Infertility, Urology FAQ

Understanding Varicocele: When Surgery is Necessary and How to Improve Your Condition

Continuation #136109 Testicular Issues Hello, Doctor! This morning, I visited the urology department at a major hospital and explained my condition to the doctor. After that, the doctor immediately arranged for an ultrasound examination. During the examination of the left testis,...

Dr. Du Shixi Reply:
Hello: Surgery is indicated for grade 3 varicocele, especially in cases of infertility, poor semen quality, or testicular atrophy. Wear loose-fitting underwear, avoid prolonged sitting or standing, engage in gentle activities, and temporarily refrain from vigorous exercise. Wishi...

Can Testicular Injury Lead to Infertility? Expert Insights

Testicular issues Hello, doctor. I apologize for bothering you again. I would like to ask if accidentally injuring the testicles could lead to infertility issues. Thank you.

Dr. Du Shixi Reply:
Hello: Accidentally piercing the inside of the testicle will not lead to infertility issues --> It won't, wishing you good health.

Understanding Rapid Venous Flow and Medication-Induced Infertility

Regarding infertility caused by rapid venous flow and medications? Hello, doctor! I have two questions. 1. My symptoms are such that when I intentionally position my penis at an angle greater than ninety degrees (possibly while lying down), it can maintain an erection. However,...

Dr. Du Shixi Reply:
Hello: 1) Venous leakage can vary in severity. Please consult the examining physician to determine if surgery is necessary (it is important to engage in physical activity and avoid prolonged sitting or standing). 2) The side effects of medications are mostly short-term; however, ...

Understanding Semen Consistency: Causes and Fertility Concerns

Semen issues Hello Doctor, I would like to ask you about something. Every time I masturbate and ejaculate, the semen feels not very viscous, almost like water, and I almost always have issues with clumping. I searched online and found that clumping might be caused by not masturba...

Dr. Fu Shizhang Reply:
It is recommended to visit a urology clinic for an examination to determine sperm quality.

Understanding Urology: Concerns About Size, Fertility, and Pain

Urology questions? Hello Doctor: I have the following questions I would like to ask: 1. I have been engaging in sexual activity since childhood, and now at 37 years old, my genitals are still small. Both my testicles and penis are small, with the penis reaching a maximum length o...

Dr. Fu Shizhang Reply:
1. The size of the penis is not related to the onset of sexual activity and may be associated with genetic or chromosomal abnormalities. However, if a semen analysis is normal, male infertility can generally be ruled out. 2. This phenomenon is not related to cryptorchidism; if cr...

Understanding Herpes: Risks, Treatment, and Future Sexual Health

Contracting the herpes virus? On March 23rd, I visited a urology clinic and discovered that my glans was red and itchy. The doctor diagnosed me with herpes. I would like to ask if, after taking the medication, my symptoms resolve and I recover, will I still be able to transmit th...

Dr. Du Shixi Reply:
Hello: Herpes viruses encompass a wide range of conditions. It is recommended that you consult a urologist at the hospital when you have symptoms. Here is an article from National Taiwan University for your reference: https://www.ntuh.gov.tw/derm/healthcareCenter/healthCenter/疱疹....

Understanding Testicular Trauma: Symptoms, Hormonal Impact, and Fertility Concerns

Testicular issues Hello Doctor: When I was in middle school, I sustained an impact to my right testicle, which caused immediate pain so severe that I could not breathe. Since then, I have experienced ongoing pain, and even now while studying in graduate school, I still occasional...

Dr. Xu Wencang Reply:
You can go for an outpatient examination.

Understanding Cryptorchidism: Impact on Fertility and Surgery Options

Testicular issues Hello, doctor. I noticed that I have one less testicle when I was in fifth or sixth grade, but I didn't think much of it until middle school when I researched cryptorchidism online. I have a small round mass under each of my testicles, and only the left sid...

Dr. Xu Wencang Reply:
Please come to the outpatient clinic for evaluation and assessment.

