What is Chronic Pelvic Pain Syndrome?

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Vague groin symptoms?

Do you have non-specific or vague groin symptoms like the following?

  • Difficulty starting or stopping urine
  • Frequent urination especially at night
  • Frequency of wetness in the urethra
  • Incomplete emptying of your bladder
  • Cloudy urine
  • Blood in urine or Blood in semen
  • Pelvic pain or discomfort
  • Pain around penis, testicles or perineum (the area between scrotum and anus)
  • Lower back pain
  • Pain while having sex
  • Painful ejaculation
  • Erectile Dysfunction
  • Premature ejaculation

Chronic Pelvic Pain Syndrome

If you have any of the above symptoms but your tests results don’t show any infection, you might have Chronic Prostatitis or Chronic Pelvic Pain Syndrome (CPPS). This is due to inflammation of the prostate or inflammation in the organs and tissues in the pelvic region. Read: Prostatitis Treatment

Causes Chronic Pelvic Pain Syndrome:

This condition may be triggered by sexual intercourse, periods of stress or even changes in weather or different types of food.
This is commonly under-diagnosed by many physicians. Most patients end up frustrated as they are told by their doctors that there is nothing wrong with them or there is no treatment suitable for their condition. Some have to suffer for many years before getting adequately treated.

How to Treat Chronic Pelvic Pain Syndrome:

Chronic Pelvic Pain Syndrome can be a challenging condition to treat and manage.
Conventionally, it is treated with anti-inflammatory drugs like NSAIDS and patients had to end up taking it for a long time.
Recently, a relatively form of treatment has shown great improvements in men with CPPS. This treatment is by using low-intensity shockwave. The treatment is called Extracorporeal Shockwave Therapy (ESWT).
Chronic-Pelvic-Pain-Syndrome-Treatment
This therapy has shown tremendous improvements in symptoms in men suffering from CPPS. Men have reported improvements from as early as from a single session. Typically one will require 4 sessions of ESWT for maximal benefit.
ESWT for CPPS/Prostatitis is available at our dedicated DTAP Clinic.

Do speak to any of our doctors to find out if ESWT is suitable for you. You can drop us an email at hello@dtapclinic.com.sg, or walk-in or call our clinics for an appointment.
Take Care

Related Read:

  1. 10 Ways to Improve Sexual Performance for Men
  2. Weak Erection? Erectile Dysfunction? Improv Erection with Pills
  3. Penile Rejuvenation – What you need to know
  4. Erectile Dysfunction Treatment with ElectroShock Wave Treatment
  5. Pearly Penile Papules (Bumps On Penis)
  6. Premature Ejaculation Treatment – What You Need to Know
  7. 10 Causes of Penile Pain
  8. What Causes Men’s Pattern hair loss (Androgenic Alopecia)
  9. Pills That Prevent HIV – HIV PrEP & HIV PEP
  10. What are the Causes of Foreskin Infection?

 

 

Enlarged Prostate – What you need to know

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Have you ever stood in line at the urinal, and wondered why some other males have to stand at the urinal for an unusually long period of time before he is able to start urinating? Or that it might take a while for him to empty his bladder?

While there are a variety of conditions that may cause such a scenario at the urinal, if the person is a middle-aged or elderly gentleman, it is possible that he has Enlarged Prostate – Benign Prostatic Hyperplasia (BPH).

What is an Enlarged Prostate (BPH)?

The prostate is an organ that sits directly under the bladder and surrounds the first part of the urethra (the tube that carries urine) as it comes out of the bladder. It is usually the size of a walnut in an adult.

What are the Signs & Symptoms of Enlarged Prostate (BPH)?

Over the decades of a man’s life, the prostate grows slowly and enlarges. This is Enlarged Prostate (BPH). If the prostate gland enlarges in the areas adjacent to the urethra, it will compress it, resulting in a smaller lumen to carry urine.

As a result, the person may have symptoms of Enlarged Prostate (BPH) such as difficulty in the starting of urination, weak urine stream, dribbling at the end of urination, increased frequency and urgency of urination and multiple visits to the toilet at night. These symptoms usually interfere with the patient’s quality of life and sleep.

If there is chronic obstruction by the prostate, urine can chronically be retained, which can damage the kidneys and bladder. It can also result in urinary tract infections and stones as well. READ: other Signs & Symptoms of Enlarged Prostate

How Do I Know If I Have Enlarged Prostate (BPH)?

