Understanding Varicocele: Risks, Treatment Timing, and Testosterone Impact
Varicocele Hello Doctor, I have been suffering from varicocele for several years, and the severity should be moderate to severe. I usually do not experience any pain, and my testicles have not shrunk, so I have not seen a doctor. I only wear supportive underwear to alleviate disc...
Dr. Du Shixi Reply:
Hello: (1) If varicocele is left untreated for too long before seeing a doctor for surgery, will it be too late and cause severe damage to the testicles that cannot be reversed? --> There will be damage, but it may be more practical to focus on lifestyle changes. If lifestyle ...[Read More] Understanding Varicocele: Risks, Treatment Timing, and Testosterone Impact
Understanding Varicocele: Risks, Fertility, and Exercise Guidelines
Varicocele Hello Doctor, I have been suffering from varicocele for many years and have the following questions: 1. If moderate or severe varicocele is left untreated and there is no shrinkage of the testicles or pain, does this mean that infertility is inevitable in the future?...
Dr. Li Xinyi Reply:
1. Having severe varicocele does not necessarily mean infertility; many men with severe varicocele are still able to conceive. 2. Moderate to severe varicocele, if left untreated, can potentially worsen the damage to the testes, but the extent of deterioration remains unpredict...[Read More] Understanding Varicocele: Risks, Fertility, and Exercise Guidelines
Varicocele and Testosterone Issues: Understanding Risks and Treatment Options
Varicocele and Testosterone Issues Hello Doctor: About 5 to 6 years ago, I was diagnosed with a varicocele, and at that time, the doctor advised against surgery. Recently, I went for a follow-up examination, and the doctor informed me via ultrasound that I have a grade 4 varicoce...
Dr. Cai Zhuorong Reply:
1. Could this be a case of testicular atrophy caused by varicocele? Generally, the average size of a testicle is about 2x3x4 cm. Based on your description, the left one is 3 cm smaller than the right. What are the actual sizes of each testicle? 2. How urgent is the need for surg...[Read More] Varicocele and Testosterone Issues: Understanding Risks and Treatment Options
Low Testosterone, Clomiphene Use, and Infertility Concerns Explained
Low testosterone levels, the medication Clomiphene, and infertility issues? Hello, doctor. Recently, I experienced symptoms such as palpitations, difficulty breathing, sudden coldness in my hands and feet, dizziness, numbness in my limbs, and a feeling of heat, which led to a dia...
Dr. Xu Wencang Reply:
1. Testosterone injections can cause infertility. 2. Please visit the outpatient clinic for evaluation and treatment.[Read More] Low Testosterone, Clomiphene Use, and Infertility Concerns Explained
Severe Scrotal Pain: Understanding Symptoms and Seeking Solutions
Severe pain in the scrotum? Hello, doctor. I would like to ask you about the severe pain I am experiencing on both sides of my scrotum. Sometimes, there is also pain above the scrotum. After seeing a doctor, he examined my testicles and said there were no significant abnormalitie...
Dr. Fu Shizhang Reply:
Based on the symptom description, it could be a varicocele. If this is the case, it may indeed affect sexual function. Online consultations cannot replace an in-person examination and physical assessment by a physician. It is still recommended to seek medical attention at a healt...[Read More] Severe Scrotal Pain: Understanding Symptoms and Seeking Solutions
Struggling with Ejaculation: Causes and Concerns for Men's Health
Inability to achieve orgasm during masturbation? Doctor, I experience nocturnal emissions, but when I masturbate, it takes a long time for me to ejaculate, and my right testicle hurts. The pain lasts for a long time. Will this affect my fertility in the future?
Dr. Cai Zhuorong Reply:
There is no medical literature indicating a clear relationship between masturbation and infertility. Thank you for your question.[Read More] Struggling with Ejaculation: Causes and Concerns for Men's Health
Understanding Varicocele: Symptoms, Risks, and Concerns Explained
Varicocele Hello doctor, I read a report stating that the likelihood of developing varicocele is quite high. I would like to ask about my own situation: when I palpate above my testicles, I can feel areas that resemble nerves, but they don't seem twisted like the varicose ve...
