Infertility, Urology FAQ

Understanding Varicocele: Causes, Symptoms, and Treatment Options

Varicocele Varicocele is a condition characterized by the dilation of veins within the scrotum, which can cause a swollen appearance and, in severe cases, pain and infertility. It typically occurs on the left side. If it occurs on the right side, there is a strong suspicion of an...

Dr. Xu Weikai Reply:
Hello, ultrasound can confirm the presence of varicocele. If there are no issues and no symptoms, there is no need for further monitoring of this condition. If you have any further questions or need more details, feel free to ask, and we can discuss and research together. Sincere...

Understanding High Prolactin Levels and Headaches: What You Need to Know

excuse me? Hello, Doctor. A month ago, I noticed that I could express breast milk just by applying pressure to my chest. I visited an obstetrician who tested my prolactin levels and said they were too high, but did not specify the exact values. He mentioned that I would need to t...

Dr. Lin Zijing Reply:
Prolactin is secreted by the pituitary gland. Normally, during pregnancy and the postpartum breastfeeding period, prolactin levels rise. However, if prolactin levels are abnormally elevated during non-pregnant and non-breastfeeding periods, it can lead to anovulation and result i...

Understanding Male Infertility: Causes and Solutions for Concerned Patients

Male infertility Hello Dr. Liu, I used to be in a relationship with my girlfriend, and she never got pregnant while we were together. After we broke up, she became pregnant with another man. So the problem must be with me! Can I schedule an appointment with you to find out what...

Dr. Liu Jianting Reply:
Is that true? There are too many variables; the issue may not necessarily be with you. If you're concerned, you can visit a hospital to consult a urologist for an examination.

Understanding Varicocele: Causes, Symptoms, and Treatment Options

Issues related to varicocele? Hello, Dr. Hsu! I would like to ask under what circumstances varicocele typically occurs? Does it happen during sexual intercourse or masturbation? Is the pain usually only on the left side, or can it occur on both sides? When varicocele flares up, d...

Dr. Xu Weikai Reply:
Shao: Hello, varicocele is a condition characterized by the dilation of veins, which can cause the scrotum to appear swollen. In severe cases, it may lead to pain and infertility. It typically occurs on the left side. If it occurs on the right side, there is a strong suspicion of...

Understanding Trichomoniasis: Treatment and Fertility Concerns

Issues related to trichomoniasis infection? Hello Doctor: My wife frequently suffers from vaginitis, and recently she felt discomfort in her vagina and visited a gynecologist. The gynecologist diagnosed her with trichomoniasis, and both partners need treatment. I went to a labora...

Dr. Liu Jianting Reply:
1. Both partners need to undergo treatment together. 2. Please visit a hospital to consult a urologist for an examination and semen analysis for accurate results.

Understanding Male Infertility: Causes, Concerns, and Solutions

Male infertility Hello Doctor: I used to have a girlfriend, but I want to start a family with my current girlfriend, and she just can't get pregnant. After we broke up, my ex-girlfriend started dating someone else, and she ended up getting pregnant. No matter how hard my cur...

Dr. Xu Weikai Reply:
Zilong: Hello, the simplest way is to first check a semen analysis, which can be done at a laboratory or a hospital. For a vasectomy, patient consent is generally required, as well as consent from the spouse. Typically, physicians will not agree to perform a vasectomy on unmarrie...

Do Spermicidal Condoms Enhance Contraceptive Effectiveness?

Questions about commercially available condoms? Hello, Doctor: I would like to ask if condoms available on the market that contain "spermicides" provide an additional layer of protection against pregnancy. Furthermore, if condoms with additional additives or spermicides...

Dr. Xu Weikai Reply:
Hello, the spermicide you mentioned does have better contraceptive efficacy, which is certainly true. However, the addition of certain chemicals can also increase the likelihood of local irritation or allergic reactions. There are common cases of glans redness, which have been tr...

Understanding Low Sperm Count: Treatment Costs vs. IVF Options

Oligospermia Hello Doctor, my husband and I are very eager to have a child. Recently, my husband underwent a semen analysis at a nearby obstetrics and gynecology clinic, which revealed a low sperm count (2 million sperm per cc) and poor motility. I consulted with doctors from bot...

Dr. Tu Xiuhong Reply:
Hello: It is recommended that your husband visit a urology clinic to examine the male reproductive organs. A proper diagnosis is necessary before providing the correct treatment and determining the associated costs.

Understanding Low Semen Volume and Transparency: Causes and Concerns

Semen Hello, Dr. Hsu! I frequently engage in masturbation, and my sexual activity has also been quite frequent lately. However, I've noticed that the volume of my semen has decreased significantly and it appears very clear. I stopped masturbating for over a week, but after r...

Dr. Xu Weikai Reply:
Cool! Frequent ejaculation can lead to a decrease in sperm count in the semen, as the production may not keep up. However, if this continues over a long period, the sperm production rate should gradually increase. When you mention a decrease in sperm in the semen, is it based on ...

Understanding Testicular Pain: When to Seek Urological Evaluation

Should I get tested? Hello, Doctor. I am experiencing pain in my testicles, and sometimes I feel a dull ache in the upper right side of my penis, about 3 centimeters from the tip. Additionally, my testicles occasionally feel sore. What could be the cause of this? I have also noti...

Dr. Xu Weikai Reply:
Mr. Chen: 1. There is a dull pain at the upper right corner of the penis, about 3 cm in, accompanied by testicular discomfort. This could be due to the pain from the testicles radiating through the nerves to the mentioned area. Possible causes of testicular pain include prolonged...

