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Does grade 1 prostatomegaly cause problems to sex life?

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Posted on Tue, 12 May 2015
Question: Will my grade 1 prostatomegaly be an obstacle to my sex life?
doctor
Answered by Dr. Nishad BN (2 hours later)
Brief Answer:
Grade 1 prostatomegaly doesn't cause problems to sex life.

Detailed Answer:
Hi

Thank you for asking HCM.

I have gone through your query. Grade 1 prostatomegaly doesn't cause problems in sex life. But if you are taking treatment for prostatomegaly then it might cause decrease in libido or problems with ejaculation.

Drugs used in prostatomegaly like tamusulosin and dutasteride has such side effects like decreased libido and retrograde ejaculation.

Grade 1 prostatomegaly if you are with out symptoms like frequent urination or discomfort then there is no need of treatment. Enlargement in prostate is usual after age 40. Also a do a PSA test to rule out any problems with prostate.

The symptoms you mentioned can be from urinary tract infection or Gastro intestinal problems most likely. Anal fissure can give such radiating pain also.From the reports your bladder is fine. So no need to worry about puss in bladder. Get proper local examination of anal area with a general surgeon and a proctoscopy if needed. Get a urine routine examination also. Drotin M is just pain reliever and antispastic agent.

Hope this may help you. Let me know if anything not clear.
Thanks.


Above answer was peer-reviewed by : Dr. Raju A.T
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Follow up: Dr. Nishad BN (8 hours later)
Where might have the possible pus of my anal abcess/boil gone? Is there a chance of this pus getting accumulated or struck somewhere though i got cured of the boil with coconut water? Anyhow I will insist doctor to test my recto-anal region and also go for urine test. And how many years does it take for my grade 1 prostatomegaly to reach grade 2 and 3? Is there any such time period? Iam surprized that my father got operated for prostate enlargement at the age of 70. My complications started just at 45. I heard somewhere that medications for ED will work for prostatomegaly. Is it true? There is no frequent urination or night time urination at present as may be this is summer. But there is some urine retention like once I pass the urine and sit in a chair again few drops of urine comes out of pressure. You said there is no need to treat if there is no frequent urge of urination. But how to treat the pain in lower abdomen and testis?
Dear dr,

I just now gone through a website of Himalaya healthcare. I was using this medicine called confido(earlier name for this was speman forte) for my low libido. I came to know through that website that this medicine is also used for prostatomegaly patients and in some patients when used, this medicine gives a side effect of lower perineal region pain. The pain which I experienced is also lower perineal region and is after consuming this medicine in both occasions 15 days back and 5 days back. The website says the pain remains for 3 or 4 days in some patients. Today is the 3rd day for me after pain started. Pain is almost reduced 90 percent. So can we put this pain into the account of speman(confido) and be rest assured? Now Iam little relaxed but I have a doubt still about my anal abcess/boil though reduced completely, Iam still worried about any fus left inside somewhere.
http://www.himalayawellness.com/pdf_files/speman018.pdf this is just for your reference Dr.
doctor
Answered by Dr. Nishad BN (3 hours later)
Brief Answer:
Abscess can rupture itself and drain.

Detailed Answer:
Hi and welcome.

Thank you for your follow up query.

In case of abscess you will have continuous fever. And abscess usually can drain out also. Spreading to adjacent fat spaces are possible but in that case also fever will be present. A digital examination by a general surgeon will help you rule out this.

I have read the article you specified related to sperman. According to it is possible to get the pain like you have. So it can be from it also. So if it is improving you can give some time for the pain to go away completely.

In allopathy medicines for prostatomegaly can decrease libido or cause ercectile dysfunction. Grade 1 prostatomegaly and if there is no symptoms regularly then you don't need to take such medications.

It will take 10 to 20 years or more to go to another grade. It depends upon your life style and diet. In case of those who are taking alcohol and too much non vegetarian diets it will be faster.

Get a PSA test (prostate specific antigen) to make sure that your prostate enlargement is benign also.

Hope this may help you. Let me know if anything not clear.
Thanks.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Follow up: Dr. Nishad BN (1 hour later)
Dear doctor,

Thank you very much for the detailed answer. I didn't get any fever during anal abcess/boil nor after it is cured. So, what it could it be if not abcess or boil? Fissure? Or something else dangerous? As per symptoms of reddishness and warm feeling as described in most websites I felt it is abcess or boil.
doctor
Answered by Dr. Nishad BN (9 minutes later)
Brief Answer:
All of these can have same local symptoms.

Detailed Answer:
Hi and welcome.

Thank you for your follow up query.

May be the condition you had was not abscess and just boil. Fissure or boil or abscess can have same local symptoms like reddishness or warm feeling. Only by a local examination by an expert like general surgeon can rule out that. Abscess is a complication after you get infections like boils. And persisting abscess will usually give a continuous fever. So that is most unlikely.

Let me know if anything not clear. I am happy to help you.
Thanks.
Above answer was peer-reviewed by : Dr. Yogesh D
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Dr. Nishad BN

General & Family Physician

Practicing since :2009

Answered : 5361 Questions

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Does grade 1 prostatomegaly cause problems to sex life?

Brief Answer: Grade 1 prostatomegaly doesn't cause problems to sex life. Detailed Answer: Hi Thank you for asking HCM. I have gone through your query. Grade 1 prostatomegaly doesn't cause problems in sex life. But if you are taking treatment for prostatomegaly then it might cause decrease in libido or problems with ejaculation. Drugs used in prostatomegaly like tamusulosin and dutasteride has such side effects like decreased libido and retrograde ejaculation. Grade 1 prostatomegaly if you are with out symptoms like frequent urination or discomfort then there is no need of treatment. Enlargement in prostate is usual after age 40. Also a do a PSA test to rule out any problems with prostate. The symptoms you mentioned can be from urinary tract infection or Gastro intestinal problems most likely. Anal fissure can give such radiating pain also.From the reports your bladder is fine. So no need to worry about puss in bladder. Get proper local examination of anal area with a general surgeon and a proctoscopy if needed. Get a urine routine examination also. Drotin M is just pain reliever and antispastic agent. Hope this may help you. Let me know if anything not clear. Thanks.