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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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I have recently observed that the last 5 days my

Answered by
Dr.
Dr. Ashok Kumar

Psychiatrist

Practicing since :2000

Answered : 3119 Questions

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Posted on Thu, 21 Feb 2019 in Sexual Health
Question: I have recently observed that the last 5 days my sexual drive has increased tremendously, much more than any time in my life. I may ejaculate and after a couple of hours my testicles fell swollen as if I have days to ejaculate and i have the need to ejaculate again. Are there any medical examinations I should do apart from going to cognite behavior therapy?
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Follow up: Dr. Ashok Kumar 0 minute later
I have recently observed that the last 5 days my sexual drive has increased tremendously, much more than any time in my life. I may ejaculate and after a couple of hours my testicles fell swollen as if I have days to ejaculate and i have the need to ejaculate again. Are there any medical examinations I should do apart from going to cognite behavior therapy?
doctor
Answered by Dr. Ashok Kumar 6 hours later
Brief Answer:
Are you having any medical ailment

Detailed Answer:
Hello,
Thanks for using Healthcaremagic.

I read your query and understand your concerns.

Before I can answer you, I request you to provide following details.
1. Are you having any medical illness?

2. If yes please provide required details.

3. Are you using any form of prescribed medications? If yes please provide details.

4. Are you using any form of over the counter medications? If yes please provide details.

5. Are you using any form of herbal/other medications? If yes please provide details.

6. Do you have any history of hormonal imbalance? Details if any

7. Do you have history of depression/bipolar disorder? Details if any

8. Any family history in respect to point 1-7.

I look forward to answer you further.
Thanks and regards.
Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Ashok Kumar 0 minute later
Brief Answer:
Are you having any medical ailment

Detailed Answer:
Hello,
Thanks for using Healthcaremagic.

I read your query and understand your concerns.

Before I can answer you, I request you to provide following details.
1. Are you having any medical illness?

2. If yes please provide required details.

3. Are you using any form of prescribed medications? If yes please provide details.

4. Are you using any form of over the counter medications? If yes please provide details.

5. Are you using any form of herbal/other medications? If yes please provide details.

6. Do you have any history of hormonal imbalance? Details if any

7. Do you have history of depression/bipolar disorder? Details if any

8. Any family history in respect to point 1-7.

I look forward to answer you further.
Thanks and regards.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Ashok Kumar 14 hours later
1) no
2) no
3) no i drink 3-4 glasses of wine 4 times a week. I drink one red bull every day. 250ml one
4)no
5)no
6) no
7) in the past i had depression. no often, first time it appeared was 3 years ago and it lasted for a year. I treate it with escitalopram and ativan,
8) My late father who died a year ago had history of depression. He had it for at least the last twenty years of his life. He also had aneyrism 10 year ago and prostate cancer 20 years ago. He was on a lot of medicatio daily like antidepressants, blood pressure medication and many other I do not know of.

If you need more information please let me know!
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Follow up: Dr. Ashok Kumar 0 minute later
1) no
2) no
3) no i drink 3-4 glasses of wine 4 times a week. I drink one red bull every day. 250ml one
4)no
5)no
6) no
7) in the past i had depression. no often, first time it appeared was 3 years ago and it lasted for a year. I treate it with escitalopram and ativan,
8) My late father who died a year ago had history of depression. He had it for at least the last twenty years of his life. He also had aneyrism 10 year ago and prostate cancer 20 years ago. He was on a lot of medicatio daily like antidepressants, blood pressure medication and many other I do not know of.

If you need more information please let me know!
doctor
Answered by Dr. Ashok Kumar 19 hours later
Brief Answer:
Possibility of bipolar disorder need to be ruled out

Detailed Answer:
Hello,
Thanks for reverting back to me.

Although it is never possible to delineate the cause for increased sexual drive without physically examining the patient but with available information it appears to me that we need to rule out bipolar disorder. It is kind of psychiatric disorder where the people have both extremes of mood (depression and mania). During mania or hypomania phase individuals report extreme sexual energy including sexual drive.

Considering the fact that you had depression in the past with family history depression lasting for years, we need to explore possibility of bipolar disorder or hypomania.

