Understanding Epididymitis: Symptoms, Causes, and When to See a Doctor
Can you please explain the relationship between ejaculation and epididymal pain? Hello Doctor, I have recently been experiencing mild pain in my epididymis the morning after ejaculation, which feels somewhat like epididymitis. However, after drinking plenty of water, the symptoms...
Dr. Xu Weikai Reply:
Hello, sometimes after ejaculation, due to the semen not flowing out smoothly, it may instead flow backward, leading to a sensation of testicular discomfort or pain. This phenomenon is more likely to occur when the erection lasts for a longer duration. After ejaculation, applying...[Read More] Understanding Epididymitis: Symptoms, Causes, and When to See a Doctor
Understanding Urethritis and Testicular Pain: Symptoms and Treatment
Urethritis + Testicular pain Hello doctor, 14 days ago I felt a slight itch in my urethra, but there were no discharge. To be safe, I went to get tested for Chlamydia, Gonorrhea, and Syphilis. During the visit, the doctor used a slide to collect a sample from the urethral opening...
Dr. Xu Weikai Reply:
Andy: Hello, if it is indeed bacterial epididymitis, antibiotics need to be used for more than 4 weeks to achieve complete resolution. Bacterial infections typically present with more discharge. Viral infections usually do not require antibiotics and are ineffective. If there are...[Read More] Understanding Urethritis and Testicular Pain: Symptoms and Treatment
Understanding Epididymitis: Common Questions and Concerns
Doubts about Epididymitis - A Follow-up Question Thank you, Dr. Hsu, for your detailed response, but I still have some questions I would like to ask. 1. Is it possible for the epididymis to be invaded through the bloodstream, meaning from the cardiovascular system? For example,...
Dr. Xu Weikai Reply:
ChihPing: Hello, first you need to confirm whether you truly have epididymitis. If the diagnosis is accurate, then you can explore the route of infection. In epididymitis, the affected side can become significantly enlarged, sometimes more than twice its normal size. The use of a...[Read More] Understanding Epididymitis: Common Questions and Concerns
Understanding Epididymitis: Symptoms, Diagnosis, and Treatment Concerns
Doubts about Epididymitis Hello, Dr. Hsu: About two weeks ago, I suddenly noticed a small lump on my left testicle while taking a shower. Initially, there was no pain, but in the past two days, I have experienced some discomfort when touching the lump. I visited a urologist, and ...
Dr. Xu Weikai Reply:
ChihPing: Hello, epididymitis is quite common and can be transmitted through two possible routes: 1. Via the urinary system: this means it can be transmitted through pathways such as the urethra. 2. Via the bloodstream: this means it can invade from the cardiovascular system. For...[Read More] Understanding Epididymitis: Symptoms, Diagnosis, and Treatment Concerns
Testicular Shrinkage and Hardness After Epididymitis Treatment: Is It Normal?
After treatment for epididymitis, the testicles may become smaller and harder? Two weeks ago, I experienced testicular pain (but no swelling). The doctor diagnosed it as epididymitis and prescribed antibiotics (levofloxacin). Now, after finishing the medication, the pain in my te...
Dr. Xu Wencang Reply:
Hello: In response to your question, please return to the hospital for an ultrasound evaluation.[Read More] Testicular Shrinkage and Hardness After Epididymitis Treatment: Is It Normal?
Understanding Testicular Pain: Causes and When to Seek Help
Testicular pain Hello doctor, I have been experiencing slight pain and discomfort in my right testicle for a few weeks, along with some swelling. The symptoms become more pronounced after ejaculation (increased pain). This has happened before, and it resolved naturally in about t...
Dr. Xu Weikai Reply:
Xiao Hong: Hello, I cannot make a judgment, but generally, a urologist can easily make a diagnosis during an outpatient visit. Based on your description, it could be epididymitis, orchitis, or neuralgia, among other possibilities. Of course, there could be other issues as well, a...[Read More] Understanding Testicular Pain: Causes and When to Seek Help
Understanding Testicular Pain: Causes and Concerns After Swimming
Pain in the testicles upon contact? A couple of days ago, during my swimming class (breaststroke), I noticed some pain in my testicles while at tutoring. Later, while showering, I discovered a small soft lump on my right testicle that seemed to be the cause of the pain. However, ...
