Recently Answered Questions
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Will hepatitis B affect testosterone level or libido?
Query: Hello doctor, I am 41 years old, and I am working on different shifts for 15 years. Also, I had hepatitis B noncontagious and having medicine Tenvir. I had no libido for a month or two month and reaching to three months. And when I have a libido, I do not get an erection fast, but when I get it, it... Read Full »
Answer: Hello, Welcome to icliniq.com. In chronic liver disease, testosterone level may fall, the ratio with estrogen may alter, and in advanced disease, there may be testicular atrophy, gynecomastia. Recent studies show testosterone level can predict the outcome of end-stage liver disease. The functional... Read Full »
I am a 25-year-old male, but I look feminine. Why?
Query: Hello doctor, I am a 25 year old male. I am 181 cm tall and I weigh 70 kg. All the members in my family are tall, but I am not that big when compared to my father and brother. I am mentally depressed since my childhood. It is all about my body. I was a female looking boy with very soft body, less... Read Full »
Answer: Hi, Welcome to icliniq.com. I totally understand your anxiety. Based on the description which you have given, there could be a possibility of Klinefelter syndrome. This condition can be seen in about one in 600 boys. A normal male will have a chromosomal pattern of XY. However, in case of Klinefelt... Read Full »
Do I need to take Arimidex to inhibit high E2 levels?
Query: Hi doctor, I am 30 years old. I just want check whether my T/E2 values are proper not because I am suffering from most of the symptoms of high estrogen levels like enlarged prostate, extreme fatigue, anxiety, muscle loss, belly side fat, loss of libido, knee and joint pains for more than 10 years. A... Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query and understand your concerns. First of all, I would like to inform you that your testosterone is completely normal but not estradiol. The maximum physiological level is 40 pg/ml and the level above this rings alarm bell and should be investigated. T... Read Full »
How does Finasteride 1 mg cause male infertility?
Query: Hello doctor, If high testosterone levels mean higher sexual drive, how come Finasteride 1 mg causes infertility in men? Thanks. Read Full »
Answer: Hello, Welcome to icliniq.com. Your assumption is not correct. Finasteride is an oral tablet available in several brand names such as Proscar and Propecia. It is also available as a generic drug in some places. Uses of Finasteride are; 1) Finasteride is used to treat the symptoms of an enlarged... Read Full »
I am suffering from venous leakage, erectile dysfunction, and low testosterone. Please help.
Query: Hi doctor, I am suffering from venous leakage, erectile dysfunction, and low testosterone. Please suggest medicine to resolve venous leakage and increase the testosterone level. I had taken testosterone therapy six months before and had got a penile doppler sonography test. Thank you. Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. According to your complaints, you may have erectile dysfunction. Tablets and injections can rectify low testosterone. Kindly let me know what kind of treatment you are on. Did you repeat the test after the medication? I suggest you plan for r... Read Full »
Is erectile dysfunction a common side effect of tablet Finasteride?
Query: Hello doctor, I have been taking Finasteride 5 mg per day for more than a year, and now, I have started getting side effects like low libido, erectile dysfunction, and excess abdominal fat. I did not get a complete blood investigation. I just did a test to check the hormonal profile, and the resu... Read Full »
Answer: Hi, Welcome to icliniq.com. Low libido can happen with Finasteride. You must be aware that some people report sexual symptoms even after stopping Finasteride. The rise in estradiol is surprising, and it may or may not be due to Finasteride. The other changes in SHBG (sex hormone binding globulin)... Read Full »
Can low testosterone cause fatigue and increased heart rate?
Query: Hi doctor, I am a 21 year old male, and I am studying nutritional science. Over the past year, I have been experiencing these symptoms. I have a fast pounding heart, especially after a night of drinking. The following morning, I always wake up early to a pounding heart, and it scares me. This happen... Read Full »
Answer: Hello, Welcome to icliniq.com. As your BMI (body mass index) is 34, in obesity, the decreased levels of testosterone-binding protein cause a decrease in the total testosterone levels, but not the normal free level. Before we evaluate you for low testosterone, we need to confirm it by doing free te... Read Full »
How to know whether my erectile dysfunction is due to physical or mental cause?
Query: Hello doctor, I am 30 years old. I have erectile dysfunction. I do not know whether it is due to physical or mental cause. I eat very healthily. I do not smoke or drink and exercise around five times a week. I quit porn about six months ago. I have morning wood, maybe only once a month, and it does ... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hi, Welcome to icliniq.com. Loss of erection or reduced erection has many causes like chronic disease, diabetes, antidepressants, and anti-hypertension medications, in addition to alcohol and smoking and psychological reasons. For a fit man like you, it seems to be psychological as there might be st... Read Full »
I have been told to have weak penile muscles. Please help.
Query: Hi doctor,I am a 30 year old male. My height is 5'7" and weight is 79 kg. I recently did some tests and the findings are as follows. Testosterone 239 ng/dL, HDL 24 mg/dL, VLDL 60 mg/dL, triglycerides 302 mg/dL, Vitamin D 29 ng/dL, Vitamin B12 164 pg/mL and HbA1c 5.2%. My BP is under control. I also ... Read Full »
Answer: Hello, Welcome to icliniq.com. Considering your age, the Normal Testosterone Levels should be around 270-1000 ng/dL. The report of yours shows lower levels. Obesity or overweight is one of the important reasons for low laboratory levels of testosterone. Semen analysis can tell if you can have a ... Read Full »
Is erection problem due to recreational drugs reversible?
Query: Hello doctor, I have never experienced ED before, but after a recent eight-day vacation where I consumed recreational drugs during this time and had sleep deprivation, I now cannot get my penis hard. Note that I am not a usual drug user, which was more of a one-off binge. However, I have had simila... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hi, Welcome to icliniq.com. Erectile dysfunction has many causes like recreational drugs, alcohol, Amphetamines, Barbiturates, Cocaine, Marijuana, Heroin, and Nicotine. Those I think can cause it. Maintain a good lifestyle like a healthy diet and abstinence from drugs can reverse the issue. I need y... Read Full »