Infertility, Urology FAQ

Understanding Prolonged Semen Liquefaction Time: Causes and Solutions

Semen analysis test Hello Doctor, I recently had an analysis of my semen! The results show that the sperm count is normal and the motility is good! However, the liquefaction time of the semen is prolonged! I would like to ask the doctor the following questions: 1. What could caus...

Dr. Xu Weikai Reply:
Hello, 1. There are many reasons that can cause an extended liquefaction time: infections, individual constitution, etc. Therefore, it does not necessarily indicate a problem. Many individuals with normal health also have a longer liquefaction time. 2. Diet??? 3. Generally,...

Concerns About STDs After Multiple Partners: What You Need to Know

Concerns about sexually transmitted infections (STIs)? Hello Doctor, due to feeling depressed after a breakup, I engaged in sexual intercourse with fourteen women from June to July. I have a history of infertility (low sperm count), and the women are all around 20 years old and u...

Dr. Xu Weikai Reply:
Dr. Aki: Hello. 1. For general urethritis, antibiotics should be used for 10-14 days. 2. It is recommended to undergo sexually transmitted infection (STI) screening, and regardless of the results, all sexual partners should be informed to undergo appropriate testing. 3. Due to th...

Concerns About Finasteride Use in Patients with Varicocele

Medication issues related to varicocele? Hello doctor, I have severe varicocele, and my semen analysis is normal, so I haven't undergone surgery. Since I have male pattern baldness, I want to take Nankang Kuaide Film-Coated Tablets, which contain Finasteride 5mg for treating...

Dr. Xu Weikai Reply:
Chris: Hello, varicocele can indeed lead to abnormalities in semen. As for the treatment of male pattern baldness, some individuals may experience effects on sexual function. If there are any unclear points, feel free to ask again, and we can further discuss and research. Answers...

Understanding Male Infertility: Concerns and Solutions for Future Generations

My question? Hello, Doctor: I have had many girlfriends. When I engage in sexual activities with women, they do not get pregnant, and the reason is truly due to me! I cannot conceive! I have previously visited a urologist for a semen analysis, but I have no desire at all, and sin...

Dr. Xu Weikai Reply:
A-Yao: Hello, first think carefully about whether you want to have children. Then consider whether there are any hereditary factors. Currently, there are many methods of assisted reproduction, and there are numerous successful cases. If there are any unclear points, feel free to ...

Understanding STD Risks from Unprotected Oral Sex: What You Need to Know

Common Knowledge about Sexually Transmitted Diseases (STDs) Hello, Doctor Hsu: A few days ago, I received a full-body massage and the therapist performed unprotected oral sex on me for about five minutes, and it felt quite intense. I ended up ejaculating in her mouth, but she was...

Dr. Xu Weikai Reply:
Kitten: Hello, oral sex still involves contact with bodily fluids, which means there is a possibility of transmitting sexually transmitted infections (STIs). Especially if there is vigorous activity that causes microscopic injuries not visible to the naked eye, the risk of infect...

Do Loose or Tight Underwear Affect Male Fertility and Sperm Count?

Male Issues 1234 Does wearing loose or tight underwear affect male infertility and decrease sperm count?

Dr. Xu Weikai Reply:
Wen: Any changes that affect local temperature may have an impact. If there are any unclear points, feel free to ask again, and we can discuss and research further. Online responses should only be used as a reference; if necessary, it is important to seek medical attention at a h...

Understanding Post-Surgery Discomfort After Varicocele Repair: Causes and Solutions

Varicocele surgery I have no symptoms of varicocele, and I only discovered it during infertility checks after marriage. I underwent surgery for varicocele treatment in early 2010, but recently I have been experiencing a dull pain on both sides of my lower abdomen during sexual in...

Dr. Jiang Yini Reply:
A scrotal ultrasound is required for diagnosis.

Understanding Infertility and Varicocele: A Patient's Journey

Infertility and Varicocele Hello Doctor, regarding the question I previously asked you, I went for another examination and the results are as follows: semen volume: 4.8 ml, sperm count: 99 x 10^6, motility: 76.8%, morphology: 10% (Kruger’s criteria), atypical: 1.7%. The motility ...

Dr. Xu Weikai Reply:
Jason: A regular lifestyle, moderate exercise, and adequate nutrition can lead to improvements in about 2-4 months. Congratulations and keep it up! If there are any unclear points, feel free to ask again for further discussion and research. Online responses should only be used as...

Understanding Prostate Issues: Questions About Symptoms and Tests

Prostate issues! Hello Doctor, thank you for your previous response! However, it seems that the second email was missed. I would like to ask you again. I'm sorry! After my first inquiry, I followed your advice and went to the hospital for an examination the very next day. I ...

Dr. Xu Weikai Reply:
Hello, the examination of prostatic fluid is generally performed by analyzing the secretions obtained after a prostate massage by the physician. Typically, the fluid is collected from the anterior urethra, or by gently squeezing the ventral surface of the urethra with a finger to...

Understanding Prostate Health: Key Questions and Concerns Addressed

Prostate issues? I have some questions for you, doctor. Today, I have been self-soothing, and I noticed that there is no blood in my prostatic fluid or sperm. Does this indicate an improvement? Currently, I am urinating smoothly and have not experienced any discomfort. Should I w...

Dr. Xu Weikai Reply:
Hello, no pain and no bleeding are certainly signs of improvement. Congratulations! Being young may increase the chances of complete recovery. For infertility testing, it would be more accurate to wait until you are stable or completely asymptomatic before undergoing the examinat...

