Infertility, Urology FAQ

Understanding Varicocele Surgery: Effectiveness, Risks, and Aftermath

Varicose veins (continued) When inquiring about the effectiveness of surgical treatment for varicocele, how significant are the risks? Will there be any long-term complications after the surgery?

Dr. Lin Hexing Reply:
Hello Mr. KJ: First, I would like to clarify that the indications for surgery for varicocele are 1. when there is significant pain causing swelling and heaviness in the scrotum, and 2. when it leads to infertility, particularly if semen analysis shows an impact on sperm count and...

Concerns About Varicocele: Symptoms, Progression, and Surgical Outcomes

Concern A few months ago, I was diagnosed with mild varicocele. Initially, I experienced some slight discomfort and aching in the scrotum, but in the past month or two, the discomfort has decreased significantly. However, I am still very concerned that the pain may return and wor...

Dr. Chen Xiuyi Reply:
Hello: In males, the blood from the pampiniform plexus within the scrotum collects from the testes and drains into the right and left spermatic veins. The right spermatic vein directly empties into the inferior vena cava, while the left spermatic vein enters the renal vein at a r...

What is the Daily Zinc Requirement for Male Fertility?

What is the daily requirement for zinc? Hello, doctor. I have been to a urologist for infertility issues, and my sperm motility and count are both insufficient. The doctor recommended that I supplement with protein and a multivitamin with zinc. I found zinc supplements on the mar...

Dr. Xu Weikai Reply:
Awen: Hello, the generally recommended amount of zinc for fertility issues is around 15-25 mg. For middle-aged and elderly individuals or those with impaired liver or kidney function, the dosage should be reduced to avoid toxicity. Couples facing infertility can supplement zinc d...

Understanding Right-Sided Varicocele: Causes, Symptoms, and Treatment Options

Right testicular pain! Doctor, I had a scrotal ultrasound last week, and the doctor said I have varicocele on both sides. However, isn't varicocele usually found on the left side? How can the right side also be considered varicocele? Additionally, if the severity is classifi...

Dr. Chen Xiuyi Reply:
Hello: In males, the blood from the pampiniform plexus within the scrotum collects from the testes and drains into the right and left spermatic veins. The right spermatic vein drains directly into the inferior vena cava, while the left spermatic vein enters the renal vein at a ri...

Understanding Varicocele: Diagnosis, Symptoms, and Fertility Impact

The issue of varicocele? Hello, I would like to ask about my condition. I sometimes experience sharp pain or a dull ache in my testicles, mostly on the left side. I have been to the hospital for examination, and some doctors mentioned that I have "varicocele," while oth...

Dr. Xu Weikai Reply:
Hello, Xiao Li: Varicocele typically occurs on the left side due to anatomical reasons. If it occurs on the right side, other underlying issues must be considered. There are two main reasons for surgery: 1. Pain, discomfort, or heaviness; 2. Impact on sperm production and motilit...

Understanding Epididymitis, Prostatitis, and Testicular Microlithiasis: What to Do?

Epididymitis + prostatitis + varicocele + testicular microlithiasis... what should I do? Hello Doctor, I experienced unexplained testicular pain and went to Tri-Service General Hospital for an examination. The doctor diagnosed me with epididymitis. Feeling anxious, I then visited...

Dr. Xu Weikai Reply:
Ray: Hello, Dr. Chang Hong-Jiang is a physician at National Taiwan University specializing in male infertility, and he has conducted extensive research in this area. Based on his diagnosis, there should be no issues; the rapid decline in sperm count may be due to testicular patho...

Understanding Varicocele: Symptoms, Risks, and Treatment Options

Varicocele Doctor, I have varicocele. I would like to ask you about an injury I sustained to my testicle in the ninth grade, which resulted in bruising. I took anti-inflammatory medication and applied ice. Since that incident, I have noticed that I have varicocele on both sides. ...

Dr. Xu Weikai Reply:
A-Ming: Hello, after a testicular injury, if there is a rupture, it can sometimes lead to the presence of specific antibodies in the bloodstream that attack one's own sperm, resulting in decreased sperm motility and infertility. In cases of testicular torsion, if it has only...

Understanding Gonorrhea: A Patient's Journey Through Misdiagnosis and Treatment

About Gonorrhea The doctor initially prescribed tetracycline for my gonorrhea, but it was ineffective. Then, I was given BACCIDAL. After the first week, I noticed some improvement, but by the second week, my condition worsened. It turned out that your hospital's prescription...

Dr. Liu Jianting Reply:
Continue with your treatment diligently!

Understanding Varicocele: Concerns, Surgery, and Fertility Impact

Varicose veins 1. My left side is more than twice the size of my right side. I went to the hospital for an examination, and the doctor said it is mild varicose veins, but I feel like it has swollen to twice its size. Is there a chance it could get bigger? 2. Also, if the pain i...

Dr. Chen Xiuyi Reply:
Hello, in the treatment of varicocele, if there is only mild discomfort, medication can be used to alleviate pain. However, if the pain is severe or leads to infertility, surgical intervention is recommended. The surgical options include: retroperitoneal varicocele ligation, ingu...

Should I Consider Surgery for My Urological Concerns?

I'm not sure whether to undergo surgery? Hello, Director Chen. I am 28 years old. A few years ago, during my military service, I accidentally discovered a lump about the size of a mung bean on the right side of my testicle (it moves around with the testicle). I went to a mil...

Dr. Chen Xiuyi Reply:
Hello: In males, the blood from the pampiniform plexus within the scrotum collects from the testes and drains into the right and left spermatic veins. The right spermatic vein drains directly into the inferior vena cava, while the left spermatic vein enters the renal vein at a ri...

