Semen Analysis and Common Penile Concerns - Urology

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Semen analysis and penile issues?


Hello, doctor.
I would like to ask a few questions: (1) Could you please explain the process and cost of semen analysis? Can it be done at a general urology clinic? (2) Regarding self-examination of the testicles, reports suggest using the "OK" sign to see if it fits, but during self-examination, it often gets stuck, and I can't tell if it's atrophy or swelling.
Due to my job, I sit for long periods, and sometimes I experience pain.
Is there a better diagnostic method? (3) I occasionally experience nocturnal emissions, and to avoid disrupting my sleep, I continue to masturbate to ejaculation after waking up.
Is this excessive? (4) I would like to know the proper method for measuring penile length, which states to press against the pubic bone and measure to the tip of the glans.
However, if the erection points upward rather than forward, how should I measure it? Should I still measure from the base? Is an erection length of 11 to 13 centimeters considered normal? Can this also be tested at a hospital?

Mr. Chen, 20~29 year old female. Ask Date: 2011/06/13

Dr. Xu Weikai reply Urology


Mr.
Chen: Hello.
1.
Semen analysis is more commonly available at hospitals.
For clinics, it depends on whether they have partnerships with testing laboratories.
Regarding costs, if the condition requires it, health insurance can cover the expenses at hospitals.
For clinics, there are health insurance regulations that may not be clear.
2.
A testicular ultrasound can be performed to measure size, shape, and texture.
3.
Nocturnal emissions are a natural phenomenon, indicating that the seminal vesicles are full.
Moderate release is not a concern.
4.
For questions about penile length, you can refer to http://www.wretch.cc/blog/pololins/4520811 or inquire at the medical institution where the research was conducted.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
This response is from Dr.
Hsu Wei-Kai, Chief of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2011/06/13

More Info


Understanding semen analysis and common penile concerns is essential for men’s health, and it’s great that you’re seeking information. Let’s address your questions one by one.


1. Semen Analysis Process and Costs
Semen analysis is a laboratory test that evaluates various parameters of semen, including sperm count, motility (movement), morphology (shape), and overall semen volume. The process typically involves the following steps:
- Sample Collection: You will be asked to provide a semen sample, usually through masturbation into a sterile container. It’s important to abstain from ejaculation for 2-5 days before the test for accurate results.

- Transportation: The sample should be delivered to the lab within an hour of collection, kept at body temperature.

- Laboratory Analysis: The lab will analyze the sample for various parameters. This includes counting the number of sperm, assessing their motility (how well they move), and examining their morphology (shape).

Costs for semen analysis can vary widely depending on the location and the specific tests performed. In the U.S., the price can range from $50 to $200 or more. Many urology clinics and fertility centers offer this service, so you can certainly get it done at a urology clinic.


2. Self-Examination of Testicles
Self-examination of the testicles is an important practice for detecting abnormalities such as lumps or swelling. The "OK" hand gesture method you mentioned is one way to check for testicular size and shape. However, if you find it difficult to perform or if you experience discomfort, it’s advisable to consult a healthcare professional.
For men who sit for long periods, discomfort or pain in the testicles can be common. This may be due to factors like pressure from sitting or even conditions like varicocele (enlarged veins in the scrotum) or epididymitis (inflammation of the epididymis). A healthcare provider can perform a physical examination and may recommend an ultrasound if necessary.


3. Concerns About Nocturnal Emissions
Nocturnal emissions, or "wet dreams," are a normal physiological occurrence, especially in younger men. If you wake up and feel the need to ejaculate again, it’s generally not harmful, but it may indicate a psychological or physical need for release. However, if this behavior disrupts your sleep or daily life, it might be worth discussing with a healthcare provider or a mental health professional.


4. Measuring Penis Length
Measuring penis length can be done by placing a ruler or measuring tape at the base of the penis, pressing it against the pubic bone, and measuring to the tip of the glans (the head). If your penis tends to point upwards when erect, you can still measure from the base to the tip, ensuring the ruler is aligned with the shaft.
Regarding the average size, studies suggest that the average erect penis size is around 5 to 6 inches (approximately 12.7 to 15.24 cm). If your measurements fall within the 11 to 13 cm range when erect, this is generally considered normal. If you have concerns about size or function, a visit to a healthcare provider can help address these issues.


Conclusion
In summary, semen analysis is a straightforward process that can be done at many urology clinics. Self-examination of the testicles is important, and any persistent discomfort should be evaluated by a healthcare professional. Nocturnal emissions are normal, and measuring penis size can be done easily at home. If you have further concerns, don’t hesitate to consult a urologist or healthcare provider for personalized advice and care. Your health is important, and seeking information is a great first step!

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