About 1.5 years ago I noticed a slight, gradual drop in my ability to maintain an erection. I also had a slightly harder time maintaining an erection. I turn 38 in a couple of months and I have masturbated almost once per day for years. I thought that maybe I was masturbating too much for my age and just needed a longer recovery time. My erections improved a little, but generally continued to decline. I also had a hard time controlling ejaculation.
Also over the past year, I noticed my muscles would ache more after exercise. Then about 4-months ago, I really started to have trouble even getting erections. I also had some limited prostate type symptoms (discomfort while sitting, variable flow rate while urinating). My testicles/scrotum have been burning and my testicles seem to have shrunk and are more tucked up.
I went to my family doctor and told him I was worried about either Andropause or prosate problems. Of course, I had been taking some Saw Palmetto and other herbs for about a week and by the time I had my appointment the prostate symptoms had gone away. He checked my prostate and it wasn't enlarged or sensitive. My testosterone was marginal (13) and I had all of the Andropause symptoms (physical, mental, sexual) so he started my on Androderm. (My family doctor has referred me to a Urologist, but it takes months in Canada to see a specialist).
My concern is that testicle burning is NOT listed as an Andropause symptom anywhere I could find. So I was worried that the Andorpause symptoms were really the result of testicular damage/atrophy. Some nights, I have to put an ice pack on my testicles since the burning is so uncomfortable. I am now almost completely impotent with no more morning erections. My last erection was 3-weeks ago.
I just got tested for Chlamydia, Gonnorrhea & Syphillis and should the results back next week. I looks like untreated STD's could lead to my condition.
There is a web-site (www.herbolove.com) that mentions that over-masturbation can lead to many of these symptoms. I've found it on other mens health web-sites, but the all refer to this doctors theories. They of course sell a product to recover from this condition.
Infections such as STD's and prostatitis can certainly cause testicular burning. The tests for the STDs you had are a good first step in evaluating this. I would also perform a urinalysis.
To evaluate prostatitis, make sure a thorough digial rectal exam was performed. Prostatic secretions should be collected and cultured for infection. A transrectal ultrasound can also be considered to evaluate for an abscess.
I would also consider a scrotal ultrasound to evaluate for epididymitis.
If the infectious route is not revealing, you may want to consider a referral to a neurologist to evaluate for any nerve disorders causing your symptoms.
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.
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