Dr. Du Shixi Reply:
Hello: This platform cannot provide diagnoses, only brief responses. Is it normal for the veins to appear straight, like blood vessels? --> It should be normal. Varicocele can cause significant pain in the scrotum. --> A minority of individuals experience this; not everyone...[Read More] Understanding Varicocele: Symptoms, Risks, and Concerns Explained
Understanding Varicocele: Impact on Sperm Quality and Male Fertility
Regarding whether my husband has a varicocele? Hello: My husband previously had a semen analysis that showed low sperm count, poor motility, and suboptimal quality. Could this indicate a problem with varicocele?
Dr. Sun Hongshun Reply:
Hello, varicocele refers to the abnormal twisting and enlargement of the spermatic veins within the male scrotum, resulting in swollen veins. Generally, men with varicocele have poorer sperm quality, which can lead to male infertility. It is advisable to consult a specialist for ...[Read More] Understanding Varicocele: Impact on Sperm Quality and Male Fertility
Understanding Testosterone Deficiency After Pituitary Surgery: Risks and Fertility
Hypogonadism due to pituitary dysfunction? Hello doctor, seven years ago I underwent surgery for a pituitary tumor, and my testosterone level was 0.8 after the operation. After using transdermal testosterone supplementation, it increased to 2.7. I have read that testosterone supp...
Dr. Fu Shizhang Reply:
1. The probability of pregnancy should be assessed based on sperm quality rather than solely on testosterone levels. 2. Generally speaking, this will not be affected.[Read More] Understanding Testosterone Deficiency After Pituitary Surgery: Risks and Fertility
Impact of Penile Artery Blockage on Testicular Health and Fertility
Penile artery and testicular artery? Hello, doctor. If the penile artery is blocked or narrowed, will it affect the testicular artery, leading to oxygen deprivation in the testes and resulting in testicular atrophy and infertility?
Dr. Fu Shizhang Reply:
The testicular artery is not supplied by the penile artery, so it will not be affected by its blood flow.[Read More] Impact of Penile Artery Blockage on Testicular Health and Fertility
Impact of Penile and Testicular Artery Insufficiency on Male Fertility
Penile artery and testicular artery? Due to insufficient arterial and venous engorgement of the penis, long-term erectile dysfunction can lead to inadequate blood flow to the testes, resulting in testicular ischemia and necrosis, which may cause infertility, oligospermia, and azo...
Dr. Du Mingyi Reply:
The most direct way to assess sperm quality is through a semen analysis.[Read More] Impact of Penile and Testicular Artery Insufficiency on Male Fertility
Understanding Low Testosterone: Symptoms, Treatments, and Concerns
Low testosterone Hello Dr. Du, I have been feeling fatigued for a long time and need to sleep over ten hours every night. Since puberty, I have experienced mild gynecomastia symptoms (with hard lumps under the nipples). I conducted hormone tests, and the results showed a total t...
Dr. Du Mingyi Reply:
Early use of hormone therapy can affect fertility, so it is not recommended. Given your current testosterone levels, there is no need for special supplementation. If you really need to consult an expert, you can visit Dr. Huang Chih-Hsien at Taipei Veterans General Hospital.[Read More] Understanding Low Testosterone: Symptoms, Treatments, and Concerns
Understanding Erectile Dysfunction and Its Impact on Fertility
Sexual function and fertility issues? Hello, doctor. I am experiencing erectile dysfunction, and current examinations suggest it may be related to vascular issues. My main question is, if the vascular problems are resolved, will my erectile dysfunction also be resolved? Additiona...
Dr. Fu Shizhang Reply:
Sperm is produced by the testes, so its quality is not significantly related to the blood vessels of the penis. Therefore, long-term erectile dysfunction is not associated with azoospermia.[Read More] Understanding Erectile Dysfunction and Its Impact on Fertility
Understanding Erectile Dysfunction and Its Impact on Male Fertility
Erectile dysfunction and infertility? If erectile dysfunction is caused by vascular issues leading to insufficient blood flow to the penis, could the testicular arteries and veins also suffer from prolonged inadequate blood flow, resulting in hypoxia and atrophy, potentially lead...
