The most important condition to rule out for men who present with acute and sudden onset of testicular pain would be torsion of the testicle. Torsion means the blood supply to the testicle is cut off due to twisting of the spermatic cord. This is a urological emergency as the testis can die and this condition is potentially salvageable if the torsion has not persisted for more than 6 hours. Other common causes in a 20 year old male would be orchitis or epididymo-orchitis which is infection of the testis or both the testis and epididymis.

Better for me to set the background right first. In Singapore, recreational use of testosterone (steroid) is frowned upon by the Ministry of Health. Although in the real world, there are people who utilise it in the realms of bodybuilding for the purpose of bulking up. Testosterone can also be used for replacement purposes, if you are deficient in the hormone (see my article on Testosterone Deficiency Syndrome or ‘TDS’). Such benefits include: Improved mood Better bone density Reduction in diabetes risk Improved muscle bulk Less abdominal fat accumulation.

It could be prostatic fluid as mentioned by Dr Winston, or possible infection with Candida, chlamydia, gonorrhoea or herpes simplex virus. You will need a full STD workup or urine and blood tests to ascertain the cause.

Common first line medications that are used to treat BPH can potentially affect the erections as well as the ability to ejaculate and hence can deter successful conception. For men with mild BPH and concerned about the above-mentioned possible side effects, there are different medications that can be given to improve the flow of the urine as well as the strength of the penile erection. This is one option that I would advise for. For all the medications mentioned above, they are all prescription drugs and should only be obtained from a medical practitioner.

Men in the acute phase of Peyronie's disease almost always present with painful erections and discovery of a new lump on the penis. Men with Peyronie's disease often develop penile curvature and loss of penile length. Seeking early attendance with a urologist is definitely recommended.

Hi,The most common causes of itchy skin rash near the scrotal area include: eczema, irritation (non-infective intertrigo), superficial fungal infection (e. g tinea cruris, candidiasis) and superficial bacterial infection (e. g erythrasma)Based on the appearance of the rash, your doctor may suspect the cause or perform additional skin tests to confirm the cause. Once confirmed, your doctor will be able to prescribe the appropriate treatment for you. Hope this helps!

As with all consults, a history will be taken together with a thorough physical examination. Urine tests will be performed to rule out a urinary tract infection and an ultrasound testes to look at the blood flow to the testicle as well as the general appearance of the testicle, epididymis and the spermatic cord.

Athlete's foot is a fungal infection of the feet and is a common cause of scaly, itchy rashes on the feet. Feet eczema can also present with itchy scaly rashes on the feet and the rash can look quite similar to fungal infection. If in doubt, a fungal scraping can be ordered and this is a useful test to identify the presence of fungus and confirm the diagnosis of a fungal infection. For the treatment of fungal infection of the feet, it is important to keep the feet dry as the fungus likes to grow in a moist environment.

BPH or benign prostatic hypertrophy/hyperplasia is the non-cancerous enlargement of the prostate gland. It is unlikely that you would have BPH in your 30s. Most men start to get enlargement of the prostate in their late 40s and early 50s. Common symptoms of BPH would be what we call lower urinary tract symptoms (LUTS). These include slow urinary stream, straining during urination, sensation of incomplete emptying of the bladder, frequency of urination and waking up to urinate after going to bed at night. Having lower urinary tract symptoms does not mean you have BPH.

Men can also have breast cancer, albeit rare. Breast swelling in men, also known as gynaecomastia, is usually an indication of some form of hormonal imbalance. Medications can also cause gynaecomastia. Male breast swelling warrants medical attention. Yes it is a cause for concern.

Gynaecomastia is different from simply being manboobs; there is a glandular component in addition to a fat component. This breast glandular tissue needs to be removed in order to have a complete correction. If you have gynaecomastia, you should be able to feel a firm breast disc. To determine this definitively, your doctor will suggest for an ultrasound.

Any form of sexual activity with anyone, regardless of gender or type of sexual encounter, carries a chance of passing on a STD. If you think you have a STD, you should abstain from sexual relations and get yourself treated. Even if STD is not transmitted every time you have sex, they can be transmitted any time you have sex.

Any new lumps or bumps that you notice on the penis or on the foreskin should be evaluated by a doctor. If these lesions appear after a sexual encounter, the chance of STD is there. Make a trip down to see a urologist if you are concerned.

There is an incubation period from potential exposure to a STD from unprotected sex to when your body form antibodies to fight the STD. Why there is an incubation period for STD tests: STD tests look for the presence of these antibodies during testing, and if the STD tests are done before incubation period has ended, there may not be enough time for your body to develop enough antibodies for it to show up in testing, causing a false-negative result. Even after you have waited for the incubation period to end, you may not see signs or symptoms of the STD.

One day is pretty quick for the symptoms you’ve described to appear – so I’m going to work with the assumption that this is not the first time you’ve gone for unprotected oral sex. You have clearly exposed yourself by having unprotected oral sex, so you need to go to an STD clinic ASAP for a screening check-up. If you had sex with your partner after having unprotected oral sex, she should also be screened. It’s important that you do so – STDs can be passed on to your partner and baby as well, if they are not treated.