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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 31645
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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Prostate issues
, 3.9 psa, low sex drive, frequent

Customer Question

Customer: ***** ***** prostate issues
JA: Thanks. Can you give me any more details about your issue?
Customer: 3.9 psa, low sex drive, frequent urination at night, dre -asymmetrical/firm enlargement, diagnosed as BPH. PSA .7 14 months earlier. Very thick gel like semen that oozes out rather than projects, no bacteria present but wondering if it is an undetectable infection..? urine test ok. 30 days have quit coffee, beer,meat dairy, low acid alkilide diet and taking supplements...
JA: OK got it. Last thing — Health Professionals generally expect a deposit of about $32 to help with your type of question (you only pay if satisfied). Now I'm going to take you to a page to place a secure deposit with JustAnswer. Don't worry, this chat is saved. After that, we will finish helping you.
Submitted: 10 months ago.
Category: Health
Expert:  Dr. Anil replied 10 months ago.

Hello,

Do you have burning sensation and pain during urination?

Frequent urination?

Are you taking any medications?

Since how long have you been suffering from such thick semen?

Thanks.
Waiting for your response.

Expert:  Dr. Arun Phophalia replied 10 months ago.

Hello,

I am Dr. Arun and will be helping you today.

I am sorry that your question was unanswered for long.

Thank you for requesting me.

An asymetry on DRE with an high previous PSA and your symptoms would warrant following (if not yet done);

1) An ultrasound

2) Free PSA

3) Semen culture

4) Prostate massage

5) Culture of prostate fluid after prostate massage.

You may need a course of antibiotics.

Following also are recommended;

a) Uroflometry

b) Video urodynamics

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

Expert:  Dr. Arun Phophalia replied 10 months ago.

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Thank you.

Expert:  Dr. Arun Phophalia replied 10 months ago.

Best wishes,
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Expert:  Dr. Arun Phophalia replied 10 months ago.

It is privilege assisting you.

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Wishing you all the very best in life.

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