Question 1

My father has been diagnosed with borderline prostatomegaly, and his ultrasound report shows that his prostate is enlarged, measuring 31x38x34 mm with a volume of 224cc. There are no focal lesions detected. He had TURP surgery back in 2009, but now Im wondering if he needs to undergo another TURP or if there are other treatment options available. Can you suggest what might be the best course of action for him at this point?

Accepted Answer

For borderline prostatomegaly with a prostate volume of 24cc, treatment options include watchful waiting, medications like alpha-blockers (e.g., tamsulosin) or 5-alpha-reductase inhibitors (e.g., finasteride), and lifestyle changes; TURP surgery may not be immediately necessary, especially since your father had it in 2009, but it's essential to consult a urologist for personalized advice and to monitor prostate health.

Question 2

I had protected sex on June 26th and took an HIV RNA PCR test on July 12th, which is about 15 days later. Will the results be accurate? Is it true the test is reliable after 10 days?

Accepted Answer

For an accurate HIV RNA PCR test result, it's typically recommended to wait at least 10-14 days after potential exposure. Since you tested 15 days after the incident, it should provide a fairly reliable result, but the accuracy improves with more time. For complete certainty, consult with your doctor.

Question 3

Ive been experiencing pain at the head of my penis when I touch it, and sometimes it burns while I pee. What could be causing this? Can I still have sex while dealing with this condition?

Accepted Answer

Symptoms could indicate a urinary tract infection or a sexually transmitted infection. It is important to get evaluated by a healthcare provider for proper diagnosis and treatment. For the pain and burning sensation, you can take over-the-counter pain relievers like ibuprofen. However, it is important to consult a doctor for a proper evaluation and prescription of antibiotics if needed. Regarding having sex with these symptoms, it is advisable to avoid sexual activity until you have been evaluated and treated to prevent spreading any potential infection to your partner.

Question 4

Ive been having a burning sensation in my penis during urination. Theres also a noticeable sperm-like smell in my urine, and Ive been feeling weak. What could be the issue?

Accepted Answer

The symptoms of burning sensation while urinating, smell of semen in urine, and feeling weak suggest possible causes such as urinary tract infection (UTI), prostatitis, urethritis, or sexually transmitted infections (STIs); consult a urologis

Question 5

My sperm count is 62 million, with 45% active motility, and the liquefaction time is 40 minutes. Could this be a factor delaying my wifes pregnancy? Any advice or suggestions for medication would be really helpful.

Accepted Answer

Your sperm count, motility, and liquefaction time are within normal ranges, but slightly borderline; however, these parameters alone may not be the sole cause of delayed pregnancy, as female factors and other health conditions can also play a role; consult a fertility specialist for a comprehensive evaluation and guidance, and in the meantime, consider supplements like folic acid, vitamin E, and L-carnitine to support sperm health.

Question 6

I recently had sex twice in the same day with my fiance, and I ejaculated very quickly both times. Even when I masturbate, I ejaculate very soon. What could be going on, and what treatment should I consider? Which type of doctor should I consult for this?

Accepted Answer

Premature ejaculation can be treated with medications such as Dapoxetine (Priligy) or Sertraline (Zoloft). You can consult a Urologist for further evaluation and management of your condition.

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Related Questions

I had protected sex on June 26th and took an HIV RNA PCR test on July 12th, which is about 15 days later. Will the results be accurate? Is it true the test is reliable after 10 days?

Ive been experiencing pain at the head of my penis when I touch it, and sometimes it burns while I pee. What could be causing this? Can I still have sex while dealing with this condition?

Ive been having a burning sensation in my penis during urination. Theres also a noticeable sperm-like smell in my urine, and Ive been feeling weak. What could be the issue?

My sperm count is 62 million, with 45% active motility, and the liquefaction time is 40 minutes. Could this be a factor delaying my wifes pregnancy? Any advice or suggestions for medication would be really helpful.

I recently had sex twice in the same day with my fiance, and I ejaculated very quickly both times. Even when I masturbate, I ejaculate very soon. What could be going on, and what treatment should I consider? Which type of doctor should I consult for this?

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