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My health and wellness with Fely, Sugar Land, TX (2026)

08/11/2026

Prostatitis vs. BPH: Same Prostate, Different Problems

08/11/2026

🚹 MEN’S HEALTH EDUCATION SERIES
EPISODE 8: PROSTATITIS

Prostatitis is inflammation or irritation of the prostate gland. The prostate is a small gland located below the bladder and surrounding part of the urethra—the tube that carries urine out of the body.

Because of its location, an inflamed prostate may cause urinary problems, pelvic pain and s*xual discomfort.

Prostatitis is not the same as an enlarged prostate or prostate cancer, although some symptoms can overlap. It also does not mean that an STI is always present.

🔎 THE MAIN TYPES

🔹 Acute bacterial prostatitis: A sudden bacterial infection that may cause severe symptoms, including fever, chills and difficulty urinating.

🔹 Chronic bacterial prostatitis: A bacterial infection that develops slowly, lasts longer or repeatedly returns.

🔹 Chronic prostatitis/chronic pelvic pain syndrome: Pelvic or urinary symptoms lasting three months or longer, often without evidence of a bacterial infection. This is the most common form.

🔹 Asymptomatic inflammatory prostatitis: Inflammation is discovered during testing for another reason, but the man has no symptoms.

⚠️ POSSIBLE SYMPTOMS

Symptoms vary depending on the type and may include:

• Burning or pain during urination
• Frequent or urgent urination
• Waking repeatedly at night to urinate
• Difficulty starting or maintaining urine flow
• A weak or interrupted urine stream
• Feeling that the bladder has not emptied
• Pain in the lower abdomen, groin or lower back
• Pain between the sc***um and a**s
• Pain in the p***s, sc***um or testicles
• Pain during or after ej*******on
• Cloudy or bloody urine
• Fever, chills, body aches, nausea or vomiting

Acute bacterial prostatitis usually begins suddenly and can become serious quickly. NIDDK⁠

🧪 HOW IS IT EVALUATED?

A healthcare professional may review the symptoms and medical history and perform:

• A urine test and urine culture
• STI testing when appropriate
• Blood tests when a serious infection is suspected
• A physical examination, which may include a re**al examination
• Additional urinary or imaging tests when symptoms persist or another condition is suspected

✅ WHAT MAY HELP?

Treatment depends on the specific type of prostatitis.

Antibiotics: Used for acute or chronic bacterial prostatitis. The antibiotic and treatment length depend on the suspected bacteria and test results. Complete the full prescribed course.

Alpha-blockers: Medicines such as tamsulosin may relax the muscles near the prostate and bladder neck, improving difficulty or pain with urination.

Pain relief: Acetaminophen or an anti-inflammatory medicine such as ibuprofen may help when appropriate and safe for the patient.

Pelvic-floor physical therapy: May help men with chronic pelvic pain, tight pelvic muscles or recurring discomfort.

Warm sitz baths or heating pads: May reduce pelvic discomfort.

Lifestyle adjustments: Some men benefit from limiting caffeine, alcohol, spicy foods and acidic drinks if they worsen urinary symptoms. Staying adequately hydrated may also help.

Counseling, stress-management techniques or other pain treatments may be included when long-term pelvic pain affects sleep, mood, relationships or s*xual function.

⚠️ ANTIBIOTICS ARE NOT ALWAYS THE ANSWER

Not every case of prostatitis is caused by bacteria. Antibiotics will not treat nonbacterial chronic pelvic pain syndrome unless a bacterial infection is also present. Treatment may require a combination of approaches rather than one medicine.

🚨 GET URGENT MEDICAL HELP IF YOU:

• Cannot urinate
• Have fever or chills with painful or difficult urination
• Have blood in the urine
• Develop severe pelvic or ge***al pain
• Become confused, extremely weak, short of breath or severely unwell

These may indicate urinary blockage, a serious bacterial infection or sepsis. Mayo Clinic⁠

Prostatitis can be uncomfortable and frustrating, but effective treatment begins with identifying whether the cause is bacterial, inflammatory, muscular or a combination of factors.

My Health & Wellness with Fely

08/11/2026

🚹 MEN’S HEALTH EDUCATION SERIES
EPISODE 7: VARICOCELE & MALE FERTILITY

A varicocele is an enlargement of the veins inside the sc***um—the loose pouch of skin that holds the testicles. It is similar to having varicose veins in the legs.

