Category Archives: Dr. Care Blog

My condition is my penis is very small like small kid’s, sometimes when feeling cold, it becomes much smaller. During erection, it is about 9-11cm, the frontal part of penis is not very big, and I don’t think I need any circumcision. Time length for ejaculation is about 2-3 minutes, sometimes it is even faster. Why is that so? I wish to see a doctor regarding this matter, how much would it cost for physical examination? What kind of specialist?

Question: Hi, doctor. My condition is my penis is very small like small kid’s, sometimes when feeling cold, it becomes much smaller. During erection, it is about 9-11cm, the frontal part of penis is not very big, and I don’t think I need any circumcision. Time length for ejaculation is about 2-3 minutes, sometimes it is even faster. Why is that so? I wish to see a doctor regarding this matter, how much would it cost for physical examination? What kind of specialist? Answer: Most Asian penises appear small especially when it is not erect. Sometimes though it can appear somewhat embedded or sink into the fatty layer of the groin if the person is somewhat fat or obese and all these are normal. When fully erect and hard like in grade 4 erection (Incidentally there are 4 grades of erection, namely Grade 1: Slight enlargement but not hard, Grade 2: Enlarged and partially hard but NOT sufficiently hard for vaginal penetration, Grade 3:Enlarged and Hard sufficient for penetration but sometimes can bend when the woman is not ready & Grade 4: Very hard and turgid and easy for penetration), penile size is at its maximum. Considering the vaginal length is about 6-7 cm, your penis size is sufficient, unless your wife complains. The penis is not a weapon and never meant to be one and it should be comfortable for the partner. Of course there are cases where the penis size is 6cm or less during erection. It can be difficult to insert into the vagina and may slip off during pelvic thrust. In such cases then there is a need to make it a little longer and bigger if it is not thick enough. There is a device known as the penile extension device that can be used for some period of time to make the organ longer by 1- 4cm.This device has been evaluated and found to be safe if used correctly. You can get information about the device in the internet.www.andromedical.com Regarding rapid ejaculation, this is a common experience by most men when they are very aroused and not able to control the sensitivity of their penis. This happens when they do rapid vaginal thrust beyond their mind control. Sometime if the penis is not hard enough, to keep the penis hard one need to do rapid thrusting, and this can also cause ejaculation rather prematurely. If this is an issue and your wife complains, you need to seek professional help. See your friendly Urologist who specialize in men’s health. There are very few Andrologist in private practice. The cost however varies from Hospital to Hospital.

Hi,I’m 24 years old now, male. since 4-5 years ago, there are some white spots grow on my glans penis, however I feel nothing. As time goes by, I feel very embarrass and starting worry if it is a STD. What should I do now?

Question: Hi, I’m 24 years old now, male. since 4-5 years ago, there are some white spots grow on my glans penis, however I feel nothing. As time goes by, I feel very embarrass and starting worry if it is a STD. What should I do now? Answer: Frequently white spots appear around the ‘crown’ of the glans penis and some times all over the glans penis and these are actually harmless bumps known as pearly white papules. It has nothing to do with Sexually Transmitted Infections. There is nothing to be embarrassed about since the spots are not that visible and will not be offending to your partner and in case she ask you about the spots you can mention what I wrote here.

My wife and I have less than 10 times intercourse because each time she feels pain during penetration. What should I do?

Question:
I have been married for 1 year. My wife and I have less than 10 times intercourse because each time she feels pain during penetration. What should I do?

Answer:
First intercourse can be daunting for most women when they are trying to relax their vaginal opening to allow penetration of the penis. In fear, the vaginal entrance muscles can go into spasms and it will make penetration and lovemaking activities uncomfortable to the women, especially if the vagina is less lubricated. You wife needs to learn to relax her vaginal muscles to facilitate your penis to penetrate. She can use artificial lubricant like the ESP Natural Gel until she is confident with penetrative sex. Relaxing the vagina like in the process of avoiding urine or passing bowel can be used as a tip for her to allow your penis to penetrate her. If the pain still persist, then she needs to see her Gynecologist to inspect her genital area in case she has some inflammation of her vagina.

