Doctor’s Advice

Every man has some questions he cannot ask a doctor sitting in front of him. If this is the case, you may turn for help and get the answers to your most awkward questions by reading the rubric Doctor’s Advice. A professional andrologist gives recommendations on male reproductive health online.


Genital Infections – Causes, Symptoms, Testing and Treatment

For many men, addressing issues related to sexual health can feel daunting, often leading to delays in seeking medical care. However, neglecting genital infections can worsen symptoms and lead to serious complications. Infections of the genital tract are common but treatable, and timely intervention is critical to avoid long-term consequences. This article delves into the types, symptoms, and treatment options for genital infections, emphasizing the importance of prompt medical attention.

Genital infections, also known as diseases of the genital tract, encompass a range of conditions affecting the male genitalia. These conditions arise from various pathogens, each requiring specific approaches for genital infection treatment. Broadly, genital diseases fall into three categories based on their cause:

  • Viral Infections include herpes and human papillomavirus (HPV), which may manifest as genital warts. Viral genital infections often persist longer and may recur without proper management.
  • Bacterial Infections: Common examples are gonorrhea, chlamydia, and trichomoniasis. These infections of the genital tract are typically treatable with antibiotics but can cause significant complications if ignored.
  • Fungal Infections: Thrush, caused by yeast, is a frequent fungal genital infection. It often leads to discomfort but is manageable with antifungal treatments.

Genital Infections

Genital Infections Symptoms

Recognizing the signs of genital infections is the first step toward seeking treatment. 

While symptoms vary depending on the specific infection of the genital tract, many share common characteristics:

  • Penile Discharge: This may appear yellow or green or resemble cottage cheese. Often, the discharge from a genital infection has an unpleasant odor, signaling the need for medical evaluation.
  • Pain or Burning During Urination: A stinging sensation when urinating is a hallmark of many genital diseases, particularly bacterial infections like chlamydia or gonorrhea.
  • Painful Ejaculation: Discomfort during ejaculation can indicate an underlying anogenital infection, often linked to inflammation caused by untreated pathogens.
  • Ulcers, Sores, or Warts: Visible abnormalities, such as sores, bumps, or warts on the penis or groin, are common in viral infections like herpes or HPV. These require prompt attention to manage symptoms and prevent the spread.
  • Itching and Redness: Persistent itching or redness around the penile head often indicates fungal infections or other genital diseases, which can cause significant discomfort if untreated.

These symptoms should not be dismissed, as they rarely resolve without intervention. Men experiencing any of these signs should seek genital infection treatment promptly to avoid worsening conditions or complications.

Never Ignore Genital Infections

A common misconception is that infections genitales will resolve on their own. In most cases, this is far from the truth. While some viral infections, such as genital herpes, may temporarily subside, they often recur and cause prolonged discomfort without treatment. Delaying care for a disease of the genital tract can lead to severe consequences, including:

  • Complications from Bacterial Infections: Untreated chlamydia can lead to erectile dysfunction, while gonorrhea may cause male infertility. Trichomoniasis, if left unchecked, increases the risk of contracting HIV or other sexually transmitted diseases (STDs).
  • Chronic Discomfort: Symptoms like itching, discharge, or pain can persist for months, significantly affecting quality of life. Fungal genital infections, for instance, may worsen without antifungal therapy, leading to ongoing irritation.
  • Transmission Risk: Many genital diseases, particularly those that are asymptomatic, can be unknowingly passed to sexual partners. Early treatment reduces the likelihood of spreading infections to others.

Prompt medical intervention is essential to manage symptoms, prevent complications, and curb transmission. Waiting for a genital infection to “self-pass” is rarely a viable strategy and often leads to more severe outcomes.

Genital Infections Symptoms

If you notice symptoms of a genital infection or learn that a sexual partner has been diagnosed with an anogenital infection, seek medical care immediately. 

Some infections of the genital tract, such as chlamydia, may not produce noticeable symptoms but can still cause harm and be transmitted. Early diagnosis and treatment are critical for the following reasons:

  • Rapid Relief: Many genital infections, such as trichomoniasis, can be treated with a single dose of antibiotics, quickly relieving symptoms.
  • Preventing Complications: Addressing genital diseases early reduces the risk of long-term issues like infertility or chronic pain.
  • Protecting Partners: Treating an infection of the genital tract promptly minimizes the chance of passing it to others, promoting safer sexual health practices.

Men should prioritize regular check-ups, especially after unprotected sexual contact, to catch asymptomatic infections early.  Delaying a visit to the doctor only prolongs suffering and increases health risks.

