Any medication can cause any side effect. in reality Propecia side effects are rare and minimal. that is not to discount if you really have a problem. but even for the full high dose Proscar sexual side effects impact on only 4 % of men.View Thread
My first thought is that he should see a urologist to see if he has any physical issues that might cause this problem, such as scarring in his urethra, an abnormal bladder, nerve issues, incomplete emptying, to name a few- that should be the first place to start. There are many possible causes and a complete urology evaluation is the most likely to find and treat the cause. I knew a doctor once that had the same problem- we worked him up and found that he had a scar at his bladder neck that was the cause- opened the scar and he was fine!View Thread
that is most likely prostate fluid that can commonly come out when you are urinating after a bowel movement ( the movement compresses the prostate and forces the fluid into the urethra) or it can happen with squeezing of the pelvic muscles such as at completion of urinating. it is common and means nothing.
Semen consistency varies widely from person to person, day to day and can be influenced by diet, nutrition, frequency and intensity of ejaculation.
As far as ED and orgasm, those are two different things and can be influenced by many concerns, such as diabetes, high blood pressure, stress, fatigue, anxiety, depression, medications, alcohol, tobacco and pot to name a few.View Thread
It is important to understand a few things that many fail to tell you. A man's testosterone peaks and troughs twice every 24 hours so where your level is drawn may dictate the result. I have seen many men who feel great with low levels, and guys with high levels who feel that their testosterone is low. Often it is not a testosterone issue but rather an imbalance with estrogen levels, often elevated with gut fat. Your brain's thermostat decides what your testosterone levels will be so when you supplement your levels, it sees too much and so shuts down your natural production. Once your levels are up, they will stay that level as long as you continue to supplement. Once you stop, then your levels will come down and hopefully then your own natural production will start to rise again. The longer you are on testosterone the longer it will take for your natural levels to return, and sometimes you need medications to get your levels back. Everyone is different as far as how long it will take. Much depends on other factors, your health, your weight, other hormone levels, etc. If not already, I suggest you see a urologist, a real specialist in male hormones. there are even some that have taken additional fellowship training in male reproductive medicine and they would be the best to talk to.View Thread
Seems that almost everyone is being put on testosterone therapy today, for a number of reasons, some reasonable, some that make no sense.
If you have been on testosterone replacement for some time then chances are your body has cut down or stopped your own natural production of testosterone. So when you stop your blood levels will be low and then as your brain senses the levels are low it will hopefully start your own production again. The longer you are on replacement, the longer it may take to get your natural levels back up. You may feel fatigued, tired, grouchy, irritable until your levels come back up. In the meantime, exercise, eat well, get sunshine, lots of sex- all to goose your natural production.View Thread
My first thought is to be sure you really have a low testosterone problem and not something else. Far too many doctors are incorrectly diagnosing a low testosterone when that is not the case and treating men , which then creates an entirely new level of problems. Testosterone levels in normal men fluctuate dramatically twice a day, every 24 hours, so when your level is drawn may be misinterpreted as too low. Plus, excess belly fat causes testosterone to be converted to estrogen messing up your balance, so you should have had an estrogen level checked too.
If you are put on testosterone supplements, know that your brain's thermostat will sense the extra levels and shut down your own natural production, so your levels actually end up lower often requiring even higher levels to be given just to reach baseline.
Have you also had levels checked for free testosterone, the amnount that is available and also SHBG, FSH, LH and prolactin to be sure you do not have a pituitary tumor?
As far as side effects, the list is a full page of how men can react to the extra testosterone- from increasing testicle and or penile pain to increased anger, irritability, enlarging breasts to name a few. Every man is different. It may be the dose, the formula, the timing, or other factors. I encourage you to see a urologist and or endocrinologist to be sure.View Thread
Could be prostate infection, prostate obstruction from noncancerous enlargement or even prostate cancer, as well as kidney stone, lower ureteral stone, scar or cancer, testicular problems - infection, epididymitis, tumor, seminal vesiculitis to name a few. He should be seen by a urologist for an evaluation. Plus could be from diabetes, or other non pelvic issues.View Thread
The SSRI medications such as paxil are well known for holding guys back, making it more challenging for some to reach orgasm. That is why we use these medications for men with premature ejaculation. Because each medication is different and each person reacts differently to each medication, if one causes a problem then your doctor can move things around and change meds to find one that helps with your mood and still does not mess with orgasms. The key is to do this only under the supervision of your doctor. Stopping or changing meds on your own can backfire and have serious consequences.View Thread
Any medication can cause any side effect, but those two are not on my list for "clumpy semen." Semen is usually thick and clumpy for 20 to 30 minutes at body temperature to give the semen time to alter the normally hostile sperm killing vaginal pH and then the semen becomes watery, releasing the sperm into a now sperm happy, nutrient rich environment.View Thread