How can I improve my sexual health as a 25-year-old male in Ghana, Africa?

The pain you're experiencing in your pelvis and pubic area in the evenings could be related to your enlarged prostate, bladder indentation, and inguinal hernias. These conditions can indeed cause discomfort, especially when you're sitting for extended periods or during activities like traveling or sexual arousal. It's good that you're on Tamudra; it should help manage your symptoms. To ease the pain, try taking breaks during long periods of sitting, use a cushion for support, and avoid activities that trigger discomfort. If the pain persists or worsens, don't hesitate to reach out to urologist for further evaluation. 

Low sperm count can happen due to hormonal imbalances, medical conditions, lifestyle factors, and more. If you're experiencing this issue, I recommend you to consult a urologist or a fertility specialist. 

Kidney issues can happen due to various reasons like high blood pressure, diabetes, or even certain medications. It's essential to get a proper evaluation to understand what's going on. In fact, seeing an urologist for some tests like blood work and maybe a kidney ultrasound can give us a clearer picture. Meanwhile, make sure to stay hydrated, watch your salt intake, and follow any dietary recommendations. 

Sexually transmitted diseases, which are also called STDs, are contracted through sexual acts. Many STDs appear as chlamydia, gonorrhea, syphilis, and HIV/AIDS. It is crucial to go to a qualified gynecologist or a urologist, once you suspect that you have an STD or have some symptoms that you think might be an STD. 

Urinary tract infections happe­n when harmful bacteria ente­r your urinary system, causing frequent urination, burning se­nsations, and unpleasant odors or cloudiness. If the initial antibiotics fail to e­liminate the bacteria, your urologist may pre­scribe different one­s. Completing the full course of antibiotics is crucial for re­covery. 

No certain genetic factors can contribute to male infertility, it's not commonly considered hereditary. 
 

You are likely suffering from a urinary tract infection, which can lead to a greenish discharge from your penis and a burning sensation when you urinate. You could try attempting to use the antibiotics ciprofloxacin to treat the infection. Be sure to drink enough water and take it easy. Medication should be taken until the end even if the patient starts to feel better. If your symptoms persist, it is advisable to visit a urologist to obtain the correct prescription.

It's actually quite common for people wants to spend more time during sex. There could be various reasons for this, such as stress, fatigue, relationship issues, or even certain medical conditions. To improve your sexual stamina, it's important to focus on overall health - getting regular exercise, eating a balanced diet, and managing stress can all help. Additionally, communication with your partner is key. If you're considering taking any tablets or supplements, it's best to consult with an urologist first to ensure they are safe and appropriate for you. 

You might have a condition called phimosis, where the foreskin of the penis cannot be pulled back. You need to consult a urologist who will perform tests on you and determine what your next step should be. 

If you get abdominal and urinary pain with bloody stool, it may be the time you were inoculated with a urinary tract infection (UTI). A urologist for UTI and urinary tract infections is necessary to seek counsel.

You might have prostatitis. This is the case if your prostate becomes swollen and irritated due to some activities such as masturbation. Besides, your testicles might get a dull ache, and you might feel a weird urge to pee frequently. You can stop doing the frequent masturbation which is the main cause, drink more water, and see a urologist.

Loss of ability to pull back the foreskin is a typical, but curable, condition named phimosis. It might be result of a medical condition that led to birth defect. The best option is to see the urologist who can do the full body test and recommend the most suitable drugs for the specific case.

The chance that the fluid you mentioned is semen is high which is the normal product of the male reproductive system. Nevertheless, if the pain or unusual appearance has any appearance, immediate consultation with your urologist is required for definite diagnostic and treatment purposes.

It's great to hear that TENS therapy has positively impacted your urge incontinence. This condition often stems from nerve signaling issues or muscle dysfunction, leading to an improper bladder response. Continuing your therapy for another year may further improve your symptoms, but it’s essential to gradually assess your progress. Some patients do find relief without ongoing treatments afterward. However, it's crucial to stay in touch with your urologist throughout this process for personalized guidance and to help evaluate your specific situation. 

It's actually quite common for the skin to develop darker areas after inflammation like acne. This happens because of an increase in melanin production in response to the healing process. To address this, it's important to protect your skin from the sun as UV rays can worsen pigmentation. Using gentle exfoliants and brightening creams containing ingredients like vitamin C or kojic acid can also help fade those spots over time. If these home remedies don't show improvement, don't hesitate to see a dermatologist for personalized treatment options.

Seeing blood in your urine is not normal and should be a cause for concern. Both a urine test and a visual examination have confirmed this, leaving no doubt. There are many possible causes, such as infections, kidney stones, or more serious conditions. It is important to seek medical help from a urologist as soon as possible so they can run the necessary tests to determine the problem. This will allow them to prescribe the appropriate medication based on the diagnosis.

You should immediately consult a urologist or a dermatologist. This may be due to sexually transmitted infections such as HSV or chlamydia, and a wound in the perianal region could represent skin infections like folliculitis or herpes.

A 4mm stone in the middle part of your right kidney can cause discomfort, such as pain in your side or back, and possibly changes in urination. These stones often form due to dehydration, diet, or other medical conditions. Many small stones can pass naturally with increased hydration and some dietary adjustments. However, it’s crucial to follow up with an urologist for personalized guidance and to ensure there are no complications. They may suggest imaging tests or medications to help manage any symptoms.