Patient's Query
Hello doctor,
I am having a problem with my penis. It feels hard like a hard rubber tube even while flaccid. The veins have also become very prominent. Sex is now painful and my penis becomes sore and red after intercourse. I had all the tests done. All STD tests came out negative. The problem has been for six months and none of the urologists that I have been to are able to tell me what it is. I am getting erection, but I am unable to maintain it. I have also noticed that since this problem began I have started to sweat profusely during stressful situation in my daily life. Is this a stress or pelvic floor related issue? Please help me out as this is affecting the sexual health of my marital life.
Hi,
Welcome to icliniq.com.
I have read and understood your problem.
You have not mentioned all the tests you did. You have mentioned only STD tests (sexually transmitted disease). It appears to be due to stress or anxiety, so do relaxation exercises. However, to exclude other causes, you need to do some blood tests like Hb (hemoglobin), TC (total blood cell count), DC (differential count), fasting sugar, creatinine, prolactin, TSH (thyroid-stimulating hormone), and testosterone. You should get an ultrasound of the prostate and a 2D plus Doppler ultrasound test of the penis to detect any plaque or venous thrombosis.
Stop smoking, if you smoke. Check BP (blood pressure). If you are taking any medicine or nutritional supplement on a regular basis, then it may be due to a side effect of that. Since sex is now painful and the penis becomes sore and red after intercourse, you should use condoms for some time to remove the chance of inflammation caused by any allergy or subclinical infection.
I hope this helps.
Patient's Query
Hi doctor,
I have done a urine culture test (negative), STD test (negative), penis and prostate ultrasound for fibrosis (negative), and thyroid ultrasound (negative). I had to have five courses of antibiotics taken to rule out any potential STD's (Azithromycin, Doxycycline, Cephixime, Ceftriaxone injection, and Avelox). A Urologist even suggested it could be epididymitis. I have attached a lab test for the hormones tested including testosterone and prolactin. I take a small dose of Bisoprolol (beta-blocker) for my BP (140/80). In addition to the excess sweating, penis hardness and soreness (as can be seen in the first photo) my groin area also feels relatively warm compared to the rest of my body. I do not have a problem urinating though. Please advise on what to do. I have been to four urologists but the problem has persisted for so long. If it is stress-related, what relaxation exercises would you advise and how long will it take to recover? Is excessive sex or masturbation a reason? Should I avoid sex for a while?
Hi,
Welcome back to icliniq.com.
The reports that you sent are fine (attachment removed to protect patient identity). In my opinion, your symptoms resemble those of Peyronie’s disease which is in its developing stage and in many cases it is caused by beta-blockers. Since your tests are normal, your problems may be related to beta-blocker. Groin and armpits are usually warmer than the rest of the body. I do not suggest stopping sex or masturbation but it depends on how comfortable you are. Relaxation exercise includes lying still and taking slow breaths in through nose and breath out slowly through the mouth. Swimming is also good.
Was this conversation helpful?
Answered byDr. Purushottam Sah
Medically reviewed byDr. Hemalatha
Same symptoms don't mean you have the same problem. Consult a doctor now!
Related Questions
Stress and Kidney Stones
Anxiety and ADHD: Understanding the Relation
Stress vs. Anxiety
Penile Doppler Ultrasonography: Evaluating Erectile Dysfunction and Vascular Disorders
Anxiety as a Cardiovascular Risk Factor - An Overview
What does increased diastolic resistance flow on a doppler ultrasound mean?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.