Two streams of urine? and prostate cancer
Go Ask Alice!: Two streams of urine?
Quote:
Dear Alice,
I am a 19 year old male. Over the past three years whenever I urinate, my urine stream splits in two (one continuous stream and one stream which is basically drops of urine.) Is there something wrong??? I also have another question. My grandfather has prostate cancer. I was just wondering when I should begin checks for this type of cancer.
Thanks for your time,
Am I normal?
Two questions — how interesting. To start, there are many reasons why you are noticing two streams of urine, so it might be helpful start by ruling-out two rare, but possible, causes. Both are known as congenital abnormalities, otherwise known as birth defects.
In one possible case, a passage developed between your urethra (tube that carries urine from bladder to opening at then end of penile shaft) and the penile skin. This birth defect is called congenital urethral fistula. And, during urination, two streams of urine can be seen—one stream comes from the urethral opening, and the other comes from the abnormal passage between the urethra and penile skin (this is called the fistula). Another possibility is that you have a birth defect known as urethral duplication. Men with this condition may have two urethras, with one or two openings (for outflow of urine), or two urethras with one joined opening. Men with two openings may notice two streams of urine and it’s common for one opening to become infected and clogged, requiring medical attention.
Additionally, it is possible for a growth to occur at the opening of the urethra, or even inside the urethra and divide the urine stream. If this is the problem it can range from a harmless source to viral causes that require treatment.
Speaking of treatment… only your primary health care provider can evaluate your urinary situation to tell you exactly why you’ve got a split stream. Your provider may diagnose a treatable condition. There’s also a chance that s/he will tell you it’s a harmless quirk. Maintaining a good, communicative relationship with your health care provider is a great idea.
Looking at your second question about the right time to begin screening for prostate cancer, for the average guy, without a family history of prostate issues, doctors recommend beginning screening around age 50. For people, like you, with some family history, it’s a good idea to begin screening around age 40. Also, doctors recommend that African American men, with or without family history, begin screening around age 40 because African American men have a higher risk of developing prostate cancer than Caucasian men. Keep in mind that only 2% of prostate cancer cases occur in men under age 56. So, you’ve got quite some time until you get into the “risky” ages for prostate cancer. Still, keep in mind that new research and guidelines are frequently rolled out and your health care provider will let you know if, and when, you should be screened.
Will just one testicle tamper with sex life and fatherhood?
Go Ask Alice!: Will just one testicle tamper with sex life and fatherhood?
In most cases, more than enough hormones and sperm are produced in one healthy testicle for both a healthy sex life and the ability to fertilize eggs. This is similar to people who have one lung, kidney, or ovary; only one organ is truly necessary. However, since each person is unique, your health care provider is the best source for info in your particular situation. You can find out if everything checks out physically. Medically, as long as you’re healthy, and producing adequate viable sperm in your remaining testicle, your lone testicle will not impact your sex life or ability to have children. Psychologically, however, some men with one testicle experience feelings of inadequacy, loss of masculinity, or self-consciousness that can interfere with sexual functioning. Some questions to consider include: How are your erections? Have you been able to ejaculate? Have you orgasmed through masturbation? Sex? If you or your provider feels that psychological issues may be factors, sex therapy is your next step. For more information, check out the Q&As under About Sexual Difficulties section in Alice’s Sexuality archive.
A man may have one testicle for a variety of reasons. Some men may have a “buried testicle.” Known as cryptochidism, one or both testicles do not descend into the scrotum. This condition is generally, but not always, noticed at birth. Often an infant boy’s testicle that has not descended will usually move into the scrotum on its own during the first year of life. If the undescended testicle is noticed, and has not descended during that time, surgery is performed before the boy is five years old. If the situation is not noticed or corrected, the testicle gradually withers away. Others may have a testicle removed as a result of testicular cancer, which has many causes. There’s an increased risk of testicular cancer for men who have a history of an undescended testicle, whether or not they have had corrective surgery. For cosmetic reasons, or for a feeling of balance, some men may consider an implant that’s surgically placed inside the scrotum to look and feel as though there are two testicles. For more info about sexuality and cancer, contact the American Cancer Society at 800.ACS.2345. They offer a free booklet, Sexuality & Cancer: For the Man Who Has Cancer, and His Partner. There’s also MTV personality Tom Green’s “The Tom Green Cancer Special,” in which Tom candidly and humorously talks about his bout with testicular cancer, and his life before and after surgery.
