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Unwanted Erections and Possible Prostatitis

I am 54 year old male..my sexual desire has been lacking for about one year..mainly do to stress and Paxil I believe. I have had virtually every blood test five months ago..everything ok. I went to southest asia about one month ago...had a handjob from massage therapist...nothing else. Since then I've been worried. I had a slight dull ache, and twinge occassionally in upper part of penis shaft in prostate before I left to S/E Asia..when I returned I went on Avelox because I've had Prostatitis before and GP wanted to take care of it...I
've been on 2 weeks so far. I also was being put on Wellbutrin and being taken down on Paxil...when I got up to 300 of Wellbutrin after 4 weeks at 150 I began to have 3-4 nightly erections where I would get up to urinate and the erections would go away...I only remember rarely waking up with an erection?? I am going down on Wellbutrin because the nightly erections scare me...I am now down to zero Wellbutrin for the last week...still having 2-3 erections nighttime and early morning before getting up. My dr. says not to worry about STD's...etc. I have no symptoms after 30 days, and I be a case study if I got anything from a handjob? Do you concur? And, could this worry or the antidepresents be causing these nightime erections? No other symptoms, and PSA was 2.7 five months ago.
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233190 tn?1278549801
MEDICAL PROFESSIONAL
Difficult to say without examination.  Although possible, it would be unlikely that without genital-oral contact that you could have contracted an STD.  

You can further evaluate the possibility of prostatitis with analysis of the prostatic fluid, and possibly a transrectal ultrasound.

Paxil is known to decrease libido and cause soem sexual dysfunction.  With the change to Wellbutrin, it is possible that this could have led to a more normal erectile pattern.

You can discuss these options in conjunction with a urology referral

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
Medical Weblog:
kevinmd_b
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