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Ask The Urologist Anything (Dr Michael Rotman)
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<blockquote data-quote="ajamesmiller35" data-source="post: 85139" data-attributes="member: 16851"><p>Dr. Rotman:</p><p></p><p>Have you (or anyone else on this forum) heard of Clomid causing prostate problems? I am 27 years old and am taking 25 mg every day for infertility. It has drastically raised my testosterone (from 107 to about 670 last time we checked) and has drastically improved my fertility.</p><p></p><p>However, a few months after beginning the Clomid, I began having pain in one of my testicles. I went to a local PA, and was diagnosed with epididymitis. No labs of any kind were done, only a physical exam, but I was prescribed Levaquin 500 mg once daily for 10 days. The pain got worse for several days, and then I noticed my prostate began hurting. At this time I also felt a constant need to urinate, and pain in my urethra. I called the PA and said I wasn't feeling better and she extended the course of Levaquin to 14 days. After finishing my course of antibiotics, I still didn't feel better. I went back to the PA, and a PSA, Chlamydia and Gonorrhea test, UA, and scrotal ultrasound were done. They all came back normal. The PA suggested she thought it might be from the Clomid, because she couldn't find any sign of infection. I was then referred to my urologist.</p><p></p><p>I started feeling slowly better however and my urologist is a 3 hour drive away, so I didn't go see him right away. However, I have continued to have symptoms on and off for the last 4 months including testicle pain, prostate pain, and urethra pain. About 3 weeks ago, the pain in my prostate got significantly worse so I scheduled an appointment with my urologist. I have also been having a very weak stream of urine, and it is hard to finish urinating. I have never had any discharge, visible signs of inflammation, or pain with sex or ejaculation.</p><p></p><p>After going to see the urologist, the only test they did was a simple UA. He took a quick look at my testicles, but did not do a prostate exam. He said he thought it was prostatitis that wasn't properly treated by the first round of antibiotics, because prostate infections take longer to treat, and put me on Bactrim DS twice daily for 30 days. He said he had never heard of Clomid causing prostatitis. Its been about a week and a half on Bactrim so far, and I feel just as bad as when it started. I have been avoiding drinking water lately, because I feel like I have to go to the bathroom almost constantly. It seems like the more I have to urinate the more irritated everything gets. </p><p></p><p>I talked to my wife's doctor (not in the scope of an appointment) and she also thought it could be from Clomid. She said she couldn't find any mention of this in the literature, but theoretically anything that increases your testosterone too much could cause your prostate to swell. I haven't had a testosterone test done since before this began. Is there any possible link, or does this just sound like an infection? I have felt like I have had an overactive bladder and difficulty finishing urinating my whole life, but it is a lot worse now. Could this be related?</p><p></p><p>Please help!</p></blockquote><p></p>
[QUOTE="ajamesmiller35, post: 85139, member: 16851"] Dr. Rotman: Have you (or anyone else on this forum) heard of Clomid causing prostate problems? I am 27 years old and am taking 25 mg every day for infertility. It has drastically raised my testosterone (from 107 to about 670 last time we checked) and has drastically improved my fertility. However, a few months after beginning the Clomid, I began having pain in one of my testicles. I went to a local PA, and was diagnosed with epididymitis. No labs of any kind were done, only a physical exam, but I was prescribed Levaquin 500 mg once daily for 10 days. The pain got worse for several days, and then I noticed my prostate began hurting. At this time I also felt a constant need to urinate, and pain in my urethra. I called the PA and said I wasn't feeling better and she extended the course of Levaquin to 14 days. After finishing my course of antibiotics, I still didn't feel better. I went back to the PA, and a PSA, Chlamydia and Gonorrhea test, UA, and scrotal ultrasound were done. They all came back normal. The PA suggested she thought it might be from the Clomid, because she couldn't find any sign of infection. I was then referred to my urologist. I started feeling slowly better however and my urologist is a 3 hour drive away, so I didn't go see him right away. However, I have continued to have symptoms on and off for the last 4 months including testicle pain, prostate pain, and urethra pain. About 3 weeks ago, the pain in my prostate got significantly worse so I scheduled an appointment with my urologist. I have also been having a very weak stream of urine, and it is hard to finish urinating. I have never had any discharge, visible signs of inflammation, or pain with sex or ejaculation. After going to see the urologist, the only test they did was a simple UA. He took a quick look at my testicles, but did not do a prostate exam. He said he thought it was prostatitis that wasn't properly treated by the first round of antibiotics, because prostate infections take longer to treat, and put me on Bactrim DS twice daily for 30 days. He said he had never heard of Clomid causing prostatitis. Its been about a week and a half on Bactrim so far, and I feel just as bad as when it started. I have been avoiding drinking water lately, because I feel like I have to go to the bathroom almost constantly. It seems like the more I have to urinate the more irritated everything gets. I talked to my wife's doctor (not in the scope of an appointment) and she also thought it could be from Clomid. She said she couldn't find any mention of this in the literature, but theoretically anything that increases your testosterone too much could cause your prostate to swell. I haven't had a testosterone test done since before this began. Is there any possible link, or does this just sound like an infection? I have felt like I have had an overactive bladder and difficulty finishing urinating my whole life, but it is a lot worse now. Could this be related? Please help! [/QUOTE]
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