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Is it PENILA CIS or BOWENOID PAPULOSIS in picture?

Resolved Question:

Hello Doctor,

I wanted you look at this picture and tell me if this is a penile carcinoma in situ ( CIS )? is it bowenoid papulosis? what is the diagnosis

Category: Endocrinologist

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Dr. J Muthukrishnan
Category: Diabetologist
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 31 Doctors Online

Expert:  Dr. J Muthukrishnan
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Hello,
Thank you for your query at DoctorSpring.com
Yes, it can be related to low testosterone levels. Do you have poor erections, and loss of libido as well.?
You need to check Free Testosetrone levels, LH, FSH, Thyroid function, prolactin levels too.
Once you get the investigations done, I can suggest management based on that.
Feel free to discuss further,
Regards.


Patient replied :

Hello I will get those levels checked out asap.. yes I also have loss of sex drive also hard to maintain errections for a length of time.. without the use of viagra.. but don't want to take viagra as it does not raise testosterone problems that could be the cause of being tired and lethargic all the time... Just out of curiosity are the patches or gels better or the same ?


Expert:  Dr. J Muthukrishnan
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Hello,
Yes gels and patches have their advantages.
But injections quarterly or monthly are better.
Get back to me with your levels,
Regards.

Dr. J Muthukrishnan
Category: Diabetologist
Experience: 
Fellowships/Training: 
1. 10th Asia-Pacific Pediatric Endocrine Society  Fellows meeting, Seoul, Korea, Oct 2008
2. Eighth ICMR Course on Genetics and Genetic Counseling – Jul 2008 – SGPGI, Lucknow
3. Annual Certificate Course on Endocrinological Laboratory Techniques at National Institute of Nutrition (ICMR) Hyderabad,India, ( Aug-Sep 2006) 
Fellowship: Endocrinology, Diplomate of National Board, National Academy of Medical Sciences, New Delhi, 2008, Medwin Hospital, Hyderabad
Senior Residency: Diplomate of National Board (General Medicine), National Academy of Medical Sciences, New Delhi, 2002
Residency: MD, General Medicine, 1997-2000, Armed Forces Medical College, 2nd position in University
Medical School: MBBS, Armed Forces Medical College, 1992
Dr. J Muthukrishnan and 4 other Medical Specialists are ready to help you

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