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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Found swelling in testicle. Suggest some best hospital

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Dr. Ram Choudhary

Internal Medicine Specialist

Practicing since :2001

Answered : 2272 Questions

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Posted on Wed, 2 Jan 2013 in Testicle Problems
Question: hi, I find that my testicles are bit swollen. I need to go for a checkup. And would you help me in finding a better hospital in my locality? I am from hyderabad, India
doctor
Answered by Dr. Ram Choudhary 45 minutes later
Hi XXXXXXX
Welcome to healthcare Magic!
You should get a consult with a physician or a urologist.
In hydrabad, Nizam's Institute is a good option in Govt. hospitals and Global hospital or XXXXXXX Hospital are good options if you want to go to a corporate hospital.
Wish you a great health!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Ram Choudhary 18 days later
Hi,

I consulted urologist for my previous question on testis enlargement. The doctor confirmed that there was no enlargement in testis. Actually there was no real enlargement in testis, it was skin around it was always tight & there was some prostatic liquid flow during urination. The doctor gave some antibiotics & asked to come to check somedays after.
Later I found, I am taking Finasteride tablet 1mg/per day for treating baldness which may be the cause for above. I stopped intaking finasteride tablets & now i feel normal, I mean testis & skin around it looks normal & no prostate fluid observed during urination.
Do you suggest to take it? Because I was looking for some information about the tablet in google etc... & found that it can cause some side effects.
doctor
Answered by Dr. Ram Choudhary 12 hours later
Hi XXXXXXX
Finasteride inhibits the formation of male hormone testosterone and may cause such feelings in scrotum and nipples.
You should stop it and take local options to treat baldness.
Hope the advise would be helpful for you.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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senthil.psgct: Hi, I'm 27 and not able to ejaculate whenever i masturbate, but i'm having wet sleep
Doctor: Hi
Doctor: I am Dr. Jagdish
senthil.psgct: Hi Doctor
Doctor: Are yo married?
senthil.psgct: no
Doctor: Do you used to ejaculate normally before?
senthil.psgct: i never tried to masturbate
Doctor: Are you masturbating now/
senthil.psgct: yeah, when i try now im not able to ejaculate
Doctor: How many times you masturabated ?
senthil.psgct: probably 9 or 10 different times over last 2 years
Doctor: so any time did u have ejaculation
senthil.psgct: never
senthil.psgct: i was having a very small drop sometimes
Doctor: usually the normal quantity of ejaculated fluid ismax 1 teas sponn 5ml
senthil.psgct: no not that much
Doctor: but u r wetting the cloths in sleep
senthil.psgct: i might be getting that quantity in sleep
Doctor: is that right?
senthil.psgct: yeah
Doctor: plz hold
senthil.psgct: ok
Doctor: The first thing you should due if you are concerned is to have a semen analysis performed.
Doctor: f at that time the volume is determined to be low, than you must first determined that the specimen was obtained properly(48-72hrs abstinence) and retrograde ejaculation has been ruled out.
Doctor: *if
senthil.psgct: what is that...how and where to do that?
Doctor: I will tell u
Doctor: Low volume may represent a rare decreased in androgen levels.
Doctor: If you go to lab ask for semen analysis
Doctor: they will give a kit and ask you to collect semen in th bottle ok
Doctor: Do u follow me?
senthil.psgct: oh...k...how do i get the semen?
Doctor: Any amount is ok
Doctor: one drop is also fine
senthil.psgct: see im not able to ejaculate when i masturbate and thats my problem
Doctor: ok
Doctor: Low volume may represent a rare decreased in androgen levels.
Doctor: So please get the serum testosterone levels
senthil.psgct: through semen analysis?
Doctor: No
Doctor: it is a blood test
senthil.psgct: ok
Doctor: If the harmone is low , the semen is not prodcueed
senthil.psgct: if thats the case, then it shud not be produced in sleep also rite?
Doctor: There are other causes no ejaculation
Doctor: ok
senthil.psgct: u there?
Doctor: obstruction of the ejaculatory ducts, Vas Deferens, or epididymus cause no ejaculate
Doctor: For that u need ultrasound of prostate,Vasography
senthil.psgct: but doctor im ejaculating in sleep so obstuction of duct is ruled ou
senthil.psgct: u there?
Doctor: Plz be patient
Doctor: if the chat is not complete Iwill call u
senthil.psgct: ok..hope u have my number
Doctor: 0000&
senthil.psgct: no...its 0000..last digit has typo err
Doctor: the point is u r ejaculating in sleep and not ejaculating in masturbation
Doctor: ok
senthil.psgct: yes
Doctor: So but the investigations are same
Doctor: Why are you not ejaculating
Doctor: Defintely u r prodicuing semen
senthil.psgct: yes
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senthil.psgct: i see
Doctor: in between uyerthra and testiclea there are tubes which carry semen'
senthil.psgct: oh..
Doctor: When there is an obstruction of the ducts it will go back to bladder
Doctor: or it may n ot come forward]
senthil.psgct: i see
senthil.psgct: why is this obstruction not happening in sleep
Doctor: So u need Ultrasound of the proistate to see whether there is obstrctuion of the ducts going thru the prostate and to see if there is swelling of the prostate which might be blocking'
Doctor: I dont know
Doctor: There is no explanation for all
Doctor: Vasography is they inject dye thru the penis and look whether the floe is normal or obstructed
senthil.psgct: i see...
senthil.psgct: may i know whats ur qualification?
Doctor: MBBS with 2 yr family medicine in USA
Doctor: I recommend you consult the urologist . He will do the ultrasound of the Prostate and assist in vasography
senthil.psgct: ok..
Doctor: May I ask u few Q
Doctor: Do you have any medical problems ?
senthil.psgct: yes
senthil.psgct: no
Doctor: Do you take any medicines ?
senthil.psgct: im perfectly fit...don take any medicines
Doctor: ok
Doctor: DO you have any stress ?
senthil.psgct: no
Doctor: Ok
Doctor: So I do not see any other causes of no ejaculation from history
Doctor: Do you have any diifuclty urination
senthil.psgct: nope
Doctor: So probably there is back flow of semen or might be obstruction

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