Treatment for Genital Infections

The approach to genital infection treatment depends on the underlying cause.  Medical professionals typically use the following strategies to address infections of the genital tract:

  • Antibiotics for Bacterial Infections: Conditions like gonorrhea, chlamydia, and trichomoniasis are treated with antibiotics. Trichomoniasis often requires only a single dose, while gonorrhea may need a combination of medications to ensure complete eradication.
  • Antiviral Medications: Viral genital diseases, such as herpes, are managed with antiviral drugs to reduce symptom severity and frequency of outbreaks. While herpes may not be fully curable, treatment significantly improves quality of life.
  • Antifungal Treatments: Fungal genital infections, like thrush, respond well to antifungal creams or oral medications. These treatments alleviate itching and redness, restoring comfort.
  • Supportive Care: In addition to targeted therapies, doctors may recommend hygiene practices or lifestyle adjustments to support recovery and prevent recurrence of genital diseases.

Treatment durations vary, but many infections genitales resolve quickly with proper care. 

Risks of Untreated Genital Infections

Failing to address an anogenital infection can have far-reaching consequences. 

Beyond the immediate discomfort, untreated genital infections can lead to serious health issues:

  • Erectile Dysfunction: Chronic inflammation from untreated bacterial Infections of the genital tract, such as chlamydia, can impair sexual function over time.
  • Infertility: Gonorrhea and other genital diseases can damage reproductive tissues, leading to male infertility if not treated promptly.
  • Increased STD Risk: Certain untreated infections, like trichomoniasis, weaken the body’s defenses, making it easier to contract HIV or other STDs.
  • Chronic Pain: Persistent symptoms, such as pain during urination or ejaculation, can become long-term issues, affecting both physical and mental well-being.

Why Andrologist Matters for Male Reproductive System

Men’s health often takes a backseat due to societal norms or personal hesitation, yet regular checkups with an andrologist can make a significant difference. An andrologist is a medical specialist focused on the male reproductive system and genital health.

Many men remain unfamiliar with the role of an andrologist doctor or feel reluctant to seek one out due to embarrassment. This article clarifies what an andrologist does, what happens during a visit, and why men must prioritize these appointments starting at a young age.

An andrologist is a doctor specializing in the male reproductive system, including the penis, testicles, and related structures. Unlike a urologist, who addresses both urinary and reproductive issues in men and women, an andrologist focuses exclusively on male-specific concerns.

Their expertise extends beyond treating diseases to ensuring the genital system functions optimally throughout a man’s life. Regular visits to an andrologist doctor can prevent minor issues from becoming major problems, making them a key figure in men’s health.

Why Visit an Andrologist?

Many men only consider seeing an andrologist when a problem arises, but this approach overlooks preventive care benefits. An andrologist’s role extends to routine evaluations that ensure the genital apparatus develops and functions correctly. Experts recommend starting annual andrological visits after age 12, when pediatric care typically ends.

This transition ensures that any developmental issues are caught early, especially since environmental factors, such as pollution, are increasingly linked to hormonal imbalances, reduced fertility, and genital abnormalities.

What do andrologists do during these visits? They assess the integrity of the genital organs, screen for conditions like varicocele (enlarged veins in the scrotum), phimosis (tight foreskin), short frenulum, or undescended testicles, and guide on maintaining reproductive and sexual health.

Andrologist Visit

The ideal time to begin seeing an andrologist is during adolescence, around age 12 or 13, as the body undergoes significant changes. However, men of all ages can benefit from these visits. Unlike other specialists, an andrologist’s role is not limited to treating diseases but includes monitoring the health of the reproductive system over time.

Conditions like varicocele or undescended testicles, which may go unnoticed by parents or pediatricians, can have long-term consequences if not addressed. Annual visits allow andrologists to track development and intervene early if needed.

When to Visit Andrologist

An andrological visit is straightforward, non-invasive, and designed to put patients at ease. For those wondering what an andrologist doctor does during an appointment, the process typically begins with a detailed conversation.

The andrologist collects a medical history and discusses any symptoms, lifestyle factors, or concerns related to sexual or reproductive health. This dialogue helps build trust, which is essential for addressing sensitive topics.

Additional tests may be recommended for older patients or those with specific concerns. A spermogram, for example, evaluates semen quality and fertility potential, providing insight into a man’s reproductive capacity.

This test is particularly relevant for men with varicocele or other conditions that may impact fertility. The entire visit is efficient, typically lasting 15–30 minutes, and focuses on ensuring the genital system is healthy.

What do Andrologists handle?

