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Compliments of American Academy Of  Family Physicians

Genital Problems in Men

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Follow this chart if you or a male family member has a problem with their genital area.


 

SYMPTOMS   DIAGNOSIS   SELF-CARE
Begin here        
1. Do you have any swelling or tenderness in the scrotum? Yes --> Go to Question 9.*    
No, go down        
2. Do you have a discharge, either yellowish or greenish, from the tip of the penis? Yes --> Your symptoms may represent a SEXUALLY TRANSMITTED DISEASE or an infection of the mucous glands, URETHRITIS. --> See your doctor promptly.
No, go down        
3. Do you have a burning sensation or pain with urination? Yes --> These may be symptoms of a bladder infection, CYSTITIS, or an infection of the mucous glands, URETHRITIS. --> See your doctor.
No, go down        
4. Do you have a sore or raw area on the penis? Yes --> Sores may represent a simple YEAST INFECTION, HERPES or other infections, and even CANCER. --> See your doctor promptly.
No, go down        
5. Do you have a painless sore on the shaft or head of the penis? Yes --> This mass may be from a GENITAL WART, SYPHILIS, or a form of CANCER. --> See your doctor promptly.
No, go down        
6. Is the entire tip of the penis tender or swollen? Yes --> This may be from an INFECTION of the head of the penis, BALANITIS. --> See your doctor.
No, go down        
7. Do you have blood in your semen or pain with ejaculation? Yes --> You may have an INFECTION of the prostate gland, PROSTATITIS, or an infection of the seminal vesicle. --> See your doctor. Heat and mild analgesics can bring comfort, as needed.
No, go down        
8. Do you have pain with sexual intercourse? Yes --> A number of problems, such as ALLERGY to a contraceptive, ANXIETY, PROSTATITIS, or INFECTION or DRYNESS in the partner can cause pain for the male with sexual intercourse. --> Talk to your doctor about any pain you experience during sex.
No, go down        
*9. Is the tenderness intense, and has it occurred without any injury to the testicle? Yes --> Your problem may be a severe form of infection, EPIDIDYMITIS, or a cutting off of the blood to the testicle, TESTICULAR TORSION. --> EMERGENCY
See your doctor or be seen in the emergency room right away.
No, go down        
10. Do you have mild tenderness around one testicle? Yes --> Your symptoms may be from a less tender form of EPIDIDYMITIS. --> See your doctor.
No, go down        
11. Is there a hard, painless knot on one testicle? Yes --> This type of painless knot could represent TESTICULAR CANCER, or a noncancerous SPERMATOCELE. --> See your doctor. Learn how to do a testicular self-examination.
No, go down        
12. Is there a soft swelling in the scrotum on one or both sides? Yes --> A worm-like swelling is usually a VARICOCELE, and a soft, "water balloon" swelling is usually a HYDROCELE. Small CYSTS can occur in the epididymis. --> If these swellings have not been previously diagnosed, see your doctor for an exam and instructions. These problems are all benign, but could require surgery.
No, go down        
13. Is there a soft swelling above the testicle that gets worse with activity, lifting or coughing? Yes --> This could be an INGUINAL HERNIA, a loop of the bowel that protrudes into the scrotum. --> See your doctor. Rarely, these loops can become twisted and need emergency repair. Wearing a truss or hernia belt can sometimes reduce the discomfort.
No, go down        
14. Is there tenderness with bowel movements, or is there pain behind the penis and scrotum? Yes --> This may represent an INFECTION of the prostate gland, PROSTATITIS, or possibly a more serious problem. --> See your doctor.
No, go down        
For more information, please consult your doctor. If you think the problem is serious, call right away.      

This tool has been reviewed by doctors and is for general educational purposes only. It is not a substitute for medical advice. The information in this tool should not be relied upon to make decisions about your health. Always consult your family doctor with questions about your individual condition(s) and/or circumstances. Source: American Academy of Family Physicians. Family Health & Medical Guide. Dallas: Word Publishing; 1996.

Copyright © 2006 American Academy of Family Physicians
 


 
 
 

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