If you do go to a clinic for possible Enlarged Prostate (BPH), a doctor will do a prostate examination. The doctor might order some urine studies, an ultrasound and some blood tests to look at the kidney function and the level of Prostate-Specific Antigen (PSA) in the blood.

What Are The Treatment for Enlarged Prostate (BPH)?

 There are certain medications that can be used to alleviate the symptoms of BPH. They include medications to relax the muscles of the bladder neck and prostate, and medications to shrink the prostate size.

Some doctors also use erectile dysfunction medications to treat Enlarged Prostate (BPH) as well. With these medications, most patients do notice improvement of the symptoms. If there are significant side effects from the medication, or if the symptoms do not improve after a period of treatment, then surgery is indicated.

The surgery done is transurethral resection of the prostate (TURP). This surgery is usually done under general anaesthesia and removes the part of the prostate intruding into the urethra. No cuts are made and it is done through the penis.

 

All in All

Most patients do not even realise they have Enlarged Prostate (BPH), and think that these symptoms are part of ageing. Urination should not be so difficult or inconvenient!

As mentioned above, there are a variety of diseases that can cause the above urinary symptoms. Speak to your doctor if you have any of these symptoms and perhaps BPH may be the cause.

If you wish to speak to us about Enlarged Prostate Diagnosis or Treatment you can walk into any of our DTAP Clinic. You can also call us or drop us an email at hello@dtapclinic.com.sg for an appointment.
Take Care.

Related Read:

  1. 10 Ways to Improve Sexual Performance for Men
  2. Weak Erection? Erectile Dysfunction? Improv Erection with Pills
  3. Hypogonadism – Causes, Symptoms & Treatment
  4. Andropause (Male Menopause)
  5. Human Growth Hormones (HGH)
  6. Penile Rejuvenation – What you need to know
  7. Erectile Dysfunction Treatment with ElectroShock Wave Treatment
  8. Pearly Penile Papules (Bumps On Penis)
  9. Premature Ejaculation Treatment – What You Need to Know
  10. 10 Causes of Penile Pain
  11. What Causes Men’s Pattern hair loss (Androgenic Alopecia)
  12. Pills That Prevent HIV – HIV PrEP & HIV PEP
  13. What are the Causes of Foreskin Infection?

7 Ways to Last Longer In Bed – Premature Ejaculation

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Many men and their partners wish that they could last longer in bed. Finishing early or earlier than the partner may cause frustration and disappointment.
The main cause of this is a condition called Premature Ejaculation.
Based on a study done on 500 men, men on average lasts around 5 and a half mins. So if you are hitting this number or more, you are fine. However, if you ejaculate within 1 min, then it is considered to be premature ejaculation and you should consult a doctor and seek treatment.
Even though some men may be around the average, they may still want to last longer. So whether you have Premature Ejaculation or not, here are 7 ways that you can do to help you last longer in bed.

7 ways that you can do to help you last longer in bed.

1. Take mental breaks

Premature Ejaculation is usually a psychological issue. When one gets too sexually stimulated, that is when the man cannot control his ejaculation. One way is to distract yourself from the stimulation by thinking of mundane things like mathematical calculations or tomorrow’s grocery list.

2. Control techniques

There are a few exercises or techniques that you can apply to prevent early ejaculation. For eg.

a) The stop and squeeze technique:

Just before ejaculation, withdraw and squeeze the head of the penis. You need to do this at the right time as squeezing too late will still result in ejaculation.

b) Withdrawal technique:

Just before you feel like ejaculating, you withdraw your penis to immediately remove the sexual stimulation. This is not as effective as the one above and you would also have to withdraw at the right time and not a second too late.

c) Stop and start:

You or your partner stimulate your penis until you feel like you’re going to have an orgasm. Stop the arousal for about 30 seconds or until the feeling passes. Start the stimulation again and repeat three or four more times before you actually ejaculate.

3. Masturbate before sex

By masturbating 1- 2 hours before sex, it helps to reduce your sexual urge and the urge to ejaculate hence allowing you to last longer. Generally, after one round of ejaculation, you will need a longer time for the second one.