When the valves inside these veins do not move blood efficiently, blood can collect around the testicle, causing the veins to widen. Varicoceles occur more commonly on the left side because of differences in how the left testicular vein drains.

Many varicoceles cause no symptoms and are discovered during a physical examination or fertility evaluation.

⚠️ POSSIBLE SIGNS

A man with a varicocele may notice:

• A dull, aching or dragging pain in the sc***um
• Pain that becomes worse after standing, exercising or later in the day
• Discomfort that improves when lying down
• A heavy feeling in the sc***um
• Enlarged or twisted veins that may feel like a “bag of worms”
• One testicle appearing smaller than the other
• Difficulty achieving pregnancy with a partner

However, not every enlarged vein can be seen or felt without an examination.

🧬 HOW CAN A VARICOCELE AFFECT FERTILITY?

The testicles function best at a temperature slightly below normal body temperature. Blood pooling in enlarged veins may increase the temperature around the testicle and contribute to oxidative stress.

In some men, this may affect:

• S***m production and s***m count
• S***m movement, called motility
• S***m shape, called morphology
• Testicular growth or size
• Testosterone production in certain cases

Having a varicocele does not automatically mean that a man is infertile. Many men with varicoceles father children without treatment. Mayo Clinic⁠

🩺 HOW IS IT EVALUATED?

A healthcare professional may:

• Examine the sc***um while the man is standing and lying down
• Ask him to briefly bear down to make smaller veins easier to detect
• Order a scrotal ultrasound if the examination is unclear
• Request a semen analysis when fertility is a concern
• Check hormone levels when symptoms suggest low testosterone or another hormonal problem

A fertility evaluation should consider both partners because pregnancy difficulties may have male, female or combined causes.

✅ WHAT MAY HELP?

Observation: A painless varicocele with normal testicular development and no fertility concerns may only require monitoring.

Supportive underwear: Briefs or an athletic supporter may reduce pulling and discomfort.

Pain relief: Acetaminophen or ibuprofen may help mild pain if the person can take them safely, but they do not remove the enlarged veins.

Varicocelectomy: A surgeon closes the affected veins so blood can flow through healthier veins.

Embolization: A specialist blocks the abnormal vein through a catheter without traditional open surgery.

Treatment may be considered when there is persistent pain, reduced testicular growth, abnormal semen results or infertility. Current guidance recommends considering varicocele repair in men trying to conceive when the varicocele can be felt on examination, infertility is present and semen testing is abnormal. Surgery is generally not recommended solely for a small varicocele found only on imaging. AUA/ASRM guideline⁠

🚨 WHEN TO GET HELP

Arrange a medical evaluation for a new lump, swelling, persistent ache, change in testicular size or difficulty conceiving.

Go to the emergency room immediately for sudden, severe testicular pain, especially with swelling, nausea, vomiting or abdominal pain. This pattern may indicate testicular torsion—not a varicocele—and treatment cannot wait.

A varicocele is common, and many cases do not require treatment. When it affects comfort, testicular development or fertility, effective treatment options are available.

My Health & Wellness with Fely

08/11/2026

🚹 MEN’S HEALTH EDUCATION SERIES
EPISODE 6: TESTICULAR PAIN

Testicular pain should never be ignored. It may come from the testicle itself, the surrounding structures or pain traveling from another part of the body.

Some causes are minor, but sudden pain may indicate testicular torsion—a medical emergency that can permanently damage the testicle within hours.

⚠️ POSSIBLE CAUSES

🔹 Testicular torsion: The s***matic cord twists and cuts off blood flow to the testicle. It usually causes sudden, severe pain on one side, swelling, nausea, vomiting or lower-abdominal pain.

🔹 Epididymitis: Inflammation or infection of the tube behind the testicle. Pain and swelling often develop more gradually and may occur with fever, painful urination, urinary frequency or pe**le discharge. It may be caused by an STI or urinary bacteria.

🔹 Injury: Sports, exercise, s*xual activity or direct impact may cause pain, bruising and swelling.

🔹 Varicocele: Enlarged veins in the sc***um may cause a dull, dragging ache or heavy feeling, often worse after standing or physical activity.