Men who are self-conscious may be concerned about how a partner might react, and talking about it can feel strange and risky. If you decide to talk about your body before becoming intimate, you can say something like: “I have one testicle, in case you haven’t seen that before,” or “You know what they say about quality being more important than quantity? Well…” You could also bring it up if your partner’s playing around down there: “Yeah, one that puts out like two, " or something like that. You don’t have to say anything, and a partner who truly cares will be supportive and understanding.
What’s up with morning erections?
Go Ask Alice!: What’s up with morning erections?
Many men think their penises are erect upon waking because of urine buildup in the bladder, but this is false. Morning erections are technically nighttime erections which happen during Rapid Eye Movement (REM) sleep (when most dreaming occurs), although men older than sixty years may have them during even non-REM sleep. Generally, we experience four intervals of REM sleep per night. These spontaneous woodies in the wee hours are caused by specific neuroreflexes that are stimulated during REM sleep.
Most guys have nocturnal erections throughout their lifetime, and their frequency, along with one’s awareness of them, may vary. Nighttime/morning erections can be noticeably harder or stiffer than those had when awake. The penis can stay erect for up to two hours nightly, and not all men who have erections during the night wake up with one in the morning.
What is normal vaginal discharge?
while vaginal discharge can sometimes be cloudy, your understanding of what’s normal needn’t be! Discharge is common to all women and helps vaginas stay healthy by regularly flushing them out and maintaining their pH. Most women have some vaginal discharge throughout their menstrual cycle — even very young women who have not begun menstruating can have vaginal discharge. It is common to notice some discharge after using the bathroom or to find wet or dried discharge on your underwear. You can also go exploring and use your fingers to find out what your discharge looks and smells like on any given day. This kind of self-check can be useful — familiarizing yourself with how you normally smell or taste at various times of the month can help you to identify when your scent or flavor is off.
Here are some key ways to determine if your vaginal discharge is normal or if you have cause for concern:
Color
Normal
Clear or whitish discharge (may be yellowish when dried)
Cause for concern
Yellow or greenish discharge, or discharge that suddenly changes color
Scent
Normal
Mild scent or none at all
Cause for concern
A strong, foul, sometimes “fishy” odor, or a sudden change in odor
Texture
Normal
Can vary from “paste” like and somewhat sticky to clear and stretchy, depending on where you are in your cycle and whether you are aroused
Cause for concern
Clumpy or lumpy discharge, with “cottage cheese” like texture
Volume
Normal
Can vary from very little to quite a lot (particularly when ovulating or aroused)
Cause for concern
Sudden changes in volume, particularly if other symptoms are present
As you can see, it is normal to have some variation in vaginal discharge during your menstrual cycle. In addition, different women can have different levels of discharge. Pregnancy and hormonal birth control methods may also make discharge heavier than normal.
Changes in the color, consistency, amount, and/or smell of vaginal secretions that are unlike your normal monthly changes may be a reason to be concerned. Infections are more likely to occur immediately before and during your period, when the vaginal environment is at its least acidic. Abnormal vaginal discharge can also be accompanied by itching, vaginal redness or soreness, rash, burning sensation when peeing, and/or pain. If you have any of these symptoms, it’s a good idea to see your health care provider for an exam and treatment.
Quote:
Originally Posted by
noname12sg
why is it that some females have this discharge during intercourse or even before? is this a healthy sign?
Prolonging arousal/Lasting longer
Go Ask Alice!: Prolonging arousal/Lasting longer
It seems that you are describing two issues: one is lasting longer before you orgasm, and the other is helping your partner orgasm. First, orgasm is a learned response. People learn what kind of stimulations and touching effectively brings them to orgasm. Think about what stimulates your rapid-response pattern and consider trying other types of touch and stimulation (slower, softer, faster, etc.); variation can introduce new pleasures, and may help turn-off an autopilot orgasm response.
Some men may have learned to reach orgasm rapidly because they had no privacy when they were young and needed to finish masturbating quickly, before someone walked in. Yet, many men also consider it desirable to extend their pleasure and the pleasure of their partner(s). If you want to learn to last longer, your challenge is to increase the amount of time you spend in arousal.
