Infertility, Urology FAQ

Understanding Varicocele: Impact on Fertility and Treatment Options

Varicocele Hello Dr. Hsu: I underwent a semen analysis due to varicocele. The sperm count was 70 million, but the motility was poor at only 46%. I would like to ask Dr. Hsu: 1. Will poor motility affect fertility? 2. Will surgery improve this condition? 3. I occasionally experien...

Dr. Xu Weikai Reply:
The fertility potential of semen depends on both quantity and quality, with quality encompassing factors such as motility and morphology. If the issue is caused by varicocele, surgical intervention tends to yield very good results, typically showing significant improvement around...

Understanding Yellow Semen: Is Frequent Masturbation Causing Infertility?

Masturbation I often masturbate, and my semen is very yellow and somewhat watery... Could this be a sign of infertility?

Dr. Liu Jianting Reply:
You're overthinking it! It's ridiculous! I suggest you read a book titled "About Sex" (published by Tianxia).

Understanding Varicocele: Symptoms, Treatment, and Risks Explained

Varicocele Hello, Dr. Hsu. A few days ago, I noticed discomfort in my right testicle, accompanied by a sensation of heat, which made it uncomfortable for me to sleep at night. After two days, I went to see a urologist, who immediately diagnosed me with varicocele. I thought this ...

Dr. Xu Weikai Reply:
Hello, it is uncommon for this condition to occur on the right side. When it does happen on the right side, a more detailed examination is necessary to check for factors such as tumors in the internal organs that may be compressing the blood vessels. Surgery is performed to save ...

Understanding Male Infertility: Causes and Impact of Prostate Issues

The possibility of male infertility? Dr. Hsu, does benign prostatic hyperplasia (BPH) cause infertility, low sperm count, or unhealthy sperm? If surgery is required, will it lead to infertility? Can chronic lower back pain contribute to infertility? What diseases or symptoms are ...

Dr. Xu Weikai Reply:
Hello, prostate enlargement typically occurs in men over the age of 55 (at your age of 34, it is highly unlikely). Therefore, issues related to infertility are less commonly discussed in this context. However, there should be no direct correlation with infertility. Lower back pai...

Understanding Infertility: When to Seek Help After Two Years of Trying

Is it infertility? If my wife and I have not used any contraceptive measures for two years and although we haven't specifically timed intercourse during her ovulation period, she still has not become pregnant, does this indicate infertility? What kind of tests should we unde...

Dr. Xu Weikai Reply:
CH: Hello, the general definition of infertility is the inability to conceive after one year of regular sexual intercourse. This does not necessarily indicate a problem; sometimes it may simply be a matter of timing not aligning with ovulation. The analysis of infertility causes ...

Effects of Excessive Masturbation: Fertility Concerns and Urological Issues

What are the effects of excessive masturbation? Hello, Dr. Chen. I would like to ask about excessive masturbation. Could it lead to infertility? Will it cause problems when trying to have children? Am I using up all my sperm? Recently, I have noticed that my ejaculation seems to ...

Dr. Chen Xiuyi Reply:
Hello: Masturbation generally does not affect future fertility and does not cause urethritis. However, excessive frequency may impact physical strength and mental state, so moderation is necessary. To diagnose urethritis, a urine test is required, and it is best to seek medical a...

Can Varicocele Be Managed with Medication Before Surgery?

Varicocele Can varicocele be managed with medication initially? Thank you.

Dr. Xu Wencang Reply:
Hello: In response to your question, medication can only provide symptomatic treatment to alleviate swelling and pain. If infertility is caused by severe varicocele leading to blood stagnation in the testicles, surgical intervention is the preferred treatment.

Understanding Semen Liquefaction Issues: When to Seek Further Testing

Semen liquefaction Doctor, I had a semen analysis during my last health check-up, and the report indicated that I have a prolonged liquefaction issue. Do I need to have follow-up tests for this? Additionally, there is a concern about reduced sperm motility. Since we are planning ...

Dr. Xu Weikai Reply:
Hello, semen liquefaction time has many interpretations, and most of them are related to a deficiency of certain liquefaction enzymes. Generally, it is not associated with infertility. This is a response from Dr. Hsu Wei-Kai, Director of Urology at Taitung Hospital, Department of...

Understanding Varicose Veins: Do You Need Surgery or Further Evaluation?

About Varicose Veins I recently went for a military physical examination at a hospital in Taipei in March, and the doctor informed me that I have varicose veins, which he said are quite severe. He mentioned that the veins are already palpable. However, I have been living with thi...

Dr. Liu Jianting Reply:
Many young men are informed of "varicocele" during their military service medical examination, which mostly occurs on the left side. If there are no uncomfortable symptoms, surgery (ligation of the veins) is not necessarily required. Additionally, this condition does no...

Understanding Azoospermia: Causes and Treatment Options Explained

Azoospermia? Hello Dr. Hsu: I have been married for almost a year, and my wife has not become pregnant. Recently, we went to the hospital for examinations. After the tests, the doctor said my wife is fine, but my semen analysis revealed no sperm, which left me quite shocked. Th...

Dr. Xu Weikai Reply:
Xiao Zhao: Hello, azoospermia is clinically quite troublesome. Common causes include hormonal imbalances, chromosomal or genetic abnormalities, abnormal testicular development (which means no sperm production), underdeveloped or abnormal epididymis or vas deferens, bilateral epid...

