Question 1

I'm a 19-year-old guy and lately, I've been noticing something strange. When I masturbate, it feels good during the act, but once I ejaculate, there's nothinglike, no orgasm or any feeling at all. Is this something I should be worried about?

Accepted Answer

Not feeling an orgasm during masturbation, also known as anorgasmia, can be caused by various factors, including:

Physical Factors

1. Over-masturbation: Frequent masturbation can lead to desensitization.
2. Nerve damage: Injury or damage to the nerves in the genital area.
3. Hormonal imbalance: Imbalances in testosterone, dopamine, or serotonin levels.
4. Medications: Certain medications, such as antidepressants, can affect orgasm.

Psychological Factors

1. Stress and anxiety: High stress levels can affect orgasm.
2. Depression: Depression can lead to a decrease in libido and orgasmic function.
3. Performance anxiety: Anxiety about sexual performance can affect orgasm.

Lifestyle Factors

1. Lack of sleep: Fatigue can affect orgasmic function.
2. Poor diet: A diet lacking essential nutrients can affect hormone levels and orgasm.
3. Substance abuse: Substance abuse can affect hormone levels and orgasmic function. CONSULT UROLOGIST FOR THE SAME

Question 2

I've been dealing with paraphimosis for over a year now, and it's getting really frustrating. I'm not sure what steps to take. Could you guide me on what to do next? I'm really worried and would appreciate some quick advice.

Accepted Answer

Paraphimosis is a medical emergency that requires prompt attention; please immediately visit the nearest hospital or urology clinic, as delaying treatment can lead to serious complications, such as permanent damage to the penis, gangrene, or even amputation; a urologist may perform a manual reduction, circumcision, or preputioplasty to treat the condition.

Question 3

I'm dealing with this issue for about 56 weeks now. I've got these small rashes on the skin of the penis cap and the inner skin too. Sometimes they seem to clear up, but then they come back. It also hurts during sex. Can you tell me what's going on?

Accepted Answer

Recurring Elevated CRP Levels in a 3-Year-Old

_Possible Causes_

1. _Recurring infections_: Frequent infections, such as ear infections, pneumonia, or urinary tract infections, can cause elevated CRP levels.
2. _Autoimmune disorders_: Conditions like juvenile idiopathic arthritis (JIA) or inflammatory bowel disease (IBD) can cause chronic inflammation and elevated CRP levels.
3. _Allergies or sensitivities_: Food allergies or sensitivities can cause inflammation and elevated CRP levels.
4. _Gastrointestinal issues_: Conditions like gastroesophageal reflux disease (GERD) or inflammatory bowel disease (IBD) can cause inflammation and elevated CRP levels.

_Recommended Actions_

1. _Consult a pediatrician or pediatric rheumatologist_: Discuss your nephew's recurring elevated CRP levels and determine the best course of action.
2. _Comprehensive diagnostic workup_: Consider additional tests, such as:
    - Erythrocyte sedimentation rate (ESR)
    - Liver function tests (LFTs)
    - Stool tests for gastrointestinal pathogens
    - Imaging studies (e.g., X-rays, ultrasound) to rule out underlying conditions
3. _Monitor CRP levels and overall health_: Regularly check CRP levels and monitor your nephew's overall health, including his appetite, vomiting, and stool habits.

_Possible Treatment Options_

1. _Antibiotics or antivirals_: If an underlying infection is identified.
2. _Anti-inflammatory medications_: To manage inflammation and reduce CRP levels.
3. _Immunosuppressive medications_: If an autoimmune disorder is diagnosed.
4. _Dietary changes_: If food allergies or sensitivities are suspected.

Question 4

I'm having this issue where every time I get an erection or after having sex, my penis seems to crack at one particular spot. It heals after a few days, but then it just happens again the next time. Is there any cream or solution I could use to preve...

Accepted Answer

The recurring cracks on your penis, particularly in one position, during or after erection, may be caused by a condition called penile fissures, which can be painful and may lead to bleeding or infection; applying a topical cream or ointment, such as petroleum jelly, aloe vera gel, or a fragrance-free lubricant, may help soothe and protect the affected area

Question 5

I've just got my semen analysis results, and it shows pus cells in my semen at a level of 3045. I'm trying to figure out what could be causing this. On the results, my sperm count is 36 million, morphology is at 70%, and everything else seems to be w...

Accepted Answer

The presence of pus in your semen, also known as pyospermia, can be caused by various factors, including prostatitis, epididymitis, urethritis, or a urinary tract infection (UTI), and despite your relatively normal semen analysis parameters (sperm count, morphology), it's essential to consult a urologist

Question 6

I'm a 34-year-old guy dealing with these annoying anal fissures for about 5 years now, and they seem to keep coming back. It's been happening since 2011, and when they appear, the pain is just unbearable. I've been following the doctor's advice  more...

Accepted Answer

for permanent cure surgery is the choice ,there is less chances it turns into cancer

I'm a 19-year-old guy and lately, I've been noticing something strange. When I masturbate, it feels good during the act, but once I ejaculate, there's nothinglike, no orgasm or any feeling at all. Is this something I should be worried about?

I'm a 19-year-old guy and lately, I've been noticing something strange. When I masturbate, it feels good during the act, but once I ejaculate, there's nothinglike, no orgasm or any feeling at all. Is this something I should be worried about?

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Dr Anupam Sharma

Dr. J Chaithanya

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Related Questions

I've been dealing with paraphimosis for over a year now, and it's getting really frustrating. I'm not sure what steps to take. Could you guide me on what to do next? I'm really worried and would appreciate some quick advice.

I'm dealing with this issue for about 56 weeks now. I've got these small rashes on the skin of the penis cap and the inner skin too. Sometimes they seem to clear up, but then they come back. It also hurts during sex. Can you tell me what's going on?

I'm having this issue where every time I get an erection or after having sex, my penis seems to crack at one particular spot. It heals after a few days, but then it just happens again the next time. Is there any cream or solution I could use to preve...

I've just got my semen analysis results, and it shows pus cells in my semen at a level of 3045. I'm trying to figure out what could be causing this. On the results, my sperm count is 36 million, morphology is at 70%, and everything else seems to be w...

I'm a 34-year-old guy dealing with these annoying anal fissures for about 5 years now, and they seem to keep coming back. It's been happening since 2011, and when they appear, the pain is just unbearable. I've been following the doctor's advice more...

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