Understanding Male Infertility: Causes, Treatments, and Options
Infertility Hello, doctor. I have a five-year-old son, and for the past two years, I have been trying to conceive again without any success. I recently went to a gynecology clinic in Beitun for an examination and found out that my sperm count is low, at only 5 million. I am wonde...
Dr. Xu Weikai Reply:
Yiyun: Hello, generally speaking, there is a saying: "When one is well-fed and warm, thoughts of lust arise." In professional terms, this means that the reproductive system only begins to function when the body is at ease and life is not threatened. Conversely, any abno...[Read More] Understanding Male Infertility: Causes, Treatments, and Options
Impact of Obesity and Sedentary Lifestyle on Sperm Quality and Motility
excuse me? Obesity and lack of exercise can indeed affect sperm motility and overall sperm quality. Studies have shown that excess body weight can lead to hormonal imbalances, which may negatively impact spermatogenesis and sperm function. Additionally, sedentary lifestyles can c...
Dr. Xu Wencang Reply:
Hello: In response to your question... Being overweight can affect the endocrine system, leading to infertility. It is recommended to first conduct a semen analysis, a physical examination, and hormone blood tests. Once the primary issue is identified, appropriate treatment can b...[Read More] Impact of Obesity and Sedentary Lifestyle on Sperm Quality and Motility
Does Smoking, Drinking, and Frequent Sex Affect Male Fertility?
Is this harmful to the body? Hello, Dr. Hsu. I have a few questions regarding sexual health. My boyfriend is 32 years old and works as a police officer. He has a habit of smoking about a pack a day and occasionally drinks alcohol. Due to his work schedule, he often stays up late....
Dr. Xu Weikai Reply:
Xiao Yu: Hello, there is a saying: "When one is well-fed and warm, they think of lust." From a urological perspective, this statement is quite appropriate. Sexual function is not directly related to life itself; therefore, it only manifests normally when the body is in ...[Read More] Does Smoking, Drinking, and Frequent Sex Affect Male Fertility?
Am I Infertile? Seeking Answers After Having One Child
Will I be infertile? I already have a four-year-old daughter, and since last year, I stopped using condoms for contraception because I plan to have another child. However, after more than a year of trying, there has been no success. I would like to ask if having a child already i...
Dr. Xu Weikai Reply:
A-Lung: Hello! Based on your situation, the possibility of infertility cannot be completely ruled out. The simplest way to get an idea of the situation is to visit a nearby laboratory for a semen analysis. If everything is normal, then it may be an issue on the female's side...[Read More] Am I Infertile? Seeking Answers After Having One Child
Understanding Semen Volume: Myths and Facts About Fertility
The volume of semen? Hello Dr. Chang! Last week, I sent a question regarding the volume of semen. I have watched adult films and noticed that the male actors seem to ejaculate more semen than I do. Does this mean that I have a lower sperm count in my semen? In other words, am I a...
Dr. Zhang Chengye Reply:
Hello, Xiao Chen: 1. Not necessarily. 2. It may not necessarily be more difficult to conceive; please come to the clinic for a semen analysis. Sincerely, Dr. Chang Cheng-yeh, Director of Urology, Hsinchu Hospital, Department of Health, Executive Yuan.[Read More] Understanding Semen Volume: Myths and Facts About Fertility
Understanding Semen Volume: Impact on Fertility and Enhancement Tips
Semen questions The average volume of ejaculate is typically around 3cc to 4cc. If the volume is below this range, it may potentially contribute to infertility, but it is not the sole factor. There are methods to potentially increase semen volume, such as staying hydrated, mainta...
Dr. Zhang Chengye Reply:
Hello, Xiao Lin: The volume of semen ejected is approximately 3 to 4 cc; a volume less than this will not cause infertility. Currently, there is no method to increase semen volume, and exercise does not necessarily improve semen quality. This is a response from Dr. Chang Cheng-ye...[Read More] Understanding Semen Volume: Impact on Fertility and Enhancement Tips
Does Varicocele Cause Frequent Urination and Pelvic Pain?
Frequent urination Hello Dr. Chen, I would like to ask if varicocele can cause frequent urination, especially noticeable at night when lying down. Additionally, I have recently experienced pain in the right thigh near the anus; it occurs when bending over, straining the lower a...
