So I Am A 42 Year Old White Male That
sacral ganglia or other nerves involvement through HSV 2.
Detailed Answer:
Hello and welcome to Ask A Doctor services.
I have read your query and here is my advise.
* As per my surgical experience, the most sounding possible cause of your
painful ejaculation and associated symptoms indicate likely involvement of
sacral ganglia or other nerves as latent effect through previous HSV 2
infection.
And most of these cases will not show up on MRI as there is no obvious
changes to be seen over radiology imaging.
* The foreign body insertion with proper lubrication is very less likely to
provoke such episodes.
* The MRI and urologist with rest work up I have gone through, but I would
like to ask about further following details so that I can answer your query
more precisely.
1. Give details of bladder urgency and dysfunction.
2. What about erection - is it painful or discomfort ?
Type of pain while ejaculation ?
3. What about sensation over lower back skin, thigh, legs ?
4. History of diabetes, high BP or other systemic illness ?
5. History of smoking ?
6. Any neurologist opinion taken ?
Awaiting for your response.
Regards.
Dr Bhagyesh ( MS consultant surgeon )
sacral ganglia or other nerves involvement through HSV 2.
Detailed Answer:
Hello and welcome to Ask A Doctor services.
I have read your query and here is my advise.
* As per my surgical experience, the most sounding possible cause of your
painful ejaculation and associated symptoms indicate likely involvement of
sacral ganglia or other nerves as latent effect through previous HSV 2
infection.
And most of these cases will not show up on MRI as there is no obvious
changes to be seen over radiology imaging.
* The foreign body insertion with proper lubrication is very less likely to
provoke such episodes.
* The MRI and urologist with rest work up I have gone through, but I would
like to ask about further following details so that I can answer your query
more precisely.
1. Give details of bladder urgency and dysfunction.
2. What about erection - is it painful or discomfort ?
Type of pain while ejaculation ?
3. What about sensation over lower back skin, thigh, legs ?
4. History of diabetes, high BP or other systemic illness ?
5. History of smoking ?
6. Any neurologist opinion taken ?
Awaiting for your response.
Regards.
Dr Bhagyesh ( MS consultant surgeon )
It feels like a light UTI or a prostate infection. Just pressure in the parineum. I feel like I have to pee, then I go, and dont feel like I went all the way. Not really excruciating pain there.
2. What about erection - is it painful or discomfort ?
Erection is not painful, its different though.
Type of pain while ejaculation ? I can have sex or masturbate and it feels fairly normal when I ejaculate but about 15 minutes afterwards, it will become very sore (pressure intensifies) down there.
3. What about sensation over lower back skin, thigh, legs ? Here in the past week, my skin on the outside of my hips and back have become VERY sensitive to pain, even clothing...touching me. VERY painful to any contact sitting or otherwise pressing on the skin.
4. History of diabetes, high BP or other systemic illness ? No no others, migraine headaches when I was younger.
5. History of smoking ? I smoke Weed now but in home calmly. Same source for years. Used to smoke cigs when I was younger off and on but never constantly or for long.
6. Any neurologist opinion taken ? Not yet.
Thank you so much I do appreciate your feedback.
It feels like a light UTI or a prostate infection. Just pressure in the parineum. I feel like I have to pee, then I go, and dont feel like I went all the way. Not really excruciating pain there.
2. What about erection - is it painful or discomfort ?
Erection is not painful, its different though.
Type of pain while ejaculation ? I can have sex or masturbate and it feels fairly normal when I ejaculate but about 15 minutes afterwards, it will become very sore (pressure intensifies) down there.
3. What about sensation over lower back skin, thigh, legs ? Here in the past week, my skin on the outside of my hips and back have become VERY sensitive to pain, even clothing...touching me. VERY painful to any contact sitting or otherwise pressing on the skin.
4. History of diabetes, high BP or other systemic illness ? No no others, migraine headaches when I was younger.
5. History of smoking ? I smoke Weed now but in home calmly. Same source for years. Used to smoke cigs when I was younger off and on but never constantly or for long.
6. Any neurologist opinion taken ? Not yet.
Thank you so much I do appreciate your feedback.
need neurology opinion and QUIT weeds dear.
Detailed Answer:
Hi
Thanks for the relevant details in a very precise manner which actually helps great way to know the issue in depth.
* So I would like to continue with my possibility of neuronal issue there with
further details.
* A neurologic examination with expert neurologist is mandatory from this
point of view as merely taking pain killers will not solve the issue at all.
He or she will conduct detailed physical examination from neurology point
of view and along with that specific tests as nerve conduction study , PCR
( Polymerase chain reaction ) or else for the viral etiology work up.
* As the issue of bit long period, evaluation process will take a precise time
and you have to opt with patience till the diagnosis and further
management plans.
* You would not like to read this, but it is fact that by consuming Weeds you
are harming your neurons and nerves further with false assurance of
transient pleasure. ( There are plenty of medical reasons to quote this
statement, one of major is effects over the nerve transmission, neuronal
transmitters and others )
So should think of seriously to quit if you want really healthy life ahead
dear.
Wish you great day.
Would like to assist further as per your need.
Thank you.
Regards.
need neurology opinion and QUIT weeds dear.
Detailed Answer:
Hi
Thanks for the relevant details in a very precise manner which actually helps great way to know the issue in depth.
* So I would like to continue with my possibility of neuronal issue there with
further details.
* A neurologic examination with expert neurologist is mandatory from this
point of view as merely taking pain killers will not solve the issue at all.
He or she will conduct detailed physical examination from neurology point
of view and along with that specific tests as nerve conduction study , PCR
( Polymerase chain reaction ) or else for the viral etiology work up.
* As the issue of bit long period, evaluation process will take a precise time
and you have to opt with patience till the diagnosis and further
management plans.
* You would not like to read this, but it is fact that by consuming Weeds you
are harming your neurons and nerves further with false assurance of
transient pleasure. ( There are plenty of medical reasons to quote this
statement, one of major is effects over the nerve transmission, neuronal
transmitters and others )
So should think of seriously to quit if you want really healthy life ahead
dear.
Wish you great day.
Would like to assist further as per your need.
Thank you.
Regards.