My prostat is approximately 34 grams. I am taking one Tamsulocin tab. daily. Psa is 1.4. I am a diabetic. I take two tablets of Metformin one each afte lumch dinner since final four months. before taking medicine my blood sugar level was Fasting 138 Pp 263 I got it checked up few days back again. Fasting was 96 Pp 123. I have been advised to continue with the same medicines) On 25th Feb I had my following medical check up in empty belly
ANTHROPOMETRIC Measurement
Age 59 yrs
Height 171 cm
weight 77 kg
B M I 25.5
A/C/I/O Gland --- nil
Pulse 84
BP 120/84
CHEST Lungs, Heart Lucid
CNS Normal
ENT Nad but full of Wax
Dental Requires scaling
skin examination small 2 mm dia whilte spot on left legs
Bone mineral density - 1.9 ( Osteoperic) Eye examination
DV 6/6 6/6 Nv 2.5 D
DV Plano
ECG rate bpm
Leads P(uv) Q(uv) R(uv) S(uv) T(uv)
L1 74 0 519 -21 201
L2 169 0 212 -84 222
L3 95 -307 42 -10 63
aVr -95 10 74 0 -201
aV1 -21 0 477 -31 127
aVf 127 -53 21 0 137
V1 -84 0 21 -583 -95
V2 31 -1017 -116 -116 360
V3 74 - 10 106 - 1462 455
V4 84 -10 530 -901 455
V5 84 0 816 -392 254
V6 84 0 572 -95 201
Interval --- Pr 160 Qrs 92 Qt 312 Qtc 358 St 80
Axis (deg) P 61 Qrs 3 T 36
Blood Test----
Hb 14.0
sugar Fasting 96 ( earlier 3 months back it was 138)
sugar Pp 123 ( earlier it was 263)
Urea 28
serum creatinine 0.9
Uric Acid 6.0
HbA1C 7.9 ( 3 months back it was 9.1 G O T(a S T) 22
SGPT L T) 26
Tryglyceride 190
Cholesterol 204
H D L 42
L D L 124
V L D L 38
MY Father Was Diabetic Had Hypertension
taking folowong medicines -- 1) Metformine hydrochloride 500mg daily twice one each after meal 2) Tamsulocine hydrochloride 0.4 mg modified release capsules one cap daily after breakfast Can i take testosteron --- Brand name Prostonil
How are above Resuls?
Any more test required?
Does enlargement of prostat has any relation with erectile dysfunction?
Your Investigation are more or less normal (ecg I can't inerpret without its strip). Bmi 25 means you are not abese. Your sugar is high but decreasing Hba1c means you brining it to normaly. Psa is normal, Lipid profile is suggestive of sedentry lifestyle. why you are taking tamsulocin? What all urinary symptoms you have? 34 grms is not a very big size. Your erectile dysfunction could be due to Diabetes (if you have a long history of Dm), or due to prostate anlargement, or just psychogenic, it is just not possibe to make diagnosis only by investigations, without proper history and examination (tamsolcin generally is not a caus eof Ed). Yeah one more thing: dont go for prostate surgery for erectile dysfunction, it only improves urinary symptoms.
Testosterone injections are only prescribed when its value is low (you require Serum testosteone/ Fsh and Lh value)
Best wishes
Dr Tewari
Your question here is fairly lengthy and it shows you are really looking for help but you should be asking your physician these questions to get a professional answer.