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Understanding Left Epididymis Discomfort: Causes and Fertility Concerns

Discomfort in the left epididymis? Hello, doctor. A year ago, I visited due to difficulty urinating and took antibiotics for a month without improvement. The doctor diagnosed me with pelvic muscle tension. I was prescribed muscle relaxants, which slightly improved my urination, b...


Dr. Fu Shizhang reply Urology
If there is varicocele in the spermatic vein area, it may lead to decreased sperm motility, which can result in infertility.

[Read More] Understanding Left Epididymis Discomfort: Causes and Fertility Concerns


Why Does My Right Testicle Rise Higher Than the Left?

I find it very strange? Hello doctor, I have noticed that when I exert myself, only my right testicle moves upward, while the left one does not. Additionally, the right testicle is positioned higher than the left. Is this normal? I masturbate about once every 1 to 2 days.


Dr. Fu Shizhang reply Urology
Generally, the heights of both testicles are not exactly the same. As long as they are both located within the scrotum, slight differences are normal.

[Read More] Why Does My Right Testicle Rise Higher Than the Left?


Understanding Long-Term Urethral Pain: Causes and Solutions

Pain at the urethral opening? Hello Doctor, I have been experiencing persistent pain at the urethral opening for many years. The area does not appear red or swollen, but I often feel discomfort and pain when I need to urinate. This symptom has become a significant inconvenience i...


Dr. Fu Shizhang reply Urology
It is recommended to undergo further examinations to confirm the issue. Online consultations cannot replace an in-person consultation and physical examination by a physician. If there is a medical condition, it is still advised to seek care at a healthcare facility.

[Read More] Understanding Long-Term Urethral Pain: Causes and Solutions


Understanding Foreskin Issues: Healing and Normal Concerns During Puberty

Prepuce issues Hello Doctor: Recently, due to possible puberty issues, I have been masturbating frequently. However, I have noticed that the glans and the foreskin are partially separated, with a small connection remaining, and I can see some tissue underneath the foreskin. Can t...


Dr. Fu Shizhang reply Urology
It is recommended to visit an outpatient clinic for diagnosis in order to understand the issue, as online consultations cannot replace an in-person examination and physical assessment by a physician. If there is a medical condition, it is still advised to seek care at a healthcar...

[Read More] Understanding Foreskin Issues: Healing and Normal Concerns During Puberty


Decreased Urine Flow and Sexual Performance: Possible Prostate Issues?

Urination is not as forceful as it used to be, and stamina is not as enduring as before? Doctor, I’m not sure what my problem is. Over the past year, I have lost about 10 kilograms (from obese to normal weight), and I’ve noticed that the force of my urination and ejaculation is n...


Dr. Fu Shizhang reply Urology
Given your age, benign prostatic hyperplasia is quite rare. Online consultations do not replace an in-person evaluation and physical examination by a physician. If you have any health concerns, it is still recommended to seek medical attention at a healthcare facility.

[Read More] Decreased Urine Flow and Sexual Performance: Possible Prostate Issues?


Can Heart Stent Patients Safely Take Daily Cialis 5mg for ED?

Can a person with a heart stent take 5mg of Cialis daily? Hello, Dr. Fu. 1. I had a stent placed in my heart in 2019, and I currently take blood pressure medication (TANATRIL 10 mg, 0.5 tablet daily), cholesterol medication (LIPITOR 40 mg, 1 tablet daily), and anticoagulant med...


Dr. Fu Shizhang reply Urology
Caution must be exercised when taking these medications to avoid concurrent use with nitroglycerin (NTG) to prevent hypotension that could lead to shock.

[Read More] Can Heart Stent Patients Safely Take Daily Cialis 5mg for ED?


Can Vasectomy Address Post-Micturition Dribbling Issues?

Vasectomy and urinary incontinence? If someone experiences urinary leakage after using the restroom for an extended period, can this issue be addressed simultaneously if they are considering a vasectomy?


Dr. Fu Shizhang reply Urology
The two issues are unrelated; post-void residual urine leakage of this type is not treated with surgery.