🔹 Inguinal hernia: Part of the intestine may push into the groin or sc***um, causing pain, swelling or a visible bulge.

🔹 Hydrocele or cyst: Fluid or a cyst around the testicle may cause swelling, heaviness or discomfort.

🔹 Referred pain: Kidney stones, back problems or nerve irritation may sometimes cause pain that is felt in the testicle.

🔹 Testicular cancer: Pain alone is not usually the main sign, but a painless lump, firmness, swelling or change in the size or shape of a testicle must be checked.

🚨 GET EMERGENCY HELP IMMEDIATELY IF YOU HAVE:

• Sudden or severe pain in one testicle
• Pain with nausea, vomiting or abdominal pain
• Rapid swelling, redness or a testicle sitting higher than usual
• Pain that continues while resting
• Severe pain following an injury

Do not wait to see whether sudden, severe pain will improve. Testicular torsion requires urgent surgery, and treatment is most successful when performed quickly. NHS guidance⁠

🩺 HOW IS THE CAUSE IDENTIFIED?

A healthcare professional may perform an examination and order urine tests, STI testing or a scrotal ultrasound. When torsion is strongly suspected, emergency surgical evaluation should not be delayed.

✅ WHAT MAY HELP?

Treatment depends entirely on the cause:

• Torsion: Emergency surgery
• Bacterial epididymitis: Appropriate prescription antibiotics
• Minor injury: Rest, supportive underwear and a wrapped cold pack may help after serious injury has been excluded
• Pain relief: Acetaminophen or ibuprofen may be appropriate for some people, but they do not treat the underlying cause
• Varicocele, hernia, hydrocele or persistent pain: Medical or urological evaluation; a procedure may sometimes be needed

Do not take leftover antibiotics or assume every painful testicle is caused by an STI. Epididymitis treatment depends on whether the likely cause is an STI or urinary bacteria. CDC guidance⁠

Arrange a medical evaluation for persistent aching, swelling, a lump, urinary symptoms or any change in the size, shape or firmness of a testicle.

Embarrassment should never delay care. Sudden testicular pain is an emergency until a healthcare professional determines otherwise.

My Health & Wellness with Fely

08/11/2026

🚹 MEN’S HEALTH EDUCATION SERIES
EPISODE 5: PREMATURE EJ*******ON

Premature ej*******on occurs when ej*******on repeatedly happens sooner than desired, with difficulty delaying it and enough frustration or distress to affect confidence, intimacy or a relationship.

An occasional episode is common—especially during stress, excitement or after a long period without s*xual activity. It becomes a concern when it happens regularly and bothers the man or his partner.

Premature ej*******on may be:

🔹 Lifelong: Present since a man’s earliest s*xual experiences.
🔹 Acquired: Begins after a period of previously satisfactory ejaculatory control.

⚠️ WHAT MAY CONTRIBUTE?

Premature ej*******on usually does not have one simple cause. Emotional and physical factors may work together, including:

• Performance anxiety, stress or depression
• Relationship or communication difficulties
• Worry about losing an er****on
• Erectile dysfunction
• Prostate, urinary or urethral inflammation
• Certain thyroid or hormonal problems
• Learned patterns of rushing s*xual activity
• Increased sensitivity or differences in brain chemicals involved in ej*******on

✅ WHAT MAY HELP?

1. Stop–start technique: Pause stimulation just before ej*******on, allow the urge to decrease and then restart. Repeated practice may improve awareness and control.

2. Pause–squeeze technique: Briefly stop stimulation and gently squeeze where the head meets the shaft until the urge decreases. Stop if it causes pain.

3. Condoms: Regular, thicker or “climax-control” condoms may reduce sensitivity and delay ej*******on.

4. Topical numbing products: Lidocaine, prilocaine or benzocaine creams, gels or sprays may reduce sensitivity. Follow the directions carefully. Wash the product off before s*xual contact or use a condom to avoid numbing your partner.

5. Counseling or s*x therapy: This may help reduce performance anxiety, improve communication and address stress or relationship concerns.

6. Prescription treatment: Certain antidepressants—including paroxetine, sertraline, fluoxetine or clomipramine—may delay ej*******on. They are commonly prescribed off-label in the United States and must be used under professional supervision.

