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Hi I Am A 53 Year Old Male I Have
Question: hi I am a 53 year old male I have had low urine pressure for approx. 10 years , which whenever I have mentioned it to a Dr. they didn't seem to make a big deal about it saying my prostate was inlarged. in the last year I lost feeling in urethra cant feel pee coming out as much ,and lately I have had new symptoms. I had a few painful ejaculations. And all the sudden when I have sex with wife I don't feel the orgasm as much sometimes not at all, also my psa test was normal 0.1 if I recall that test was done 6 months ago. worried , also have cloudy pee sometimes, I have diabetes that I have recently gotten control of using long acting insulin, wife recently found out she is a hpv suspect we have sex 4 times a week for 29 years.
hi I am a 53 year old male I have had low urine pressure for approx. 10 years , which whenever I have mentioned it to a Dr. they didn't seem to make a big deal about it saying my prostate was inlarged. in the last year I lost feeling in urethra cant feel pee coming out as much ,and lately I have had new symptoms. I had a few painful ejaculations. And all the sudden when I have sex with wife I don't feel the orgasm as much sometimes not at all, also my psa test was normal 0.1 if I recall that test was done 6 months ago. worried , also have cloudy pee sometimes, I have diabetes that I have recently gotten control of using long acting insulin, wife recently found out she is a hpv suspect we have sex 4 times a week for 29 years.
Brief Answer:
Explanation on possible causes and needed examinations
Detailed Answer:
Hello and welcome at "Ask a Doctor" service,
The fact that you have it difficult to control urine is an important reason for a good check. Prostate problems, diabetes, urinary infection or other neurological reasons need to be considered and ruled out as the cause.
You will need a urinalysis and urine culture to make sure if there is urinary infection, especially because your urine is cloudy sometimes (this can be due to crystals as well but a urinalysis would help distinguish). You may continue with cranberry juice and drinking plenty, it will flush your urinary system and prevent infection.
Your doctor will need to ask for HbA1C test (if not done in the last 3 months) to confirm diabetes is under control. Diabetes may cause neuropathy which may affect urination and ejaculation.
A rectal exam and possibly an ultrasound to evaluate the urinary system and the prostate might be needed.
Finally a good neurological examination might be advisable especially if you have had back problems as these may cause issues with the nerves fr the spine and problems with urine or bowel control.
So, it is good you are having a visit soon, the above things are some examinations that you might expect to happen. Also, very likely your symptoms are due to the prostate and there is good effective treatment that will help with urinary symptoms (treatment for benign prostate hypertrophy BPH) that your doctor may prescribe in case urinalysis comes out normal and glucose is well controlled.
I don't think your symptoms are related to HPV but your wife will need regular Pap smears to make sure her cervix is OK.
I hope this is helpful and answers to your query. Let me know if I can assist you further.
Regards,
Dr. Antoneta Zotaj, General & Family Physician
Explanation on possible causes and needed examinations
Detailed Answer:
Hello and welcome at "Ask a Doctor" service,
The fact that you have it difficult to control urine is an important reason for a good check. Prostate problems, diabetes, urinary infection or other neurological reasons need to be considered and ruled out as the cause.
You will need a urinalysis and urine culture to make sure if there is urinary infection, especially because your urine is cloudy sometimes (this can be due to crystals as well but a urinalysis would help distinguish). You may continue with cranberry juice and drinking plenty, it will flush your urinary system and prevent infection.
Your doctor will need to ask for HbA1C test (if not done in the last 3 months) to confirm diabetes is under control. Diabetes may cause neuropathy which may affect urination and ejaculation.
A rectal exam and possibly an ultrasound to evaluate the urinary system and the prostate might be needed.
Finally a good neurological examination might be advisable especially if you have had back problems as these may cause issues with the nerves fr the spine and problems with urine or bowel control.
