I had a 40 ish Male patient, claiming that whenever he has to pee, a semen like discharge comes out in his penis. and this also happens, whenever he saw his wife thru videocalling He says few seconds after videocalling.. He denies masturbating often. He claims he had only 1 partner and it was his wife. Is it a precum? what are the causes and how to treat ?
Yes. By History, he denies any sexual contact other than his wife. The symptoms started 5 years after they got married. Even his wife denies any sexual history with other men. By screening test, Negative for STI.
This is the common finding if a person is having frequent erections. Looks like he gets excited often when he video calls his wife. Also with history of not masturbating often makes it evident that he must be getting aroused easily when he does video call his wife. No treatment needed.
This appears to be dhat syndrome where the person believes that he's passing semen while urinating.
Whenever there's a heightened sexual desire or arousal there are some secretions which come through the penis which is a secretiom from the cowper's glands.
Assurance to the patient and explaining them what it is is sufficient.
This is a perfectly normal physiological phenomenon. Does not require any treatment. Also, it will not harm either him or his wife in anyway. So, there is no reason to get concerned. If he starts masturbation regularly, it might decrease and his excitability also might decrease.
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