Medicines such as sildenafil or tadalafil may also help some men when erectile dysfunction is present. Treatment often works best when the contributing factors are addressed alongside behavioral or medical therapy. AUA/SMSNA guideline⁠

⚠️ DO NOT SELF-MEDICATE

Do not begin antidepressants, tramadol or unregulated s*xual-enhancement supplements without professional guidance. Tramadol is an opioid that can cause dependence, serious interactions and other harmful effects.

Speak with a healthcare professional if the problem:

• Happens regularly and causes distress
• Begins suddenly after previously normal function
• Occurs with erectile difficulties
• Is accompanied by pelvic pain, painful ej*******on or urinary symptoms
• Is affecting your confidence or relationship

Premature ej*******on is common, treatable and nothing to be ashamed of. A healthcare professional can help identify contributing factors and recommend the safest treatment. Mayo Clinic⁠

My Health & Wellness with Fely

08/11/2026

5 Important Nutrients for Men Over 50

Keep the same five nutrients, but adjust the benefits:

1. Vitamin D
* Helps the body absorb calcium
* Supports bones and muscles
2. Calcium
* Helps maintain strong bones
* Becomes increasingly important with age
3. Vitamin B12
* Supports nerves and red blood cells
* Absorption may decrease after age 50
4. Magnesium
* Supports muscles and nerves
* Contributes to bone health
5. Omega-3 Fatty Acids
* Supports heart and blood-vessel health
* Found in fatty fish, chia seeds and walnuts

FOOD FIRST

Not every man needs supplements. Nutritional needs depend on diet, age, medications, health conditions and laboratory results.

08/11/2026

1️⃣ 🇨🇩 Democratic Republic of the Congo – Ebola Outbreak May Have Started Months Before Detection
Health officials say investigations suggest the Bundibugyo Ebola outbreak may have begun months before it was officially recognized. The delayed detection may have allowed the virus to spread unnoticed through communities. Health agencies are strengthening case finding, contact tracing, laboratory testing and community education to help control further transmission.

2️⃣ 🇧🇩 Bangladesh – Measles Resurgence Raises Concerns About Vaccination Gaps
Bangladesh is experiencing a resurgence of measles, with young children particularly affected. Health experts say gaps in routine childhood immunization may have left many children vulnerable. Authorities are emphasizing catch-up vaccination, stronger disease surveillance and improved access to routine immunizations.

3️⃣ 🇬🇧 United Kingdom – New Oral GLP-1 Weight-Loss Medicine Approved
The United Kingdom has approved orforglipron, a once-daily oral GLP-1 medicine for weight management. Unlike many current GLP-1 treatments that are given by injection, this medication is taken as a tablet, potentially providing another treatment option for eligible adults living with obesity.

4️⃣ 🇦🇺 Australia – Bird Flu Prompts Increased Disease Surveillance
Australian authorities are increasing surveillance following concerns about highly pathogenic avian influenza among wild birds. Officials are monitoring bird populations closely and reminding the public to avoid handling sick or dead birds and to report unusual bird deaths when appropriate.

5️⃣ 🇺🇸 United States – Proposed Childhood Vaccine Changes Spark Public-Health Discussion
Proposed changes to the U.S. childhood vaccination schedule are generating discussion among pediatricians and public-health experts. Specialists emphasize that decisions about vaccine timing and recommendations should continue to be guided by strong evidence on disease risk, safety, effectiveness and protection of children.

🚨 Bonus Headline

🇱🇨 Saint Lucia – Health Surveillance Expands to Include More Chronic Diseases
Saint Lucia is strengthening its health surveillance system by tracking chronic illnesses such as cardiovascular disease, diabetes and cancer alongside infectious diseases. The expanded approach could help health authorities identify disease trends earlier and better target prevention programs and healthcare resources.

💙 Follow My Health & Wellness with Fely for more daily health headlines from around the world.

08/10/2026

🚹 MEN’S HEALTH EDUCATION SERIES
EPISODE 4: LOW TESTOSTERONE

Low testosterone—often called “Low T”—occurs when the body does not produce enough testosterone. This hormone supports s*x drive, s***m production, er****ons, muscle mass, bone strength and red blood cell production.

