Question 1

I'm a 28-year-old male and I've been masturbating since I was 15. Now, I'm worried because my gonads and penis seem small and my testosterone levels are at 450 ngdL. From what I've found online, this seems low and might be due to hypogonadism. I'm experiencing some signs of low testosteronelike premature ejaculation, less muscle mass, mood swings, low self-confidence, and hair thinning. I recently saw a doctor about my hair loss, and she gave me DUTASTERIDE, but I'm unsure if I should take it since I think my testosterone might be low. Is 450 ngdL considered low? If it is low, what's the best treatment? Should I consider testosterone replacement therapy or something else? What can I do to overcome these issues?

Accepted Answer

Helping your 6-year-old son enjoy learning:
 
 *Understand and address the underlying reasons:*
 
 1. Fear of failure
 2. Lack of interest
 3. Difficulty understanding concepts
 4. Learning style mismatch (e.g., visual, auditory, kinesthetic)
 
 *Strategies to foster interest and patience:*
 
 *Make learning fun:*
 
 1. Interactive games (e.g., puzzles, quizzes)
 2. Storytelling
 3. Hands-on activities (e.g., crafts, science experiments)
 4. Educational videos
 
 *Create a conducive environment:*
 
 1. Designate a quiet study area
 2. Minimize distractions (e.g., TV, phone)
 3. Encourage breaks
 4. Praise effort, not just results
 
 *Develop patience:*
 
 1. Break tasks into smaller steps
 2. Set achievable goals
 3. Celebrate small successes
 4. Encourage self-reflection and self-improvement
 
 *Positive reinforcement:*
 
 1. Reward effort, not just grades
 2. Verbal encouragement (e.g., "I'm proud of you")
 3. Physical affection (e.g., hugs)
 4. Create a "Star Chart" for accomplishments
 
 *Involve your child:*
 
 1. Ask about interests and incorporate into learning
 2. Let them choose topics or activities
 3. Encourage self-directed learning
 
 *Seek additional help if needed:*
 
 1. Consult with teacher or tutor
 2. Child psychologist or counselor
 3. Online educational resources (e.g., Khan Academy Kids)

Question 2

I'm on day 4 of my cycle and my doctor started me on Siphene 50mg because I had irregular egg sizes last month. Ive been taking it since day 2, but I noticed my period unexpectedly stopped around 3.5 days. Usually, it lasts at least 5 days. Could Siphene be the reason my bleeding stopped earlier this time? Id really like to understand what's going on.

Accepted Answer

Siphene may have caused a shorter or lighter period in your case, which can sometimes happen as a result of hormonal changes or adjustments. Its not typically known to stop menstrual bleeding altogether, but it can influence the menstrual cycle. If you're concerned, its best to check with your doctor, who may want to monitor your endometrial lining and overall response to the medication.

Question 3

My benign goiter in the left lobe of the thyroid was confirmed by FNAC in 2015. The recent USG from October 2017 shows it's grown to 3.6 cm by 2.4 cm compared to 1.8 cm by 2 cm in May 2015. Should I consider surgery now or is it okay to just monitor it with follow-ups every 6 months?

Accepted Answer

If your goiter has grown, surgery might be considered, especially if it‚Äôs affecting your breathing or swallowing. Regular follow-up every 6 months with an endocrinologist is advisable to monitor its progress.

Consult a plastic surgeon

More Endocrinology Health Queries

My benign goiter in the left lobe of the thyroid was confirmed by FNAC in 2015. The recent USG from October 2017 shows it's grown to 3.6 cm by 2.4 cm compared to 1.8 cm by 2 cm in May 2015. Should I consider surgery now or is it okay to just monitor it with follow-ups every 6 months?

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