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Latest by Jay Motola, M.D.

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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 dec...

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Hot Flashes from Lupron: When Will They Stop?

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 ...

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Low PSA: Can Your PSA Level Be Too Low?

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 ...

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How Long Do Lupron Injections Work?

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 i...

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Is the Memokath Stent a Good Option for Enlarged Prostate?

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 sexua...

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Prostate Biopsy

How is a Prostate Biopsy Performed? Transrectal biopsy of the prostate is performed as an outpatient in an office setting. After the patient has undergone a blood test to ensure that there is no abnormality with the patient’s ability to form a blood ...

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PSA Test Accuracy

Several statistical terms are important to understand when trying to make sense of who should have their PSA tested or their prostate biopsied. The sensitivity of a test refers to the proportion of individuals in a population that will be correctly i...

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Who Should Get a PSA Test

At What Age Should I Start Getting PSA Tests? The age at which one should first have a prostate cancer screening has been debated. The recommendations of the American Cancer Society are for all patients over the age of 50 to undergo digital rectal ex...

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Is There a Connection Between Herpes and Erectile Dysfunction?

Is there any sort of relationship between genital herpes and erectile dysfunction? Could herpes lead to ED? The only link between erectile dysfunction and genital herpes would be psychogenic. Patients with herpetic infections may have anxiety about t...

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No Semen During Orgasm?

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 tre...