Infertility, Urology FAQ

Undescended Testes: Impact on Fertility and Surgical Timing

Cryptorchidism issues? Congenital cryptorchidism from infancy, which was not surgically addressed in a timely manner, may lead to infertility issues if surgery was only performed later, such as during military service. This condition can affect sperm production and hormonal funct...

Dr. Xu Weikai Reply:
HIME: Hello, 1. Is it unilateral or bilateral? 2. What type of surgery was performed? 3. Current condition of the testicles: size, shape, etc. Recommendation: The simplest approach is to go to a laboratory to check the semen for any issues. If necessary, additional endocrine test...

Understanding Normal Sperm Count: When to Seek Urology Advice

I would like to ask the doctor? I would like to ask what is the normal sperm count per cc of semen? For example, if I have 25 million sperm per cc, do I need to seek medical treatment? My lifestyle is normal; I don't smoke or drink alcohol. Is there anything I need to improv...

Dr. Xu Weikai Reply:
Hello, Dawei: 1. 60 million (no ejaculation for 3-5 days). 2. 25 million is considered low, but conception is still possible, although the chances are reduced. Treatment is only necessary if infertility is diagnosed. 3. Regular exercise and a balanced diet are recommended. If y...

How to Address Inability to Ejaculate: Seeking Help for Fertility

What to do if you are unable to ejaculate? I am 36 years old and have been married for 2 years. I am unable to achieve ejaculation during intercourse (I rely on manual stimulation for ejaculation). I would like to have a baby. What should I do and which specialist should I consul...

Dr. Lin Hexing Reply:
Hello Sir: Thank you for your inquiry. I would like to respond to your question and provide the following suggestions: Currently, there are no appropriate pharmacological treatments for delayed ejaculation. If you are eager to have a baby, you should consider artificial inseminat...

Does Circumcision Really Enhance Penis Size and Health?

Will the glans penis become larger if the foreskin is retracted? Hello doctor, I have been considering circumcision for a long time. When I have an erection, I need to push back my foreskin with my hand to expose my glans; otherwise, my glans is covered by the foreskin. Additiona...

Dr. Xu Weikai Reply:
Jason: Hello, after circumcision, it can indeed reduce the risk of infections and prevent the occurrence of male and female-related cancers. However, there is no evidence to support claims regarding the prevention of premature ejaculation or enlargement of the glans. In fact, imm...

Understanding Microcalcifications in Testicles: Impacts and Concerns

Testicular issues? Hello, Doctor: Actually, I am a radiologic technologist and I can perform ultrasounds, so I scanned my own testicles and noticed some small bright spots inside, which I understand are referred to as microcalcifications. I would like to know if there are any imp...

Dr. Xu Weikai Reply:
Bright: Regarding testicular microcalcifications, it is generally believed that they may be related to degeneration. However, some physicians think they do not have a significant impact. Nonetheless, there is a consensus that they are not associated with cancer. As for infertilit...

Understanding Yellow Semen: Causes and Fertility Concerns

The semen appears yellow? Hello doctor, one day I noticed that the semen I ejaculated after intercourse was yellow and had clumps that resembled jelly-like hard particles. What could be the reason for this? Could it cause infertility?

Dr. Lin Hexing Reply:
Hello, sir: Thank you for your inquiry. I would like to respond to your question and provide the following advice: a semen analysis is necessary to determine if there are any issues. Lastly, I wish you peace and happiness.

Understanding Semen Analysis Results and Their Impact on Infertility

Is the semen analysis result related to infertility? Dear Dr. Hsu, Hello. Below are the results of my recent semen analysis conducted at a medical facility. I am unsure how significantly these results relate to infertility. Additionally, do I need to undergo further outpatient e...

Dr. Xu Weikai Reply:
Patient: Hello Volume: 8 c.c. Liquefaction Time: 30' (normal range) pH: 7.2 (normal range) Color: Yellow Milky Spermatozoa Count: 20 x 10^6 per c.c. (normal range) Motility: 50% active within 60 minutes (normal range) Morphology: 15% abnormal (abnormal appearan...

Understanding Testicular Inflammation: Causes, Symptoms, and Treatment Options

Orchitis Hello Doctor: I have been struggling with testicular pain, and the examination results indicate inflammation of the testicles or epididymis. 1. I usually drink water normally and do not wear tight underwear, so why does inflammation occur frequently? 2. During a previous...

Dr. Xu Weikai Reply:
Hello, 1. Orchitis and epididymitis are generally difficult to treat and often recur. Therefore, antibiotic treatment is usually prescribed for 6 to 12 weeks, with some cases extending beyond six months. 2. Inflammation of the testes can lead to a decrease in both sperm count...

Understanding Hematospermia: Concerns About Fertility and Diagnosis

Hematospermia Doctor Xu, I would like to ask again because my doctor told me that if there is no blood in my semen after taking the medication, I do not need to return for a follow-up. However, as you mentioned, there is a possibility of infection leading to tissue adhesion, whic...

Dr. Xu Weikai Reply:
Hello, after the treatment of seminal fluid, you can have a semen analysis to check for any effects. If there are any impacts, further tests and examinations can be conducted. Note: For those who do not have any obstructions, a physical examination may not reveal any issues. If t...

Understanding Hematospermia: Impact on Fertility and Treatment Options

Hematospermia Doctor, I have been experiencing hematospermia recently. I have already seen a doctor and am taking medication, but I am worried about whether it will affect my fertility. How likely is it to impact my fertility? The doctor mentioned that it might be due to microvas...