Dr. Fu Shizhang Reply:
The arterial supply to the testes is different from that of the penis, so they do not influence each other and will not cause azoospermia as a result. There are many causes of azoospermia, but they are not highly related to the blood vessels of the penis.[Read More] Understanding Erectile Dysfunction and Its Impact on Male Fertility
What to Do If Your Testosterone Levels Are Below Normal?
What should I do if my testosterone levels are below the standard? Hello Dr. Du: Due to prolonged excessive sexual activity (about 7 years, 1-2 times daily, and recently needing to engage at least once at night to sleep well), I have recently noticed a decrease in erection hardne...
Dr. Du Mingyi Reply:
It is not recommended to start hormone replacement therapy at the age of 33, especially if you have not had children yet, as it may increase the risk of infertility. It is advisable to focus on lifestyle adjustments, such as ensuring adequate sleep of at least 7 hours, increasing...[Read More] What to Do If Your Testosterone Levels Are Below Normal?
Understanding Prolonged Semen Liquefaction: Causes and Solutions
The prolonged liquefaction time of semen? Hello Doctor, my wife and I want to have a child, but we haven't had any success. My wife has undergone all the necessary tests, and everything is fine. I had a semen analysis, and the doctor said that both the count and motility are...
Dr. Fu Shizhang Reply:
The liquefaction of semen is primarily related to the prostate, with a small portion attributed to congenital factors or nutritional deficiencies. If it is determined that the cause may be prostatitis, then pharmacological treatment is indeed necessary.[Read More] Understanding Prolonged Semen Liquefaction: Causes and Solutions
Understanding Elevated WBC in Semen Analysis: Implications for Fertility
Semen analysis WBC 10-20 HPF? Since May of this year, I have been trying to conceive a second child with my wife, but after three months, there has been no news. In August, I underwent a semen analysis, and the results showed elevated white blood cells, while other parameters wer...
Dr. Du Mingyi Reply:
It is generally safe to take antibiotics without affecting conception or the fetus.[Read More] Understanding Elevated WBC in Semen Analysis: Implications for Fertility
Understanding Infertility: When to See a Urologist for Help
Am I infertile? If you and your girlfriend have been trying to conceive but have been unsuccessful, it may be a good idea to consult a fertility specialist. You should consider seeing a reproductive endocrinologist or a urologist, as they can evaluate both partners for potential ...
Dr. Cai Zhuorong Reply:
Thank you for your question: If a couple has been engaging in unprotected intercourse for one year without achieving pregnancy, it is advisable to undergo an evaluation. The male partner should see a urologist for a semen analysis.[Read More] Understanding Infertility: When to See a Urologist for Help
Do I Need Surgery for Varicocele? Understanding Treatment Options
Does varicocele require surgery? I am a middle school student with varicocele. It looks very noticeable, almost like a bunch of worms. I previously went to the hospital, but the doctor said that since it doesn't hurt, I don't need surgery. However, I am concerned about ...
Dr. Sun Hongshun Reply:
In general, varicocele does not necessarily require surgery if it is not causing pain or infertility. It is recommended that you schedule an ultrasound and semen analysis at our clinic. Thank you for your inquiry.[Read More] Do I Need Surgery for Varicocele? Understanding Treatment Options
Understanding Semen Analysis Accuracy and Male Fertility Concerns
Accuracy of Semen Analysis Hello, doctor. I recently had a semen analysis done at the urology department, and the report showed a sperm count of only 10 million per ml and motility of 65%. The doctor said this sperm count is too low and falls under male infertility, which has me ...
Dr. Du Shixi Reply:
Hello: 1) The semen analysis report is a general estimate; doing it multiple times may yield different results (higher or lower), and it can serve as a reference. If there are a few days without sexual activity, the values will naturally be higher. 2) I believe your situation may...[Read More] Understanding Semen Analysis Accuracy and Male Fertility Concerns