Urinary tract infection and varicocele?
Hello Director Du,
About three months ago, I experienced painful urination and pus discharge, and after examinations at the hospital, the results were normal.
I began treatment at that time, but my condition has been fluctuating.
After undergoing a complete set of tests, it was discovered that I had a problem with uropathogenic bacteria, and my doctor adjusted my medication accordingly.
Recently, my condition seems to have improved, but I was also diagnosed with a varicocele.
I read online that you recommend exercising for at least 30 minutes daily, so as long as the weather isn't too cold, I go out for a brisk walk for half an hour.
However, I also found information online stating that individuals with varicocele should avoid prolonged standing or strenuous leg exercises.
1.
Should I continue walking every day, or are there other exercises that might be more suitable for me? Due to the previous infection, I haven't engaged in masturbation or sexual activity for a long time (my wife has also been tested).
2.
Given that my recent test results are normal and I am feeling better, is it safe to resume these activities? Although we currently have no plans for children, I think it would be wise to have a semen analysis since varicocele may lead to infertility.
3.
If there was a previous urinary tract infection, can a semen analysis detect any infection, or does it only assess sperm count and motility?
4.
I understand that smoking is generally harmful to health, but due to work-related reasons, it is challenging for me to quit.
Does smoking exacerbate the condition of varicocele?
Thank you for your response.
Feng Tian, 30~39 year old female. Ask Date: 2017/03/03
Dr. Du Shixi reply Urology
Hello: Prolonged standing or engaging in leg-intensive activities should refer to several hours rather than just a few minutes.
This helps with vascular circulation.
1.
Walking is beneficial; intense exercise is not recommended.
2.
If there are no issues, sexual activity is permissible; if concerned, using a condom is advisable.
3.
Semen analysis also checks for bacteria, but primarily focuses on sperm count and motility (reproductive aspects).
4.
Smoking is not recommended as it can affect sperm quality.
Thank you for your inquiry.
Reply Date: 2017/03/03
More Info
Hello! Thank you for your detailed inquiry regarding urinary tract infections (UTIs) and varicocele. It sounds like you've been through quite a journey with your health, and I appreciate your proactive approach to understanding your conditions. Let’s address your questions one by one.
1. Exercise and Varicocele: It’s great to hear that you’re staying active by walking for 30 minutes daily. Regular moderate exercise is generally beneficial for overall health, including circulation. However, with varicocele, it’s important to avoid activities that may exacerbate the condition, such as heavy lifting or prolonged standing. Walking is typically considered a low-impact exercise and should be fine, but listen to your body. If you experience discomfort or worsening symptoms, consider reducing the intensity or duration of your walks. Other suitable exercises might include swimming or cycling, which can provide cardiovascular benefits without putting excessive strain on the pelvic area.
2. Resuming Sexual Activity: If your recent tests have returned normal results and you’re feeling better, it’s generally safe to resume sexual activity. However, it’s always best to consult with your healthcare provider to ensure that you’re fully recovered from your UTI and that there are no lingering issues. Communication with your partner is also key, especially since both of you have undergone evaluations.
3. Semen Analysis and Infection: A semen analysis can provide valuable information about sperm count, motility, and morphology, but it may not specifically test for infections like a urine culture would. However, if there was a previous infection, it’s possible that some markers of inflammation or infection could be present in the semen. If you have concerns about potential infections or fertility, discussing a semen analysis with your doctor would be a good step. They may also recommend additional tests if there are any indications of infection.
4. Smoking and Varicocele: Smoking is known to have various negative effects on overall health, including vascular health. While there is no direct evidence linking smoking specifically to worsening varicocele, it can contribute to poor circulation and overall vascular health, which might indirectly affect the condition. Additionally, smoking can impact fertility and sperm quality, so if you’re considering starting a family in the future, reducing or quitting smoking would be beneficial.
In summary, maintaining a moderate exercise routine like walking is generally advisable, but be mindful of your body’s signals. You can likely resume sexual activity if you feel comfortable and have received the green light from your healthcare provider. A semen analysis can provide insights into your reproductive health, and reducing smoking can improve both vascular health and fertility outcomes. Always keep an open line of communication with your healthcare team to ensure that you’re making the best decisions for your health.
Wishing you the best on your path to recovery and health!
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