4. Foreplay is key

Men tend to focus on ejaculation as the only objective of sex. Focus on pleasing your partner and foreplay is a big part of that. With foreplay, it also helps to prolong the duration and heighten the pleasure. Your partner might even get more satisfaction out of this than just penetration. Find out what turns your partner on.

via GIPHY

5. Use thicker condoms

Thicker condoms help to reduce the sensitivity of the penis and hence delay ejaculation. Although most men don’t really like using thick condoms as they might find it difficult to stay aroused or they don’t like how it feels.

6. Communicate

Talk to your partner. Let her know what you’re going through so that both of you can try out different things that can work to delay ejaculation and prolong sex. This will also promote a better understanding between the two of you and improve your relationship. With better understanding, there will be fewer disappointments or frustrations.

7. See your doctor – Erectile Dysfunction Clinic Singapore

If the above still doesn’t help, you should see your doctor and find out if you might have any underlying condition that may cause this issue. If there are any problems like Erectile Dysfunction or Diabetes, your doctor will need to treat that first.
Your doctor also can recommend or prescribe medications to help you last longer in bed. – Erectile Dysfunction Treatment Singapore
Tag: ED Treatment Singapore
Now that you’ve got the 7 tips, you can go out there and try it out for yourself and become the best lover you can be between the sheets.

Take Care!

Also, Read:

  1. Things to do to maintain your penis health
  2. 10 Ways to Improve Sexual Performance for Men
  3. An Overview of STD by an STD Doctor
  4. Anal Warts! What You Need To Know
  5. 8 Thing You Did Know Know About Your Penis
  6. Weak Erection: Does Size Matters?
  7. Sexual Health Advice for Travellers
  8. What you need to Know about Erectile Dysfunction 
  9. Sex During Period (Sex & Menstruation) What To Know
  10. What You Need to Know about Premature Ejaculation Treatment
  11. What you need to know about Testosterone Deficiency Syndrome
  12. What is HIV / AIDS Signs and Symptoms

10 Causes of Penile Pain – Ouch! Pain in the Penis

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For men, the penis is one of the most, if not the most important organ. So if there are any signs of pain or discomfort, it usually causes a lot of worry and anxiety. However, pain in the penis can be due to many different conditions. Some are harmless, others may need immediate treatment.
So I have listed below some of the common causes of penile pain so that you can know when you need to rush to see the doctor or only come in the following Monday.

Top 10 Causes of Pain in the Penis:

Penile Infections

 1) Balanitis

Balanitis refers to inflammation of the foreskin which can be caused by fungal or bacterial infections, and irritants such as soaps, powders or creams that are applied over the foreskin. People that have diseases which compromise the immune system, such as Diabetes and HIV, may be more prone to this condition.
The pain caused by the inflammation is usually not severe but it can be throbbing, itchy and rather uncomfortable. This can be easily treated by treating the cause or avoiding the irritant.
See: Treatment for Penile Infection

2) Herpes

Herpes is one of the most common Sexually Transmitted Diseases STDs. This infection is transmitted through skin to skin contact and is usually caused by 2 different viruses called HSV 1 and HSV 2, which are usually known to cause lesions in the mouth and genital areas respectively. However, during oral sex, the virus can be passed on from the mouth to the penis causing genital herpes.
They usually present with painful blisters or ulcers over the skin and can be painful or at least very sensitive to touch. It can be treated with anti-viral tablets although it will keep recurring throughout a person’s life.
See: Everything You Need to Know about Herpes Simplex Virus

3) Chancroid

Chancroid is caused by a bacteria called Haemophilus Ducreyi and is transmitted through sexual intercourse. It commonly presents with a single large painful ulcer on the penis along with enlarged and tender lymph nodes in the groin region.
Chancroid is an infection that is usually caught via sexual contact. This can be treated with antibiotics once the diagnosis is established by your doctor.
See: The causes of Genital Blister and Ulcers

4) Urethritis

This is an infection of the urinary tract along the penis, through which the urine is passed out from the bladder. When an infection occurs along this tract it results in pain when urinating or discharges from the tip of the penis. Sometimes even when not urinating, one can feel the pain along the urethra itself.
Urethritis can be caused by Chlamydia, Gonorrhea, NSU or Herpes which are very common infections that can be transmitted through sexual intercourse. A simple urine test and sometimes a urethral swab can be performed to found out the exact cause and in most cases, it is easily cured with antibiotics.
See:  What are the causes of Abnormal Penile Discharge

