instruction: hello doctor I have testicular pain in the right tests I consulted with a primary care doctor they gave me an ultrasound which came out negative but revealed tiny right tunic albuginea cyst I am covered under va health care and the urologist consultation has taken months with no follow up meanwhile I have a dull aching pain there and poor sexual performance from time to time when I had a climax or orgasm it is very weak uncomfortable low volume and unsatisfying when at the peak I feel the dull aching and pressure in the right tests then feel the above results can you help me figure out what is going on and how to fix it I am embarrassed to talk with va doctors of fear they would know what to do I also have kaiser but the doctor is new
output: hello welcome to icliniq com I have gone through your queries you are having two issues one is testicular pain another is me premature ejaculation and ed erectile dysfunction firstly I come to testicular pain it may be due to mild epididymo orchitis or it may be due to the cyst do not worry please use tight underwear or scrotal suspensory bandage it will help you to alleviate testicular dull aching pain now for the problem of ed me do you have normal morning erection do you have diabetes or any other comorbidities please undergo one us ultrasound doppler study of penis it will tell you about the vascularity of penis we can manage this problem according to the report of doppler study do not worry both problems can be solved or rather treated successfully meanwhile you can use tadalafil 10 my plus dapoxetine 30 my 30 minutes before sex this drug will act only after you get to involve in foreplay