Dr. Liu Jianting Reply:
Hmm! It's hard to say! If it happens again, please go to the hospital and consult a urologist for an examination.[Read More] Understanding Testicular Pain: Causes and Concerns After Swimming
Understanding Erectile Dysfunction: Causes and Treatment Options in Urology
Sexual dysfunction Hello, Director Lin. First of all, I would like to thank you for your diagnosis and response. I would like to ask what might be causing my situation. On the day of my visit, I noticed that the clinic hours were almost over, so I couldn't ask more questions...
Dr. Lin Hexing Reply:
Hello Sir: Thank you for your inquiry. I would like to respond to your message and provide the following suggestions: Epididymitis is primarily caused by lower urinary tract infections and does not necessarily require the presence of adverse habits. Regarding the issues of erecti...[Read More] Understanding Erectile Dysfunction: Causes and Treatment Options in Urology
Understanding Testicular Health: Checking Sperm Production and Pain Causes
Testis If a patient wants to determine whether their testicles are producing semen normally, what tests should be conducted? Does this include measuring male hormones? What are the potential causes of testicular pain? Is a slight curvature of the testicles indicative of a problem...
Dr. Xu Weikai Reply:
Hello, examining semen can provide information about sperm count, quality, and male hormones, which require blood tests to assess. There are many causes of testicular pain: 1. Infections: such as orchitis and epididymitis 2. Fibrosis and chronic inflammation 3. Abnormalities in t...[Read More] Understanding Testicular Health: Checking Sperm Production and Pain Causes
Essential Guidelines for Semen Analysis: What You Need to Know
Semen analysis First of all, thank you for Dr. Lin's response. I would like to ask if there are any specific considerations for undergoing a semen analysis at your facility. I have read online that it is advisable to ejaculate at least three days prior to the test to avoid s...
Dr. Lin Hexing Reply:
Hello, sir: Thank you for your inquiry. I would like to respond to your question and provide the following suggestions: I apologize for not being able to reply to you before your examination. Regarding semen analysis, it is best to abstain from ejaculation for three days prior to...[Read More] Essential Guidelines for Semen Analysis: What You Need to Know
Understanding Erectile Dysfunction: Causes and Solutions for Men
Erectile dysfunction Before January of this year, I could achieve an erection quickly, and it was firm, thick, and lasted a long time. However, starting in February, I gradually began to experience erectile dysfunction, with my erections becoming less firm and shorter. Especially...
Dr. Xu Weikai Reply:
Hello, to restore sexual function, the simplest approach is to maintain a normal diet and lifestyle along with appropriate exercise. Appropriate exercise means engaging in physical activity for at least 30 minutes, with a target heart rate exceeding 130 beats per minute for a dur...[Read More] Understanding Erectile Dysfunction: Causes and Solutions for Men
Understanding Testicular Lumps: Causes and When to Seek Help
Testicular lump? Hello, doctor. About half a month ago, I started feeling a slight discomfort in my right testicle (swelling? pressure? mild pain?). A few days later, it felt normal again, but then it started again. Just a few days ago, I noticed a semi-circular hard lump about o...
Dr. Xu Weikai Reply:
Xiang: Based on your description, there are several possible conditions: 1. Right-sided epididymitis 2. Trauma or hematoma of the testicle or epididymis 3. Tumor within the scrotum. An ultrasound examination is generally required to determine which of these conditions is present....[Read More] Understanding Testicular Lumps: Causes and When to Seek Help
Understanding Scrotal Pain: Causes and Solutions for Young Men
Scrotal pain Doctor, I have a question. Since high school (around 16 or 17 years old) and now at 23, every time I experience an erection but cannot engage in sexual intercourse, my penis remains erect for over ten minutes, and afterwards, my scrotum becomes extremely painful. Tou...
Dr. Xu Weikai Reply:
Jack: Hello, your symptoms may be due to prolonged erection, which can cause tension in the muscles and nerves. However, other causes cannot be ruled out. The absence of ejaculation can sometimes lead to localized pain; applying a warm towel for heat therapy may help prevent subs...[Read More] Understanding Scrotal Pain: Causes and Solutions for Young Men
Understanding Testicular Pain: Causes, Concerns, and Next Steps
Testis Hello, doctor. I've been experiencing pain in my right testicle for nearly four months, and sometimes the left one hurts as well. I've seen several doctors, and the most recent one said I have venous congestion, and that my testicles are slightly smaller than ave...