So, it is good you are having a visit soon, the above things are some examinations that you might expect to happen. Also, very likely your symptoms are due to the prostate and there is good effective treatment that will help with urinary symptoms (treatment for benign prostate hypertrophy BPH) that your doctor may prescribe in case urinalysis comes out normal and glucose is well controlled.
I don't think your symptoms are related to HPV but your wife will need regular Pap smears to make sure her cervix is OK.
I hope this is helpful and answers to your query. Let me know if I can assist you further.
Regards,
Dr. Antoneta Zotaj, General & Family Physician
Above answer was peer-reviewed by :
Dr. Prasad
Brief Answer:
Explanation on possible causes and needed examinations
Detailed Answer:
Hello and welcome at "Ask a Doctor" service,
The fact that you have it difficult to control urine is an important reason for a good check. Prostate problems, diabetes, urinary infection or other neurological reasons need to be considered and ruled out as the cause.
You will need a urinalysis and urine culture to make sure if there is urinary infection, especially because your urine is cloudy sometimes (this can be due to crystals as well but a urinalysis would help distinguish). You may continue with cranberry juice and drinking plenty, it will flush your urinary system and prevent infection.
Your doctor will need to ask for HbA1C test (if not done in the last 3 months) to confirm diabetes is under control. Diabetes may cause neuropathy which may affect urination and ejaculation.
A rectal exam and possibly an ultrasound to evaluate the urinary system and the prostate might be needed.
Finally a good neurological examination might be advisable especially if you have had back problems as these may cause issues with the nerves fr the spine and problems with urine or bowel control.
So, it is good you are having a visit soon, the above things are some examinations that you might expect to happen. Also, very likely your symptoms are due to the prostate and there is good effective treatment that will help with urinary symptoms (treatment for benign prostate hypertrophy BPH) that your doctor may prescribe in case urinalysis comes out normal and glucose is well controlled.
I don't think your symptoms are related to HPV but your wife will need regular Pap smears to make sure her cervix is OK.
I hope this is helpful and answers to your query. Let me know if I can assist you further.
Regards,
Dr. Antoneta Zotaj, General & Family Physician
Explanation on possible causes and needed examinations
Detailed Answer:
Hello and welcome at "Ask a Doctor" service,
The fact that you have it difficult to control urine is an important reason for a good check. Prostate problems, diabetes, urinary infection or other neurological reasons need to be considered and ruled out as the cause.
You will need a urinalysis and urine culture to make sure if there is urinary infection, especially because your urine is cloudy sometimes (this can be due to crystals as well but a urinalysis would help distinguish). You may continue with cranberry juice and drinking plenty, it will flush your urinary system and prevent infection.
Your doctor will need to ask for HbA1C test (if not done in the last 3 months) to confirm diabetes is under control. Diabetes may cause neuropathy which may affect urination and ejaculation.
A rectal exam and possibly an ultrasound to evaluate the urinary system and the prostate might be needed.
Finally a good neurological examination might be advisable especially if you have had back problems as these may cause issues with the nerves fr the spine and problems with urine or bowel control.
So, it is good you are having a visit soon, the above things are some examinations that you might expect to happen. Also, very likely your symptoms are due to the prostate and there is good effective treatment that will help with urinary symptoms (treatment for benign prostate hypertrophy BPH) that your doctor may prescribe in case urinalysis comes out normal and glucose is well controlled.
I don't think your symptoms are related to HPV but your wife will need regular Pap smears to make sure her cervix is OK.
I hope this is helpful and answers to your query. Let me know if I can assist you further.
Regards,
Dr. Antoneta Zotaj, General & Family Physician
Above answer was peer-reviewed by :
Dr. Prasad
I do have a back problem, got hit in back 35 years ago with dirtbike but recently have been getting what I believe to be sciatica a pain in my butt cheek that cripples my right leg cant even walk a foot, I also have a appointment with a neurologist coming soon, one of my main concerns is the meds they give for prostate ,ive been told effect you sexually. are there prostate cures that wont put an end to my ability to have sex. thank you for your response.
