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:
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
Can Kidney Inflammation and Vasectomy Lead to Permanent Infertility?
Vas deferens issues Hello doctor, I would like to ask if kidney inflammation leading to infections in the vas deferens, catheter, and bladder, which also resulted in the complete removal of the vas deferens, means that one will be permanently infertile?
Dr. Jian Weihong Reply:
Hello: If both vas deferens are cut, sperm cannot be expelled, leading to infertility. Wishing you good health.[Read More] Can Kidney Inflammation and Vasectomy Lead to Permanent Infertility?
Can Complete Vasectomy Lead to Permanent Infertility?
Complete vasectomy? Hello doctor, I would like to ask if inflammation of the kidneys leading to infections in the vas deferens, catheter, and bladder, which also resulted in the complete removal of the vas deferens, means that sperm cannot be expelled and will result in permanent...
Dr. Du Shixi Reply:
Hello: If both vas deferens are cut, sperm cannot be expelled, leading to infertility. Wishing you good health.[Read More] Can Complete Vasectomy Lead to Permanent Infertility?
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:
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 Epididymitis: Recovery, Complications, and Treatment
Epididymitis with a mass? Hello, doctor. Last month, I experienced pain in my scrotum, and a urologist diagnosed me with unilateral epididymitis. I was prescribed antibiotics and have been taking them for four weeks. The tenderness in the epididymis has decreased to mild discomfo...
Dr. Li Minghui Reply:
Hello: 1) How long do I need to continue taking antibiotics? --> Generally, a follow-up visit is required to assess progress, often through urine tests, examination of the scrotal skin, and tenderness of any lumps. 2) How long does it take for the lump to disappear? What is ...[Read More] Understanding Epididymitis: Recovery, Complications, and Treatment
Understanding Low Testosterone in Teenagers: Causes and Solutions
Hypogonadism Hello Doctor, last month (around mid-May) I had a blood test for testosterone at the urology department (but it was done in the evening) and my level was 257 ng/dL. I am currently 17 years old. Besides having occasional morning erections, I also find that I cannot ac...
Dr. Xu Wencang Reply:
It is not recommended to supplement testosterone; you can retest in the morning. Regular routines and exercise can help improve the situation. Testosterone supplementation may lead to infertility, but stopping for a period of time will allow recovery.[Read More] Understanding Low Testosterone in Teenagers: Causes and Solutions
Understanding Semen Color and Penis Development Issues in Teens
Seminal fluid color and penile development issues? Hello Doctor: I am currently 14 years old, turning 15, with a height of 170 cm and a weight of 46 kg. I experienced my first ejaculation around the end of 12 years old or the beginning of 13. I masturbate 2 to 3 times a week. Cur...
Dr. Fu Shizhang Reply:
Infertility is typically evaluated only when there is a desire to conceive. If there are concerns about sperm quality, a semen analysis can be conducted at an outpatient clinic. Online consultations cannot replace an in-person evaluation and physical examination by a physician; i...[Read More] Understanding Semen Color and Penis Development Issues in Teens
Understanding Semen Color: Is Clear Semen Normal for Teenagers?
Semen Color Issues Hello, doctor. I am currently 14 and a half years old, and I masturbate an average of three times a week. However, my semen has always been clear and colorless, with only about 10% being a slightly milky white color, which is very faint and barely noticeable. I...
Dr. Du Shixi Reply:
Hello: However, my semen has always been clear and colorless, with only about 10% of it being slightly milky white, which is very faint and barely noticeable. If it is ejaculated on my hand (concentrated semen), it appears slightly whiter, but if it is ejaculated on the ground (f...[Read More] Understanding Semen Color: Is Clear Semen Normal for Teenagers?
Understanding the Side Effects of Continuous Release Capsules for Urinary Issues
Chronic Clear Sustained Release Capsules I recently visited a urologist and mentioned experiencing frequent urination and a feeling of incomplete bladder emptying. The doctor prescribed Changliqing sustained-release capsules, to be taken once daily for seven days. The medication&...
Dr. Du Shixi Reply:
Hello: Based on personal experience, I find that I recover within a few days after stopping the medication, but there are also patients who feel that they have not fully returned to their pre-medication state. Wishing you good health.[Read More] Understanding the Side Effects of Continuous Release Capsules for Urinary Issues
Concerns About Sperm Quality and Fertility with Bipolar Medication
Sperm issues I have been taking medication for bipolar disorder for over a year. I have had ejaculation issues for more than a year as well, and I am worried that my sperm might disappear and that spermatocytes might be affected, leading to infertility. Is this possible? Thank yo...
Dr. Du Shixi Reply:
Hello: Don't worry, the hospital can test sperm, and the report can indicate whether it is normal or not, depending on health.[Read More] Concerns About Sperm Quality and Fertility with Bipolar Medication
Does Varicocele Cause Testicular Atrophy? Understanding the Risks and Effects
Varicocele can lead to testicular atrophy? Hello, Doctor. I would like to ask about the issue of varicocele leading to testicular atrophy. Is the probability of mild varicocele causing testicular atrophy significant? How long does it typically take for the testicle to atrophy? If...
Dr. Jian Weihong Reply:
Hello: It is possible for testicular atrophy to occur, but it typically takes a long time to develop. Since there are two testicles, the impact is usually minimal. In cases of infertility, treatment may be recommended to improve sperm quality. For those experiencing chronic pain,...[Read More] Does Varicocele Cause Testicular Atrophy? Understanding the Risks and Effects
Understanding Male Infertility: Treatment Options and Nutritional Support
Male infertility issues Hello Doctor: I have been married for nearly two years without having children, so I recently went to the hospital for blood and semen tests. After my follow-up appointment yesterday, the doctor indicated that my blood values are normal, but in the semen a...