I hope this helps you.
Feel free to write back to me if you have more questions.
Thanks and regards.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Ashok Kumar 0 minute later
Brief Answer:
Possibility of bipolar disorder need to be ruled out

Detailed Answer:
Hello,
Thanks for reverting back to me.

Although it is never possible to delineate the cause for increased sexual drive without physically examining the patient but with available information it appears to me that we need to rule out bipolar disorder. It is kind of psychiatric disorder where the people have both extremes of mood (depression and mania). During mania or hypomania phase individuals report extreme sexual energy including sexual drive.

Considering the fact that you had depression in the past with family history depression lasting for years, we need to explore possibility of bipolar disorder or hypomania.

I hope this helps you.
Feel free to write back to me if you have more questions.
Thanks and regards.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Ashok Kumar 10 hours later
I was checked by a psychiatrist 2 months ago and he told me that I do not have bipolar disorder or hypomania. Any other suggestion of what is going on?
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Follow up: Dr. Ashok Kumar 0 minute later
I was checked by a psychiatrist 2 months ago and he told me that I do not have bipolar disorder or hypomania. Any other suggestion of what is going on?
doctor
Answered by Dr. Ashok Kumar 5 hours later
Brief Answer:
It will be better to get reassessment by the Psychiatrist

Detailed Answer:
Hello,
Thanks for reverting back to me.

Since the problem is just for last one week, assessment by psychiatrist does not hold true for current problem. Most of the individuals with bipolar disorder remain undiagnosed on an average of 10 years before they receive their correct diagnosis. This is because before the occurrence of the hypomanic or manic episode every bipolar individual is considered a case of depression or dysthymia.

In my opinion, there is a need for reassessment by a Psychiatrist as the problem is very recent.

In case that is not the case, there is a need to look for hormonal causes such as hormonal imbalance.

I hope this helps you further.
Thanks and regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Ashok Kumar 0 minute later
Brief Answer:
It will be better to get reassessment by the Psychiatrist

Detailed Answer:
Hello,
Thanks for reverting back to me.

Since the problem is just for last one week, assessment by psychiatrist does not hold true for current problem. Most of the individuals with bipolar disorder remain undiagnosed on an average of 10 years before they receive their correct diagnosis. This is because before the occurrence of the hypomanic or manic episode every bipolar individual is considered a case of depression or dysthymia.

In my opinion, there is a need for reassessment by a Psychiatrist as the problem is very recent.

In case that is not the case, there is a need to look for hormonal causes such as hormonal imbalance.

I hope this helps you further.
Thanks and regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ashok Kumar 36 hours later
I understand. Thank you very much. My doctor had an operation so he will not be able to see me for 2-3 weeks. Any suggestion of how to manage my symptoms which by the way are a bit extreme.
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Follow up: Dr. Ashok Kumar 0 minute later
I understand. Thank you very much. My doctor had an operation so he will not be able to see me for 2-3 weeks. Any suggestion of how to manage my symptoms which by the way are a bit extreme.
doctor
Answered by Dr. Ashok Kumar 10 hours later
Brief Answer:
Follow up

Detailed Answer:
Hello,
Thanks for reverting back to me.

Considering the fact that there is a possibility of bipolar disorder, we need to look for treatment of bipolar disorder. I mean to say that without treating the cause there is little help available as symptom management is very difficult without addressing the cause in case of hypersexuality.

However, the following can be of some help to you.

1. Taking a cold water shower can release the pressure to some extent.

2. Thinking something nonsexual can decrease the pressure and fullness

3. Engaging yourself in one or another activity can be of some help.

4. Application of ice pack over testis

I hope this helps you.
Feel free to write back to me if you have more questions.
Thanks and regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Ashok Kumar 0 minute later
Brief Answer:
Follow up

Detailed Answer:
Hello,
Thanks for reverting back to me.

Considering the fact that there is a possibility of bipolar disorder, we need to look for treatment of bipolar disorder. I mean to say that without treating the cause there is little help available as symptom management is very difficult without addressing the cause in case of hypersexuality.

However, the following can be of some help to you.

1. Taking a cold water shower can release the pressure to some extent.

2. Thinking something nonsexual can decrease the pressure and fullness

3. Engaging yourself in one or another activity can be of some help.

4. Application of ice pack over testis

I hope this helps you.
Feel free to write back to me if you have more questions.
Thanks and regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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