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Prostiatitis and scrotum shrinkage - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Men Sexual Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
Doctor :   hi
User :   Hi
User :   I'm 31/M
Doctor :   this is dr
User :   How are you doing today Dr. ?
Doctor :   i am fine thank you
User :   Could you please help me with the urology related problem that I'm facing
Doctor :   sure please proceed with the query
User :   I'm having my testicles going up with scrotum shrinking most of the time, even after hot shower. It is happening for me for past 8 months. and getting worse day by day.
User :   I was diagonsed for prostiatitis last month and treated with antibiotic for it
Doctor :   may i know ur age ?
User :   I'm 31 years old
Doctor :   ok
User :   And I'm seeing reduction in semen volume during ejaculation and erectile dysfunction. Could you please tell me what can be the problem associated with it ?
Doctor :   regular sex and ejaculation will be assocuiated with reduced ejaculate
Doctor :   this is normal
User :   is it okay for my age ?
Doctor :   can u describe the qty of semen in tea spoon /
User :   It got reduced to 1/2 spoon from 2, 1 year back
Doctor :   this is normal , and there is no need to be worried
User :   Could you please explain me for the scrotal shrinkage that I'm having
User :   what can be the possible reason, I 'm facing all these symptoms together so I'm worried abt it
Doctor :   can u tell me the sixe of the testicles in average in centimeteres ?
User :   Size of the testicle was measured normal (~14cc) in Ultra sound, but I'm facing this problem very often now adays that makes me feel very uncomfortable and makes me feel if there is any atrophy associated with this.
Doctor :   there is no symptoms of atrophy
User :   could you please tell me what all the symptoms of atrophy?
Doctor :   let me know if u have issues with ejaculation , erection issues, etc ?
User :   Yes I do have problem with erection.
Doctor :   can u specify exactly what problem u have ? do u mean premature ejaculation ?
User :   Yes I do have premature ejaculation and maintaining the erection.
Doctor :   do u have decreased libido and sexual ugrge ?
User :   yes I do have
Doctor :   have u had any blood tests done ?
User :   I had my blood work done 2 months before and testosterone was 287
Doctor :   can u mention in units
Doctor :   given in the report
User :   ng/dl
Doctor :   ok
User :   and in one more free testosterone count it came to be 12.83 pg/ml
User :   this is taken one month after
Doctor :   the blood levels seem to normal
User :   I was on anti-depressant for few months and my prolactin level went up to 30.82 ng/ml
User :   Is scrotal shrinkage caused because of this / if there is any poor blood circulation associated with it
Doctor :   NO
Doctor :   there is nothing related to use of antideressents
Doctor :   that can cause scrotal atrophy
User :   or am I loosing blood circulation in genital area
Doctor :   you will be benefites by testoesterne supplemtnts
User :   could you please suggest me with any good testosterone supplements
Doctor :   these are hormonal supplements and have to be prescribed with caution
Doctor :   also they need to be given with prescriptions from your treating doctor
Doctor :   Your testosterone levels are within the lower range of normal
Doctor :   the normal range is from 450 ng to 1400 ng in blood
User :   I believe would have dropped steeply in past 1yr.
Doctor :   so additional transdermal testosterone patches can be useful to increase the testosterone levels
User :   Is it going to be a life long treatment if I do any hormonal replacement therapy
Doctor :   you can take the treatment for upto 4-6 months and see for improvement fo your symptms
User :   Could you please let me know, is it possible that will stay normal level after the treatment was discontinued.
User :   or it has to be taken life long to maintain the level constant
Doctor :   in some cases, as the testes function returns, then tratment can be stoped
Doctor :   if it de not return, then you may need lng term treatments
User :   I have Androgel (2%) prescribed by my endocrinologist few months back can I proceed with it.
Doctor :   yes definitely
User :   Sorry it is (1%) and 5gms I stopped, fearing that is the cause of this problem
Doctor :   no
Doctor :   u need o continue androgel and it ill benefit u over time
User :   I had it for a week and since in some studies, I found it can cause atrophy.
Doctor :   no
Doctor :   over dosage can cause atrphy
Doctor :   but low doses for therapy will not
User :   can I have DHEA from Over the counter with it for better result
Doctor :   no
Doctor :   just stick with androgel , its a good medication
User :   Is there any other herbal or natural medication that you can suggest me with Androgel
Doctor :   herbal medications can be rescribed by a ayurvedic practitioner and i am not authorised to prescribe them as they have not been tested by modern medicine
User :   Does scrotal shrinkage might be the cause of low testosterone level
Doctor :   no
Doctor :   testosterone is secreted by the adrenals and it helps semen secretion in the testes
User :   Could you please let me know what might be the possible reason for this condition
Doctor :   low testosterone secrtion can in turn cause reduction in testicular size
Doctor :   any infection in the testes, resulting due to prostatiitis, or UTI can caus atrophy of the testes as well
Doctor :   have u ever been examined by a doctor ?
User :   Yes I was examined by urologist and done with 3 - Ultrasounds on testicle that was reported normal
Doctor :   so then i guess the testicles in normal in size
Doctor :   the only issue is low secretion of testosterone which needs replacement with androgel
User :   What can be the possible reason for sudden low secretion of testosterone ?
User :   Is it associated with boor blood flow to testicles ?
Doctor :   r5yfng
Doctor :   there are a lot of causes that can reduce testosterne section
Doctor :   *secretion
User :   Do we need to see root cause of this to eliminate the problem, because I was active above average until last year
Doctor :   problems due to FHS AND SECRETION IN THE hypothalamus of the barina could be the cause
Doctor :   also the organs that make testosterone do not function normally or are not able to respond to stimulation by the brain
Doctor :   When the problem is in the organs that produce testosterone (testes, for the most part), it is called a "primary" problem"
Doctor :   When the problem is related to the pituitary and its ability to regulate testosterone it is called "secondary hypogonadism,"
Doctor :   f the problem is thought to be at the level of the hypothalamus, it is then called "tertiary hypogonadism."
Doctor :   some common cause include
Doctor :   undescended testes
Doctor :   scrotl injury, aging , cancer therapy, mumps, orchitis etc
Doctor :   Illegal use of anabolic steroids, for example in body building, can cause hypogonadism and low testosterone levels.
Doctor :   i guess you have moved out of thechat window
Doctor :   please log back in if u have additional query
Doctor :   thanks and bye for now
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