Question 1

I'm a bit worried about the mild varicocele diagnosis I got for my left testicle. The doctors mentioned they can't do much. I used to enjoy working out at the gym, but now, any kind of exercise seems to bring back the pain in my abdomen and testicle. I'm curious if going to the gym could have caused this varicocele? I generally stayed away from heavy lifting and mostly focused on weight-bearing and abs workouts. Is there anything I can do to manage this or any advice on what exercises are safe?

Accepted Answer

Varicocele is usually caused by the enlargement of the veins within the scrotum, often referred to as the "pampiniform plexus." While heavy lifting exercises can potentially exacerbate varicocele, any form of physical activity that increases intra-abdominal pressure, such as weight-bearing and abs workouts, can also contribute to the development or worsening of varicocele. It is advisable to avoid activities that strain the abdominal muscles and increase pressure in the scrotum. To alleviate symptoms and reduce discomfort, you can consider wearing a scrotal support or compression underwear during physical activities. Additionally, you may benefit from taking over-the-counter pain relievers such as acetaminophen to manage any discomfort. If the pain persists or worsens, consult with a healthcare professional for further evaluation and management.

Question 2

I've been having issues with frequent urination and incomplete emptying of my bladder for years now, and honestly, it's really frustrating. I've seen a urologist and went through all sorts of tests like kidney and abdomen ultrasounds, cystoscopy, blood sugar checks, and everything came back normal. I've also taken different medications for urinary and bladder infections, as recommended by my doctor, but nothing has worked. Lately, I've noticed this white liquid occasionally in my urine at night, and it's freaking me out a bit. I've tried so many things, but I'm not seeing any results. Can you help me figure out what's going on?

Accepted Answer

Consult a urologist again to discuss:
    - Urodynamic tests to assess bladder function
    - Pelvic floor physical therapy
- Consider consulting a nephrologist to rule out kidney issues
- Get tested for:
    - Urine culture and sensitivity
    - Prostate-specific antigen (PSA) test (if not done already)
- Lifestyle changes:
    - Practice pelvic floor exercises (Kegel exercises)
    - Manage fluid intake
    - Avoid irritants like caffeine and spicy foods

Question 3

I'm a 24-year-old and I've been using Viagra to have better sex. I'm worried because it's become a habit, and over the past year, my penis isn't getting as erect as it used to. It would get hard about 2 to 3 times a day before, but now it doesn't. Even during sex, it gets hard but goes soft really quickly. I'm wondering if this is happening because of the Viagra, and Id really like some advice on what I should do.

Accepted Answer

Taking Viagra regularly without medical advice can sometimes lead to psychological dependence, where natural erections feel less strong or consistent. Stress, anxiety, or underlying health issues can also contribute. To address this, avoid further use of Viagra for now, focus on a healthy lifestyle (diet, exercise, sleep), and consult a doctor for proper evaluation and treatment options, such as managing psychological or hormonal factors.

Can circumcision cure premature ejaculation?

No

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