[Read More] Can Vasectomy Address Post-Micturition Dribbling Issues?


Improving Sperm Motility: Tips for Couples Trying to Conceive

The sperm motility is insufficient (currently trying to conceive)? Hello Dr. Fu, I have been trying to conceive for four months now. During this time, I used ovulation test strips, and we had intercourse during peak ovulation, but after three months, there is still no news. There...


Dr. Fu Shizhang reply Urology
1. If there is a varicocele, surgery may increase motility. 2. The chance of natural conception is lower. 3. There are many factors that affect sperm quality; consider retesting. Online consultations cannot replace an in-person evaluation and physical examination by a physici...

[Read More] Improving Sperm Motility: Tips for Couples Trying to Conceive


Understanding Sperm Morphology Changes: From 1% to 81% in Semen Analysis

Abnormal sperm morphology increased from 1% to 81%? I would like to ask Dr. Fu about our active attempts to conceive for 7 months without success. For 4 of those months, we recorded ovulation dates by counting back 14 days from the start of my menstrual cycle, and we had intercou...


Dr. Fu Shizhang reply Urology
You may consider undergoing a re-examination.

[Read More] Understanding Sperm Morphology Changes: From 1% to 81% in Semen Analysis


Understanding Low Sperm Motility: Causes and Implications

Sperm motility A few days ago, I had a semen analysis done, and the results showed that sperm motility was only 1% after one hour, while the normal range is 42%. What does this mean? Since it was my first analysis, I wasn't fully erect during ejaculation, and I also didn...


Dr. Fu Shizhang reply Urology
It indicates that only 1% of the sperm are motile. It is recommended to return for a follow-up appointment to have the doctor explain the report to you.

[Read More] Understanding Low Sperm Motility: Causes and Implications


Does Takepron OD Cause Frequent Urination? Understanding the Side Effects

Frequent urination issue? This winter, I have been experiencing frequent urination, with only a small amount each time. As soon as I feel the urge, I rush to the bathroom. I have a history of gastric ulcers and have been taking TAKEPRON OD 30MG/TAB daily for over two months. Coul...


Dr. Fu Shizhang reply Urology
Theoretically, this medication should not cause that. Increased frequency of urination in winter is related to the body's water metabolism. However, if accompanied by urgency, it may indicate bladder overactivity. It is advisable to consult a urologist to alleviate the sympt...

[Read More] Does Takepron OD Cause Frequent Urination? Understanding the Side Effects


Persistent Bubbles in Urine: Unraveling the Mystery Behind Urological Symptoms

Two months of experiencing foamy urine with no identifiable cause, and urine and blood tests have already been conducted? Two months ago, I started noticing persistent small bubbles in my urine, which can occupy half of the water's surface. They spread across the surface and...


Dr. Fu Shizhang reply Urology
It is recommended to consult a nephrologist for tests related to proteinuria; if no abnormalities are found, there is no need to worry.

[Read More] Persistent Bubbles in Urine: Unraveling the Mystery Behind Urological Symptoms


Understanding Ejaculatory Dysfunction: Effects of Medication on Prostate Health

Ejaculatory dysfunction Hello doctor, I currently have benign prostatic hyperplasia with a size of 28.8. I am taking a medication called Cialis, and I have noticed that since starting this medication, I feel a lack of force during ejaculation; it seems to just flow out instead of...


Dr. Fu Shizhang reply Urology
Taking medications like Terazosin for benign prostatic hyperplasia (BPH), which are classified as alpha-1 adrenergic blockers, can cause retrograde ejaculation as a side effect due to their action of relaxing the bladder neck during ejaculation. This does not weaken the force of ...

[Read More] Understanding Ejaculatory Dysfunction: Effects of Medication on Prostate Health


Concerns After Urology Exam: Understanding Varicocele and Pain

I have seen a doctor for an examination, but I'm still not very reassured? A few days ago, I suspected that I might have a varicocele, so I went to see a doctor for an examination. I felt it quite noticeably when I palpated myself, but during the hospital examination, it see...