⚠️ POSSIBLE WARNING SIGNS

• Reduced s*x drive
• Fewer spontaneous or morning er****ons
• Erectile difficulties
• Low s***m count or infertility
• Persistent fatigue or low energy
• Reduced muscle mass or strength
• Increased body fat
• Mood changes or poor concentration
• Reduced facial or body hair
• Enlarged or tender breasts
• Weaker bones when deficiency continues

These symptoms do not automatically mean that testosterone is low. Depression, thyroid disorders, diabetes, medication effects, poor sleep and other health conditions can cause similar problems.

🔍 WHAT CAN CAUSE LOW TESTOSTERONE?

Possible causes include aging, obesity, type 2 diabetes, testicular injury or infection, pituitary disorders, severe illness and certain medicines—especially long-term opioids or corticosteroids. Anabolic steroid use can also suppress the body’s natural testosterone production.

🧪 HOW IS IT DIAGNOSED?

Low testosterone should not be diagnosed from symptoms or one random blood test. A proper diagnosis generally requires symptoms plus at least two low testosterone results from early-morning blood tests, usually between 7 and 10 a.m. Additional tests may be needed to identify the underlying cause.

✅ WHAT MAY HELP?

Treatment depends on the cause. Improving sleep, treating sleep apnea, losing excess weight, controlling diabetes and reviewing contributing medicines may help some men.

Testosterone replacement therapy may be prescribed when a genuine deficiency is confirmed. It is available as injections, gels, patches, nasal products, pellets and certain oral formulations.

⚠️ IMPORTANT FERTILITY WARNING

Testosterone treatment can reduce s***m production and may cause infertility. Men planning to have children should discuss fertility-preserving alternatives with a specialist before starting treatment.

TRT also requires regular monitoring of testosterone levels, blood counts, prostate health, urinary symptoms and possible side effects. It should not be used simply for bodybuilding, athletic performance or normal age-related changes without proper evaluation.

Do not self-treat with testosterone or unregulated “testosterone boosters.” Get tested, identify the cause and choose treatment safely.

My Health & Wellness with Fely

08/10/2026

🚹 ENLARGED PROSTATE: WARNING SIGNS MEN SHOULD NOT IGNORE

If a man is waking several times at night to urinate, struggling to start urinating or noticing a weaker stream, it should not simply be blamed on aging.

Benign prostatic hyperplasia (BPH) is a noncancerous enlargement of the prostate. As the prostate grows, it can press against the urethra and interfere with urine flow.

⚠️ COMMON WARNING SIGNS

• Difficulty starting urination
• Weak or interrupted urine stream
• Dribbling after urination
• Feeling that the bladder did not empty completely
• Frequent or urgent urination
• Waking repeatedly at night to urinate
• Straining to urinate

BPH is not prostate cancer, but infections, bladder problems, prostatitis and prostate cancer can cause similar symptoms. A medical evaluation may include a urine test, prostate examination and sometimes a PSA blood test.

💊 TREATMENT OPTIONS

Mild symptoms may be monitored. Helpful changes include limiting fluids before bedtime, reducing caffeine and alcohol, and avoiding holding urine for too long.

Prescription medicines may include:

• Tamsulosin (Flomax®), alfuzosin, doxazosin or terazosin—relax the prostate and bladder-neck muscles to improve urine flow. They may cause dizziness, low blood pressure or ej*******on changes.

• Finasteride (Proscar®) or dutasteride (Avodart®)—gradually shrink the prostate but may take several months to provide full benefit.

• Tadalafil (Cialis®)—may improve both BPH symptoms and erectile dysfunction in appropriate patients.

Some cold and allergy medicines, including decongestants such as pseudoephedrine and sedating antihistamines such as diphenhydramine, may worsen urinary symptoms. Ask your pharmacist before using them.

🚨 GET URGENT HELP if you cannot urinate, develop severe lower-abdominal pain, see blood in your urine, or have urinary symptoms with fever and chills.

Do not suffer silently—early evaluation can protect the bladder and kidneys.

08/10/2026

🚹 Welcome to our Men’s Health Education Series!

We have already discussed:

✅ Episode 1: Low S***m Count
✅ Episode 2: Erectile Dysfunction

Coming next:

🔜 Episode 3: Enlarged Prostate (BPH)

Follow along as we discuss important men’s health concerns clearly, respectfully and without embarrassment.

Follow, save and share—someone may need this information.

My Health & Wellness with Fely

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08/11/2026

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