5) Prostate Infections

When the prostate is involved during a urinary tract infection it can cause severe pain during urination and sometimes fever and shivering. This sometimes is difficult to diagnose and may involve the doctor placing a finger up the anus to feel for any tenderness in the prostate gland. Moreover, it usually requires a longer course of antibiotics.
See: The Causes, Testing and Treatment of Prostatitis (Prostate Inflammation)  

Trauma to the Penis

6) Penis Fracture

The penis is made out of erectile tissues and blood vessels. Although there is no bone in the penis, during an erection it can be as hard as bone. The term penis fracture is used when there is an injury to the erectile tissue inside the penis. It usually happens during sexual intercourse when the penis accidentally fully or partially slips out of the partner and the partner sits back down on the penis which injures it.
This will result in a sudden onset of pain and in certain cause you may even hear a snapping sound. When this occurs you should go to the emergency department immediately because it is a medical emergency.

7) Torn Frenulum

The frenulum is a thin strip of skin connecting the head of the penis to the foreskin. This can break during intercourse, especially when it’s rough, and result in pain and a lot of bleeding. The pain can last up to a few days as the frenulum heals. The healing time varies and it may get repeatedly injured during subsequent intercourse. When it started to occur more frequently, a simple surgical procedure may be done to fix the frenulum.
Frenulum breve, or short frenulum, is a condition in which the frenulum of the penis is too short and thus restricts the movement of the foreskin.
See: Frenulum Breve Treatment or Penile Frenulectomy

Others Medical Condiction that Causes of Penile Pain

8) Peyronie’s Disease

Is your penis bent during an erection? At the point where it is bent, can you feel a painful lump?
If it is yes to both questions, you may have Peyronie’s Disease. This happens when a spot along the penis shaft becomes inflamed and as it heals, it leads to contraction of one side of the penis causing it to bend. The pain may arise from the area of inflammation or in certain cases when the curvature is so severe, it causes pain during sexual intercourse.
Please see a doctor if you think you have Peyronie’s disease, and once the diagnosis is established the doctor may suggest several treatment options ranging from shock wave therapy to surgery.

9) Paraphimosis

This is a condition where the foreskin is completely retracted to expose the head of the penis and cannot be pulled forward to cover the head of the penis again. When the foreskin get inflamed and forms a band around the penis, it may affect the blood flow to the tip of the penis and usually causes severe pain.
This is a medical emergency and patients with this issue should see a doctor immediately. Most of the time, the doctor can use special techniques to pull the foreskin back into place.
Learn more about Paraphimosis.

10) Chronic Pelvic Pain Syndrome

This is a condition where there are non-specific symptoms in the groin area including pain in the penis, testicles or even lower back pain. This is due to inflammation either in the prostate or any of the organs in the groin area.
Read more about CPPS here.
Next time you feel pain or discomfort, do consider the possible.
If you wish to speak to our doctor about penile pain, please visit our DTAP Clinics or you can call us, or email us for an appointment at hello@dtapclinic.com.sg.
Take Care!

Also, Read:

  1. Things to do to maintain your penis health
  2. 11 Causes of Penile Itching & Pubic Itch
  3. 10 Ways to Improve Sexual Performance for Men
  4. An Overview of STD by an STD Doctor
  5. Anal Warts! What You Need To Know
  6. Weak Erection: Does Size Matters?
  7. Sexual Health Advice for Travellers 
  8. What you need to Know about Erectile Dysfunction 
  9. What You Need to Know about Premature Ejaculation Treatment
  10. What you need to know about Testosterone Deficiency Syndrome
  11. What is HIV / AIDS Signs and Symptoms

 

Micropenis – Does Size Really Matter?

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When it comes to penis size, many men always feel that big is better. They sometimes like to compare with other men, or worse with the porn actors they see in videos. When comparing with these actors, most men will definitely feel inadequate. This may lead them to think that there is an unusually small penis. They may think that they have a condition called micropenis.
However, not many realise that there is an actual medical condition where the size of the penis is referred to as a “Micropenis”.
But what causes the condition? how small actually is a Micropenis? And how is it treated?

But how small exactly is a Micropenis?

Micropenis refers to any penis which, when stretched, is below 2.5 standard deviations size for the age of the patient.
In adults, the condition refers to any penis smaller than 7cm ( 2.8 inches ) in length.

What Causes Micropenis?

