Archive for September 29, 2015

Penis Damage after Intensive Sex

Q. I’m 18, and I’ve been having a problem for about two months. For two weeks of vacation, I spent almost eight or nine hours a day having sex with my girlfriend. The last day of vacation, I noticed my penis was cut-up and red. For the last two months I have done nothing with it other then shower. Then I masturbated, and the same thing happened again. It hurts unbearably, and I don’t know what to do. The part of the penis that is cut up is lighter in color then the rest of it.

A. First, you should see your doctor. I commonly see young men with similar complaints, and often I find the problem is simple irritation that responds to cortisone creams.

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Pulled Muscle, Infection or Something Else?

Q. I’m 29. About three months ago, I was diagnosed with a urinary tract infection. I took antibiotics and it cleared up. Then I started having pain where the penis joins the body. The doctor diagnosed it as a pulled groin muscle. I took an anti-inflammatory medicine for a week and the pain subsided. However, now, two weeks later, the pain has come back. It is a dull pain that spreads into the groin and hurts the most after the penis has been erect for awhile. Some days are very painful. Could this be related to the infection, or is it just the pulled muscle? Or could it be something else?

A. Although your doctor says you had a pulled groin muscle, I am not so sure. In my practice, I don’t think I have ever seen a patient with a pulled groin muscle. Your symptoms are concerning because there are other reasons for persistent pain after a urinary tract infection.

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Tears on Foreskin

Q. My husband has two tender tears on his foreskin. Could this be from rough sex?

A. Normally it is quite difficult to tear the foreskin during sex. It is common, though, for the foreskin to have a problem that causes it to stretch and tear during the retraction of the skin over the head of the penis. Such problems of the foreskin include inflammation, improper care of the foreskin and (rarely) penile cancer.

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Teen With Penile Discharge & Rash

Q. I am a 16-year-old male. I have rashes on my genital area, and I get white discharges! What is it? Should I go to a doctor? Or tell my parents? Please, I am scared! What should I do?

A. I am going to use your question to address some general issues regarding genital symptoms and sexually transmitted diseases. For most medical complaints in the genital region, there can be a sexually transmitted cause as well as a cause not related to sex. For example, in women, vaginal itching can be caused by trichomonas, which is sexually transmitted, or by Candida (yeast), which is typically not sexually transmitted.

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White Bumps on Penis Ridge

Q. My partner has some dry, hard, little whitehead-type pimples along the ridge of the head of his penis. He is uncircumcised. When you pull back the foreskin, you see them uniformly spread along the edge of the outer ridge of the head. He says many uncut guys have that, but I’ve never seen it. I see no liquid from them, and they do not hurt him. He says they’ve always been there. I’m worried that it might be an STD.

A. I understand your concern. I see at least one man a month with this question. From what you are describing, your partner has a normal penis. What you are seeing are almost certainly benign pearly penile papules. These whitish bumps are common on uncircumcised men and men of Afro-American descent. They are located around the coronal ridge, which is the start of the head of the penis.

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White Shadow on Penis

Q. I have developed a tinea on my penis. It is like a white shadow in the skin of my penis. What should I do?

A. Tinea cruris, often called “jock itch,” is not usually a white shadow on the skin of the penis. It generally shows up in the folds of the groin. Usually it causes pain and itching between the scrotum and thigh skin. This is easily treated with antifungal creams.

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Pros & Cons of Infant Circumcision

Q. My wife and I are expecting the birth of our son in January. What are your views on circumcision?

A. As a urologist, I can tell you there are mixed views regarding circumcision. Data from third-world countries, where boys are not circumcised, has shown a higher incidence of penile cancer. This appears to be linked to poor hygiene and possibly an as-yet-unidentified infectious agent. However, studies conducted in this country in the 1970s and 1980s have shown that with proper hygiene, there is no increased risk of cancer for uncircumcised men.

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Pornography on the Internet

It is not unknown for men to access pornography on the Internet.

