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Erectile dysfunction, reduced volume in semen - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Erectile Dysfunction
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   1st let me start, I have been experience most of the symptoms since 2005, i been to a lot of doctors who didnt care to find the problem after alot of the test came back normal. i started to give up and my problem. here is how it all statred step by step

1/ i start losing morning erection, some days i have it some days i dont. however, i was still able to have normal sex.

2/ months later no morning erection, maybe ones a month or twice a week, started to have problems getting hard and staying hard during sex.

3/after a year and half i started to have problems keeping my erection which its also soft, this was the case since until now.

4/ a month ago new symptom is started, now i have problem with the amount of cum when i ejaculate which is almost close to one of two small drips.also, im having hard time pushing it out. there is no power of ejaculation.

please allow me to say, i dont have diabetes, i dont have high blood pressure, i dont have high LDL i dont smoke i hardly drink, i dont do drugs. im not depress

please help i dont know how worse is this going to get

Doctor :   let me read
User :   sure take your time
Doctor :   did you suffer any back injury
User :  
not that i know. however, i get back pain from time to time . they also found noting in xray
Doctor :   x ray will provide only information about bone
Doctor :   which part of the back you have pain?
Doctor :  
lower back or upper back
User :   lower back, again i seen 9 different doctors in the past 4 years. i was told that im too young to have problems and noting is wrong with me

Doctor :  
ok
Doctor :  
what does the hormone levels of testosterone in blood say
User :   last checked it was over 540
Doctor :  
what about the prolactin hormone
User :  
i dont know what that is. however, the last doctor that even check for other hormones was 2 years ago and he said it was normal
Doctor :   ok
Doctor :  
now what have the they decided? and you are on what treatment?
User :   nope
User :  
i was unable to use pills
User :  
side affect dont work for me
User :  
but thats not the problem
User :  
i need to know the cuse
User :  
it getting worse
User :  
no im freacking out
User :  
after the last problem im having
Doctor :   ok
User :  
with my cum amount
Doctor :  
yes
Doctor :   may i know your age?
User :  
28
Doctor :  
your height and weight?
User :  
5foot 9
User :  
180 pound
User :  
one thing has beeing happing too
Doctor :   yes
User :  
im losing hair on my lags
User :  
im hairy
Doctor :  
what about the hair in arm pit
User :   a little
User :  
not like how it use to be
Doctor :  
beard and mustache
User :  
nope
User :  
head
Doctor :   what about the pubic hair
User :  
nope thats normal too, as well as arms chest. back however have bold patches
Doctor :  
what about the size of the testis?
User :   but is more of legs than anywhere else

User :  
what about it
Doctor :   do you think is it the same what it was before or has it reduced?
User :   i had big ones, so i will say they have reduced in size a little not much
User :  
if any
User :  
i dont know
Doctor :   ok
Doctor :  
how are they to feel
Doctor :  
i mean the consistency of the testis
User :  
normal i guess
Doctor :   regarding the reduction of the semen quantity
Doctor :   when did you notice the reduction in the quantity
User :   started a month ago, also it was hard for it to come out NO POWER

Doctor :   when was the last blood testosterone hormone levels tested?
User :   about 4 months ago

Doctor :   the reduction in the volume of the semen is very much pointing at the testosterone deficiency or its inability to act at the target organs
Doctor :   further inability of the ejucaluation (NO POWER) is indicating the autonomic nerves disorder
Doctor :  
sympathetic nerve system disorder
Doctor :  
did you consult a endocrinologist or andrologist any time?

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