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Urology (Expert Forum)
Am I having rectile disfunction? or is this psychological?
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Am I having rectile disfunction? or is this psychological?
by AndrewKK, Apr 22, 2007 12:00AM
Hello.
I am 21 years old and. When I slept with my girlfriend for the first time, about a week ago, I was having an erection problem. It just didn't happen the whole night. she even tried giving me oral sex but I ejaculated without having an erection, twice. Can this problem related to the fact that I was extremely hungry? I only ate one meal that day, because of stomach ache. I have no problem getting an erection at home. And today, while I was taking a shower, I found this little lump on my penis. It certainly isn't a vein. It feels like a soft bone. it's not on the head. it goes from top of my penis and go around to the right half way. And i can tell my penis is a little bit bent because of it. But I can barely tell it's there when i get an erection. Should I visit an urologist? what kind of procedures should I expect and how much will it generally cost? Thank you
I am 21 years old and. When I slept with my girlfriend for the first time, about a week ago, I was having an erection problem. It just didn't happen the whole night. she even tried giving me oral sex but I ejaculated without having an erection, twice. Can this problem related to the fact that I was extremely hungry? I only ate one meal that day, because of stomach ache. I have no problem getting an erection at home. And today, while I was taking a shower, I found this little lump on my penis. It certainly isn't a vein. It feels like a soft bone. it's not on the head. it goes from top of my penis and go around to the right half way. And i can tell my penis is a little bit bent because of it. But I can barely tell it's there when i get an erection. Should I visit an urologist? what kind of procedures should I expect and how much will it generally cost? Thank you
Doctor's Answer
by Kevin Pho, MD, Apr 22, 2007 12:00AM
, Apr 22, 2007 12:00AM
Anatomical abnormalities can be ruled out with an ultrasound - which will also evaluate blood flow concerns. Blood tests can be done to evaluate for testosterone deficiency. A physical exam can determine the pulses, which can also point to a possible vascular issue.
Blood tests can also be done to check for diabetes or the thyroid.
If the tests are negative, you can consider psychogenic causes like stress, anxiety or depression, which can lead to erectile dysfunction issues.
A urology referral can be considered if the symptoms continue despite non-revealing tests.
Cost would depend on what kind of insurance you have.
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.
kevinmd_
Blood tests can also be done to check for diabetes or the thyroid.
If the tests are negative, you can consider psychogenic causes like stress, anxiety or depression, which can lead to erectile dysfunction issues.
A urology referral can be considered if the symptoms continue despite non-revealing tests.
Cost would depend on what kind of insurance you have.
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.
kevinmd_
