Dr. Neil Baum’s Urology Blog

Dr. Neil Baum's Urology Blog

Dyspareunia is painful sexual intercourse, due to medical or psychological causes. Chances are that you are getting this reply a few days after first posting. Pain at the time of ejaculation can be felt in the area between the anus and the scrotum or in the urethra, a tube that runs from the bladder to the end of the penis. The truth is that many seniors, both men and women, continue to be sexually active and are interested in meeting others with whom they can become intimate. but the problem doesn’t gone. REINISCH: I have the disease interstitial cystitis, or IC. Can you suggest what type of laboratory test?

i’m afraid it might be a STD(herpes)? Psychological Problems: Anxiety linked to worrying about inability to get an erection can cause performance problems, as can medication prescribed to treat depression and anxiety. No ejaculation or transfer of bodily fluids (like blood, saliva, or vaginal secretions) needs to occur for the virus to spread. When the cause is prostatitis the use of medications such as ‘alpha blockers’, muscle relaxants, analgesics, and some anti-inflammatory drugs may help. Check back to our website frequently to see new studies recently awarded! Lime: Add the juice of 1 lime to a glass of hot water and sip it twice a day to get relief from sore throat. Hormone imbalances, especially testosterone deficiency, have been linked to erectile dysfunction.

Nearly every young man has had the experience of intense sexual stimulation and an aching sensation in his testicles. Chimaphila umbellata Prostate Symptoms Burning or sore pains. Also my orgasms were about 1/10th of what they used to be. When a man becomes sexually excited, the arteries carrying blood to the genital area enlarge, while the veins carrying blood from the genital area are more constricted than in the non-aroused state. Retrograde ejaculation — This occurs when, at orgasm, the ejaculate is forced back into the bladder rather than through the urethra and out the end of the penis. This increase of blood supply to the testicles and the trapping of blood around the testicles because the outflow of blood has been decreased causes vasocongestion or engorgement of the testicles resulting in an increase in size of the testicles by 25-50 percent. Infections of the prostate, bladder, or seminal vesicles can lead to intense burning or itching sensations following ejaculation.

This is also something you could address with your optometrist or ophthalmologist. If he doesn’t ejaculate, there is a buildup of pressure, and his supersensitive testicles start to hurt. I might add that seniors often engage in intimacy without having intercourse but that intimacy can occur with touching, holding hands and kissing is often just as satisfying and gratifying as sexual intercourse which occurs at an earlier age. Failure to ejaculate and to feel orgasm often adds frustration and disappointment to the reality of the physical sensation. Should I have any fear?DEAR READER: There are two types of herpes: herpes simplex-1, associated with sores which appear on the lips; and herpes simplex-2, associated with sores or blisters that appear in the genital region. There are several types of prostatitis. For the latter, it is best not to sit more than 2-3 hours at a time.

It’s nice to know that men are not alone with this problem as it impacts both sexes. Itching, burning, or tingling at the site where blisters or sores will appear Inability to urinate Pain in affected area Swollen glands (swelling or tenderness near your neck, armpits, or groin) Severe flu-like symptoms such as fever or body aches What is the treatment for herpes? Women’s genitals also become engorged with blood during sexual arousal and, like their male counterparts, women can experience pelvic heaviness and aching if they do not reach orgasm. It wasn’t too long ago that erectile dysfunction (ED) was believed to be a natural part of aging. Nothing could be further from the truth. Anorgasmia. Once taboo, ED has emerged from the shadows, thanks in large part to the widespread media attention give to Viagra, Levitra and Cialis.

Pareira brava Prostate Symptoms Pain after urination. The mild burning urination did not go away. Approximately 30 million men in the U.S. suffer from ED. An estimated 50 percent of men at age 50 experience some ED symptoms, and the percentage jumps 10% with each decade in life. Most men certainly aren’t willing to accept a decline in our eyesight with age—we use glasses when needed. In much the same way, ED is more than a minor inconvenience and can seriously impact quality of life for men and their partners.

It’s nice to know that men are not alone with this problem as it impacts both sexes. % less liekly than uncircumcised infants to develop urinary tract infections. This makes it even more important to pay attention to your ED symptoms. Talking to your doctor about your ED symptoms can feel embarrassing or difficult, but there’s no reason to be ashamed or uncomfortable. If concerned, have your doctor check you for the common one (gonorrhea, chlamydia, syphilis, AIDS, etc.). Medications that sometimes help include the over-the-counter natural supplement saw palmetto 320 mgm daily and alpha-blockers (such as Flomax, Hytrin, Cardura & Uroxatral). Make a separate appointment to discuss ED, to make sure you have enough time to discuss your concerns.

Ask for a referral to a urologist, a doctor who specializes in men’s urinary and sexual health issues. Be sure to discuss the all the possible issues surrounding your ED, the hurdles you face in all areas of sexual function, including your ability to get and keep an erection, sensitivity and other issues that may help pinpoint the root cause. Vacuum pump therapy, which requires the use of a small pump to mechanically enhance blood flow and create an erection. These devices are totally noninvasive, but they can be somewhat awkward to use and not conducive to spontaneity. Be sexually responsible. This also requires some advance preparation. Lump sensation in rectum.

