Question 1

I'm in a bit of a dilemma. I've been regularly masturbating since I was in the 10th grade, and now I'm 27 years old. Lately, I've noticed my penis seems to be getting thinner and shorter than it used to be. I'd say I masturbate about 57 times weekly on average, and I'm pretty worried about whether my penis will get back to its normal size and width. Is this something I should be concerned about?

Accepted Answer

Lymph nodes can become inflamed, infected, or even rupture, although it's relatively rare.

_Can Lymph Nodes Burst?_

Yes, lymph nodes can burst or rupture, which is known as lymph node suppuration or abscess formation. This can occur due to:

1. _Infection_: Bacterial, viral, or fungal infections can cause lymph nodes to become inflamed and potentially rupture.
2. _Abscess formation_: A collection of pus can form within the lymph node, leading to rupture.
3. _Trauma_: Physical injury to the lymph node can cause it to rupture.
4. _Cancer_: In rare cases, lymph nodes can rupture due to cancerous growth.

_Symptoms of a Burst Lymph Node_

If a lymph node bursts, you may experience:

1. _Severe pain_: Sudden, severe pain in the affected area
2. _Swelling_: Rapid swelling of the affected lymph node
3. _Redness_: Redness and warmth around the affected area
4. _Pus or discharge_: Pus or discharge from the affected lymph node
5. _Fever_: Fever, chills, or general feeling of illness
6. _Weakness_: Weakness or fatigue

_What to Do?_

If you suspect a burst lymph node, seek medical attention immediately. Your doctor may perform:

1. _Physical examination_: To assess the affected area
2. _Imaging tests_: Such as ultrasound, CT, or MRI scans to confirm the diagnosis
3. _Blood tests_: To check for infection or other underlying conditions
4. _Antibiotics or drainage_: To treat the infection or abscess

Question 2

I've recently gotten my semen analysis results back and everything seems normal except for my PUS cell count, which is at 57 hpf, while the epithelial count is only present in small amounts. Could this high PUS cell count be affecting my fertility? My wife and I are having trouble conceiving, and I'm wondering if this might be the issue. Should I see a doctor for this, or can taking a good antibiotic help resolve it?

Accepted Answer

Your semen analysis shows a slightly elevated pus cell count (5-7hpf), which may indicate a mild infection or inflammation. This alone might not directly affect fertility, but its worth consulting a doctor to rule out any underlying issues. A targeted antibiotic course, if needed, could help, but additional tests might be required to assess other fertility factors for both you and your wife.

Question 3

I'm having some trouble with my sex life and could really use some advice. Anytime I'm getting close to intercourse, my penis seems to bend and just doesn't stay firm enough to actually penetrate, even though it's fine and hard during foreplay and when I'm being intimate in other ways. I even tried taking Viagra sildenafil 100mg, but it didn't work for me. It's frustrating because I feel aroused, but once we try to actually have sex, it's like my body doesn't cooperate. Do you have any suggestions or solutions for this?

Accepted Answer

It sounds like you're experiencing **performance anxiety or situational erectile dysfunction**, where stress or pressure during penetration affects firmness. Since sildenafil didnt help fully, consider speaking with a doctor about potential physical or psychological factors. Techniques like relaxation exercises, improving intimacy, or counseling could also help.

I'm really concerned because I've noticed that whenever I suddenly cough while talking, I end up having urine leaks. It's really embarrassing and I'm not sure what I can do about it. Can you suggest any ways to help reduce this?

Urine routine and microscopy and x-ray chest pa view is advised to the patient.

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