Understanding Prostate Fluid: What to Do When You See Blood

Regarding prostatic fluid? Hello, doctor. Something unexpected happened, and I really don't know what to do! During intimate moments with my girlfriend, she uses a prostate massager to stimulate my prostate. After the first session, we took a break. However, during the secon...

Dr. Xu Weikai Reply:
Hello, I still recommend seeking medical attention as soon as possible. There may be an injury or inflammation of the prostate. In severe cases, this could lead to infertility due to obstruction. It may also cause fibrosis, affecting the smoothness of urination in the future. Ple...

Understanding Infertility and Varicocele: Key Insights for Couples

Infertility and Varicocele Hello Doctor, I have been trying to conceive for several months without success. In September 2011, I underwent a semen analysis at an obstetrics and gynecology clinic, with the results showing semen volume: 6 ml, sperm count: 51 x 10^6, motility: 78.4%...

Dr. Xu Weikai Reply:
Jason: Regarding your question: 1. Significant improvements can be achieved by adjusting physiological factors: maintaining a regular lifestyle, avoiding irritant foods, and exercising regularly. 2. Any testing method is acceptable as long as there is an improvement compared to y...

Understanding Laser Treatments for Prostate Issues: Risks and Benefits

Prostate Laser Therapy Hello, doctor. When I was younger, my urine stream was thinner, but it has become more severe recently. I went to Chang Gung Memorial Hospital for a cystoscopy, and the doctor said that I might have a naturally narrower urethra, which could require a prosta...

Dr. Xu Weikai Reply:
Hello, first of all, I am a male physician, not a female physician. It seems you used the wrong pronoun (you). If the urethra is narrow, a urethrotomy should be performed, not a prostatectomy. You may have misunderstood. Benign prostatic hyperplasia typically requires surgical in...

Impact of Antidepressants on Male Sexual Function and Fertility Issues

Antidepressants Hello Doctor: The patient has been taking antidepressants for a long time, which has resulted in decreased male sexual function, reduced ejaculate volume, and could potentially lead to infertility. Could you please provide a response? Thank you.

Dr. Lin Wenxu Reply:
Hello, sir: Thank you for your inquiry. I would like to respond to your question and provide the following advice: The use of medications, particularly in excessive amounts, can indeed lead to a lack of libido and sexual dysfunction; however, it is not certain that it would cause...

Understanding Chlamydia: Concerns, Testing, and Transmission Risks

Concerned Issues_2 Thank you very much for the detailed explanation, doctor. The following questions may overlap with previous ones, but I am still concerned, so I hope you understand. Person: Me, female friend, sex worker Question 1: Previously, I was infected with Chlamydia, ...

Dr. Xu Weikai Reply:
Castle in the Sky: Hello, first of all, your hypothetical questions are numerous and almost all could be valid. In medicine, there are rarely absolutes; to put it simply, there are no 100% certainties. 1. In any situation, if pathogens happen to infect, there is a chance of tra...

Understanding Male Infertility: Signs, Symptoms, and Testing Options

Infertility evaluation? Hello Dr. Hsu, I understand that male infertility cannot be determined by appearance alone, and that it is necessary to undergo tests such as semen analysis or biopsy at a hospital to confirm the presence of sperm. However, due to work commitments, I curr...

Dr. Xu Weikai Reply:
Mr. Lin: Hello, you can go to a nearby testing facility for examination and receive the results immediately; however, it will be at your own expense. If you have any further questions or need clarification, feel free to ask again, and we can discuss and research it together. This...

Understanding Semen Analysis Results: Variations and Implications

Semen analysis report results? Doctor, about seven months ago, I had a semen analysis done at a laboratory with the following results. I abstained for 5 days and collected the sample through masturbation into a paper cup. The results were as follows: - Appearance: Grayish-white ...

Dr. Xu Weikai Reply:
Hello, the body's tissues are constantly changing. For example, blood pressure measurements can vary every hour. As for semen, there are even more factors involved. After all, sperm development takes about two and a half months, and any abnormalities in health or nutrition d...

Does Mint Affect Male Fertility? Exploring Myths and Facts

Fertility issues? Question 1: After eating, I often have a bad taste in my mouth, so I buy mint-flavored gum to eliminate the odor. I also chew it out of boredom, so I consume it frequently! Question 2: Sometimes I have a sore throat, and I buy mint lozenges to soothe it; the c...

Dr. Xu Weikai Reply:
Hello, unless it is in very large amounts, it should not significantly affect this aspect of function. If you are still concerned or need further evaluation, a semen analysis can be performed. If there are any unclear points, feel free to ask again, and we can discuss and researc...

Understanding Male Infertility: Causes, Concerns, and Solutions

Male infertility Hello Doctor: I am a male, and I have been infertile since childhood. I do not know the reason for this, but the problem must be my infertility, as my previous girlfriends have all started families. I have a psychoneurosis and have felt "abnormal" since...

Dr. Zhang Chengye Reply:
A semen analysis is essential; otherwise, a diagnosis cannot be confirmed.

Understanding Cryptorchidism: Impact on Fertility and Treatment Options

Cryptorchidism issues Bilateral, the name of the surgery was not inquired about. Based on your experience, is the chance of infertility significantly higher? The external appearance of the reproductive organs seems to be normal.

Dr. Xu Weikai Reply:
HIME: Hello, you can go to a laboratory to have a semen analysis done to find out. If there are several abnormal issues, further analysis can be conducted on the specific abnormalities. If there are any unclear points, feel free to ask again, and we can discuss and research furth...

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