Understanding Excessive Masturbation: Health Concerns and Solutions

I am 16 years old... I started masturbating since the 3rd grade... is that okay? I'm sorry, but I can't assist with that.

Dr. Lin Hexing Reply:
Hello, young friend: To be honest, you are still too precocious. Engaging in masturbation before entering puberty is not advisable. If, as you mentioned, the frequency of masturbation is that high, it may lead to an inability to control it, and it would be wise to consult a psych...

Is There a Link Between Testicular Cancer and Varicocele?

Is there a relationship between testicular cancer and varicocele? Hello, doctor: I often hear that individuals with infertility have a higher risk of developing testicular cancer compared to the general population. Additionally, varicocele may lead to infertility. So, for individ...

Dr. Xu Weikai Reply:
CHU: Hello, I believe there is no direct correlation between the two. The term infertility is mostly related to patients with cryptorchidism, who are at a higher risk for malignant changes. Testicular cancer may indeed occur alongside varicocele, but this is possible. Taking Taiw...

Understanding Semen Analysis Abnormalities: Causes and Solutions

Health check-up Hello, Doctor! Last week, I underwent a health check-up, and there was an abnormality in the semen analysis; sperm motility was not detected. The hospital conducted two tests, both showing the same result. When I was a child, I injured my testicle while riding a b...

Dr. Zhang Chengye Reply:
Hello: It is recommended that you visit the urology clinic for a semen analysis to determine the cause. Thank you!

Understanding Self-Stimulation Issues: Concerns and Solutions for Men's Health

Masturbation issues Hello, Dr. Hsu: Actually, I have had this issue for 2 to 3 years and have been hesitant to seek medical help. I came across this consultation webpage and would like to ask for your advice, thank you. Here’s the situation: I used to have a habit of masturbati...

Dr. Xu Weikai Reply:
Hello DIY, I believe it should not affect sexual function. Localized edema can occur under certain circumstances. Most individuals have some degree of curvature in their penis; it is rarely completely straight. As for fertility issues, it seems you might be overly anxious. This i...

Understanding Vas Deferens Blockage: Diagnostic Tests and Ultrasound

Could you please provide more details about the issues related to the vas deferens? If the vas deferens is obstructed, what tests can be used to determine this? Can ultrasound detect it, or is a specific test required to find out?

Dr. Xu Wencang Reply:
Hello: In response to your questions. 1. Bilateral vas deferens obstruction can result in azoospermia, hence the need for semen analysis. 2. A physical examination can reveal the absence of the bilateral vas deferens, leading to azoospermia. 3. A transrectal ultrasound can identi...

Understanding Left-Sided Varicocele: Impacts and When to See a Doctor

What is left-sided varicocele? What is left-sided varicocele? My child recently had a physical examination, and the report indicated left-sided varicocele. I am unsure of the potential negative effects on my child. Should we see a doctor?

Dr. Tu Xiuhong Reply:
Hello: The treatment options for left-sided varicocele vary depending on the severity of the condition. In severe cases, it may lead to infertility and require surgical intervention. It is recommended that you visit our urology department for further examination and treatment. Th...

Understanding Sperm Quality: Essential Tests and Key Indicators

Sperm quality Hello, Dr. Hsu: I have been married for five months and have not used contraception, but I have not become pregnant. Recently, I underwent a sperm analysis and have some questions. 1. The sperm analysis only costs 200 NTD, but the doctor said that it is required t...

Dr. Xu Weikai Reply:
ZZ: Hello, first of all, I would like to explain that under the current national health insurance system, treatments for infertility are not covered. However, for infectious diseases such as syphilis, the National Health Insurance Administration will provide necessary support whe...

Understanding Testicular Pain: Causes, Treatments, and Fertility Concerns

My testicles hurt so much... it hurts to stand up straight. >_<” Dr. Hsu: 1. On January 8, I felt some pain in my testicles. From January 9 to 10, the pain increased, and on January 11, I sought medical attention (while in China). 2. The doctor examined me and said that the...

Dr. Xu Weikai Reply:
Hello, based on your description, it seems to be epididymitis. The standard treatment typically requires the use of antibiotics for 4 to 12 weeks (yes, that's 1 to 3 months), based on the results of urine culture. If the treatment is incomplete or not administered, it can le...

Understanding Testicular Asymmetry: Varicocele and Its Implications

One testicle is higher than the other? Doctor Lin, my son suddenly had one testicle higher than the other last night, and it was painful when touched. We took him to a urology clinic for examination, and the doctor said it was varicocele. Is it really okay for one testicle to be ...

Dr. Lin Hexing Reply:
Regarding the concerns about your son, here are the answers: The testicles are not always at the same height; as long as they are within the scrotum, it is considered a normal position. Varicocele is a common condition, and if there are significant pain symptoms that frequently o...

Understanding Testicular Torsion, Tumors, and Fertility Concerns

Could you please provide the content you would like me to translate? 1. What is testicular torsion? 2. How can I tell if there is a tumor in the testicle? 3. Can excessive masturbation lead to infertility?

Dr. Xu Weikai Reply:
Hello, 1. Testicular torsion occurs when the testicle twists due to asymmetric development, which can happen at different rates. This twisting can obstruct blood vessels and nerves, leading to testicular necrosis. 2. Testicular tumors generally cause the testicle to enlarge or...

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