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Tuesday, November, 24, 2009
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Jay Motola's SharePosts

Avodart, Flomax, and Decreased Ejaculate: When Will it Stop?

Dear Dr. Motola,   Should Flomax/Avodart permanently affect ejaculate volume even after discontinuing medication? I am a 61 year old who had fairly normal ejaculate volume prior to taking Flomax and Avodart. I took these two drugs for three months, but stopped two months ago. I am surprised that the one side-effect of the drug (reduced... Read moreChevron

What is a Normal Testosterone Level?

Dear Dr. Motola,   Four years ago I had surgery for a left inguinal hernia, which unfortunately resulted in uncorrected internal post-op bleeding causing ischemia and subsequent atrophy to the left testicle.  Until recently, I've never had my testosterone level checked against the reference range.  I am 83 years old and... Read moreChevron

Pain After Prostatectomy: What is the Cause?

Dear Dr. Motola, I'm experiencing coccyx pain 4 to 9 weeks after radical prostatectomy and it is very debilitating. Is this a reported problem with some patients after such surgery? Histopathology indicated that cancer is specimen confined and MRI, CT and total body bone scan do not reveal any extraprostatic disease nor metastatic... Read moreChevron

What Might Cause a Decrease in Ejaculation?

Dear Dr. Motola, Over a period of a year my amount of fluid ejaculated has dropped to almost zero. Do you have any thoughts on what might be contributing to this? Is this a common problem?The normal aging process is associated with a gradual decrease in ejaculatory volume. Patients who have had previous surgery on their prostate or on the... Read moreChevron

Prostate Cancer and Sex Drive: Can Testosterone Be Used?

Dear Dr. Motola,   My prostate cancer is confined to the prostate. Right now a "wait & see" approach is being taken to the situation. Meanwhile, I believe I need a lot more testosterone to restore my flagging libido. Would testosterone therapy be dangerous, and if so, why?     Patients who have been diagnosed with... Read moreChevron

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