You might try the “Stop-Start” method. For example, when you feel you are approaching the point of no return, stop what you are doing with and to your partner, and just do nothing, or hold each other, until the urge to ejaculate subsides. Then start again and stop again when you feel you are approaching orgasm. It may take a few tries to identify the point of no return, and to stop before then, but you do have the rest of your life to practice and “get it right.” You might try telling your partner when you need her to slow down or stop her movements for the moment, try having sex with her on top, and relaxing for a couple of seconds.
The second issue that you raise is the pressure you feel to help your partner orgasm. It might help to increase communication with your partner about both of your experiences during intercourse. Have you spoken with her about what you want? Have you asked her about what she wants? You can’t read your partner’s mind (nor can she read yours) and you might find that her answers surprise you. By sharing and exploring your desires you can enhance both of your sexual experiences. One way to start the conversation may be to buy a book and read about new positions, techniques, and methods together.
Lasting longer can take patience and practice. Hopefully, these suggestions will help you and your partner reach new heights!
Quote:
What is the best way to learn how to prolong male orgasm when having intercourse? It seems that I might get thirty seconds of penetration before I blow my top. I’d like it if I could enjoy the situation and add to my partner’s pleasure by helping her orgasm.
Frenulum breve, foreskin doesn’t fully retract when penis is erect — surgery?
Go Ask Alice!: Frenulum breve, foreskin doesn’t fully retract when penis is erect — surgery?
There are many ways a penis, or foreskin, can look, and not necessarily one way they “should” look. As long as there is no pain associated with your foreskin not retracting all the way, it’s probably just one more thing to appreciate about your anatomy’s uniqueness. But let’s explore a little further: The frenulum (Latin for “little bowstring”) is a small strip of skin that joins the glans (the head of the penis) to the foreskin. It is often likened to the joining ridge under the tongue. Many men find that the frenulum is very sensitive and its stimulation can be erotic and arousing. Most often when the penis is erect, the frenulum allows the foreskin to retract completely and freely. However, if the frenulum is short, referred to, as you put in your question, as “frenulum breve,” it can pull on the foreskin and cause it to slide forward. This pulling can be painful, especially during ejaculation, masturbation, and during intercourse, when the frenulum can actually tear and bleed.
But no need to despair. The procedure you ask about, a frenuloplasty, is a simple and highly successful procedure that can help to remedy any discomfort. Basically, a frenuloplasty is an operation that lengthens the frenulum. The average age for surgical treatment is from 17 to 27 years old. This outpatient procedure is performed under local anesthesia, often by an urologist — no need for admission in a hospital or any overnight stay. In a frenuloplasty, a series of small cuts are made in the frenulum in the shape of a z or a y (conveniently called to as a z-plasty or y-plasty), typically increasing the length of the frenulum from one to one and a half centimeters. The incisions are sewn up with small dissolving stitches, which are barely visible and should fall out in about ten days.
Most men do not need any painkillers apart from the anesthetic used during surgery. There can be a little bleeding for twelve to forty-eight hours post-operation, but this is usually minimal enough to allow for normal daily activities. It takes about six weeks for the operation to fully heal, but after three weeks most men are able to enjoy a normal sex life. Rarely, the skin may scar from the surgery, causing it to contract. In this case a circumcision might be necessary, but again, this is very unusual.
If you are experiencing pain as a result of your frenulum breve, you may want to make an appointment with your health care provider to discuss treatment options. Columbia students can make an appointment with their primary care provider through Open Communicator or by calling x4-2284. However you may not need treatment at all. Consider whether or not the partial retraction of the foreskin is painful or gets in the way of sexual pleasure. If not, no need to interfere; it’s OK to look different from the other guys.
Quote:
I’m a 19 yr old uncircumcised male. There was a group discussion about sex in my dorm, and people were describing how erect, an uncircumcised and circumcised penis should look alike, that the foreskin should pull back all the way. I had never thought anything of this before, but looking it up on the internet found that I have what I believe to be a frenulum breve, in that my foreskin retracts (unlike phimosis) but not all they way. Unfortunately, all of the information about this (as well as surgery info) is from the UK. I have searched the web for hours and couldn’t find any information about this condition in the US. I was just hoping you might shed some light on my condition, as well as on a procedure called frenuloplasty.
Is it possible to “break” your penis?
Go Ask Alice!: Is it possible to “break” your penis?