Dr. Xu Weikai Reply:
Ejaculating with blood should prompt consideration of several conditions: 1. High blood pressure leading to vessel rupture; 2. Infection; 3. Tumors, which are very rare. If it is solely due to vessel rupture, it should not significantly affect fertility. However, if accompanied b...

Understanding Microlithiasis: What You Need to Know About Testicular Health

Microlithiasis refers to the presence of small calculi or stones, typically found in organs such as the Hello Dr. Hsu, I recently suspected that the size of my testicles on the left and right sides is different (without any pain), so I went to a medical center for an ultrasound e...

Dr. Xu Weikai Reply:
Mr. Lin: Hello, regarding testicular microlithiasis, I believe you have reviewed a lot of information and read many related articles. Based on your data, 0.6-9% of individuals may exhibit microlithiasis, what does this indicate? This means that approximately 1 in 10 to 20 individ...

Understanding Varicocele: Risks and Treatment Options for Teens

Varicocele I previously had an examination during the summer to check for left-sided varicocele, and many high school students seem to have been advised by doctors to be monitored every six months. It has been nearly a year now, and due to academic commitments, I can only see a d...

Dr. Liu Jiaju Reply:
Varicocele is a common condition among young males, typically occurring on the left side. The clinical symptoms primarily include discomfort or aching during prolonged standing or sitting due to poor blood circulation. In more severe cases, a network of blood vessels resembling w...

Understanding Varicocele: When to Worry About Testicular Discomfort

It should be a varicocele. However..? Hello, doctor. I have a question to ask. Two weeks ago, I felt discomfort in both of my testicles. After researching online, I performed a self-examination and suspect that I have a varicocele. I read that if there is no pain, there is no urg...

Dr. Xu Weikai Reply:
How is it the opposite: Hello, the left testicle is generally lower in most people. If you look at many nude statues, the left testicle is noticeably lower. This difference is not caused by varicocele. Additionally, low temperatures can cause the cremaster muscle to contract, so ...

Understanding STD Risks and Testing After Safe Sex Practices

Doctor, may I ask? Hello, Doctor! I engaged in sexual activity on April 11, using a condom throughout (which did not break). However, I only had oral sex with a condom and touched the other person's genitals (my hands had no visible wounds). I have been feeling anxious after...

Dr. Xu Weikai Reply:
Anonymous: Hello, sexually transmitted infections (STIs) are generally transmitted through bodily fluids or direct physical contact. Most STIs, such as gonorrhea and urethritis, have specific symptoms; however, some, like HIV, have less obvious symptoms and require blood tests fo...

Understanding Varicocele: Concerns, Treatment Options, and Fertility Impact

Varicocele Hello, Doctor: I would like to ask a few questions. About two weeks ago, I visited a urologist and was diagnosed with a varicocele, but I have not undergone a semen analysis yet. The doctor mentioned that surgery is not necessary at this time, but I am still a bit conc...

Dr. Xu Weikai Reply:
S: Hello, I am pleased to assist you. 1. Varicocele, general indications for surgery: pain, infertility. 2. Surgery rarely damages the vas deferens and seldom causes significant complications. 3. Consider whether you can tolerate the pain. If you can, medication may not be necess...

Concerns About Testicular Health and Fertility After DIY Activities

I have concerns? Hello Dr. Liu, I have a question. When I was 18 years old, after a DIY session, I immediately went to urinate, and my testicles suddenly swelled. Since then, I feel like my sperm has lost its viscosity. Will this lead to infertility in the future? After that inci...

Dr. Liu Jianting Reply:
You're overthinking it! It's normal! No need for medication. If you're worried, you can visit a urologist at the hospital.

Understanding Your Semen Analysis Report: Key Insights and Concerns

Semen Analysis Report Hello Dr. Hsu, I am the anonymous person who asked you about semen color a while ago. Thank you very much for your detailed response. I would like to ask you about my semen analysis report, as consultations at large hospitals are often rushed and it is diffi...

Dr. Xu Weikai Reply:
According to your semen analysis: infection has led to decreased sperm motility. Additionally, up to 65% of abnormally shaped sperm may also be related to the infection. Note: normal motility should exceed 60%, and the percentage of normally shaped sperm should also be above 60%....

Understanding Clear Semen: Causes and Concerns for Male Fertility

Clear semen In April of this year, I noticed that the semen was clear when I masturbated. I thought it might be due to excessive masturbation (about 1 to 2 times a week), so I refrained from masturbating for about five weeks. When I masturbated again, I was surprised that the vol...

Dr. Xu Weikai Reply:
Hello, regarding infertility, it is not possible to determine it solely based on the color of semen. The simplest way is to conduct a semen analysis. Normal semen can appear transparent, slightly white, milky white, or slightly yellow, and it may even coagulate into clumps. If yo...

Understanding the Impact of Incorrect Masturbation Techniques on Male Fertility

Questions about masturbation techniques? Hello Doctor, I recently read an article about incorrect masturbation techniques, and here are some excerpts: "The penis is pressed down and back, trapped between the legs, and pleasure is obtained through this compression without fri...

Dr. Liu Jianting Reply:
There are too many articles discussing sexual knowledge, but they are not entirely accurate. I recommend you read a book titled "Misconceptions about Sexual Knowledge."

Cost and Considerations of Vasectomy: What You Need to Know

What is the cost of a vasectomy? What is the cost of a vasectomy? What should be taken into consideration? Are there any side effects?

Dr. Liu Jianting Reply:
Basically, health insurance does not cover much; the costs vary depending on the hospital's charges. As for precautions, it is best to consult a physician in the urology department at the hospital for a clearer explanation. The most significant side effect is [infertility].

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