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Urology (Expert Forum)
Rash
Answered by
Kevin Pho, MD - Internal Medicine
Kevin, M.D.
Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
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Rash
by rp76cn, Oct 27, 2005 12:00AM
The First time I had sex (1993 age 17)it took me an hour and a half to have an orgasm/ejaculation. Afterwards sometimes it even took two hours of all out intercourse. Routinely it would take me between 20 minutes and an hour to the point where I ejaculated when I wanted that is after atleast 20 minutes that is. I could not have a quicky if I wanted. Now I am married and monogomous and I have a hard time lasting 20 minutes which is maximum. Though lately I have held out for 30 minutes a time or two but still no orgasm. Although I usually go 5-10 minutes and I have little or no control of my "ejaculation" This is not the big trouble though. The greater problem I am having is I do not have an orgasm. I ejaculate but there is no orgasm whatsoever only a release of ejaculate. Making love to my wife is basically an exercise she enjoys very much she has orgasms but I only do aerobics you might say. I do not have any erectile dysfunction and with a 3 year old and an 3 month old must be fertile. Everything works right except my timing and my orgasm. It has been this way for atleast 4 or 5 years now not long after I met my wife. I dont have orgasm even with oral sex or anyway. Sometimes I wonder if I tried another partner it might work but my wife would hang me. I don't understand how or why I went haywire.
Second Item is a year ago I got this rash at first I thought it was scabies then I thought it was jock itch. It is just below the head of my penis, red and not bumpy except the flakes of skin dry up on it like dandruff or something also I have some redness at my scrotum. There is no history of STDs with me or my wife. Seems impossible to have an STD been monotonous between my wife and I for seven years. What could this be? Tried permethrin,then tinactin, then lotrimin looked to be fading for a while but never cleared up still there. I am ashamed and have a fear of going to the doctor or I would have already been.
My questions are.
Did I have a disorder for longevity in the beginning? Why have I lost control and longevity? Why no orgasm? Can I Ever Have Another Orgasm? What can I do? Is there any drugs that help with orgasm? Is there any exersises or anything that would make me sensitive to have an orgasm.
Why do I have a persistent rash? What kinds of genital rashes can last 14 months? Can I try some other over the counter treatments?What do I do?
Second Item is a year ago I got this rash at first I thought it was scabies then I thought it was jock itch. It is just below the head of my penis, red and not bumpy except the flakes of skin dry up on it like dandruff or something also I have some redness at my scrotum. There is no history of STDs with me or my wife. Seems impossible to have an STD been monotonous between my wife and I for seven years. What could this be? Tried permethrin,then tinactin, then lotrimin looked to be fading for a while but never cleared up still there. I am ashamed and have a fear of going to the doctor or I would have already been.
My questions are.
Did I have a disorder for longevity in the beginning? Why have I lost control and longevity? Why no orgasm? Can I Ever Have Another Orgasm? What can I do? Is there any drugs that help with orgasm? Is there any exersises or anything that would make me sensitive to have an orgasm.
Why do I have a persistent rash? What kinds of genital rashes can last 14 months? Can I try some other over the counter treatments?What do I do?
Doctor's Answer
by Kevin Pho, MD, Oct 28, 2005 12:00AM
, Oct 28, 2005 12:00AM
To answer your questions:
1) Difficult to say. You can consider various diseases that can affect the innervation. This can include diabetes, thyroid dysfunction or peripheral neuropathy. I am not aware of any medications that can help with an orgasm. However, problems with an orgasm can be the side effect of many medication - and any medications you are taking should be reviewed as such.
2) Difficult to say what the rash is without examination. A fungal rash, bacterial folliculitis, or dermatitis are all possible. A referral to a dermatologist can be considered. If an infection is diagnosed, antibiotics are necessary. Dermatitis can be treated with the appropriate steroid cream.
These options can be discussed with your personal physician.
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.
Kevin, M.D.
http://www.straightfromthedoc.com
1) Difficult to say. You can consider various diseases that can affect the innervation. This can include diabetes, thyroid dysfunction or peripheral neuropathy. I am not aware of any medications that can help with an orgasm. However, problems with an orgasm can be the side effect of many medication - and any medications you are taking should be reviewed as such.
2) Difficult to say what the rash is without examination. A fungal rash, bacterial folliculitis, or dermatitis are all possible. A referral to a dermatologist can be considered. If an infection is diagnosed, antibiotics are necessary. Dermatitis can be treated with the appropriate steroid cream.
These options can be discussed with your personal physician.
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.
Kevin, M.D.
http://www.straightfromthedoc.com
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