Could you please let me know about other ED drugs, which are safe and effective that can be bought over the counters without any hassles?

Question:
I will be sixty (come next January) and my wife is two years younger. We have sex once a week with the aid of Viagra. However, I read a recent article on Viagra which stated that it can cause “stroke in the eyes”. Since then I have stopped taking Viagra and now am unable to have sex anymore. My sex life is empty and I am at a total loss because I feel very embarrassed to go to the doctor or pharmacies to ask for other ED drugs at my age. Could you please let me know about other ED drugs, which are safe and effective that can be bought over the counters without any hassles?

Answer:
Erectile dysfunction of various stages afflicts about 2.4 million Malaysian men above the age of 40 and you are not alone. Less than 2% of these men ever seek medical assistance. A majority of them are like you, trying all sorts of medications without doctor’s prescription or without seeking advise from your friendly Family Physician. Seeking medical assistance is never a hassle and ones see the pharmacist to fill ones prescription and not seeking treatment. Being sick is not a sign of weakness so also having problems with erection.It is high time men understand this. Taking a scheduled drug like Viagra without doctor’s advice can be dangerous because you do not know who to refer to if you were to experience any side effects. The loss of vision associated with PDE-Inhibitor like Viagra is due to a condition called nonarteritic anterior ischemic optic neuropathy (NAION). NAION presents itself with a painless onset of a vision loss in one eye. The most common visual symptom is an inferior visual field defect, where the lower half of an object appears blurred blocked; the drug’s label currently has no warning of a risk of permanent vision loss. However Viagra as with other PDE-5 inhibitors like Cilais and Levitra have been the favorites because of the convenience of being oral medications. These drugs are safe if prescribed by a Physician and not otherwise. There are other treatment options available for the management of erectile dysfunction besides the oral medications. Intracavernosal injection therapy, vacuum erect aid devices and penile implants are some of the treatment available. Complimentary therapy includes active glycoprotein extracts of the herbs Tribulus and Eurycoma (Tongkat Ali) which has been found to be proerectile and seems to work for some men with mild ED.

Could you please let me know about other ED drugs, which are safe and effective that can be bought over the counters without any hassles?

Question:
I will be sixty (come next January) and my wife is two years younger. We have sex once a week with the aid of Viagra. However, I read a recent article on Viagra which stated that it can cause “stroke in the eyes”. Since then I have stopped taking Viagra and now am unable to have sex anymore. My sex life is empty and I am at a total loss because I feel very embarrassed to go to the doctor or pharmacies to ask for other ED drugs at my age. Could you please let me know about other ED drugs, which are safe and effective that can be bought over the counters without any hassles?

Answer:
Erectile dysfunction of various stages afflicts about 2.4 million Malaysian men above the age of 40 and you are not alone. Less than 2% of these men ever seek medical assistance. A majority of them are like you, trying all sorts of medications without doctor’s prescription or without seeking advise from your friendly Family Physician. Seeking medical assistance is never a hassle and ones see the pharmacist to fill ones prescription and not seeking treatment. Being sick is not a sign of weakness so also having problems with erection.It is high time men understand this. Taking a scheduled drug like Viagra without doctor’s advice can be dangerous because you do not know who to refer to if you were to experience any side effects. The loss of vision associated with PDE-Inhibitor like Viagra is due to a condition called nonarteritic anterior ischemic optic neuropathy (NAION). NAION presents itself with a painless onset of a vision loss in one eye. The most common visual symptom is an inferior visual field defect, where the lower half of an object appears blurred blocked; the drug’s label currently has no warning of a risk of permanent vision loss. However Viagra as with other PDE-5 inhibitors like Cilais and Levitra have been the favorites because of the convenience of being oral medications. These drugs are safe if prescribed by a Physician and not otherwise. There are other treatment options available for the management of erectile dysfunction besides the oral medications. Intracavernosal injection therapy, vacuum erect aid devices and penile implants are some of the treatment available. Complimentary therapy includes active glycoprotein extracts of the herbs Tribulus and Eurycoma (Tongkat Ali) which has been found to be proerectile and seems to work for some men with mild ED.