Even though there are no actual bones in a boner, it is possible to break one’s penis. To understand how this incredibly rare and painful event can occur, we first need to review a little (or not so little) penile anatomy. The shaft of the penis is comprised of two chambers of spongy tissue, the corpora cavernosa, which run along the inside length of the penis. Erections occur when, in response to physical and/or mental triggers, the nerves of the penis signal the surrounding muscles to relax, allowing blood to pour into the corpora cavernosa. A thick membrane surrounding the corpora cavernosa, the tunica albuginea, keeps the blood that is being pumped into those spongy chambers from being able to escape. The result — a stiffer, larger, and more rigid rod. Although your erect penis may feel rock-hard, it is still flesh and blood.
Penile fractures occur when an erect penis is thrust against a harder, less flexible object. This could happen if someone enthusiastically plunges and pumps his penis into a partner, or a pillow let’s say, and misses or “over-runs” the intended opening and instead hits a pubic bone, headboard, or other hard surface. If the object is hard enough, and the erect penis is thrust with enough force, that thick membrane surrounding the corpora cavernosa can tear, causing an audible “cracking” sound, abrupt loss of erection, severe pain and bruising, and a penis that is typically “bent” to one side or the other.
Penile fractures are a medical emergency and must be evaluated and treated immediately. In severe cases, it is possible to damage the urethra, interfering with urination. Treatment for penile fractures consists of immediate evaluation, and, most often, surgical intervention to repair the tunica albuginea and restore or preserve erectile function and the ability to pass urine. Similar to other fractures, the sooner the broken part is “set,” the less likely permanent damage and misshapenness will result.
Even though many penile fractures can be fixed, it’s probably safer and more pleasurable to focus on finesse rather than force when working and playing with an erection.
Again, broken penises are really hard to come by, so try not to let stories about this highly unlikely occurrence stand in the way of the happiness that your erect penis might bring to you and others.
Quote:
I was wondering if it is possible to fracture or “break” my penis when it is erect. I have heard that it is possible and that it is painful. Can it be corrected, and will it go back to normal?
i just wanna ask, why do i feel extremely pain when i insert my penis into my gf’s virgina? i’m a first timer, the skin is still intact. my gf is an experienced girl
Does intercourse pain affect men?
Painful intercourse (dyspareunia)
Sometimes men experience pain during intercourse.
Common causes are skin disorders on the penis such as eczema or psoriasis.
It can be that the woman’s vagina is too tight for her partner. A good sex lubricant can help here.
Occasional causes of male pain include:
* thrush – in which case the female partner will probably have thrush too
* a forgotten stitch left in the woman’s vagina after childbirth
* an IUD thread or a displaced IUD in the vagina
* Peyronie’s disease – a male disorder that causes bending of the penis
Pain During Intercourse
http://menshealth.about.com/od/sexua...intercours.htm
Experiencing pain during intercourse affects sexual performance as well as pleasure. It can even have lasting psychological effects such as fear of penetration leading to impotence. Not surprisingly, equating pain with intercourse can put a strain on relationships, so in this article I look at some of the physical causes of pain during intercourse.
Infection
Pain can arise because of infections such as herpes or sexually transmitted diseases such as untreated gonorrhea.
Foreskin Problems
An overtight foreskin (phimosis)or damage to the foreskin resulting from tearing, friction or inflammation can all lead to pain.
Deformities of the Penis
Conditions such as hypospadias or scar tissue from previous traumas or infections.
Priapism
This is a condition where a non-sexual and often painful and sustained erection occurs.
Allergy
Allergy to the penis by vaginal fluids or contraception chemicals.
Hypersensitivity of the penis
This can occur post orgasm and ejaculation. Growths (benign or cancerous), urinary tract stones or penile deformities.
Action
Pain during intercourse is not normal and should be checked out by a medical practitioner. Do not continue attempting intercourse until you have recieved treatment. This is especially important if the cause of pain is due to infection.
Quote:
Originally Posted by
adgjla
i just wanna ask, why do i feel extremely pain when i insert my penis into my gf’s virgina? i’m a first timer, the skin is still intact. my gf is an experienced girl
the G-spot like quiet hard to get leh… i not very good i think but what the hell, sometimes just need to release so i just get a tenga cup lor
very straightforward and feel exactly like the real thing. maybe even better.
my favourite is the tenga double hole cup - got 2 holes so can come 2 times. but cannot wash after using
the one tat can wash cost more (fliphole) but if you use more than 10 times you already earn back liao
check it out:
tengatango.com
but tell you first must pay online and they deliver. If you want to pay cash then try this one:
tenga by thelustlaugh
this one can just sms and pay when delivered.