Urology, Urology FAQ

Improving Erectile Function and Ejaculation Issues: A Urology Guide

Erectile dysfunction, etc? In the morning, there are times when I have an erection and times when I do not. During intercourse, I often experience insufficient erection hardness, making penetration difficult. Previously, I would ejaculate with a large volume and a strong jet, but...

Dr. Xu Wencang Reply:
You can visit the outpatient clinic for evaluation, examination, and treatment. Medications and low-energy shockwave therapy can be used.

Understanding Low Testosterone in Teenagers: Causes and Solutions

Hypogonadism Hello Doctor, last month (around mid-May) I had a blood test for testosterone at the urology department (but it was done in the evening) and my level was 257 ng/dL. I am currently 17 years old. Besides having occasional morning erections, I also find that I cannot ac...

Dr. Xu Wencang Reply:
It is not recommended to supplement testosterone; you can retest in the morning. Regular routines and exercise can help improve the situation. Testosterone supplementation may lead to infertility, but stopping for a period of time will allow recovery.

Understanding Trigeminal Neuralgia: Symptoms and Treatment Options

Trigeminal Neuralgia Hello, doctor: I have a dull, tingling pain in the back of my neck and on my cheeks. It feels sharp and sore. What should I do about trigeminal neuralgia?

Dr. Cai Zongzhang Reply:
Hello, Avi: The symptoms mentioned are indicative of neuropathic pain, which can have various causes. It is recommended that if the symptoms do not improve with adequate rest, you should visit a neurology outpatient clinic.

Understanding Dizziness and Brain Fog: Exploring Neurological Causes

Dizziness and a feeling of heaviness in the head? Hello! I have been experiencing dizziness, a feeling of heaviness in my head, and difficulty concentrating for the past two weeks. I also feel tightness and numbness in my head. I have undergone an electrocardiogram and thyroid fu...

Dr. Peng Shiwei Reply:
Hello, general dizziness and a feeling of heaviness in the head can be related to many factors. If your current examinations are all normal, it is possible that it is caused by primary headaches. I recommend that you discuss this further with your primary physician. Thank you for...

Understanding Sleep Breathing Issues: Causes and Solutions

Sleep breathing disorders Hello Doctor, yesterday while I was sleeping, I woke up gasping for air due to a lack of oxygen. This situation occurs about once every six months; although the frequency is low, it is always very uncomfortable, and I worry about the possibility of suffo...

Dr. Jiang Junyi Reply:
Hello Mr. Hsu: You mentioned that "the sleep study showed an RDI of 1.9 and a minimum blood oxygen level of 84." These values do not meet the criteria for obstructive sleep apnea (OSA), which is greater than 5. Symptoms of sleep apnea include insomnia, nightmares, irrit...

Understanding Persistent Dizziness: Possible Causes and Next Steps

Dizziness and an unsteady sense of balance? Hello Doctor, I have been experiencing dizziness for over a month. I have consulted with a neurologist, an otolaryngologist, and a cardiologist, and all tests have come back normal. However, my symptoms have not improved with medication...

Dr. Jiang Junyi Reply:
Hello Mr. Wang, You mentioned that "the symptoms improve slightly after getting up in the morning... and the body feels like it's swaying." This may indicate proprioceptive abnormalities caused by cervical spine issues. Often, this is related to muscle fascia tigh...

Understanding Persistent Dizziness: Possible Causes and Next Steps

Dizziness and an unsteady sense of balance? Hello, Doctor. I have been experiencing dizziness for over a month. I have seen specialists in neurology, otolaryngology, and cardiology, and all tests have come back normal. However, my symptoms have not improved with medication. I wou...

Addressing Concerns About Infection Risks in Urology Care

Inquire about infection-related matters? My job involves caring for the elderly. Over five months ago, I last worked on a case, and at that time, I experienced abdominal pain and rushed to the shared restroom in their facility. Due to the urgency, I didn't have time to clean...

Dr. Du Shixi Reply:
Hello: The situation you mentioned regarding the infection is unlikely to occur, so there is no need for concern. Wishing you good health.

How Long for Syphilis Rash to Fade After Treatment?

How long does it take for the rash to disappear after syphilis treatment? Hello, Doctor: I was diagnosed with syphilis last month and immediately sought treatment at a urology clinic. The doctor mentioned that currently, penicillin injections are only available at major hospitals...

Dr. Du Shixi Reply:
Hello: In some individuals, erythema may not completely disappear but only fade. If you are very concerned, it is advisable to consult a medical center for examination. To my knowledge, there are no specific methods for complete resolution. Wishing you good health.

Understanding Outer Thigh Numbness: Causes and Solutions for Active Individuals

Numbness in the outer thigh caused by exercise (I have already researched and found no similar conditions)? Hello Doctor, I have been troubled by this issue for some time, and it may be a bit lengthy. I hope you can provide me with advice and assistance. (I have not experienced a...

Dr. Jiang Junyi Reply:
Hello Mr. Tommy, You mentioned experiencing a tingling sensation on the outer side of your right thigh near the knee. In addition to possible compression of the lumbar nerve roots (L2 and L3), it may be necessary to consider inflammation of the lateral femoral cutaneous nerve. T...

