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Tight foreskin, anxiety during intercourse, low libido. Advice - Online Doctor Chats

Date : 30-May-2013
User rating for this question
Very Good Posted in: Men Sexual Problems
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
Doctor:Good morning
Doctor:I amfrom XXXXXXX medical support team. The doctor is busy with another patient on phone. Would you want me to arrange a call back from the doctor in next 10-15 minutes or today morning around 10 AM?
Doctor:Dr. XXXXXXX here
Doctor:Good morning
User:i have a doubt :'which dept doctor i have to consult if i have tight fore skin in my penis'
Doctor:Do you wish to continue to chat or should I call you back?
User:i have excessively anxiety before intercourse
User:i have highbp/obesity/39 yrs old
Doctor:Do you have any problems during sexual intercourse?
User:Problems 1.Excessive anxiety 2.obesity 3.low libido
Doctor:Since when are you having these symptoms?
User:for high BP i am taking ayurvedic medicines
User:i go married 6 yrs before and past two and half years i have pressure to have child since i am issueless at the age of 39
User:'which dept doctor i have to consult if i have tight fore skin in my penis and sensitity at penis edge '
Doctor: XXXXXXX from where I see you have few problems which needs to be addressed apart from tight foreskin and sensitivity penis edge.
Doctor:I shall answer your queries one by one.
User:okay thank u
Doctor:Tight foreskin is often found in many men
Doctor:but they rarely need correction unless and until
Doctor:he experiences any difficulty as pain while intercourse.
User:i exp pain
Doctor:If you have such issues then it can be rectified by use of lubricants or by a minor procedure - circumcision.
Doctor:The treatment can be done using the help of an urosurgeon.
User:urologist u mean
Doctor:2. Yes, urosurgeon refers to urologist.
User:thank u
Doctor:2. Problem that of anxiety
Doctor:is probably due to the sexual and other stress/pressure you have.
Doctor:In ability to parent a child may be causing anxiety and reduced libido too.
User:will yoga help me on that issue
Doctor:This concern can be addressed by a sexologist.
Doctor:Yes, yoga, reducing weight, physical exercise, transcendental meditation, regular sleep and good diet
Doctor:will have a major role in treating this problem.
Doctor:The sexologist will also be able to treat you with some behaviour therapy which will also help you.
Doctor:3. Finally, you also seem to have some problem parenting a child.
Doctor:The reasons can be many.
Doctor:Both male and female factors play a role.
Doctor:It needs detailed evaluation which includes physical examination and tests of both partners.
Doctor:An infertility specialist will be able to treat this problem.
User:my semen analysis is okay and wife i also okay
Doctor:The bottom line is that you would need 3 experts to deal your problems.
Doctor:Urologist, sexologist and infertility specialist.
Doctor:You can consult them individually depending on your priority.
User:thanks a lot for your suggestions
Doctor:Have you followed what I suggested?
Doctor:Do you have any other query?
User:have a nice day Dr XXXXXXX
Doctor:Wish you the same.
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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