At the outset, let me make it very clear that it is not the aim of this article to discuss the pros and cons of this practice – nor even to direct readers of Suite 101 to pornographic sites on the internet.

If you accessed this site because you thought that it provided links to pornographic sites, I am sorry to disappoint you!

But if you wanted advice about how to do access such sites safely, then please read on.

Providing Non-Judgmental Advice

The aim of this article is to provide advice.

It is usual for a doctor (who may be a teetotaler) to take a non-judgmental view of a patient’s choice of lifestyle, and if that patient chooses to drink alcohol the doctor can provide advice to that patient about the idea of what constitutes a ‘standard drink’ and the effects of alcohol on the body – so that the patient can exercise his or her choice to drink alcohol in a safe and responsible manner that does not cause harm to him/herself or to others.

Safe Sex Practices

Likewise, it is a doctor’s role to advise his or her patients about safe sex practices so they can avoid sexually transmitted diseases and unwanted pregnancies, giving them health advice without expressing a personal view about the rightness or wrongness of pre-marital sex or having sex with multiple partners.

In a similar manner, without going into the ethics of accessing pornography on the internet, I will aim in this article to provide some advice – so that if someone chooses to do so, they can indulge in this pastime without causing risk to either themselves or to their computer.

Have an Effecuve Anti-Virus Programme and Firewall

If one is accessing unknown sites on the internet, it is vital that one has an efficacious antivirus programme guarding one’s computer. It is far better to invest a couple of hundred dollars to purchase a reputed antivirus programme, rather than rely on a “free download’ that leaves your computer vulnerable tio virus attack and results in you having to pay more than a couple of hundred dollars to clean an infected computer – or worse still, results in the data on your computer getting completely wiped out!

Access Only Sites That Appear Genuine

If something looks like it is too good to be true, it probably is unlikely to be able to offer all that it promises! If one wants to access health information on the internet, one should only go to trusted sites – for example, the site called Medline Plus which is maintained by the US National Institute of Health and National Library of Medicine – rather than just type in a query into a search engine and then scroll through all the hits it produces to find one that looks interesting.

If you undertake a Google search for a phrase such as, for example, a non-pornographic topic such as Information about buying medicine for Erection Problems, a Google search will bring up over 675,000 hits. Trying to scroll through all these sites to find one that is unusual or exotic is not wise. Better to access the sites in the first couple of pages, because these are the sites that are most popular – and are likely to be the ones that people go to because they are good and safe for their computers.

Don’t Talk to Strangers

This is advice that little children are given – but it is amazing how many grown men forget this salutory bit of practical advice. If you don’t know someone and cannot see what they really look like, don’t part with your money or your credit card details, however enticing they may appear to be.

As is often said about certain practices, the best advice is to avoid it. If you cannot avoid it, then at least do it in a safe manner!

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Understanding Hepatitis B

The term “hepatitis” refers to inflammation of the liver – a condition characterised by nausea, malaise and yellowing of the body.

This last symptom, which is manifested by jaundice of the skin and icterus of the whites of the eyes, accompanied by darkening of the urine, is due to the liver being unable to process the bile pigment bilirubin, which then accumulates in the body, yellowing the tissues and overflowing into the urine.

While there are several viruses that can infect the human liver and cause hepatitis, the most important ones are designated hepatitis A, hepatitis B and hepatitis C. Although all these organisms have the common property of infecting the liver and causing hepatitis, they are quite different in the way they enter the body and the consequences of the hepatitis they cause.

How Does Hepatitis B Get Transmitted?

Hepatitis B, on the other hand, is a virus that lives in the blood and other body fluids of infected persons. More than two billion people the world over are estimated to have been infected with the hepatitis B virus, which spreads if body fluids from an infected person enter the body of someone else who is not immune to the virus.

Thus infected blood, seminal fluid, vaginal secretions, saliva, serum from open wounds and ulcers and even breast milk from someone with the condition can transmit this virus. It can also be transmitted from an infected mother to a child during childbirth. Having sex with an infected person is a common method of becoming infected.

