Questions and answers

«Hello! I have the following problem – I used to have a strong sexual attraction before, erection was always stable and ejaculation was rapid. Now the sexual attraction is decreased, erection is not always stable, ejaculation is fast and is not as rapid as before, sperm kind of flows out in parts from the penis, but it used to shoot before; what can it be and how serious is it?»

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Expert's answer

Hello! Reduced libido together with erectile dysfunction is a reason to examine hormones. Also, the erectile dysfunction may be due to vascular disorders, CNS disorders. To make preliminary conclusions and make a plan of examination, you need to know medical history, personal history. The list of compulsory primary tests: prostate ultrasound - Doppler of blood vessels of the penis – STD test - determination of concentration of testosterone in blood. In our clinic, a complete cycle of diagnostic measures is performed, after which urologists-andrologists make a final diagnosis, and after that it will be possible to speak about treatment and to make prognosis.
Reprintsev
Vladislav Leonidovich

Urologist. The first category. Experience more than 15 years.

«Good evening! I am 24 years old. For more than a year, I have been trying to cope with premature ejaculation. Sexual intercourse lasts 2 minutes maximum, during which I am very excited and I cannot hold back. Immediately after finishing I feel strong sensitivity of the head, which is even unpleasant to touch. Tell me, how and how fast can I get rid of it, and what is the cost of treatment?»

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Expert's answer

Hello! We tell our patients at once that the cost of treatment and its duration can be determined only after internal consultation and examination. Treatment options – medicinal therapy with the use of products of the common network of pharmacies in Ukraine and branded products manufactured by ON Clinic Corp., physiotherapy, combination therapy. In some cases, an instrumental correction of frenulum of the penis may be required. Thus, treatment of premature ejaculation can cost 500 to 3500 UAH. Duration of treatment also depends on the choice of treatment (2-3 weeks to 2-3 months on the average). It is necessary to allocate a group of neurological causes, which require joint treatment with a neurologist or psychotherapist. Contact us, we will be happy to help!
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Vladislav Leonidovich

Urologist. The first category. Experience more than 15 years.

«Hello! The color of my penis head has changed. The color itself is normal; it is rich red when erected (unlike before), and instead of a smooth skin, there are small tubercles or dots. The test results are normal. What may these changes be associated with?»

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Expert's answer

Hello! Change of color of the erected penis head can be caused by vascular changes. But in combination with punctate rash it can be a sign of an infectious inflammation (candidiasis, herpes). For the differential diagnosis the medical history is important (unprotected sex, use of new condoms, detergent powder, etc.), visual inspection and laboratory diagnostics (smear from the urethra is not a diagnosticum for viruses). We invite you for internal consultation. Our urologist will be happy to help you!
Demidenko
Sergey Vitalievich

Urologist, andrologist, sexologist. The first category. Experience more than 14 years.

«We have the following problem. My father is 74 years old. During the past six months he began to show an unhealthy attraction to women. My mother died 15 years ago. He has been living alone since then, and then it started. He runs after every petticoat. The urologist we turned to said the following, "Let your dad f…k before death". No test were done. Of course, he goes to the toilet often at night, in all the rest, he is very perky. Can we turn to an adequate doctor? Or you will also tell us to go and have fun? Thank you»

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Expert's answer

Hello! A sharp increase in sexual desire is a result of testosterone release. Taking into account the age of the patient, first of all, prostate cancer should be considered. If your father has a specific complaint for volumetric formation of the prostatic gland, it is an adenomatous node at best, but examination is necessary. Make an appointment, urologists-andrologists of ON Clinic will be happy to help! Initial examination will necessarily include prostate ultrasound. Even on the basis of this study we will be able to make preliminary conclusions. If necessary, blood is taken to determine the tumor marker (PSA). As a result, you will have a detailed consultation on diagnosis and further behavior.
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Vladislav Leonidovich

Urologist. The first category. Experience more than 15 years.

«Hello! I am 60 years old. The clinic information says that non-surgical treatment of prostate adenoma is possible only in the early stages. 1. Do you determine the stage of adenoma during the initial examination (consultation)? 2. In the case of not early stage of adenoma, do you give recommendations for further actions? Thanks for the answer.»

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Expert's answer

Hello! Yes, conservative treatment of benign prostatic hyperplasia (adenoma) is carried out in our clinic only in the early stages. The final diagnosis will be made during the initial survey. Taking into account the age, we may require exclusion of cancer pathology (to do this, the test (PSA marker) is made) and repeated (free) consultation of a doctor. In those cases, if treatment is not possible in our clinic, the urologist will give detailed recommendations on further tactics (if surgery is needed, its scope, possible consequences, etc., appropriateness of the maintenance therapy), referral for hospitalization, if necessary.
Reprintsev
Vladislav Leonidovich

Urologist. The first category. Experience more than 15 years.