Micropenis may be caused by

  • Growth hormone deficiency
  • Structural anomaly
  • Testicular disorder
  • Genetic syndrome
  • Abnormal hypothalamic or Pituitary function

What are the Treatments for Micropenis?

1. Hormonal Replacement Therapy

If micropenis is diagnosed as being caused by a testosterone deficiency, testosterone replacement therapy is generally highly effective in treating micropenis.
This hormone treatment usually consists of intramuscular injections.
The main ingredient of these injections is testosterone.
Depending on the results, the treatment may or may not be continued.
In most cases, the treatment induces some penile growth, which in return may stimulate additional penis growth.
Many times, the treatment results in a normal sized penis.
On the other hand, sometimes there is no or very small improvement
In cases when a patient is unresponsive to hormonal therapy for micropenis treatment, surgery remains a last resort treatment for adults.

2. Surgical Treatment

Penile enhancement surgery uses an implant in order to effectively enhance the length and girth of the penis.
You will be referred to a urology surgeon if you require surgical treatment in this case.

Frequently Asked Questions (FAQs) on Micropenis

How do I measure my penis?

The most reliable penis measurement is called the Stretched Penis Length. It measures the penis while it’s flaccid.
Press the ruler tight against the pubic bone at the base of the penis.
Don’t just measure from where the penis separates from the scrotum, or you’ll lose precious centimetres.
Now gently, but very firmly, stretch the penis as far as it will go.
Measure from the pubic bone to the tip of the stretched penis.

Does it mean that there is less chance of getting a child with micropenis?

Although the equipment is smaller, it sexually functions like any other penis.
However, it could be difficult to impregnate a woman since it’s further away from the opening of the womb (cervix). And that makes it harder for the sperm to reach the egg.

My penis length is longer than 7 cm but I want it to be bigger. Is that possible?

Length and girth of a penis are normally fixed at a particular size right after puberty. It doesn’t change in size after the man passes puberty. There are products in the market that promises to enlarge your penis like pumps, oils devices etc.
However, these products are not well studied and clinically proven so you will have to try it at your own risks. If you do want to increase the firmness or have some improvement in your penile girth, you can consider ESWT (Extracorporeal Shockwave Therapy). This therapy is not meant for penile enlargement but it helps to increase blood flow to the penis. Some patients noticed their penis appearing bigger due to increased blood flow and firmer erection.

If you think you have micropenis issues, please visit our DTAP Clinics or you can call us, or email us for an appointment at hello@dtapclinic.com.sg for a proper assessment.

Take Care!

Also, Read:

  1. Things to do to maintain your penis health
  2. Paraphimosis – My Foreskin is Stuck
  3. 10 Ways to Improve Sexual Performance for Men
  4. Weak Erection: Does Size Matters?
  5. An Overview of STD by an STD Doctor
  6. Sexual Health Advice for Travellers 
  7. What you need to Know about Erectile Dysfunction 
  8. What You Need to Know about Premature Ejaculation Treatment
  9. What you need to know about Testosterone Deficiency Syndrome
  10. What is HIV / AIDS Signs and Symptoms

Paraphimosis – My Foreskin Is Stuck

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What is Paraphimosis?

It is when the foreskin gets stuck behind the head of the penis. This condition only happens in men who are uncircumcised. Usually, the foreskin automatically gets pulled back during sexual intercourse or masturbation.

Most of the time, the foreskin goes back to its original position and that is fine. However, the problem comes when the foreskin gets stuck behind the head of the penis and is unable to move back to its original position.

Paraphimosis can happen during :
1.) Masturbation
2.) Vigorous sexual activity
3.) Penile piercing
4.) Urinary catheterisation (a tube inserted into the bladder)
5.) Or any other reason that the foreskin is pulled back to expose the head of the penis

What is Cause of Paraphimosis?

During erection, the penis becomes bigger than when it’s flaccid. So sometimes when the foreskin is rolled back in this state, it gets stuck as the penis is now bigger than it usually is and the foreskin is now too tight to be rolled back to the front.
Paraphimosis occurs when the foreskin is retracted behind the crown (corona) of the penis and can’t be returned to the unretracted position.
This, in turn, creates a vicious cycle or events. When stuck, the foreskin below the head gets swollen because it’s too tight.
Due to the swelling, there is increasing pressure on the erect penis. This will cause more tightening on the foreskin. When the pressure continues to build up below the head, this increases the pressure of the foreskin over the penis and this may lead to strangulation and entrapment of the penis. It will then prevent the blood from the erect penis to drain thus it cannot become flaccid. If this situation continues, it may cause necrosis which is the death of the penile tissue.