Andrologists manage many conditions, many of which can be asymptomatic in their early stages. Some of the most common issues include:

  • Varicocele: Enlarged veins in the scrotum that can impair fertility if untreated.
  • Phimosis: A condition where the foreskin is too tight to retract, potentially causing pain or hygiene issues.
  • Short Frenulum: A tight band of tissue under the penis that may restrict movement or cause discomfort during sexual activity.
  • Undescended Testicles: A condition where one or both testicles fail to descend into the scrotum, increasing the risk of infertility or cancer.
  • Erectile Dysfunction: Difficulty achieving or maintaining an erection, often linked to hormonal or vascular issues.
  • Premature Ejaculation: Ejaculation that occurs too quickly, affecting sexual satisfaction.
  • Male Infertility: Reduced sperm quality or quantity, often influenced by lifestyle, environmental factors, or underlying medical conditions.
  • Prostatitis: Inflammation of the prostate gland can cause pain or urinary symptoms.

Andrologist vs Urologist

A common source of confusion is the difference between an andrologist and a urologist. While both specialists address male health, their scopes differ. An andrologist focuses solely on the male reproductive system, including fertility and sexual function.  On the other hand, a urologist treats urinary tract issues in both men and women and may address broader conditions, such as kidney stones or bladder problems. A urologist may be consulted for urinary issues or conditions affecting both the urinary and reproductive systems.

Why Regular Andrological Visits Matter

Regular andrological visits are about more than addressing immediate problems; they’re about safeguarding long-term health.  Environmental factors, such as pollution exposure, are increasingly linked to hormonal disruptions that can affect genital development, sexual function, and fertility.  For adolescents, these visits ensure proper growth during puberty. For adults, they provide an opportunity to address concerns like infertility or sexual dysfunction before they escalate.

Embarrassment is a common barrier to seeking andrological care, but it’s essential to recognize that andrologists are trained professionals who prioritize patient comfort. The visit is discreet, non-judgmental, and focused on improving your health.  For parents, ensuring their sons see an andrologist after age 12 can set the stage for a lifetime of proactive health management.  Open conversations about the role of an andrologist can dispel myths and reduce stigma, making it easier for young men to seek care without hesitation.

Preparing for an andrological visit is simple. Before the appointment, take note of any symptoms, such as discomfort, changes in sexual function, or concerns about fertility. Be ready to discuss your medical history, lifestyle factors (e.g., smoking, diet, or exercise), and any medications you’re taking. This information helps the andrologist tailor their assessment to your needs. Wear comfortable clothing, as the physical exam requires access to the genital area. Most importantly, approach the visit with an open mind.

Benefits of Andrological Care

An andrologist regularly offers numerous benefits, from early detection of issues to improved quality of life. By addressing conditions like varicocele or phimosis early, men can avoid complications that might affect fertility or sexual satisfaction.

Andrological care is especially valuable for men planning to start a family. A spermogram can assess fertility potential, while lifestyle recommendations from an andrologist can improve sperm quality.

Even for those not focused on fertility, maintaining genital health contributes to overall wellness and confidence.

New Emerging Therapies for Erectile Dysfunction

Erectile dysfunction impacts millions of men globally, with approximately 10–20% of the male population facing difficulties in achieving or sustaining adequate penile rigidity for satisfactory sexual activity. This condition arises from diverse causes, including cardiovascular issues, diabetes, psychological factors, and lifestyle choices like smoking or poor nutrition.

Over recent decades, medical advancements have introduced various therapies to tackle Erectile Dysfunction, yet limitations such as side effects, inconsistent efficacy, and high costs persist. The latest treatments for erectile dysfunction aim to address these challenges through innovative approaches, including new Erectile Dysfunction medications, new procedures for erectile dysfunction, and novel mechanisms like melanocortin activators.

Erectile Dysfunction Treatments

The history of Erectile Dysfunction treatment reflects significant progress. Early options were confined to invasive methods like penile prostheses or vascular surgeries. The introduction of intracavernous and intraurethral vasoactive drugs marked a notable advancement, though these were often inconvenient and not universally effective. The 1980s and 1990s brought a pivotal discovery: nitric oxide (NO) as a key neurotransmitter in penile erection. This finding enabled the development of oral medications, particularly phosphodiesterase type 5 inhibitors (PDE5i), such as tadalafil (Cialis), which became the cornerstone of Erectile Dysfunction therapy.