Dr. Chen Xiuyi Reply:
Hello: Varicocele is rarely associated with frequent urination. The causes of frequent urination are often related to issues in the lower urinary tract, including the bladder, prostate, urethra, and spinal cord, which can all contribute to this symptom. It is advisable to consult...[Read More] Does Varicocele Cause Frequent Urination and Pelvic Pain?
Infertility Solutions: Dealing with Semen Antibodies After 3 Years of Marriage
Infertility Semen antibodies at 25%. I have been married for three years and want to have a child. What should I do?
Dr. Xu Weikai Reply:
Hello: Regarding your situation, my suggestions are as follows: The so-called anti-sperm antibodies refer to the presence of immunoglobulins in the female partner that attack sperm. This condition means that once sperm enters the female's body, it is attacked by her immune s...[Read More] Infertility Solutions: Dealing with Semen Antibodies After 3 Years of Marriage
Understanding Male Sexual Health: Concerns About Fertility and Anatomy
Impact Doctor, I am almost 23 years old. I got married when I was 20. Recently, my sexual relationship with my wife has not been very satisfactory, and she has not become pregnant. Additionally, I have been experiencing a decline in my physical strength. I consulted a traditional...
Dr. Xu Wencang Reply:
Hello: In response to your question, the measurement of penile length varies. The measurement point at the base is where the pubic skin meets the penile skin, and it should be pressed down as much as possible to the pubic bone. According to statistics from the Tri-Service General...[Read More] Understanding Male Sexual Health: Concerns About Fertility and Anatomy
Can Testicular Injury Lead to Infertility? Understanding the Risks
Infertility issues Hello doctor, I injured my left testicle when I was younger. It has now shrunk. Will this cause infertility? Please help me with this question. Thank you.
Dr. Weng Wenzhen Reply:
Having just one testicle is sufficient for fathering children. You can visit a hospital or clinic to check for sperm count, motility, and morphology to determine if there are any issues.[Read More] Can Testicular Injury Lead to Infertility? Understanding the Risks
Persistent Bacterial Infections in Semen: Understanding E. Coli and Pseudomonas Challenges
The semen culture results show the presence of Escherichia coli and Pseudomonas aeruginosa? In mid-March, a semen culture revealed a bacterial infection, prompting the doctor to prescribe targeted antibiotics (for a duration of 7 days) each time. After each treatment course, a fo...
Dr. Lin Hexing Reply:
Hello Albert: I would like to know the purpose of your semen analysis. Does the semen analysis show the presence of white blood cells (WBC)? If the semen analysis is conducted due to infertility and shows the presence of blood cells or bacteria, one should consider the possibilit...[Read More] Persistent Bacterial Infections in Semen: Understanding E. Coli and Pseudomonas Challenges
Finding the Right Urologist for Infertility Issues in New Taipei
Infertility Hello, I have received your detailed response, thank you! Perhaps you were too busy to notice, but I live in Xinzhuang, New Taipei City, and I would like to know which physician to consult at the Provincial Hospital. Are you not seeing patients at Taipei Provincial Ho...
Dr. Xu Weikai Reply:
I'm sorry, I might have overlooked your area. You can consult Dr. Chang Fu-Chung at Taipei Hospital. Although I'm not familiar with him, I checked his credentials and found that he has published many papers, indicating that he is a well-educated physician. His clinic ho...[Read More] Finding the Right Urologist for Infertility Issues in New Taipei
Understanding Male Infertility: Essential Steps for Diagnosis and Treatment
Infertility Hello, Dr. Hsu: I have been married for over four years. Three years ago and recently, I underwent two semen analyses, both showing "no sperm present." Dr. Luo from the Department of Obstetrics and Gynecology referred me to the Department of Obstetrics and G...
Dr. Xu Weikai Reply:
Azoospermia generally requires consideration of: 1. Obstruction of the vas deferens or ejaculatory duct. 2. Undeveloped testes. 3. Abnormal hormone levels or endocrine issues, as well as other factors. Based on your report indicating low male hormone levels, I recommend the follo...[Read More] Understanding Male Infertility: Essential Steps for Diagnosis and Treatment
Understanding Semen Volume and Fertility: Common Concerns Explained
Semen Hello~~ I have seen others' questions and learned that ejaculation with a flow is considered normal, right? Does using flow cause infertility? Sometimes I masturbate daily, and during those times, the ejaculation is only 2 or 3 drops, is that normal? How much should be...
