Prostate Expert Jay Motola shares Prostate management news and commentary at ProstateCommons.com. The HealthCentral Network, Inc. (www.HealthCentral.com) is one of the top health destinations on the Web, with more than 35 condition-specific, wellness and general health Web properties. http://www.healthcentral.com/prostate/c/95 http://www.healthcentral.com/prostate/c/95/rss self application/xml en-us 15 120 19 http://www.healthcentral.com/images/hc_logo_sm.gif http://www.healthcentral.com/prostate/c/95 http://www.healthcentral.com/prostate/c/95/34596/decreased-ejaculate Mon, 21 Jul 2008 14:58:00 -0400 Jay Motola 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 ejaculate) continues to be present. Is this normal? Will the volume return to previous levels or is... http://www.healthcentral.com/prostate/c/95/34596/decreased-ejaculate http://www.healthcentral.com/prostate/c/95/32436/normal-testosterone Mon, 30 Jun 2008 11:44:00 -0400 Jay Motola 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 in very good health. I am told the normal reference range is 200 to 900, hence my question... http://www.healthcentral.com/prostate/c/95/32436/normal-testosterone http://www.healthcentral.com/prostate/c/95/31730/pain-prostatectomy Mon, 23 Jun 2008 10:38:00 -0400 Jay Motola 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 involvement of skeleton. Lymph nodes and seminal vesicles are not involved. Is it possible that pelvic... http://www.healthcentral.com/prostate/c/95/31730/pain-prostatectomy http://www.healthcentral.com/prostate/c/95/31017/decrease-ejaculation Mon, 16 Jun 2008 12:32:00 -0400 Jay Motola 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 bladder neck may experience decreased ejaculatory volumes.  Medications such as alpha-blockers... http://www.healthcentral.com/prostate/c/95/31017/decrease-ejaculation http://www.healthcentral.com/prostate/c/95/29641/cancer-testosterone Mon, 02 Jun 2008 11:18:00 -0400 Jay Motola 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 prostate cancer should not receive testosterone replacement therapy, as this could be associated with a... http://www.healthcentral.com/prostate/c/95/29641/cancer-testosterone http://www.healthcentral.com/prostate/c/95/29016/flashes-lupron-stop Tue, 27 May 2008 10:00:00 -0400 Jay Motola Dear Dr. Motola, I'm having hot flashes after one injection of Lupron 6 months ago. When will they stop? I took Casodex for one month before surgery. I've had LRP and margins were clear.  I am still having problems with erections as well.     Ongoing hot flashes after stopping Lupron therapy are commonly seen.  Most patients however should not experience hot flashes long after three months of therapy.  Rest... http://www.healthcentral.com/prostate/c/95/29016/flashes-lupron-stop http://www.healthcentral.com/prostate/c/95/28242/low-psa-psa-level Mon, 19 May 2008 10:34:00 -0400 Jay Motola Dear Dr. Motola, If a person has a low PSA can you attribute this to any particular factor or factors? In other words are there any medical reasons for a low PSA? A friend told me that there has to be mitigating factors for this low score.     A low PSA is usually desirable as it will be associated with a lower likelihood of prostate cancer.  Prostate cancer is not always associated with an elevated PSA as tumors that... http://www.healthcentral.com/prostate/c/95/28242/low-psa-psa-level http://www.healthcentral.com/prostate/c/95/26255/lupron-injections Mon, 28 Apr 2008 13:12:00 -0400 Jay Motola Dear Dr. Motola, If you have had prostate surgery and need salvage radiation, but elect to take injections instead, how long will the lupron injections work?     Lupron is a drug that inhibits the production of gonadotropins (LH and FSH), resulting in the reduction of testosterone to castration levels. It is mainly intended for the treatment of metastatic prostate cancer however other uses in the management of this disease... http://www.healthcentral.com/prostate/c/95/26255/lupron-injections http://www.healthcentral.com/prostate/c/95/25655/memokath-stent-risks Mon, 21 Apr 2008 14:39:46 -0400 Jay Motola Dear Dr. Motola, I am 62 years old. I have had Benign Prostatic Hyperplasia for about 6 years. My latest PSA count is 0.9 and I have been on Flomax for the past 6 years. My urologist prescribed Avodart which I found prevented me from having a sexual climax so have stopped taking it. He has now suggested that he "implant" a Memokath Stent to handle the urethral stricture (my urine flow is very weak and very frequent). What does the... http://www.healthcentral.com/prostate/c/95/25655/memokath-stent-risks http://www.healthcentral.com/prostate/c/95/19733/semen-orgasm Mon, 28 Jan 2008 11:18:00 -0500 Jay Motola Dear Dr. Motola, I have been diagnosed with an enlarged prostate. Recently my wife and I noticed that there was no semen coming from the penis during climax-nothing at the time of ejaculation. Can you tell me what could be the problem, and what treatment options might be available to me?    The lack of semen coming from the penis (anejaculation) can occur as a result of a various number of entities. This may occur on a... http://www.healthcentral.com/prostate/c/95/19733/semen-orgasm