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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Painful Ejaculation

hi I am a 27 yo male. I am highly sexually active . In 2009 I was diagnosed with UTI after having multiple sex partners the same time. I had some white pus come out of penis & had burning on urinating . My left prostate got slightly enlarged. I was given a dose of antobiotics which I took regularly & the symptoms subsided. Some things stayed the same such as 1. feeling of testes being a little tight 2. slower urination 3. Semen is yellowish or pale in color. ( I do intake onions regularly but even when I dont & then ejaculate the color is yellow or pale) 4. Pain slight heavy feeling in testes while sitting its been few yrs now and the above 3 still exist. I have met many urologists .. all acknowledge but say it is fine . 3 days back I ejaculated in bed ( wet dream) but I found it was somewat painful. Yesterday I had oral sex and again I found ejaculation a bit painful. Please advise if there is anything serious ? Also pls advise if there is a test I could do to check testosterone level.
Mon, 14 Sep 2015
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Urologist 's  Response
Hello
Thanks for query .
The symptoms that you have strongly suggest to be due to Chronic Prostatitis .
Please consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.
1) Urine routine and culture.
2) Ultrasound scanning of abdomen and pelvis
3) Semen examination and semen culture .

In the mean while start taking antibiotics like Doxicycline along with anti inflammatory medicine Diclofenac twice daily .

Further treatment will depend upon result of these tests and final diagnosis.

Please note that Prostatitis takes long time to get cured hence one has to take appropriate antibiotics for a period of 6-8 weeks .

Dr.Patil.

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Suggest Treatment For Painful Ejaculation

Hello Thanks for query . The symptoms that you have strongly suggest to be due to Chronic Prostatitis . Please consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis. 1) Urine routine and culture. 2) Ultrasound scanning of abdomen and pelvis 3) Semen examination and semen culture . In the mean while start taking antibiotics like Doxicycline along with anti inflammatory medicine Diclofenac twice daily . Further treatment will depend upon result of these tests and final diagnosis. Please note that Prostatitis takes long time to get cured hence one has to take appropriate antibiotics for a period of 6-8 weeks . Dr.Patil.