I do have a back problem, got hit in back 35 years ago with dirtbike but recently have been getting what I believe to be sciatica a pain in my butt cheek that cripples my right leg cant even walk a foot, I also have a appointment with a neurologist coming soon, one of my main concerns is the meds they give for prostate ,ive been told effect you sexually. are there prostate cures that wont put an end to my ability to have sex. thank you for your response.
Brief Answer:
Detailed answer below
Detailed Answer:
Hello again,
I understand your concern with the risk of prostate medications affecting the sexual activity, it is one of the side effects. On the other hand for some medications this is more prominent and for some more rare. Doxazocin for example has it less likely compared to 5-ARI medications and is one of the first to be started, so I would recommend you to talk with your doctor on the medications and get one that the risk on sexual activity is less.
As for the back, problems there may affect the sensation in the genital area and control of urine and feces in cases of complication with spinal stenosis. This would need quick medical attention and proper treatment so it is important you see the neurologist to make sure if you have it and possibly an MRI of the back would be required.
I hope this answers your query. Let me know if I can assist you further.
Regards,
Dr. Antoneta Zotaj
Detailed answer below
Detailed Answer:
Hello again,
I understand your concern with the risk of prostate medications affecting the sexual activity, it is one of the side effects. On the other hand for some medications this is more prominent and for some more rare. Doxazocin for example has it less likely compared to 5-ARI medications and is one of the first to be started, so I would recommend you to talk with your doctor on the medications and get one that the risk on sexual activity is less.
As for the back, problems there may affect the sensation in the genital area and control of urine and feces in cases of complication with spinal stenosis. This would need quick medical attention and proper treatment so it is important you see the neurologist to make sure if you have it and possibly an MRI of the back would be required.
I hope this answers your query. Let me know if I can assist you further.
Regards,
Dr. Antoneta Zotaj
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Brief Answer:
Detailed answer below
Detailed Answer:
Hello again,
I understand your concern with the risk of prostate medications affecting the sexual activity, it is one of the side effects. On the other hand for some medications this is more prominent and for some more rare. Doxazocin for example has it less likely compared to 5-ARI medications and is one of the first to be started, so I would recommend you to talk with your doctor on the medications and get one that the risk on sexual activity is less.
As for the back, problems there may affect the sensation in the genital area and control of urine and feces in cases of complication with spinal stenosis. This would need quick medical attention and proper treatment so it is important you see the neurologist to make sure if you have it and possibly an MRI of the back would be required.
I hope this answers your query. Let me know if I can assist you further.
Regards,
Dr. Antoneta Zotaj
Detailed answer below
Detailed Answer:
Hello again,
I understand your concern with the risk of prostate medications affecting the sexual activity, it is one of the side effects. On the other hand for some medications this is more prominent and for some more rare. Doxazocin for example has it less likely compared to 5-ARI medications and is one of the first to be started, so I would recommend you to talk with your doctor on the medications and get one that the risk on sexual activity is less.
As for the back, problems there may affect the sensation in the genital area and control of urine and feces in cases of complication with spinal stenosis. This would need quick medical attention and proper treatment so it is important you see the neurologist to make sure if you have it and possibly an MRI of the back would be required.
I hope this answers your query. Let me know if I can assist you further.
Regards,
Dr. Antoneta Zotaj
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Last question and then I will take a moment to give you an excellent review , I am very impressed with your knowledge ,and how useful this site is for helping people to find imformation about their health issues. Especially when people search the internet for Imformation it can be scary and it always seems like you are Dying for sure LOL. What do you think about natural Prostate cures like Corn silk Tea or Rape flower pollen or do you know of any other proven remedies besides pumkin seeds ? Thank you for your help.
Last question and then I will take a moment to give you an excellent review , I am very impressed with your knowledge ,and how useful this site is for helping people to find imformation about their health issues. Especially when people search the internet for Imformation it can be scary and it always seems like you are Dying for sure LOL. What do you think about natural Prostate cures like Corn silk Tea or Rape flower pollen or do you know of any other proven remedies besides pumkin seeds ? Thank you for your help.
