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just a quick question, the 'plan b' or 'morning after pill'.. is it available here in the philippines? is it over the counter or is it prescribed? if it is prescribed.. what type of doctor should one go to to have it prescribed? a gynecologist or would a general practitioner be able to prescribe it as well?

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just a quick question, the 'plan b' or 'morning after pill'.. is it available here in the philippines? is it over the counter or is it prescribed? if it is prescribed.. what type of doctor should one go to to have it prescribed? a gynecologist or would a general practitioner be able to prescribe it as well?

 

AFAIK, morning after pill is not available in the Philippines.

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I am a 59 year old male with a PSA of 5.6 and my urologist is keen to do a biopsy. How necessaary is this? and how much should it cost.

 

 

your PSA level is a bit elevated, and by itself it`s not usually an indication to do a biopsy..

 

but if you have symptoms that are related to your prostate, like dysuria or difficulty in urinating, pain, discharge, etc., then a biopsy is warranted..

 

it`s up to your urologist if he wants to proceed, but think it`s better to be safe than sorry..

 

 

:mtc:

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I am a 59 year old male with a PSA of 5.6 and my urologist is keen to do a biopsy. How necessaary is this? and how much should it cost.

 

your PSA is elevated, yes.

but the sensitivity and specificity of all PSA-based screening methods are limited. There is no single test that can determine the absolute need for a biopsy. Predictors of prostate cancer, however, on biopsy, include a PSA of > 4 ng/ml, free-to-total PSA ratio, and PSA velocity. Of all these, the rapid increase in PSA is the most predictive of malignancy, and of aggressive disease.

 

You have to have a thorough discussion with your urologist, as mentioned.

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your PSA level is a bit elevated, and by itself it`s not usually an indication to do a biopsy..

 

but if you have symptoms that are related to your prostate, like dysuria or difficulty in urinating, pain, discharge, etc., then a biopsy is warranted..

 

it`s up to your urologist if he wants to proceed, but think it`s better to be safe than sorry..

 

 

:mtc:

 

Thanks for the advice. I would prefer to keep taking my torazosin 5mg daily as a maintainence rather than take the biopsy which will probably be followed by a prostatectomy. I am fearful of the expense of such a course of action and the radical nature of the surgery.

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your PSA is elevated, yes.

but the sensitivity and specificity of all PSA-based screening methods are limited. There is no single test that can determine the absolute need for a biopsy. Predictors of prostate cancer, however, on biopsy, include a PSA of > 4 ng/ml, free-to-total PSA ratio, and PSA velocity. Of all these, the rapid increase in PSA is the most predictive of malignancy, and of aggressive disease.

 

You have to have a thorough discussion with your urologist, as mentioned.

 

Thanks for the advice. If you read my reply to Peter Parker you will see where I'm at with this problem.

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Thanks for the advice. I would prefer to keep taking my torazosin 5mg daily as a maintainence rather than take the biopsy which will probably be followed by a prostatectomy. I am fearful of the expense of such a course of action and the radical nature of the surgery.

 

 

most men as they age will experience some degree of enlargement of the prostate gland..

 

some cases can be managed medically, others will have to be treated surgically..

 

i would advise you to observe and watch out for symptoms related to an enlarging prostate, like difficulty in urination, pain, etc.. this could mean that your medicine is not working for you.. if this happens, surgery would be the best option..

 

 

:mtc:

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if its BPH or simple hyperplasia, medical treatment with alpha-reductase inhibitors will work. Otherwise, it wont.

a biopsy will determine if its benign or otherwise. Im sorry if i have to be blunt, and i do understand your worries and hesitation.

 

keep on following up na lang with your urologist.

Edited by angel_by_day
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hindi nakakahawa ang f.i.a. pero wala kang magagawa kundi hugasan lang ito ng maige. ang siste, kahit hugasan mo ito, may lalabas ding nana na may kasamang dugo yan mamaya-maya.

 

bali wala ang antibiotiko sa sobrang dami ng nana na meron dito. ang tanging sagot, gaya ng nabanggit ng ibang kasama ko dito, ay surgery. kailangan lagyan yan ng drain para tulyan mawala ang nana bago magsara ang fistula (daanan/butas).

 

for the mean time, try wearing adult diapers. :)

 

 

 

gusto ko pong magvisit sa doctor ano po ang specialization ng doctor na pupuntahan ko ?

 

i visited a surgeon. then i underwent protosigmoidoscopy. sabi ng dr. may mga tumubo raw sa loob ng rectum ko na parang maliliit at mapupula na tagihawat. kumuha sya ng specimen for biopsy. im still waiting for the result. wala raw syang nakitang ibang problem sa rectal area ko. so ngayon patuloy pa rin ang discharges ko. what should i do now?

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