus faecalis infection in my semen. I have been seeing a urologist at Cheng Kung University ...
Dr. Xu Wencang Reply:
It may be chronic urethral pain or pelvic pain, and antibiotic treatment may be ineffective. Symptomatic treatment or attempts at physical therapy may be the only options.[Read More] Understanding Enterococcus Faecalis Infections and Urological Symptoms
Understanding Prostate Fluid and Bulbourethral Secretions: Myths and Facts
Prostatic fluid and bulbourethral gland fluid? Hello, doctor. I often see online discussions stating that there can be small amounts of sperm in prostate fluid or in the bulbourethral gland fluid. There are various explanations for the presence of sperm, such as leftover sperm fr...
Dr. Du Shixi Reply:
Hello: Sperm is transported to the seminal vesicles, where it is then expelled; the seminal vesicles themselves also contribute to a portion of the semen. Therefore, the situation you described is possible, as fluids expelled or secreted from the urethra may contain a small amoun...[Read More] Understanding Prostate Fluid and Bulbourethral Secretions: Myths and Facts
Understanding Prostate Fluid and Bulbourethral Fluid: Myths and Facts
Prostatic fluid and bulbourethral gland fluid? Hello, doctor. I often see online discussions stating that there may be a small amount of sperm in prostatic fluid or in the bulbourethral gland fluid, with various explanations for the presence of sperm. Some say it could be due to ...
Dr. Du Shixi Reply:
Hello: Sperm is transported to the seminal vesicles, where it is then expelled; the seminal vesicles also contribute to a portion of the semen. Therefore, the situations you mentioned can vary among different individuals. The fluids that are expelled or secreted from the urethra ...[Read More] Understanding Prostate Fluid and Bulbourethral Fluid: Myths and Facts
Understanding Sexual Dysfunction: Causes, Concerns, and Solutions
Sexual dysfunction Hello, doctor. I have a few questions: 1. When masturbating, if I use diaphragmatic breathing and take deep breaths while tensing my abdomen to suppress the urge to ejaculate, could this cause any harm to the reproductive organs? 2. After repeating this meth...
Dr. Cai Zhuorong Reply:
A1: There are no relevant research reports in the medical field. However, theoretically, this action does not provide any benefits and may increase pressure in the seminal vesicles and prostate. A2: It is possible. A3: You may consider seeking treatment from different physicians....[Read More] Understanding Sexual Dysfunction: Causes, Concerns, and Solutions
Understanding Prostate Fluid: Causes of Erectile Dysfunction
Prostatic fluid During a previous intimate moment with my girlfriend, I noticed that my pants were damp, which I believe was pre-ejaculatory fluid. However, when it came time to engage in intercourse, I was unable to achieve an erection, regardless of what my girlfriend did. I wo...
Dr. Chen Jiansheng Reply:
Please seek medical attention.[Read More] Understanding Prostate Fluid: Causes of Erectile Dysfunction
Understanding Semen Abnormalities: Causes and Concerns
Semen abnormalities 1. Doctor, does holding your breath and using abdominal breathing to suppress the urge to ejaculate during masturbation cause reproductive harm? 2. Doctor, is it a concern if the ejaculated semen contains white crystalline substances? 3. Doctor, is ejaculati...
Dr. Cai Zhuorong Reply:
1. During masturbation, if one holds their breath and exerts pressure in the abdomen to suppress the urge to ejaculate, does this behavior cause reproductive harm? A: There are no relevant studies in the medical literature. However, theoretically, this action does not provide any...[Read More] Understanding Semen Abnormalities: Causes and Concerns
Understanding Prostate Issues: Concerns About Ejaculation Difficulties
I would like to ask the doctor about prostate-related issues? Subject: I am currently taking SSRI (Selective Serotonin Reuptake Inhibitors) for anxiety, which has caused difficulties with ejaculation. Despite this, I still engage in masturbation, often taking a long time without ...
Dr. Chen Jiansheng Reply:
Please seek medical attention.[Read More] Understanding Prostate Issues: Concerns About Ejaculation Difficulties
Post-Prostate Cancer Surgery: Understanding PSA Levels and Follow-Up Care
Post-prostate cancer surgery Dear Dr. Chien, I underwent a Da Vinci prostate cancer surgery on December 14th last year. During my follow-up visit, I had blood tests for serum PSA on the following dates: January 18th (0.025), February 15th (0.017), March 30th (0.023), April 29th...
Dr. Jian Weihong Reply:
Hello: A PSA level of less than 0.2 is defined, and it is also important to consider the surgical staging. You may discuss this with the surgeon. Wishing you good health. You can refer to the online article by Dr. Huang Shu-bin regarding the surgical treatment and follow-up of pr...[Read More] Post-Prostate Cancer Surgery: Understanding PSA Levels and Follow-Up Care
Understanding Post-Surgery PSA Levels After Da Vinci Prostate Cancer Surgery
Da Vinci Surgery Dear Doctor, I underwent a Da Vinci robotic-assisted prostate cancer surgery on December 14th last year. During my follow-up appointments, my blood tests showed the following serum PSA levels: 0.025 on January 18, 0.017 on February 15, 0.023 on March 30, 0.028 on...
Dr. Du Shixi Reply:
Hello: A PSA level of less than 0.2 is defined, and it is also important to consider the surgical staging. You may discuss this with the surgeon. Wishing you good health. You can refer to the online article by Dr. Huang Shu-bin on the surgical treatment and follow-up of prostate ...[Read More] Understanding Post-Surgery PSA Levels After Da Vinci Prostate Cancer Surgery
Understanding Changes in Semen Consistency After Gonorrhea Treatment
Post-treatment for gonorrhea? Around March, I had unprotected intercourse with my partner, and then in early April, I suddenly developed symptoms of gonorrhea (during this period, there was no sexual activity). I consulted a urologist, and since the symptoms were uncertain, I was...
Dr. Du Shixi Reply:
Hello: Based on your description, it's difficult to provide an explanation; I can only say that changes have occurred. Whether this is related to the process is not necessarily the case. If you are concerned, you may consider testing the semen to check for any abnormalities ...[Read More] Understanding Changes in Semen Consistency After Gonorrhea Treatment
Understanding Prostate Issues: Causes of Reduced Prostate Fluid During Masturbation
Prostate issues Hello Doctor, Last week I tried masturbation, and when I was about to ejaculate, I held it back. Then on Sunday morning, I ejaculated once, but when I masturbated that evening, I noticed that there was no pre-ejaculatory fluid from the glans. The glans felt stic...
Dr. Xu Wencang Reply:
Continue to monitor the situation; if you have concerns, you can seek medical evaluation.[Read More] Understanding Prostate Issues: Causes of Reduced Prostate Fluid During Masturbation
Understanding Perineal Pain: Is It a Sign of Chronic Prostatitis?
Pressing on the perineal area causes soreness? Hello, doctor. I am seventeen years old and currently in the second year of high school. During my first year, I had prostatitis, which I treated and recovered from. However, a few months after my recovery, I started experiencing som...
Dr. Du Shixi Reply:
Hello: It may still be an issue related to the perineum or prostate. If there is sexual activity, it is advisable to seek medical attention from a urologist at the hospital. There is a possibility of chronic conditions, but the chance of cancer is low. Wishing you good health.[Read More] Understanding Perineal Pain: Is It a Sign of Chronic Prostatitis?