Pronto.

 

Morning

Monday Giggles have been pre-empted by this comment left over the weekend.

"My husband has had issues for a couple weeks. First he's been unable to cum. We've tried every position possible and he still can't get it to shoot. Now he stands at the toilet straining to pee and still doesn't want to go see a doctor."

I'm not sure why guys are so shy about seeing our doctors when it comes to issues with our bits. Afraid of getting a boner, I imagine. 

But your husband's issue: that's not good. Not at all good. There's most likely an issue with his prostate, and I'd put my money on a severe infection. It will not resolve on its own - he needs medical attention. Trust me. While my infection didn't get to the point I couldn't take a leak, I wasn't able to cum.

According to the Oregon Urology Institute, an untreated prostate infection can lead to an abscess. If left untreated long enough, that can spread into the bloodstream and lead to sepsis. Which can be deadly.

Do not take no for an answer. Grab your husband by the balls and take him to an Urgent Care, or to a Urologist.

Pronto.

Like yesterday.

A boner in front of a doctor is better than weeks or months lying in a hospital bed fighting infection.

Then...make sure your husband is following these prescriptions:

This week's giggles will be posted tomorrow.

Sexual Wellness

 

Morning

"I've been following your blog for quite a while now. I'm a General Practitioner PCP and I'm met with shock and embarrassment when I ask new male patients questions about their sexual wellness (erection and ejaculation issues), or tell them to take off their clothes for a physical exam (testicular and prostate). All my questions and exams are tailored to their life stage. I've asked my colleagues and only a few do this. Women get (or should) annual pap smears and vaginal inspections and mammograms. Why is it so odd to do a complete workup on men? My question for your readers is does your doctor ask those questions or do those exams during an annual physical?"

Thanks for reading --- I hope you'll correct me if I ever hand out wrong information. I think you're doing the right thing. Too many guys are afraid to even broach those subjects with their doctors. Actually, they're afraid of popping a boner in front of you. That may seen silly to you as a doctor, but it's most likely the truth. By initiating the conversation, you are doing them a great service.

Only one doctor used to routinely ask about my erections and ejaculations, and would check my balls and prostate. Not anymore. I guess they figure I'm too old, or I'd be telling them if there were issues.

Readers, does your doctor check on your "sexual wellness?"

No Cancer

 

Good morning.

I love it when folks bring us follow-up information.

"You may recall that I emailed asking how to clear blood in my ejaculate more quickly following a transperineal biopsy of the prostate, and that the original biopsy was positive for prostate carcinoma with a Gleason score of 3+3=6, but my PSA was high. Thus they wanted to do a repeat biopsy.
 
The repeat biopsy was thankfully done under GA. It came back negative for carcinoma. The blood in my ejaculate took three weeks to clear again at 4 to 5 solo sessions a week.
 
However, the PSA was still high at the 6-week post-surgery mark, but not quite high enough to have a funded PET-scan under the rules in my country. After discussion with my urologist we decided to see if I could push my PSA a little higher so as to qualify. So, after an enjoyable solo session with ass toys knocking on my prostate, I got the blood test done. Exactly the same PSA score!
 
Urologist decided that we could round the number up (it was only 0.2 off the minimum) and he took my case to the appropriate team. The PET-scan provider in my city only does one session a week, so after a three-month wait I had the PET-scan. The results are that there is no avidity anywhere in my body—including the prostate. So, it looks like the biopsy took all the cancer cells. There’s also no prostatic inflammation.
 
The present diagnosis for my PSA levels being high is that I just have a large prostate. The main problem with that is that I sometimes have problems urinating—particularly at night. He doesn’t want to do reduction surgery as that is likely to leave me with permanent retrograde ejaculation. So, I’m on a medication called Tamsulosin to help with urination. It has a side-effect of partial retrograde ejaculation—so I am periodically pausing the medication for a few days to enable a couple of full ejaculations.
 
Thus, I am now on the active surveillance programme ordered by the Urologist (rather than my GP)."

The best news is that there is no cancer present. Surgical reduction of the prostate can cause a myriad of problems. If you recall (from years past) Lord Patrick (a faithful reader until his death) dealt with them. Loss of solid erections, incontinence.... it's good your doctors have opted out of that. Nice to know there is a work-around for the ejaculation side-effects of the Tamsulosin. Retrograde ejaculation (where the semen is sent backward into the bladder) is nowhere near as satisfying as a normal one.

Any Info

 

"I’ve been reading the blog for about 3 years now and have made a couple of anonymous comments with an abbreviated signature of BWC. 

The strong family history of prostate cancer has caught up with me. I tried to stave it off with frequent solo and partner sex, but the genes have over-ruled. While my grandfather died at 66 from it, medical technology has moved on sufficiently so that my father is still alive at 82—20 years after diagnosis—and I expect to do similar with medicine having moved even further.

 

I recently had a trans-perineal biopsy and have been warned that I’ll have blood in the urine for about a week, and blood in my ejaculate for up to 6 weeks. It’s this last that I’m asking about. Reaching climax and watching blood red semen erupt onto my abdomen is disturbing enough for me, but for a sexual partner it’s too much. Sure I can wear a condom, but then it still looks pretty gross. Is there a way to clear the blood more quickly than 6 weeks? Would masturbating more often help to clear it, or would that just exacerbate the problem by keeping things inflamed down there? I’ve done a preliminary internet search, but keep getting the 6 week answer without any other information.

 

If you or your readers would be interested in a full account of how a trans-perineal biopsy is done from the patient perspective, I’d be happy to provide one.

 

Also, I would encourage all your readers with a prostate to be screened regularly from the age of 50, or if there is a family history, from 40.

 

Our next family challenge is to get hold of our cousins (male and female) and let them know for themselves and also for their boys. The most difficult conversation will be with my mtf trans niece who doesn’t want to think about her “boy bits”.

 

Thank you for the blog and the mix of fun, serious, whacky, and sexy. ~ Beeswaxcandle"

First, sorry you're having to go through this. Genes can be a good thing and a bad thing at the same time. So your warning to others is well-founded. They should begin with a PSA blood test, a DRE (digital rectal exam) and keep an eye out for blood in the semen.

As far as ejaculations during the healing process, I was unsuccessful in finding the information other than what you found. That said --- and bearing in mind I am not a physician --- it would seem to me that the spasms would only aggravate the tissue and cause a longer healing process.

Think of it as having a cut on your body - picking at it will only increase the healing time. So, as sad as it may seem, I would avoid cumming for the six-week time frame to allow the tissue to heal.

If anyone can provide any information on the healing process, it would be greatly appreciated.