Symptoms of Paraphimosis:

If you have these symptoms below, it could indicate that your condition is getting serious and you should seek medical attention as soon as possible:
1.) Pain and swelling of the glans penis
2.) Inability to retract the foreskin back over to the penile glans.
3.) Discolouration, either dark red or bluish colour of the penis
The symptoms of phimosis and paraphimosis may look like other problems or medical conditions.
If your foreskin is stuck behind the head of the penis, please see a doctor as soon as you can. It is an emergency!

 

Paraphimosis is a urological emergency.
If you are suffering from paraphimosis, see a doctor as soon as you can.
So, you should always see your doctor for a diagnosis.

How to diagnose Paraphimosis?

What is the Treatment for Paraphimosis?

 

A careful physical exam by your doctor normally gives enough information to make a diagnosis. The vast majority of paraphimosis can be easily treated in a clinic by an experienced doctor. Our Doctor has treated multiple cases of paraphimosis in our clinics. A skilled doctor will be able to reduce the swelling and pull the foreskin back to its natural position. Very often, the only anaesthesia needed is a bit of ice on the foreskin to numb it.

Once the foreskin is put back in its original position covering the head of the penis, everything goes back to normal. Any swelling or pain fades extremely quickly. If the problem keeps recurring, the patient should consider undergoing a circumcision to prevent the problem from coming back. The reason why paraphimosis is an emergency is-if there is a failure to reduce the paraphimosis will result in necrosis
(death of tissue) of the glans!

If you wish to speak to our doctor about paraphimosis, please visit our DTAP Clinics or you can call us, or email us for an appointment at hello@dtapclinic.com.sg

Take Care!

 

Also, Read:

  1. Things to do to maintain your penis health
  2. 10 Ways to Improve Sexual Performance for Men
  3. An Overview of STD by an STD Doctor
  4. Sexual Health Advice for Travellers 
  5. What you need to Know about Erectile Dysfunction 
  6. What You Need to Know about Premature Ejaculation Treatment
  7. What you need to know about Testosterone Deficiency Syndrome
  8. What is HIV / AIDS Signs and Symptoms

Pattern Hair Loss Treatment – Regenera Activa

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Almost all of us suffer from hair loss at some point in our lives. The most common cause of hair loss is androgenetic alopecia, or more commonly known as male or female pattern hair loss. It affects approximately 70% of men and 40% of women. Regenera Activa Treatment is a suitable treatment for androgenic alopecia.

How Does Pattern Hair Loss Treatment (Regenera Activa) Work?

Regenera Activa is an advanced innovative hair growth treatment that uses capillary regenerative technology to combat hair loss. This treatment is designed for men and women who suffer from androgenetic alopecia. Regenera Activa uses your own hair that contains cells that help to activate the follicles around the balding area. In other words, it uses your own body’s ability to procedure new hair.

What is the Hair Loss Treatment Process Like?

Regenera Activa is a 3-step procedure that takes about 30 minutes of your time.
Step 1 – Pain killer is injected around the back of the scalp. 3 small samples are taken from the scalp. The sampling procedure is completely painless.
Step 2 – These samples are processed by Regenera Activa device that further isolates them into hundreds of thousands of cells that have potent regenerative abilities.
Step 3 – The solution that contains these cells are then injected into the scalp area that suffers from hair loss.

Is the Treatment Painful? Is There Any Downtime?

Minimal discomfort and downtime are expected during and after Regenera Activa Treatment.  You can resume your daily activities immediately after the treatment.

When Can I See Results?

Regenera Activa treatment helps the hair to return to its normal cycle. Reduction of hair loss is first witnessed after 30 days, followed by the improved thickness and density of existing hair and growth of new hair over the next 6 months.

Can I Combine Regenera Activa with Other Treatment?

Yes. Regenera Activa can be combined with an oral hair growth supplement, hair growth spray and low-level laser therapy depending on individual’s condition and preference. Combination treatment may lead to more significant results.
The Hair Loss Treatment Regenera Activa is suitable for men and women who suffer from androgenetic alopecia. The procedure is quick, effective with minimal pain and downtime.