Vaccination Against the Hepatitis B Virus

Vaccination against hepatitis B (the course involves three injections, the second taken six weeks after the first and the third taken six months after the second) affords effective protection against the virus. Sharing of personal items like toothbrushes and razors used by infected persons can increase the level of transmission

How does the Hepatitis B Virus Cause Disease?

Once the hepatitis B virus invades a healthy human liver cell, it reproduces itself and produces several new daughter virus particles. This results in the cell rupturing and releasing the virus particles into the circulation, and these daughter viruses reach other liver cells which they then enter. This process (invasion of cells; replication of viruses inside liver cells; discharge of particles into the bloodstream and invasion of fresh liver cells) continues. The signs and symptoms of hepatitis are essentially features of a malfunctioning liver.

Sequelae of Hepatitis B

Most patients who develop hepatitis B recover from the acute infection, but unlike in the case of hepatitis A, the infection places them at risk of complications such as liver cancer, cirrhosis and liver failure.

The main predictor of whether one develops chronic infection and the serious sequelae of hepatitis B is the age at which one acquires the infection:

  • Infants who get hepatitis B rarely manifest the features of acute infection, but 90% will develop chronic infection.
  • Children who get hepatitis B seldom manifest the symptoms of acute infection, but about a third of them will develop chronic infection.
  • Adults who get hepatitis B usually suffer the symptoms and signs of acute infection, but less than 10% will develop chronic infection.

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Surviving Prostate Cancer More Likely if You Eat Fish Regularly

A study from a team of researchers in Montreal has found that having eaten fish regularly is helpful to men who go on to develop prostate cancer.

Along with a healthy lifestyle and early detection, there is a tool for helping men to survive prostate cancer that is easily obtained and, it would seem, highly effective: fish. Men who regularly include fish in their diet and contract prostate cancer, a study from McGill University in Montreal says, have a much great chance of surviving the illness.

The study found there was no link between eating fish and getting prostate cancer and no link between eating fish and the prevention of prostrate cancer. It only found there was a link between having eaten fish regularly and surviving prostate cancer. It was published in the American Journal of Clinical Nutrition in September and released to the public October 7 2010.

“In the United States, one in six men will be diagnosed with prostate cancer over their lifetime,” Dr. Konrad M. Szymanski, a lead author of the study, told Reuters Health reporter Anne Harding. “One in six of these men will die of prostate cancer. Our study findings suggest that the number of men who die once diagnosed is lowered by more than 50 percent among men eating lots of fish.”

Regular Fish Consumption in Men

Dr. Szymanski, of the McGill University Health Center in Montreal, Quebec, and his colleagues found that after looking at the data from 31 studies that included a total of hundreds of thousands of patients, men who ate fish regularly were 44 percent less likely to develop end-stage cancers.

“All we can say is eating more fish can have some benefit. How many servings of fish or how many grams needed a day, unfortunately we cannot say,” he said.

The study speculated the reason for such a dramatic reduction in death-risk from prostate cancer may be the fish oil with omega-3 fatty acids found in fish. Fish oils have an anti-inflammatory effect that may help fight cancer from progressing to fatal stages, the report suggests. It did not analysis fish oil supplements but other studies suggest fish oil supplements are helpful in slowing cancers down by reducing inflammation, though more research needs to be done in this area.

Prostate Cancer can be Beaten

“Prostate cancer is a very common disease,” Dr. Szymanski said. “If we can possibly introduce a relatively cheap and easy-to-implement policy that could have even a small impact on how this disease affects men, we could make a very big impact overall.”

In the United States prostate cancer takes the lives over 35,000 men yearly and is diagnosed in over 200,000 men. In Canada 25,000 men are diagnosed with the illness and some 4,200 die from prostate cancer yearly. Lifestyle is considered an important component in preventing prostate cancer.

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