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Perineal itching and erectile dysfunction - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Erectile Dysfunction
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1716 Questions
User :   Hello, 24 year old male and i have intense perineal itching i am also unable to achieve and mantain an erection. My girlfriend has urged me to seek medical advise as it is affecting our relationship. Obviously i am worried about the erectyle disfunction as it has come along very quickly. in the space of around 2 months., i am in shape but i do smoke. i eat well and exercise regularly. The only other symptoms i can give you are that my testicles are extra sensitive and often ache. i have no issues with urinating. Thanks.
Doctor :   Hi,
User :   Hello
Doctor :   Do the testicles ache deep or the pain is over the scortal skin ?
User :   no it seems to be deep, i have examined them myself and there are no lumps.
User :   it tends to be the left testicle more than the right but they both ache.
Doctor :   ok, since when are you nt able to maintain erections ?
User :   since around 2 months ago. but for around 9 months i did not lead a particularly active sex life, so at first i put it down to inactivity but now it has become a real concern of mine.
Doctor :   Do you masturbate ?
User :   yes but i have found that i can only achieve a part erection.
User :   never had problems in the past.
Doctor :   Is it because of the pain , that you cant maintain the erections ?
User :   no not because of the pain, simply i can not achieve the erections but not really related to the pain in my testicles, the pain is a dull ache in the testicles.
Doctor :   ok, Have you tried any medication for the same ?
User :   i have tried nothing yet, i have simply been to embaressed to talk about it, the only reason i am now seeking advise is because of the pressure being put on my relationship.
Doctor :   ok, tak tab Sildenafil citrate 50 mg once one hour before every time you go for intercourse ,
Doctor :   do it for a month, the tab may also get you rid of pain in the testicles
User :   ok is this viagra equvalent?
Doctor :   yes, it is
User :   ok do you think it may help with the itching? i was thinking maybe it could be prostitus.
Doctor :   no , itching is a different problem
Doctor :   and stop the tab for the next month as the spongiosis muscle in the penis would have become enough capable to hold blood that you can maintain erections naturally
User :   ok. hopefully i will not need to be on the viagra for too long as this too is a little embaressing at my age.
Doctor :   and apply MICANAZOLE oint for the anal itching
Doctor :   i agree , its just a matter of month , I have seen good results in my patients
User :   ok great how can i purchase these items are they over the counter products or will i need a perscription?
Doctor :   yes, they are OTCs , you will get them without prescription
User :   fantastic! do you think it is worth my while having any other checks performed from the symptoms i have described to you or do you think that the symptoms i have described do not seem particularly bad. i mean could there be an underlying problem from the described symptoms or does this seem fairly common.
Doctor :   its very common
Doctor :   the gap is the reason
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