Understanding Head and Tooth Pain: When to Seek Neurological Help

Head and tooth pain? Hello Doctor, I am a 23-year-old female. I have been experiencing pain in my head and teeth for a week. The headache is located on the left side, above the ear, extending to the top of the head. Accompanying symptoms include sharp pain in the lower left teeth...

Dr. Jiang Junyi Reply:
Hello Ms. Zhyn, You mentioned that "the location of the trigeminal nerve sometimes feels like being scratched by something, with a sharp pain similar to an electric shock lasting for a second; sometimes it occurs continuously, and other times with longer intervals. However,...

Understanding Muscle Tension: Symptoms and Solutions for Neurological Issues

Involuntary muscle tension? Hello Doctor: Since around middle school, I have experienced episodes where my head involuntarily turns to the left, and the muscles in my face, neck, and limbs temporarily (for about ten seconds) maintain a rigid posture, becoming twisted and unable t...

Dr. Peng Shiwei Reply:
Hello, there are many possible diagnoses for your symptoms. I recommend that you visit a neurology clinic for a detailed evaluation. Thank you for your inquiry.

Understanding the Impact of Psychiatric Medications on Sexual Desire

Physiologically, it is possible to achieve an erection and have a response, but there is a lack of sexual arousal and pleasure? Hello Doctor, I am currently taking psychiatric medications, specifically Fluphenazine and Risperidone. Previously, I was also taking Benztropine to all...

Dr. Du Shixi Reply:
Hello: You can go to the urology department for examination and testing. As for whether the medication has an impact, it's difficult to say; there is limited statistical data, but there are still individuals who may experience effects. It is advisable to discuss with your ph...

Persistent Right Calf Pain: When to See a Specialist?

Right calf? If you have been experiencing pain in your right calf for over a month, and the pain persists even with Tramadol (37.5 mg) and Acetaminophen (325 mg), along with tenderness upon touch, it is advisable to consult a specialist. Given that you have a small varicose vein ...

Dr. Jiang Junyi Reply:
Hello Mr. Li: You mentioned that "touching causes pain, and there is a small varicose vein that has been checked with ultrasound and found to be normal. Should I see a neurologist, a rehabilitation specialist, or a pain management specialist?" It is recommended that you...

Low Ceruloplasmin Levels: Impacts on Neurological Health and Symptoms

Test values are low? Hello Doctor, I would like to ask about my previous blood test for ceruloplasmin, which showed a low value of 185 mg/L (normal range 200-600). Sometimes my hands shake involuntarily. Is there a direct relationship between this symptom and low ceruloplasmin le...

Dr. Jiang Junyi Reply:
Hello Mr. Andy, You mentioned that "ceruloplasmin is low," which is commonly used in clinical practice to diagnose tremor-related disorders, particularly Wilson's disease. This is a genetic disorder characterized by impaired copper transport and accumulation of co...

Understanding Uneven Glans: A Urology Perspective

Glans issues? Since the fourth grade, when I first retracted my foreskin, the glans has appeared uneven. I didn't pay much attention to it because I didn't feel any discomfort, but I find it aesthetically unpleasing.

Dr. Du Shixi Reply:
Hello: If there are changes outside the normal range, then medical attention is necessary. Wishing you good health.

Understanding Pain in the Tips of Your Big Toes: Causes and Solutions

Painful sensation at the tip of the big toe? I have been experiencing a sharp pain at the tips of both my big toes recently. However, I couldn't find any similar symptoms online. The pain is located just below the front of the toenail and is in an area that does not touch th...

Dr. Wu Mukhan Reply:
Hello, it seems that your symptoms may be related to peripheral nerve issues. If there is no improvement, it is recommended to visit a neurology outpatient clinic for evaluation to determine if further testing is necessary.

Understanding Cervical Disc Herniation: Recovery and Treatment Insights

Cervical disc herniation issues? Hello Dr. Jiang: Recently, I have been experiencing back pain due to my fitness routine. Initially, I sought treatment from traditional Chinese medicine focusing on my thoracic spine. After some improvement, there was no further progress, so I dec...

Dr. Jiang Junyi Reply:
Dear Mr. Hsiao-fu, You mentioned the issue of low bone density (seemingly below -3), which may be due to my consistently low body weight since birth. However, will this affect my recovery from a herniated disc? A herniated disc is typically caused by improper posture combined wi...

Understanding Non-Specific Dizziness: Symptoms and Next Steps

Non-specific dizziness has multiple symptoms? Hello, doctor. I have been experiencing dizziness for a month. It started a month ago due to academic pressure, but even though the pressure has decreased, the dizziness persists. I have seen both a neurologist and an ENT specialist, ...

Dr. Cai Zongzhang Reply:
Hello Mr. Wang: There are many possible causes for headaches and dizziness, most of which fall under the specialties of neurology or otolaryngology. If the symptoms persist without improvement, you may consider visiting a second neurologist for an evaluation of potential underlyi...

Overcoming Sexual Difficulties After Circumcision: A Urology Perspective

Difficulty in sexual intercourse? Last year, after undergoing circumcision, I attempted to have intercourse with my girlfriend several times, but I was unable to finish. After a short while, I experienced back pain and could not maintain an erection; my penis would go soft as soo...

Dr. Du Shixi Reply:
Hello: If your condition differs significantly from before, you should seek medical attention at a major hospital without delay. From personal experience, postponing treatment can make it more difficult to manage. Generally, circumcision and abnormal protrusions should not affect...

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