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Ask Dr. David Your Own Question
Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 45972
Experience:  Board Certified Physician
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I am circumcised but relatively recently it seems to want to

Customer Question

I am circumcised but relatively recently it seems to want to revert back to its previos state my penis seems smaller I have not had an erection for 3 a liver unit or 4 years I very recently visited a liver unit at addenbrookes I suffer from cirrhosis I have been free alcohol for 2 and half months. I do have some swelling in my ankles would they have detected that the reason that kept me so long is oedeama might tis cause swelling in my penis
thank you
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. David replied 2 years ago.
Dr. David :

This is Dr. David

Dr. David :

liver cirrhosis can definitely been causing swelling and edema in your legs

Dr. David :

I am glad you quit alcohol.

Dr. David :

you should get blood testing, and I bet your albumin levels are low.

Dr. David :

albumin is a protein made by your liver.

Dr. David :

with severe prior alcohol use enough to cause cirrhosis, this is enough to damage blood vessels which carry blood to the penis.

Dr. David :

also with bad cirrhosis, you could have low testosterone levels as well.

Dr. David :

hello?

Dr. David :

I am still here.

Dr. David :

have you had your testosterone levels checked?

JACUSTOMER-uwicti3f- :

they did numerous blood tests so this not a solution I wish to cancel and be refunded

Dr. David :

what solution are you looking for?

Dr. David :

to fix your erections?

Dr. David :

have you tried medications like viagra or cialis?

JACUSTOMER-uwicti3f- :

yes testerone as I have tried both

Dr. David :

and those medications are not working I take it.

JACUSTOMER-uwicti3f- :

yes

Dr. David :

then the next step is penile injections like alprostadil to help with erections.

Dr. David :

there are injection medications which can go into the penis to help with erections.

Dr. David :

medication called alprostadil and Trimix and Quadmix which can cause erections

Dr. David :

even when viagra and cialis doesn't work.

JACUSTOMER-uwicti3f- :

how quickly does that work

Dr. David :

right away.

Dr. David :

injection into the penis and then erection.

Dr. David :

hello?

JACUSTOMER-uwicti3f- :

but that doesn't stop the unfurling I am really not interested in sex anymore as my wife died a while ago and I no intention I am content with looking my family

Dr. David :

you are not content with looking my family ?

Dr. David :

I don't understand?

Dr. David :

with the size of your penis?

Dr. David :

hello?

JACUSTOMER-uwicti3f- :

about 2 1/2 inches with an erection it was about 6

Dr. David :

I see.

Dr. David :

if you are overweight, this can cause extra estrogen in your body and this can cause your penis to shrink in size.

Dr. David :

so to help this, the best thing is to try to loose weight.

Dr. David :

not drinking alcohol can help cut out extra empty calories from alcohol.

Dr. David :

but if you start to exercise and eat healthy, this will help you loose weight and this will help decrease your body's estrogen levels

Dr. David :

and this over time can help your penis size.

Dr. David :

why do you keep doing that?

Dr. David :

what solution are you looking for?

Dr. David :

a pill to make your penis larger?

JACUSTOMER-uwicti3f- :

I am defitely not overweight under stone don't know what that is kgs I don't need a larger penis I am sure it hasn't shrunk

JACUSTOMER-uwicti3f- :

12stone 5ft9

Dr. David :

I see.

Dr. David :

you said that you think it seems smaller.

Dr. David :

what do you mean by revert back to its previous state?

JACUSTOMER-uwicti3f- :

well that a wild guess as I never measured it possibly I only think it is now I am focused on it

Dr. David :

do you have OCD or excessive anxiety which causes you to focus on something excessively?

JACUSTOMER-uwicti3f- :

no what is ocd but am extremely rarely anxious

Dr. David :

OCD is obscessive compulsive disorder.

Dr. David :

so you have occasional extreme anxiety?

JACUSTOMER-uwicti3f- :

defitinitely not I am not at all compulsive far from everyone tells all the time even in the hospital recently I am laid back with worries andjust content

JACUSTOMER-uwicti3f- :

no worries and smile all the time I am told

Dr. David :

I see.

Dr. David :

but you are worried now about the state of your penis and that it is smaller, correct?

Dr. David :

is that the question you have?

JACUSTOMER-uwicti3f- :

I would say worried about it just it means I I have to pull it back to pee which I never had to do other wise if I don't it goes every where

JACUSTOMER-uwicti3f- :

would nt say worried typo before trying to be too quick tying

Dr. David :

I see

Dr. David :

the penis can shrink normally as you get older

Dr. David :

this happens to many men

Dr. David :

if it means having to pull back your skin to urinate easier and not spray, then that is a new normal thing for you.