Brief Answer:
Some herbal treatments mentioned
Detailed Answer:
Hello,
It is a pleasure to be able to help you and you are welcome to let us know for any possible health concerns you might have.
I understand your concern with the information online, it is very wide and not individualized and may sometimes be very scary.
As for the herbal treatments for the prostate, I did not find ones exactly as you mention them (the same names) in official and trusted medical sites.
The following are the ones that are the most used for prostate hypertrophy but are not recommended as sole treatment for prostate related urinary symptoms:
- Saw palmetto (most commonly used and studied)
- Pygeum africanum (extract of XXXXXXX plum tree)
- Hypoxis rooper (South XXXXXXX star grass)
- Secale cereale (rye pollen)
- Urtica dioica (stinging nettle)
- Curcubita pepo (pumpkin seed)
I hope this helps and answers your query. Let me know if I can assist you further.
Regards,
Dr. Antoneta Zotaj
Some herbal treatments mentioned
Detailed Answer:
Hello,
It is a pleasure to be able to help you and you are welcome to let us know for any possible health concerns you might have.
I understand your concern with the information online, it is very wide and not individualized and may sometimes be very scary.
As for the herbal treatments for the prostate, I did not find ones exactly as you mention them (the same names) in official and trusted medical sites.
The following are the ones that are the most used for prostate hypertrophy but are not recommended as sole treatment for prostate related urinary symptoms:
- Saw palmetto (most commonly used and studied)
- Pygeum africanum (extract of XXXXXXX plum tree)
- Hypoxis rooper (South XXXXXXX star grass)
- Secale cereale (rye pollen)
- Urtica dioica (stinging nettle)
- Curcubita pepo (pumpkin seed)
I hope this helps and answers your query. Let me know if I can assist you further.
Regards,
Dr. Antoneta Zotaj
Above answer was peer-reviewed by :
Dr. Raju A.T
Brief Answer:
Some herbal treatments mentioned
Detailed Answer:
Hello,
It is a pleasure to be able to help you and you are welcome to let us know for any possible health concerns you might have.
I understand your concern with the information online, it is very wide and not individualized and may sometimes be very scary.
As for the herbal treatments for the prostate, I did not find ones exactly as you mention them (the same names) in official and trusted medical sites.
The following are the ones that are the most used for prostate hypertrophy but are not recommended as sole treatment for prostate related urinary symptoms:
- Saw palmetto (most commonly used and studied)
- Pygeum africanum (extract of XXXXXXX plum tree)
- Hypoxis rooper (South XXXXXXX star grass)
- Secale cereale (rye pollen)
- Urtica dioica (stinging nettle)
- Curcubita pepo (pumpkin seed)
I hope this helps and answers your query. Let me know if I can assist you further.
Regards,
Dr. Antoneta Zotaj
Some herbal treatments mentioned
Detailed Answer:
Hello,
It is a pleasure to be able to help you and you are welcome to let us know for any possible health concerns you might have.
I understand your concern with the information online, it is very wide and not individualized and may sometimes be very scary.
As for the herbal treatments for the prostate, I did not find ones exactly as you mention them (the same names) in official and trusted medical sites.
The following are the ones that are the most used for prostate hypertrophy but are not recommended as sole treatment for prostate related urinary symptoms:
- Saw palmetto (most commonly used and studied)
- Pygeum africanum (extract of XXXXXXX plum tree)
- Hypoxis rooper (South XXXXXXX star grass)
- Secale cereale (rye pollen)
- Urtica dioica (stinging nettle)
- Curcubita pepo (pumpkin seed)
I hope this helps and answers your query. Let me know if I can assist you further.
Regards,
Dr. Antoneta Zotaj
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.
Above answer was peer-reviewed by :
Dr. Raju A.T
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