Dr. Xu Weikai Reply:
Ahao: Hello, after the ultrasound of the testicles is performed by a urologist, it can be determined whether there is inflammation or varicocele. If the testicles are smaller, a semen analysis can be conducted to check if it affects sperm quality. Additionally, hormone levels can...[Read More] Understanding Testicular Pain: Causes, Concerns, and Next Steps
Understanding Acute Epididymitis: Symptoms, Treatment, and Recovery
Acute left epididymitis Hello Dr. Hsu, On February 15, I suddenly experienced pain in my left testicle, which gradually swelled. After examination, the doctor diagnosed it as acute left epididymitis. Symptoms included mild fever and chills. That day, I was prescribed Diclofenac ...
Dr. Xu Weikai Reply:
Xiao Zhang: Hello, generally, epididymitis requires 6-8 weeks of treatment, and the epididymis may not return to its size prior to inflammation. In other words, your epididymis may be larger than before and could remain so for life. After treatment, as long as the course is compl...[Read More] Understanding Acute Epididymitis: Symptoms, Treatment, and Recovery
Choosing the Right Underwear for Varicocele: Boxers vs. Briefs
Varicocele Last October, I experienced pain in the left side of my scrotum, so I went to the hospital for an ultrasound examination. It was confirmed that I have a varicocele. However, the doctor did not provide any treatment. Occasionally, I still feel pain in my left testicle. ...
Dr. Liu Jianting Reply:
It is indeed difficult to choose; in fact, both triangular and square shapes are the same. Varicocele primarily results from poor venous return, which is especially noticeable when standing. Prolonged standing can sometimes lead to pain due to venous swelling. However, pain in th...[Read More] Choosing the Right Underwear for Varicocele: Boxers vs. Briefs
Understanding Testicular Pain: Causes and Concerns Explained
Testicular pain Hello, about a week ago I experienced severe pain in my left testicle. It hurt intensely whenever I touched the painful area, and the pain lasted for about three days. After that, the condition began to improve, and the pain has since disappeared. When I touched t...
Dr. Xu Weikai Reply:
Hello, based on your description, it doesn't seem like orchitis. Typically, inflammation of the testicles is associated with severe pain and high fever. It could be a condition known as testicular torsion, which occurs when the small tissue near the testicle twists, leading ...[Read More] Understanding Testicular Pain: Causes and Concerns Explained
Understanding Left Scrotal Pain: Causes and Next Steps for Diagnosis
Left scrotal pain? Hello, doctor! Recently, I have noticed a painful sensation in the left side of my scrotum, especially when walking. This has been going on for over two months. I visited a urologist, who performed an ultrasound, but the doctor said there was nothing wrong and ...
Dr. Xu Weikai Reply:
Concerned Person: Hello, I cannot diagnose this just like that. There is pain in the left scrotum. Many causes can lead to pain in this area; aside from what you mentioned, sometimes urinary stones, especially stones in the upper ureter, can occasionally present with such symptom...[Read More] Understanding Left Scrotal Pain: Causes and Next Steps for Diagnosis
Understanding Testicular Swelling: Causes, Symptoms, and When to Seek Help
Testicular enlargement Hello Doctor, I haven't engaged in DIY for a while (about a month and a half; previously, I would do it every two to three days). About six days ago, I noticed that my right testicle had swollen significantly and felt hard, accompanied by intermittent ...
Dr. Lai Ronghao Reply:
Hello: Based on what you described, you may have right-sided epididymitis. If you are concerned, you can go to the urology department for further examination. Thank you![Read More] Understanding Testicular Swelling: Causes, Symptoms, and When to Seek Help
Understanding Hard Lumps on the Testicles: Is It Tuberculous Orchitis?
Lump There is a hard lump on the testicle; could this be tuberculous orchitis? It is not painful. What treatment should be considered?
Dr. Chen Xiuyi Reply:
Hello: A painless lump above the testicle may be indicative of epididymal disease or some cysts, and it is best to seek medical attention for a confirmed diagnosis. Diagnosing tuberculous epididymitis is challenging and cannot be reliably confirmed through physical examination or...[Read More] Understanding Hard Lumps on the Testicles: Is It Tuberculous Orchitis?