Improving Sperm Motility: Options and Success Rates for Artificial Insemination

Examination Report Hello, Dr. Hsu. This examination is a follow-up six months after surgery. After some time, I underwent another examination. The attending physician mentioned that the results of the second examination were quite similar, indicating that while the quantity is pr...

Dr. Xu Weikai Reply:
Leo: Hello, actually, there are some medications available that can enhance this function. They can increase sperm count, motility, etc., but the National Health Insurance does not cover them, so they need to be paid out of pocket. Some medications include Razagood and low-dose f...

Understanding Varicocele: Impact on Fertility and Ejaculation Issues

Varicocele Hello Doctor: Previously, I was diagnosed with varicocele at the clinic. Since the physician believes that surgery is not recommended as it does not affect fertility, I am currently unmarried but have a girlfriend. However, I still struggle to ejaculate during intercou...

Dr. Zhang Chengye Reply:
Hello: 1. There is no association between prostate issues and varicocele. 2. Surgery for varicocele is only necessary if there is swelling, pain, or infertility. 3. The risk is a decrease in sperm motility. 4. There should not be any other conditions. 5. Congenital venous valve i...

Understanding the Causes of Yellow Semen: Should You Be Concerned?

Semen color Hello doctor, I have a long-standing concern that I would like to ask you about. After each sexual activity or masturbation, the semen I ejaculate is not the normal white, viscous fluid, but rather yellow, resembling a light beige color that is slightly darker. This h...

Dr. Xu Weikai Reply:
Hello, the normal color of semen is typically white or slightly yellowish. If there is a foul odor or sediment, it may be related to an infection. If you are concerned, you can have a semen analysis done to find out the results. This is a response from Dr. Hsu Wei-kai, Director o...

Understanding Health Insurance Costs for Urology Services in Taiwan

How much does health insurance cover and how much do I have to pay out of pocket? Hello, doctor. I would like to ask if I need to check my male hormones and my sexual nerve issues. Besides the consultation fee, will I have to pay any additional costs? Are these covered by health ...

Dr. Xu Weikai Reply:
Jason: Hello, the National Health Insurance Bureau's coverage includes most items related to diseases, except for some specific tests. However, in certain special circumstances, such as infertility, patients may need to pay out of pocket. Note: Currently, the medical communi...

Understanding Azoospermia After Pituitary Surgery: Hope and Treatment Options

Azoospermia caused by pituitary gland surgery? Hello Dr. Hsu, I have been troubled by the issue of azoospermia for a long time, and I should say that I have been mentally tormented several times. I hope you can give me some advice. I am a 33-year-old male, and 13 years ago I unde...

Dr. Xu Weikai Reply:
Mr. Ken: Hello, I am not aware of your condition from 13 years ago. Some pituitary gland disorders can affect testicular development. After surgery, male hormone levels may be low, and testicular development may not be optimal. My preliminary conclusion is that insufficient hormo...

Impact of High Temperatures on Male Fertility and Gender Ratio

Fertility issues Hello Dr. Hsu, I have a question I would like to ask you! Every summer, I work in an environment with temperatures above 33 degrees Celsius (91.4 degrees Fahrenheit) (winter is not as bad). Besides the risk of infertility, I have heard that even if conception o...

Dr. Xu Weikai Reply:
Hello, in general, the testes are located outside the abdominal cavity, and the surrounding temperature is 1-2 degrees Celsius lower than body temperature. This is because a lower temperature is more conducive to the production of high-quality sperm. If the temperature is too hig...

Understanding Male Infertility: Can Low Sperm Count Affect Pregnancy?

Does this count as infertility? I started practicing shooting about two years ago, but due to work-related travel, I can only have intercourse three to four times a month, and sometimes only twice in a month. I have not been able to conceive, does this qualify as infertility? Las...

Dr. Xu Weikai Reply:
H20: Overall, your situation is not too bad, and natural conception should be possible. However, the presence of white blood cells in the semen and poor morphology may interfere with conception. Additionally, since you are living apart, the frequency of intercourse is noticeably ...

Does Penis Size Really Matter? Understanding Male Concerns and Myths

Is it really not important?? Hello, doctor. I have a question: why do doctors say that penis size is not important? I really don't understand. I am a normal guy, but my penis is indeed on the smaller side. No matter where I go (military dorms, public restrooms, swimming pool...

Dr. Xu Weikai Reply:
Hello, regarding the research on penile size among Taiwanese men, you can refer to the following medical association: http://www.edact.org.tw/issue/issue_info.asp?issue_id=5. If necessary, it is generally recommended to conduct tests such as chromosome analysis, hormone levels, a...

Can Varicocele and Hydrocele Affect Sexual Function and Sleep?

Difficulty sleeping after ejaculation? Doctor, I have a question. I underwent an ultrasound examination and found that both of my testicles have mild varicocele, and there is a 0.7 cm cyst on the left testicle. Will these conditions affect my sexual function? I have noticed a dec...

Dr. Lai Ronghao Reply:
Hello: If you are experiencing infertility, a semen analysis can be performed to assess sperm quality and concentration. Sexual function typically does not decline in relation to varicocele, but psychological stress can have an impact. If you are still concerned, it is advisable ...

Understanding Epididymal Cysts: Causes, Risks, and Treatment Options

Epididymal cyst? Hello, doctor. If an ultrasound reveals mild venous dilation in both testicles and a 0.7 cm cyst in the left epididymis, what should be done? What potential adverse effects could arise in the future? Is there a possibility of infertility? Is surgery necessary? Th...

Dr. Xu Weikai Reply:
Pipizuo: Hello, the cysts or fluid-filled sacs within the epididymis are generally benign and do not affect normal function. It is usually recommended to monitor them for 3 to 6 months. If there is an increase in size, surgical removal is advised. If there are no changes, they ca...

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