PDE5i drugs enhance nitric oxide’s effects, promoting smooth muscle relaxation in the penis’s corpus cavernosum to facilitate blood flow and erection. Despite their widespread adoption, these medications are not universally effective. About one-third of patients do not respond adequately to PDE5i therapies, and roughly 25% experience side effects, ranging from mild symptoms like headaches and muscle pain to rare but severe conditions such as ischemic optic neuropathy or sudden hearing loss. The latest Erectile Dysfunction drugs aim to overcome these limitations, offering new hope for those who find current treatments inadequate.

Erectile Dysfunction

Erectile Dysfunction Medications

While PDE5i medications like Cialis have transformed Erectile Dysfunction management, their shortcomings highlight the need for new erectile dysfunction treatments. The primary reasons for discontinuing these drugs include lack of effectiveness and high costs. For many men, particularly during economic challenges, the expense of ongoing treatment poses a significant barrier. Side effects, though often mild, can also discourage continued use. Serious adverse events, while uncommon, remain a concern, though their connection to PDE5i drugs is not always clearly established.

The variability in patient response emphasizes the importance of personalized treatment plans. Factors such as underlying health conditions, psychological barriers, and individual physiology can influence outcomes. Consequently, researchers are developing new Erectile Dysfunction treatments 2024 that offer improved efficacy, reduced side effects, and more tailored approaches to meet diverse patient needs. Consulting erectile dysfunction doctors near me can help men navigate these options and identify the most suitable therapy.

Therapies for Erectile Dysfunction

The pursuit of the latest cure for Erectile Dysfunction has led to promising developments in both pharmacological and non-pharmacological approaches. These new treatments aim to address the limitations of existing therapies by targeting alternative pathways and introducing innovative delivery methods. Below are some of the most exciting advancements in the field.

Melanocortin Activators

Among the most promising developments in Erectile Dysfunction treatment is exploring melanocortin activators. These compounds target the central nervous system, specifically the hypothalamus, which plays a crucial role in regulating sexual arousal and erection. Unlike PDE5i drugs, which act peripherally, melanocortin activators stimulate brain pathways that trigger penile erection. This central action positions them as a potential breakthrough for patients who do not respond to traditional therapies.

Early studies on melanocortin activators suggest they could become a new medicine for erectile dysfunction, offering a novel mechanism to enhance sexual function. Although still in experimental stages, these compounds represent a significant shift in Erectile Dysfunction treatment, potentially leading to new Erectile Dysfunction pills that are effective for a broader range of patients. The latest impotence treatments leveraging melanocortin pathways generate optimism among researchers and clinicians.

Dopamine-Based Therapies

Another area of focus is dopamine. Rosiglitazone, a dopamine receptor agonist, was one of the first centrally acting drugs used for Erectile Dysfunction. Administered sublingually, it aimed to stimulate hypothalamic dopaminergic neurons to promote erection. However, its efficacy was limited, with over two-thirds of patients failing to respond adequately. Despite this, the concept of targeting dopamine pathways remains promising.

Ongoing research investigates new impotence drugs that refine this approach, aiming to enhance efficacy and minimize side effects. These efforts could result in new Erectile Dysfunction medications that provide a viable alternative for men who cannot tolerate or do not benefit from PDE5i drugs. The latest drug for erectile dysfunction in this category could offer a more reliable option for central nervous system-based therapy.

Erectile Dysfunction Treatment Drugs

In addition to novel mechanisms, researchers are innovating in drug delivery and formulation. New Erectile Dysfunction treatment drugs are being developed to improve bioavailability, reduce side effects, and enhance patient compliance. For instance, topical and transdermal therapies are gaining attention as alternatives to oral medications.

Moreover, new procedures for erectile dysfunction, such as low-intensity shockwave therapy (LiSWT), are emerging as non-pharmacological options. LiSWT uses acoustic waves to stimulate blood vessel growth and improve penile blood flow, offering a potential new treatment for impotence without medication.

Role of Lifestyle & Personal Care

Adopting healthy lifestyle changes can enhance the effectiveness of the latest treatments for erectile dysfunction and improve overall sexual health. Men seeking care should consult an Erectile Dysfunction doctor near me to receive personalized recommendations tailored to their needs.

What is the latest treatment for erectile dysfunction may not suit one patient, but it may suit another. Andrologists and urologists play a vital role in assessing individual factors, such as cardiovascular health, diabetes, or psychological conditions, to recommend the most effective approach.

Erectile Dysfunction Treatment In the Future

The future of erectile dysfunction treatment looks promising, with ongoing research driving the development of new erectile dysfunction drugs and therapies. Innovations like melanocortin activators and advanced delivery systems are set to redefine erectile dysfunction management.

Clinical trials are evaluating the safety and efficacy of new erectile dysfunction cures, focusing on minimizing side effects and optimizing outcomes.