Prostate Health (cont.)
So yes, it's reasonable to start changing the medicines around to find out if one is causing the problem. Often they do, but it's also important to be aware that there could be something else and to just get a baseline workup that usually includes evaluating the liver, the kidney function as well as thyroid function, probably a testosterone and estrogen level, and in addition to that, probably some form of evaluation of the blood vessels in the body, especially the coronary arteries that provide the blood and nutrition to the heart muscle.
I do think that it's reasonable to go ahead and alter the medications one at a time with the doctor's advice and guidance to see if perhaps one medicine is responsible and that way if you can find the culprit then they can oftentimes come up with other medications to treat the problems and yet allow you to have normal erections.
Sometimes though, the problems need to be treated with those medicines and that's where the use of Viagra, Levitra or Cialis becomes very helpful.
In this particular situation, with this added history, I would think that again, the new medications -- Cialis, Levitra and Viagra -- are an excellent option and almost always provide outstanding results to men in this scenario.
The most common symptoms are waking up at night frequently to urinate, urinating frequently during the daytime and a sense of urgency to rush into the bathroom. Sometimes with even leaking of urine, called urge incontinence. Some men have lots of dribbling afterwards, sometimes they have to stand a long time and strain to start the stream and strain to finish. For men many the stream can be significantly weaker and instead of strong and steady it can wax and wane, starting and stopping. These are some of the symptoms that men can experience as the prostate enlarges and squeezes on the urethra.
The good news is if they identify these problems early there are very effective nonsurgical treatments that can work to prevent further problems and hopefully keep men out of the hospital and out of needing any surgical intervention.
As men age the prostate changes and in a changing hormone environment, the volume of ejaculate can fluctuate and as men get older usually the amount of semen ejaculated decreases. In addition, the ability to generate those volumes goes down on a frequent basis. So young guys can have significant volumes and can have that frequently. As men age it's very normal to have less volume in the semen and it takes longer to build up to that volume. That's again, just normal aging, changes that occur as men get older.
Many times with a big gut and the increased abdominal fat, that increases the estrogen level and that alters the normal balance of hormones and can also reduce the ejaculatory volume.
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