If you need to learn more about this Hair Loss Treatment, please call any of our Branches for an appointment, or you can email us at hello@dtapclinic.com.sg.

Take Care!

Weak Erection & Erectile Dysfunction? – Improve Erection without pills

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One of the main reasons why men have weaker erections is due to poor blood flow into the penis. Blood flow may diminish due to chronic diseases like diabetes and hypertension. Other contributing factors include smoking, stress or the effects of ageing. With poorer blood flow, the erections becoming weaker and may not be able to sustain as long as before.

Typically, men will be popping pills or medications that help to increase blood flow to the penis like Sildenafil or Tadalafil. However, these medications do have their side effects and it can be a bit troublesome to have to rely on them for results.
With Extracorporeal Shock Wave Therapy (ESWT), it gives men hope for better erections without having to rely on pills.

How Does Extracorporeal Shock Wave Therapy (ESWT) work?

ESWT involves the use of painless, low-energy shockwaves to improve tissue and blood vessels in the body.
The handheld device is applied to the penile muscles and gentle shockwaves are sent to the treatment area.
Delivery of these shockwaves causes new blood vessels to form and thus improving blood flow and circulation to the penis. This, in turn, will improve erection in terms of strength, hardness, and also sustainability.
For men who do not have erectile issues, they may benefit from a single session as well. This is called Penile Rejuvenation.

FAQs:

Is it safe?

Yes ESWT is safe, painless, no downtime and no recovery needed.

How many sessions do I need?

If you have erectile dysfunction, you will need 6 sessions. If you just need a booster or enhancement, you only need a single session.

How much does each session cost?

Each session costs $400.

Are there any criteria for this treatment to be effective?

There are no specific requirements for this treatment. As long as you want a better and stronger erection, you will benefit from ESWT.
Do speak to your doctor to find out if ESWT is suitable for you.

ESWT is available at our dedicated DTAP Men’s Health clinics, please call us or email us at hello@dtapclinic.com.sg for an appointment.

Take Care!

Also, Read:

  1. Things to do to maintain your penis health
  2. Weak Erection: Does Penis Size Matters?
  3. 8 Things You Didn’t Know About Your Penis
  4. 10 Ways to Improve Sexual Performance for Men
  5. An Overview of STD by an STD Doctor
  6. Sexual Health Advice for Travellers
  7. Penile Rejuvenation
  8. Electroshock Wave (ESWT) Treatment for Erectile Dysfunction in Singapore
  9. What you need to Know about Erectile Dysfunction 
  10. What You Need to Know about Premature Ejaculation Treatment
  11. What you need to know about Testosterone Deficiency Syndrome
  12. What is HIV / AIDS Signs and Symptoms
  13. Paraphimosis – My Foreskin is Stuck

 

Why Mixing Poppers and Viagra is Dangerous

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This article does not imply in any way that we condone the use of poppers or any recreational drugs. It is to highlight the dangers of recreational drug use, especially when combined with prescription medicines like Viagra.

Erectile Dysfunction and Viagra, Cialis and Levitra
Around the world, there is an increasing number of people seeking medical help for erectile dysfunction. This has led to an increase in sales of drugs such as Viagra, Cialis and Levitra which have been improving the lives of many men affected by the condition. However, there is a smaller population that consume drugs like Viagra recreationally, which has raised concerns and is increasing in consumers.
Viagra has always been coming more popular at “bathhouse” and “house parties. The issue usually arises when consumers start mixing it with other party drugs such as ecstasy, GHB, amphetamine and many more. A more common combination used is Viagra taken with amyl nitrites, which is also known as “poppers”. These days, poppers may consist of assorted alkyl nitrites, mostly isopropyl nitrate and isobutyl nitrate.
Viagra alone, based on its mechanism of action, can cause the blood pressure to drop. Usually, this happens minimally in a young and healthy patient. However, when another blood pressure lowering drug is taken with it, this can cause a further drop in blood pressure. Unfortunately, poppers are one of those drugs and can lead to a deadly drop in blood pressure when consumed with Viagra.

