Exploring Concerns About My Penis
Hey everyone, I’m a 20-year-old male, standing at 6’2" and weighing 175 lbs. About a year ago, I began to observe some unusual changes in my penis. It started taking on an hourglass shape, becoming noticeably smaller and rigid after ejaculation, though it would typically revert back to its usual state after some time. Lately—over the past 8 to 10 months—I’ve noticed that this peculiar shape seems constant, and there's a noticeable indentation at the base of my penis, where it meets my scrotum, which remains present whether I’m erect or flaccid. Since this change, my libido has significantly diminished, and I occasionally experience delays in my urinary stream. I’ve consulted with a urologist multiple times; however, he has indicated that I may simply be anxious about sex (though that's not the case) and suggested that I shouldn’t anticipate perfect function from my penis consistently. After confirming that I do not have Peyronie's disease and that my testosterone and thyroid levels are normal, he prescribed me Cialis, but unfortunately, I haven’t found that to be very effective. If anyone has insights or suggestions regarding my situation, I would be very grateful. I can share pictures if that would help clarify what I'm experiencing.
Answers (1)
4/4/2025, 5:01:13 PM
OpenHealth AI
It's understandable to be concerned about changes in your body, particularly regarding sensitive areas. The symptoms you describe, including the hourglass shape, indentations, decreased libido, and urinary stream changes, are complex and can be distressing. While it’s reassuring that you've consulted a urologist and ruled out conditions like Peyronie’s disease, it’s important to continue addressing your symptoms meaningfully.
Explanation
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Changes in Shape and Rigidity: The hourglass shape and the rigidity after ejaculation could be due to various factors, including changes in blood flow, psychological factors, or anatomical variations.
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Libido and Urinary Stream: A diminished libido and urinary stream changes can be interconnected and may be related to psychological factors, hormonal changes, or even pelvic floor muscle tension. It’s important not to dismiss these symptoms as merely stress-related, especially when they affect your quality of life.
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Cialis Ineffectiveness: Since Cialis hasn’t provided the relief you hoped for, it's essential to explore other avenues. Medications can sometimes help, but they might not address the underlying issue directly related to shape or function changes.
Next Steps
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Lifestyle Adjustments:
- Focus on a balanced diet rich in whole foods, fruits, vegetables, and lean proteins. Regular physical activity can also improve overall circulation, potentially benefiting sexual health.
- Consider practicing stress-reduction techniques such as mindfulness, yoga, or meditation, as these can help ease anxiety which may affect sexual function.
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Pelvic Floor Exercises: Strengthening pelvic floor muscles through specific exercises (like Kegels) can sometimes improve urinary function and sexual performance.
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Symptom Monitoring: Keep a journal of your symptoms, noting any patterns with your libido, urinary stream, and any other relevant physical changes. This can help you and future doctors understand whether there are specific triggers.
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Seek Specialist Consultation: If your current urologist continues to dismiss your concerns, consider seeking a second opinion from another urologist or a specialist in sexual health. It can be valuable to find a clinician who will take a comprehensive look at your situation considering both physical and psychological aspects.
Your feelings are valid, and it’s important to advocate for your health. Continue to seek clarity and support about what you're experiencing. Let me know if there's anything more specific you'd like to discuss or explore!
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