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Urologist,M.D.
Urologist,M.D., Urologist
Category: Urology
Satisfied Customers: 4106
Experience:  Board Certified in Urology, Fellowship trained
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E.D.-soft erections,diminished semen,minor ejaculation,cold

Resolved Question:

E.D.-soft erections,diminished semen,minor ejaculation,cold penis(no other extremities cold),hypo gonadism,taking 200mg testosterone every 2 weeks(injection),normal libido with shots,b.p.120/80 or lower,pulse 52(hypothyroid-taking .20 synthroid daily) b.s.98,cholesterol 202,triglycerides 59,hdl 42,ldl 159,athletic, stress tests & echo cardiagram normal. Is it possible that I have a circulation problem in my penis or grion area? My urologist says that I don't have an inlarged prostate(I urinate normally-good stream-slight dribble at end) & my psa is 3.0. His only advice was to use viagra,etc. for sex. I would like to fix the problem, not live with it-since I am so healthy otherwise, for my age, which is 71.
Submitted: 7 years ago.
Category: Urology
Expert:  Urologist,M.D. replied 7 years ago.
Treating a circulation problem to the penis and groin is not an easy problem to deal with. First that diagnosis has to be made through either angiographic studies or by ultrasound doppler studies of the penis. If it's one area that is not getting good flow and is narrow, that area could perhaps be fixed through vascular surgery. If medications don't help, then you could try injections or even the vacuum pump. Hope this helps.
Customer: replied 7 years ago.
A vascular study was my next plan also. What could be the cause of the low amount of semen & no ejaculation until my soft erection diminishes?
Expert:  Urologist,M.D. replied 7 years ago.
You may have an ejaculatory duct problem, therefore causing decreased semen production. This can be evaluated through a prostate ultrasound.
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