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Urology (Expert Forum)
ED for 3 years, now with blue balls
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
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.
ED for 3 years, now with blue balls
by repeat, Mar 01, 2007 12:00AM
No, I'm NOT looking for a Viagra prescription.
No, I'm NOT looking for a Viagra prescription.
I'm 50 yrs old, thin, athketic male.
Three years ago I lost much of my sex drive. Lost ability to get erections easily. It seemed strange so I had testosterone checked and it's normal. I wasn't too concerned after that because I didn't have a girlfriend at the time so it was, in a way, a kind of nice break from the usual heavy sex drive.
Now I have a girlfriend though and I'd like to get a reasonable sex drive. With and without the girlfriend my erections are not hard and are easily lost. The same at night while sleeping. I found that sitting up in a chair helps some. Also an hour of intense aroebic exercise helps a little. Still, I'm far from normal.
It's common to have sex with girlfrien and I don't get erection and therefore can't orgasm. She's fine with that and very suportive. But that has let to VERY painful blue balls for me. The first time it was so bad that by the time I managed to reach orgasm while sitting up there was a tiny amount of blood in the semen. That screwed me up for a week.
Here's my question....
If I'm sexually aroused to the point that I get severe blue balls then why/how is that the same arousal does not translate into a normal erection?!?!?
Thanks!
No, I'm NOT looking for a Viagra prescription.
I'm 50 yrs old, thin, athketic male.
Three years ago I lost much of my sex drive. Lost ability to get erections easily. It seemed strange so I had testosterone checked and it's normal. I wasn't too concerned after that because I didn't have a girlfriend at the time so it was, in a way, a kind of nice break from the usual heavy sex drive.
Now I have a girlfriend though and I'd like to get a reasonable sex drive. With and without the girlfriend my erections are not hard and are easily lost. The same at night while sleeping. I found that sitting up in a chair helps some. Also an hour of intense aroebic exercise helps a little. Still, I'm far from normal.
It's common to have sex with girlfrien and I don't get erection and therefore can't orgasm. She's fine with that and very suportive. But that has let to VERY painful blue balls for me. The first time it was so bad that by the time I managed to reach orgasm while sitting up there was a tiny amount of blood in the semen. That screwed me up for a week.
Here's my question....
If I'm sexually aroused to the point that I get severe blue balls then why/how is that the same arousal does not translate into a normal erection?!?!?
Thanks!
Doctor's Answer
by Kevin Pho, MD, Mar 01, 2007 12:00AM
, Mar 01, 2007 12:00AM
I agree with obtaining the testosterone level. Other metabolic diseases should be ruled out - including diabetes, a vitamin B12 level and a thyroid test.
An imaging study to look for vascular causes or blood flow problems should also be considered. An ultrasound would be a reasonable initial test.
If the symptoms continue, I would consider a referral to a urologist to discuss these options.
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_
An imaging study to look for vascular causes or blood flow problems should also be considered. An ultrasound would be a reasonable initial test.
If the symptoms continue, I would consider a referral to a urologist to discuss these options.
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_
Member Comments
by repeat, Mar 03, 2007 12:00AM
To: Sexual Dysfunction
0