Viagra and Poppers

Besides that, the combination of Viagra and poppers or any drug that lowers inhibitions) have been shown to increase the risk of contracting a sexually transmitted disease thru a few reasons:

  • Consumers can sustain more and longer sexual encounters. This is why it is common in “Party and Play” which leads to multiple partners
  • Decreased inhibitions which may potentially lead to risky sexual practices
  • Poppers itself dilates blood vessels in the anal canal and along with decreased pain sensation, which allows a person to participate longer in anal intercourse, will potentially result in more bleeding. This will definitely increase the risk of transmitting HIV and STD.

Poppers and Health Risk

It is recommended to avoid taking recreational drugs like Viagra and poppers. These are tips you can follow to prevent yourself from getting into medical problems :
1.) Avoid taking Viagra and poppers together. (If consumed less than 24 hours apart it can lead to a significant drop in blood pressure)
2.) Never ingest Poppers. If you have already done so, please present to an Emergency Department.
3.) If your nose is stuffed, do not forcefully snort. This can cause ear and sinus problems.
4.) Poppers are highly flammable. Unless you have firemen in your room, keep them away from the fire.
5.) Avoid taking Viagra and poppers if you have a heart condition or any other significant medical conditions.
Like I said earlier poppers can cause disinhibition and impair your judgement so remember CONDOMS, CONDOMS and CONDOMS. Do not forget Lube!

Take Care!

We are against the use of any kind of recreational drugs in any form. They are dangerous and can even be deadly. The punishments for using or possessing recreational drugs in Singapore are extremely harsh and may even include the death penalty. DO NOT USE DRUGS.
We also do not condone the use of prescription drugs without a proper and formal consultation with a doctor.

Also, Read:

  1. Things to do to maintain your penis health
  2. Weak Erection & Erectile Dysfunction? – Improve Erection Without Pills
  3. 10 Ways to Improve Sexual Performance for Men
  4. An Overview of STD by an STD Doctor
  5. Do I Have HIV Rash? Or Are They Other STD-Related Rashes?
  6. Weak Erection: Does Size Matters?
  7. What are the Causes of Abnormal Penile Discharge?
  8. Sexual Health Advice for Travellers 
  9. What you need to Know about Erectile Dysfunction 
  10. What You Need to Know about Premature Ejaculation Treatment
  11. What you need to know about Testosterone Deficiency Syndrome
  12. What is HIV / AIDS Signs and Symptoms

Is Premature Ejaculation a Problem?

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Too Fast? Too Slow?

Premature ejaculation or PE occurs when a man reaches orgasm and ejaculates with minimal stimulation or within a very short period of time.
There is no uniform cut-off timing for what constitutes as PE, and in the past, most experts would agree that last less than one minute is a cause for concern.
However, newer guidelines suggest that any man who feels they do not have control over when he ejaculates and that it causes distress to him and his partner can be considered to have premature ejaculation.

Is Premature Ejaculation a Problem?

Of course, Premature Ejaculation is a real problem if:

  • It is causing or arising from inter-personal relationship problems.
  • It is causing or arising from psychological issues like anxiety and depression.
  • It is a sign of hidden erectile dysfunction (ED).
  • It is due to a low serum Testosterone level.
  • It is a sign of an underlying medical disease.
  • It is due to stopping a drug.
  • It is severe enough to affect fertility.

Sometimes premature ejaculation may be caused or worsened by other conditions, such as anxiety and depression, erectile dysfunction, prostatitis and testosterone deficiency.
These conditions will be assessed with a clinical history and may need further investigation if appropriate.

Is there any treatment for Premature Ejaculation?

There are several options for treatment of premature ejaculation, although a combination of certain medication and non-pharmacological treatments often give the best results.

If you think that you or your partner may be suffering from premature ejaculation, please visit our DTAP Clinics for a thorough evaluation and discussion on Premature Ejaculation Treatment options.

Take Care!

Related Read:

  1. STD Risk for Receptive Unprotected Anal Sex in Men
  2. 10 Ways to Improve Sexual Performance for Men
  3. Weak Erection? Erectile Dysfunction? Improv Erection with Pills
  4. Weak Erection: Does Penis Size Matters?
  5. Pearly Penile Papules (Bumps On Penis)
  6. Phimosis – Unusually Tight Foreskin 
  7. An Overview of STD – From an STD Doctor
  8. What are the Signs & Symptoms of HIV and AIDS?
  9. What Causes Men’s Pattern hair loss (Androgenic Alopecia)
  10. Pills That Prevent HIV – HIV PrEP & HIV PEP
  11. What are the Causes of Foreskin Infection?