Dr. Du Shixi Reply:
Hello: 1. Doctor, can this medication effectively improve the issue of low sperm motility? -- It works for some people. 2. If taken for a long time, could this medication cause abnormal sperm quality and potentially affect the health of future children? : Please discuss this with...[Read More] Understanding Male Infertility: Treatment Options and Nutritional Support
Understanding Testicular Atrophy: Causes, Risks, and Treatment Options
The issue of testicular atrophy? Hello, Doctor. I would like to ask about the issue of varicocele leading to testicular atrophy. Is the likelihood of mild varicocele causing testicular atrophy significant? How long does it typically take for the testicles to atrophy? If one testi...
Dr. Du Shixi Reply:
Hello: It is possible for testicular atrophy to occur, but it usually takes a long time to develop. Since there are two testicles, the impact is generally minimal. In cases of infertility, treatment may be recommended to improve sperm quality. For those experiencing chronic pain,...[Read More] Understanding Testicular Atrophy: Causes, Risks, and Treatment Options
Understanding Varicocele: Symptoms, Risks, and When to Seek Help
Varicocele Hello, doctor: I have just graduated from high school and am preparing to enter university. During my first to third years of high school, I noticed that sometimes when I stand for a long time, my testicles feel strange, but I'm not sure if it's related to lo...
Dr. Du Shixi Reply:
Hello: 1) Asymptomatic varicose veins can be monitored; however, if they continue to enlarge, medical attention should be sought. 2) The duration of masturbation varies from person to person; some may take longer while others may be quicker. If there are also concerns regarding s...[Read More] Understanding Varicocele: Symptoms, Risks, and When to Seek Help
Understanding Varicocele: Symptoms, Fertility Impact, and Treatment Urgency
Inquiry about varicocele? Hello Dr. Du, I apologize for the inconvenience. I am currently working abroad and will not return to Taiwan for another two months. In the past few weeks, I have started to experience a mild aching and heaviness in my scrotum and testicles. The size and...
Dr. Du Shixi Reply:
Hello: The diagnosis of varicocele should be determined by a physician. Currently, your situation may still be assessed based on the severity of symptoms to decide whether to seek medical attention. Varicocele is related to sperm quality, but not everyone will experience infertil...[Read More] Understanding Varicocele: Symptoms, Fertility Impact, and Treatment Urgency
Understanding Morning Erections: Causes and Solutions for Erectile Issues
In the morning, there is no morning erection, and the firmness is lacking? I have been doing DIY almost every day since I was 12 years old. Previously, even after DIY, I would still wake up with an erection, typically at an angle around 11 o'clock. When I needed to urinate, ...
Dr. Chen Jiansheng Reply:
Please seek medical attention.[Read More] Understanding Morning Erections: Causes and Solutions for Erectile Issues
Understanding Your Semen Analysis Report: Key Insights and Concerns
Semen Analysis Report Consultation Hello Doctor, this is my semen analysis report. Collected Time: 9:55 AM Count: 47.0 - [15.0][-] Examined Time: 10:25 AM - [-][-] Morphology Normal: 85 - [70][-] Motility (+): 72 - [50][-] Motility Index: 130 - [150][-] RBC: 0-2 - [-...
Dr. Du Shixi Reply:
Hello: Please discuss with the laboratory physician. Wishing you good health.[Read More] Understanding Your Semen Analysis Report: Key Insights and Concerns
Understanding Varicocele: Symptoms, Fertility Impact, and Treatment Options
Varicocele Hello Doctor, I would like to ask about my condition. I have palpated both of my spermatic cords, but I occasionally experience swelling and pain on the left side. This occurs irregularly, mostly a couple of times every few months. I primarily have issues with prolonge...
Dr. Jian Weihong Reply:
Hello: You can go to the hospital for a semen analysis. If the sperm count is below normal, surgery may be considered. If the sperm is normal and there are no more severe symptoms, surgery is not necessary. Wishing you good health.[Read More] Understanding Varicocele: Symptoms, Fertility Impact, and Treatment Options
Impact of Covid-19 on Erectile Dysfunction and Fertility Concerns
The impact of Covid-19 on the genital organs? Hello, Director. I would like to ask if having had Covid-19 can lead to erectile dysfunction and infertility. Is this condition temporary or permanent? I personally have not experienced any symptoms, but I am concerned.
Dr. Du Shixi Reply:
Hello: Due to the emergence of this new disease, data is limited. COVID-19 seems to have an impact on male genital organs, but there is still not enough evidence to draw a conclusion. We should wait for a while to see if any research reports are published. Wishing you good health...[Read More] Impact of Covid-19 on Erectile Dysfunction and Fertility Concerns
Understanding Varicocele: Severity, Management, and Fertility Concerns
Varicocele Hello, doctor. I am the one who asked a question a few days ago (175566). I would like to ask you some questions. You mentioned that the veins can enlarge and shrink. Does the enlargement of the veins indicate that the varicocele is getting worse? Aside from surgery, a...
Dr. Du Shixi Reply:
Hello, Doctor. You mentioned that the veins can expand and contract. I would like to ask, if the veins are enlarging, does that mean the varicocele is getting worse? -- The blood vessels are elastic, so it doesn't necessarily indicate a worsening condition. Aside from surger...[Read More] Understanding Varicocele: Severity, Management, and Fertility Concerns