Dr. Neil Baum's Urology Blog
Because of both the psychological and physical discomfort, in spite of high levels of effectiveness, many men do not find this to be a long-term solution. About 50% of men who try injections, do not continue their use. Penile prosthetic implants are surgical devices concealed within the body that restore erectile function to as near natural as possible and still allow for spontaneity. While the concept itself is nothing new, the devices and implantation procedures have evolved considerably to make the procedure quicker and easier on the patient. While implants carry the same risks associated with any surgery, implant procedures generally have extremely high success rates and provide an effective solution for many men. Implants may not be for everyone, but they are a viable option to restore erectile function for most men over the age of 50, and they carry a very high satisfaction rate among patients and partners. It usually begins after exercise but can occur when the boy is at rest or even awaken the boy from sleep.

This involves obtaining a sample of discharge from your urethra. It’s unlikely that any treatment will restore erectile function back to the way it was in your younger years, especially with advanced age, but ED treatment can allow all men to enjoy and active and satisfying sex life well into their golden years. No matter what your age, it’s important to take that first step and talk to your doctor about ED symptoms. It’s never “normal” at any age to not have normal sexual function. With the wide variety of treatment options available, there’s no longer any reason to ignore the problem as a fact of life. Premature ejaculation is a common condition that impacts so many American men. It leads to a source of frustration not only to the man but to his partner as well.

There are dozens of folklore treatments but since none universally effective, that leaves many men continuing to suffer the embarrassment of premature ejaculation or PE. There are medical options, which include oral medication with SSRI or selective serotonin reuptake inhibitors and sex therapy that teach the squeeze technique. However, a non-medical solution consists of pelvic floor exercise, more commonly called a Kegel exercise (named after Dr. Not all penis problems can be prevented. Several tools exist to help with these exercises, though many are ineffective. These exercises are usually done to reduce urinary incontinence and aid with childbirth in women, and reduce premature ejaculatory occurrences in men, as well as increase the size and intensity of erections. Kegel exercises are employed to strengthen the pubococcygeal muscle and other muscles of the pelvic diaphragm.

Kegels can help men achieve stronger erections and gain greater control over ejaculation. The objective of this may be similar to that of the exercise in women with weakened pelvic floor: to increase bladder and bowel control and sexual function. Kegel workouts can provide men with stronger erections. Research published in 2005 issue of BJU International, have shown that pelvic floor exercises could help restore erectile function in men with erectile dysfunction. There are said to be significant benefits for the problem of premature ejaculation from having more muscular control of the pelvis. This is a inflammatory condition involving the gland and ducts that are behind the testicle and are responsible for allowing sperm to mature until they are ready to enter the semen. Ask your doctor when you can have sex again.

1. Relax the penile area completely and clear your mind of tension and anxiety. You want to be calm and relaxed so that the blood can flow into your penis. 2. Begin contracting the penile muscles. Focus on contracting the muscles near the front of your penis while keeping the rest of the pelvic area as relaxed as possible. The goal is to make your penis become stronger and more erect without actually having an erection.

3. Breathe deeply and slowly as you push out the muscles in the penile area and maintain focus on strengthening only the top and lower end of the penis. Take note of how relaxed and loose the muscles directly under your penis are. 4. Let go of the contraction and breathe more deeply as you exhale. Let your penis relax, then take another deep breath and contract again. Make sure you are only focusing on the front of your penis; push out, hold for a few seconds, then relax the muscles.

5. Repeat the cycle for at least 10-15 times per session so that you feel comfortable with the movement. The entire process will feel awkward at first, but it’s very important to focus on relaxation and keeping the muscles as loose as possible outside of the contractions. You can work your way up to 40-50 exercises per session as your penis becomes stronger. Most scrotal conditions can be easily diagnosed in the doctor’s office or with a scrotal ultrasound. Polyps can be removed at the time of the test. Bottom Line: Kegel exercises are not just for women but can also be used by men to treat premature ejaculation.

Remember, a Kegel a day may keep your ejaculation away….or at least delayed for a few minutes! Most men experience the joy of ejaculation when the semen, sperm mixed with prostatic fluid, travels outside of the body at the time of orgasm. Retrograde ejaculation occurs when semen goes into the bladder instead of leaving the penis during ejaculation. Retrograde ejaculation isn’t harmful but it can impair fertility since it affects the delivery of sperm to the vagina during intercourse. During normal ejaculation, internal muscles, called sphincters, close off the opening of the bladder to prevent semen from entering as it passes through the urethra. In retrograde ejaculation, the bladder opening doesn’t close properly and some or all of the semen is allowed to enter the bladder instead of being ejected out the tip of the penis. As a result, semen mixes with urine in the bladder and leaves the body during the next urination.

Retrograde ejaculation does not interfere with a man’s ability to have an erection or an orgasm. Men often first become aware that they have retrograde ejaculation when fertility problems arise. The condition also occurs after prostate surgery where the sphincters can be damaged or injured during the surgery. A common sign indicating retrograde ejaculation is if a man’s urine appears cloudy after sexual climax. Retrograde ejaculation may occur either partially or completely. Men with incomplete retrograde ejaculation may notice a decrease in semen that comes out during ejaculation. Complete retrograde ejaculation can also be called dry orgasm or dry ejaculation since there is orgasm without the discharge of semen.

Unfortunately, if retrograde ejaculation is caused by surgery or diabetes, it is often not correctable. However, some medications have been shown to improve muscle tone of the bladder neck and therefore reduce the loss of semen into the bladder during ejaculation. These medications include: epinephrine sulfate and epinephrine-like drugs (such as pseudoephedrine, imipramine, midodrin, desipramine and brompheniramine maleate). Tricyclic antidepressants, such as imipramine, sometimes relieve the pain. The second (diastolic) is the pressure between beats. The condition does not need treatment unless a man wishes to achieve a pregnancy.

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