Understanding Erectile Dysfunction: A Guide for Couples Seeking Help

Sexual dysfunction Hello Doctor: My husband has been experiencing erectile dysfunction for the past year, with a very short duration of erection that returns to its flaccid state before sexual intercourse, making it difficult for us to engage in sexual activity. He is 33 years ol...

Dr. Xu Weikai Reply:
Hello, based on your description, I initially suspect that your husband may be experiencing erectile issues due to psychological stress. In daily life, the need to work late and overtime, along with a weight gain of 15 kilograms, could indicate that he is under significant pressu...

Managing Varicocele Pain and Improving Semen Quality: A Guide for Patients

Varicocele Thank you, doctor, for your detailed responses each time. I hope it won't be too much trouble to ask again. 1. I have a varicocele with occasional pain that is tolerable. How can I reduce the pain in my daily life? What dietary considerations should I keep in min...

Dr. Xu Weikai Reply:
Health is the most important: Hello, it seems like we've become old friends. Your questions are actually quite simple: 1. Reduce actions or lifestyle habits that increase abdominal pressure, such as constipation, coughing, and prolonged standing. Foods that are high in fiber...

Understanding Semen Analysis: Implications of High Viscosity on Fertility

Semen Hello, doctor: I have a question for you. My husband underwent a sperm analysis, and the results showed that his sperm is excessively viscous, with a liquefaction time of 35 minutes, while the obstetrician said the normal range is 20 minutes. May I ask: 1. Does this mean my...

Dr. Xu Weikai Reply:
1. The liquefaction time is prolonged, which can have many causes, but it does not affect fertility. Generally, infertility is determined by factors such as sperm count and motility. 2. Please attach the semen analysis report so that I can provide more convenient recommendations...

Understanding Male Development: Growth Patterns and Concerns

The second article on size differences? I previously sent a message and I'm not sure if you remember. You asked me some questions. I graduated from elementary school at a height of 158 cm, and I have grown to 167 cm now. I have developed all the necessary secondary sexual ch...

Dr. Xu Weikai Reply:
Mild Depression: It's good to see you again, and I can sense your continued concern. Here, I have some information for you: According to statistics from Tri-Service General Hospital, the average length from the base of the penis to the urethral opening in young males is appr...

Struggling with Persistent Urological Issues: Seeking Answers and Relief

A problem that has been bothering me for a long time? I have the following symptoms: 1. I frequently need to use the restroom, sometimes feeling the urge to urinate again within 10 minutes after just finishing. I also have a sensation of incomplete voiding. 2. There is a small, s...

Dr. Weng Wenzhen Reply:
Hello! 1. Frequent urination without residual urine may be indicative of overactive bladder syndrome or a conversion disorder related to psychological factors. 2. After an erection, the penile urethra becomes engorged, which can lead to a sensation of increased redness and swelli...

Varicocele and Infertility: Surgical Options and Recovery Insights

Varicocele and Infertility Hello Dr. Lin: We are experiencing infertility. I underwent laparoscopic surgery for endometriosis on January 18. My husband has a sperm count of 2500, with only 8% motility, and he has been diagnosed with varicocele. The doctor has recommended surgery,...

Dr. Lin Hexing Reply:
Hello Ms. Wu: Simple varicocele should not result in the sperm analysis findings your husband has. If a varicocele ligation surgery is performed, the likelihood of achieving pregnancy may be quite low, and considering artificial insemination might be more feasible. 1. Generally, ...

Understanding Varicocele: Symptoms, Treatment Options, and Lifestyle Tips

About Varicose Veins Hello Dr. Lin, I have recently been experiencing pain in the right side of my scrotum after intercourse or during the night. After visiting the hospital and undergoing an examination, the doctor found that I have varicocele on both the left and right sides, ...

Dr. Lin Hexing Reply:
Hello Weiwei: To answer your question, the ultrasound examination shows that the scrotal vein measures 2.8mm, which is not considered severe. In young males, varicocele predominantly occurs on the left side. The main indications for surgery are 1. causing infertility, and 2. abdo...

Understanding Chronic Epididymitis: Treatment Options and Fertility Concerns

What are the treatment options for chronic epididymitis? Hello Dr. Liu, I have lumps below both of my testicles, and after a doctor's diagnosis, it was determined to be chronic epididymitis. I am very concerned (I am unmarried and have not had sexual intercourse). What are t...

Dr. Liu Jianting Reply:
The chances are low, so it's best to start with a semen analysis for evaluation. If there are any discomforts related to chronic epididymitis, please promptly consult a urologist for examination and treatment.

Concerns About Varicocele and Male Fertility: What You Need to Know

I'm very worried!! Varicocele can potentially lead to infertility. I have a noticeable varicocele on my left testicle, which feels like a lump when I touch it, but it doesn't usually hurt. When I have an erection, the veins on my penis become very prominent. Do I need s...

Dr. Liu Jianting Reply:
The sensation of "a bag of worms" is often used to describe varicocele. As for whether it leads to infertility, that is not absolute. If there is no pain, observation is sufficient, and there is no rush to undergo surgical high ligation of the veins. However, if there i...

Understanding Moderate Varicocele: Symptoms, Treatment, and Concerns

Moderate varicocele? Hello Doctor: Last week, I experienced pain in my left testicle (a mild discomfort, just a bit warm). The doctor's opinion was to wait until I get married and face potential infertility issues before considering surgery, so he prescribed Lorazepam (1mg),...

Dr. Liu Jianting Reply:
Of course, you should serve in the military! Is the pain in the left testicle caused by varicocele or orchitis? A varicocele does not necessarily lead to infertility, and surgery is not always required unless the varicocele is severe enough to cause discomfort in the left groin o...

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