Dr. Xu Weikai Reply:
The normal volume of ejaculation is approximately 4-8 milliliters, and it typically appears clear, slightly white, or somewhat milky. Generally, this is considered normal, and most cases of lower ejaculation volume are due to reduced production. If the semen volume is very low, i...[Read More] Understanding Semen Volume and Fertility: Common Concerns Explained
Understanding Chlamydia Test Results: Do You Need Treatment?
Could you please provide more details regarding the blood test report for Chlamydia? Hello, doctor... I would like to ask you about a Chlamydia infection. About five weeks ago, I had sexual intercourse with my ex-girlfriend. Later, I found out she was seeing someone else, and we ...
Dr. Chen Zhihong Reply:
Currently, the detection methods for Chlamydia include pathogen culture and polymerase chain reaction (PCR), which are the most accurate. The reliability of other antibody response tests is not high, so you do not need to be concerned about them.[Read More] Understanding Chlamydia Test Results: Do You Need Treatment?
Impact of Lifestyle on Sperm Quality and Fertility Concerns
Sperm quality Hello Dr. Chen, I have two questions to ask you. I recently got married and am planning to have a child, but my lifestyle has been irregular for the past few months, including staying up late and drinking coffee. I feel very fatigued both mentally and physically. H...
Dr. Chen Zhihong Reply:
An irregular lifestyle and staying up late may affect the quantity and motility of sperm, potentially reducing fertility, and in severe cases, could lead to infertility (though not necessarily). However, if pregnancy occurs, it should not adversely affect the health of the fetus....[Read More] Impact of Lifestyle on Sperm Quality and Fertility Concerns
Understanding Post-Surgery Risks for Varicocele: Medication vs. Surgery
Are there any potential complications or side effects from surgery? Hello doctor, I am troubled by varicocele. After consulting a physician, I was advised to undergo surgery, but one doctor suggested that I should take medication (for blood circulation) for three months first, as...
Dr. Xu Wencang Reply:
Hello: In response to your question, the indications for surgery for varicocele are scrotal pain, infertility, and the appearance resembling a worm. If the criteria for surgery are met, the procedure should be performed without waiting for three months. Generally, there are no lo...[Read More] Understanding Post-Surgery Risks for Varicocele: Medication vs. Surgery
Boxers vs. Briefs: Is There Medical Evidence for the Best Choice?
Is there medical evidence? I've heard that wearing boxers is better than wearing briefs. Is there any medical evidence for this?
Dr. Song Zhixian Reply:
Smoking, alcohol consumption, hot water baths, and the warmth of Finnish saunas can impact fertility. As for boxers and briefs, I have also heard from newspapers and magazines that there may be medical evidence regarding this, but I do not have specific data to reference. General...[Read More] Boxers vs. Briefs: Is There Medical Evidence for the Best Choice?
Can My Medications Affect My Wife's Pregnancy and Baby's Health?
excuse me? Doctor, I have a long history of heart disease, ankylosing spondylitis, depression, and I am taking sedatives and sleeping pills. Can I still conceive a child with my wife? Will it cause any birth defects in the baby? Thank you.
Dr. Chen Zhirong Reply:
Mr. He: The medications you mentioned could potentially affect a fetus if taken long-term by a woman. However, for men, they may reduce sperm maturation, which could indirectly impact fertility. There are many factors influencing male fertility and infertility, and it is essentia...[Read More] Can My Medications Affect My Wife's Pregnancy and Baby's Health?
Understanding Varicocele: Causes, Symptoms, and Treatment Options
Varicocele: Causes and Treatment Varicocele is the enlargement of the veins within the scrotum, similar to varicose veins that can occur in the legs. Causes: 1. Improper functioning of the valves in the veins, which can lead to blood pooling and vein enlargement. 2. Anatomical...
Dr. Xu Wencang Reply:
Hello Mr. YY: In anatomy, the blood return from the testes occurs through the pampiniform plexus, which then drains into 1-2 testicular veins that enter the retroperitoneal space. These veins subsequently drain into the renal vein (on the left side) or the inferior vena cava (on ...[Read More] Understanding Varicocele: Causes, Symptoms, and Treatment Options