ERECTILE DYSFUNCTION QUESTION:

I am 20 years old and have never ejaculated nor have I ever had a wet dream. Twice I woke up with pain while having an erotic dream. I’ve never finished masturbating because either I lose focus or feel start to feel pain. I’ve been to a couple urologists, but none seem to help.

I’m sure there might be a psychological factor like all the urologists suggested, but I’m almost sure there is a biological factor as well. I get frequent Balanitis, and pain when I urinate. I also have an autoimmune disease that involves streptococcus infections.

My testosterone is 552, SHBG 15 (range is 10-50). I had an abdominal CT scan (showed small phlebolith), and abdominal ultrasound, testicular ultrasound (showed varicocele). I was wondering if anyone knew what could cause this other than it being psychological.

DOCTOR ALSAYES ANSWER:

I’m, sorry? You said a couple of urologists said it ’s psychological? How is that possible when you say U/S showed a Varicocele?
Most probably that could be the causes of your problem.

It must be evaluated because moderate to severe Varicocele can lead to such complaint.

Also, a frequent Balanitis is not a something that should be missed or underestimated by a urologist. There should be tests and evaluation to identify the cause and prescribe the proper treatment.

You need to see an experienced urologist for evaluation.

Thanks, Dr. Alsayes