Dr. David :

this is not a big serious issue.

Dr. David :

you don't need to have more of a circumcision to have the tissue removed.

Dr. David :

you might just have to get use to a new way to urinate.

Dr. David :

are you ok with pulling back your skin to urinate for now on?

JACUSTOMER-uwicti3f- :

but this is annoying not really it looks a little odd it seemed fine a couple of years ago or so

Dr. David :

well, if it is very annoying, you can ask your doctor for a circumcision surgery to cut out more skin around the head of the penis

Dr. David :

to prevent it from blocking the flow of urine

Dr. David :

but this is a surgery procedure and you will have to heal up from that surgery.

Dr. David :

well, it very well could be from your penis shrinking in size over the last couple of years.

JACUSTOMER-uwicti3f- :

it is not blocking the I don't want to face the thought having a procedure if over the course of time but why would it shrink so quickly the size it doesn't seem much smaller if at all I would have thought it would have to have shrunk by 1 to 2inches and that could not be the case

Dr. David :

poor blood vessels from prior drinking and poor liver function and lack of sexual activity can all cause shrinking of your penis.

JACUSTOMER-uwicti3f- :

but I have been drinking the same amount for a long time I have had liver function tests the doctors given I have some cirrhosis suggested I give up which will do

JACUSTOMER-uwicti3f- :

liver ok I was able to leave after about 3 weeks but they let me stay as I wanted since coming out I have had no desire to drink

Dr. David :

able to leave about 3 weeks?

Dr. David :

leave the hospital?

JACUSTOMER-uwicti3f- :

yes but wanted to stay they said medically fit from mid june stayed until a few days ago

JACUSTOMER-uwicti3f- :

are you still there

Dr. David :

yes.

Dr. David :

what final questions do you have for me?

Dr. David :

are you saying that you don't think it is your cirrhosis which is causing your penis size change?

JACUSTOMER-uwicti3f- :

yes if it has shrunk I would have it is just I don't understand why this situation has happened the shringage would been very marginal it could possibly have so I not concerned about just why would it happen

JACUSTOMER-uwicti3f- :

ie the foreskin trying to go back

Dr. David :

most likely your penis has shrunk slightly over the past few years because of your increased age and worsening blood flow to your penis

Dr. David :

which can come from lack of sexual use

Dr. David :

and alcohol use

Dr. David :

does this make sense to you?

JACUSTOMER-uwicti3f- :

but I can still mastiurbate

Dr. David :

that is good you can still masturbate.

Dr. David :

you should continue with this.

Dr. David :

use of a penile vacuum pump can also help bring more blood flow into your penis.

Dr. David :

this could over time with routine masturbation help with your penis size.

Dr. David :

exercising and improving blood flow can help as well.

Dr. David :

are you masturbating regularly?

Dr. David :

you need to be masturbating regularly.

JACUSTOMER-uwicti3f- :

yes

Dr. David :

good.

Dr. David :

are you exercising?

Dr. David :

exercise can help improve blood flow to your penis as well.

Dr. David :

hello?

JACUSTOMER-uwicti3f- :

yes

JACUSTOMER-uwicti3f- :

I walk a lot

Dr. David :

walking around is not enough exercise.

Dr. David :

you have to get your heart rate up above 100-130 beats per minute

Dr. David :

and take deep breaths to get aerobic benefits from exercise.

JACUSTOMER-uwicti3f- :

I walk at least 1o ks a day play tennis frequently and swim

JACUSTOMER-uwicti3f- :

to wrk and back I do not drive distances less thaa mile

Dr. David :

have you had your estrogen blood levels checked?

Dr. David :

higher blood estrogen levels could cause your penis to shrink

Dr. David :

or lower testosterone levels can cause your penis to shrink.

JACUSTOMER-uwicti3f- :

but at best it could be marginal if it has

Dr. David :

if it has what?

Dr. David :

the estrogen or testosterone?

Dr. David :

you don't seem like you are willing to accept any of my reasons why your penis could have shrank

Dr. David :

I am trying my best to help you.

JACUSTOMER-uwicti3f- :

let us say it has shrunk a quarter of an inch or even half which it still wouldn't explain it

Dr. David :

you haven't told me the results of your blood testosterone and estrogen blood levels

Dr. David :

you say that these levels would be "marginal"

Dr. David :

I am not sure what that means.

Dr. David :

you should also get blood testing to check your LH and FSH levels

Dr. David :

which are hormones your pituitary glands make to send as signals to your testicles to produce testosterone.

Dr. David :

these levels could be low as well and could cause your levels to be low which could affect your penis size.

Dr. David :

hello?