Dr. Fu Shizhang reply Urology
If it has been checked and confirmed, it can theoretically be reassuring, but this only represents the current condition and does not guarantee that the disease will not occur in the future. It is important to note that online consultations cannot replace an in-person consultatio...

[Read More] Concerns After Urology Exam: Understanding Varicocele and Pain


Understanding Delayed Puberty and Genital Development Issues

Pubertal genital development issues? Hello, doctor. I will be turning 18 next year. However, I have been troubled by a question... Most of my peers started developing during middle and high school. I began to notice my voice changing around the summer before ninth grade, but even...


Dr. Fu Shizhang reply Urology
It is recommended to consult a pediatric growth and development specialist.

[Read More] Understanding Delayed Puberty and Genital Development Issues


Can You Safely Take Viagra or Cialis with Circulation Medication?

Taking Viagra (sildenafil) concurrently with Circulin (a medication for blood circulation) If you do not have hypertension or diabetes and are currently taking "Xunxue Min Sustained Release Film-Coated Tablets 400 mg," can you simultaneously take Viagra (sildenafil) or ...


Dr. Fu Shizhang reply Urology
If there are no cardiovascular diseases, there will be no conflict. Online consultations cannot replace an in-person examination and physical assessment by a physician. It is still recommended to seek medical attention at a healthcare facility when there are health issues.

[Read More] Can You Safely Take Viagra or Cialis with Circulation Medication?


Understanding Epididymitis: Concerns and Recovery Insights

Epididymitis-related issues? Hello, doctor. Last week, I experienced pain and swelling in my scrotum. After a physical examination, the urologist diagnosed me with unilateral epididymitis (on the right side) and prescribed Ciprofloxacin 500 mg antibiotics. It has been almost two ...


Dr. Fu Shizhang reply Urology
1. Most patients will experience this for about one to three months. 2. If appropriate treatment is received, it generally will not occur. 3. Not necessarily. 4. If there is a blockage, the likelihood of infertility is higher than that of the general population, but it does not m...

[Read More] Understanding Epididymitis: Concerns and Recovery Insights


Understanding Penile Soft Tissue Pain: Causes and Solutions

Soft tissue on the left side of the penis extending upward to the right side soft tissue? Hello, doctor. I would like to ask a question. I visited a clinic last February, where the doctor examined me and manipulated my penis, asking if I felt any pain. I did not feel any pain at ...


Dr. Fu Shizhang reply Urology
Pain may originate from vasodilation or may be related to nerve issues. Online consultations cannot replace in-person evaluations and physical examinations by a physician. It is still recommended to seek medical attention at healthcare facilities when there is a disease.

[Read More] Understanding Penile Soft Tissue Pain: Causes and Solutions


Understanding Premature Ejaculation: Symptoms, Causes, and Solutions

Concerns about premature ejaculation? This issue has been bothering me for a long time. If I refrain from masturbation for about a week, I experience nocturnal emissions because I tend to turn over in my sleep, which may compress or press on my penis. I can even feel the nocturna...


Dr. Fu Shizhang reply Urology
According to the definition by the International Society for Sexual Medicine (ISSM), premature ejaculation is generally defined as ejaculation occurring within one minute of vaginal penetration. Masturbation duration is generally not considered within the scope of premature ejacu...

[Read More] Understanding Premature Ejaculation: Symptoms, Causes, and Solutions


Understanding Erection Issues: Causes and Solutions for Men

Erectile dysfunction The penis is erect but feels soft, and the ejaculate is liquid in consistency. Additionally, there is no morning erection. I noticed this symptom three days ago (it may have been present for a few days without my noticing). I would like to know what I should ...


Dr. Fu Shizhang reply Urology
If erectile function affects sexual activity, it is recommended to consult a urologist. Online consultations cannot replace an in-person evaluation and physical examination by a physician. If there is an underlying condition, it is still advised to seek care at a medical facility...

[Read More] Understanding Erection Issues: Causes and Solutions for Men


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