Questions to a Doctor

Question:

Hello, I am a 29 year old man and I have the following problem. When I have to have sex with my girlfriend I lose my erection almost immediately as soon as I start putting on a condom. I have no problem with erection during masturbation, let alone if my partner does it, in fact when she touches me my penis becomes erect in a few moments and as long as she continues I do not lose my erection.

I don’t have any performance anxiety, in fact I also do jokes and I don’t feel tense or in awe. The only psychological factor that I can consider as a cause is the fear of unintended pregnancies. However, I also tried to change the type and brand of condoms, I tried those with an anatomical shape, thinner, lubricated, but that doesn’t change anything. Continue reading →

Question:

I am 80 years old, the seminal fluid has disappeared completely for about 3 years, is there the possibility of returning to normal? Currently I still have the desire, even if helped by Viagra, but without ejaculation. It is not acceptable. Thanks.

Answer:

Dear reader, you don’t tell us if you are taking prostate drugs that could cause retrograde ejaculation (in the bladder). The fact that, at 80, you still feel sexual desire and are pleased to have good relationships, even if helped by Viagra, which is a positive element for your feeling of well-being and self-esteem. Best wishes

Question:

Can high blood sugar cause impotence? If not, what are the other causes for this problem? Thanks.

Answer:

Blood sugar can affect creating vascular damage, so it can be named among other reasons for ED, like smoking, the use of certain drugs and hormonal imbalances. Finally, according to recent research, the high correlation between diabetes and sexual deficits could also be due to hypogonadism, a dysfunction that causes low levels of testosterone in the blood, with a decrease in sexual desire and the ability to get an erection. I recommend a visit with a specialist to investigate the matter.

Question:

I wondered if hepatitis C could cause impotence and sterility. Thanks for the reply.

Answer:

Dear reader, hepatitis C does not in itself cause erection or fertility disorders. Many of the consequences of a hepatitis C infection could cause problems that can alter sexual and / or reproductive function. Talk to your doctor who will eventually advise you on an andrological specialist consultation. Best wishes.

Question:

Dear Doctor, a man of 65 here… I have been suffering from mild urine incontinence for a while now; the leakage occurs when I engage in physical activity, cough, etc… Do I need to seek help? Is there a chance that the symptoms will disappear on their own? Regards, Marvin.

Answer:

Dear Marvin, first of all, thank you for the trust you put in me. It is very important to make the first step and seek help. Let me say that in order to understand the causes of your problem, I as a doctor would need to perform a physical examination, ask you many more questions about your symptoms and general health status and analyze the urine (but there can also be needed a blood test to see if there are any functional problems with your kidneys or any underlying chemical imbalance in the body). Continue reading →

Question:

My husband can last in bed for only two minutes, is it normal?

Answer:

A lot of people turn to me with a similar question, yet giving the exact answer to the question is quite difficult as no single “normal” duration of the sexual intercourse is stated. Different scientists have different opinions on this matter. The American Urology Care Foundation, for example, doesn’t give any exact timing of the ejaculation, which may be called premature. Continue reading →

Question:

I’ve been diagnosed with varicocele, can it entail infertility?

Answer:

The answer to this question cannot be univocal as having a varicocele does not necessarily mean that you will have fertility problems. A lot of men having varicocele don’t experience any problems with paternity. On the other hand, your risks of evolving male infertility are significantly higher compared to the healthy individuals. Continue reading →