Understanding Testicular Issues: Pain, Discomfort, and Fertility Concerns

Testicular issues I have one testicle larger than the other, and sometimes I experience sharp pain. Occasionally, I feel a burning sensation and stinging while urinating. My semen is very yellow and has particles in it, and it doesn't seem very thick. After urinating, I ofte...

Dr. Du Shixi Reply:
Hello: In addition to drinking more water and avoiding spicy and irritating foods, you should also get a urine test at the urology department of a hospital. It's normal for one testicle to be larger than the other in most individuals.

Understanding Varicocele: Impact on Fertility and Treatment Options

Varicocele If varicocele becomes more severe, does that necessarily mean a decline in fertility? Is it possible for sperm count to remain normal? If the condition worsens and sperm count decreases, can surgery later restore the sperm count to normal levels? Currently, if the left...

Dr. Xu Wencang Reply:
If there is severe varicocele with discomfort and it affects sperm quality, surgery may be considered. Further discussion with the physician is recommended.

Understanding Varicocele: Impact on Fertility and Treatment Options

Varicocele If varicocele becomes more severe, does that necessarily mean a decrease in fertility? Is it also possible for sperm count to remain normal? If the condition worsens and sperm count decreases, can surgery later restore the sperm count to normal levels? Currently, if th...

Dr. Du Shixi Reply:
Similar questions have been asked too many times; please refer to our FAQ section. Hello: After surgery, it is possible for sperm quality to improve (though not guaranteed). Currently, the left testicle only experiences occasional soreness; if no surgery is performed, will the pa...

Exploring the Link Between Premature Ejaculation and Infertility

Premature ejaculation and infertility issues? I have been married to my wife for almost five years. We used contraception in the first half of our marriage, but since then we have not used any birth control, and we have not had a single pregnancy opportunity. Both of us have unde...

Dr. Fu Shizhang Reply:
As long as there is complete sexual intercourse with ejaculation occurring in the vagina, even if it qualifies as true premature ejaculation (medically defined as vaginal intercourse lasting less than one minute), it will not affect the chances of pregnancy.

Understanding Male Infertility: When to Seek Medical Advice

Is it infertility? Hello doctor, I had a semen analysis today, and the liquefaction time was greater than 60 minutes with a progressive motility of 19%. Am I infertile, and should I see a doctor, or can I just improve my health on my own? Thank you.

Dr. Du Shixi Reply:
Hello: You need to undergo a complete semen analysis to understand your condition. Wishing you good health.

Understanding Semen Analysis: Can Lifestyle Changes Improve Fertility?

Government subsidies for semen analysis reports before pregnancy after marriage? I would like to ask if the indices in the analysis report indicate that infertility standards have been reached? Given that the engineer experiences high work stress and prolonged sitting, if lifesty...

Dr. Fu Shizhang Reply:
The quality of sperm is indeed very poor, and with such quality, natural conception is almost impossible. It is recommended to visit a urology clinic. Online consultations cannot replace an in-person examination and physical assessment by a physician. If there are any medical con...

Can Long-Term Psychiatric Medications Cause Infertility?

Can taking medication cause infertility? Hello, doctor. I would like to ask if long-term use of psychiatric medications can lead to infertility. Specifically, I'm referring to lithium, Depakote, Haloperidol, and Olanzapine. Additionally, can low bone mineral density also con...

Dr. Du Shixi Reply:
Hello: I checked, and the above medications do not mention infertility as a side effect. However, it may be more accurate to perform a semen analysis. Wishing you good health.

Understanding Gonorrhea: Symptoms, Testing, and Complications

Questions related to gonorrhea? Recently, I had unprotected oral sex with a sex worker (she performed oral on me, I did not reciprocate) and had protected vaginal intercourse, after which I checked the condom for any damage and found none! Later, I researched online and discovere...

Dr. Du Shixi Reply:
Hello: Most patients with gonorrhea visit the hospital due to discharge. A urine test is typically conducted, and no specific tests are usually required. If you do not have symptoms, you can continue to monitor your condition. In the meantime, it is advisable to drink plenty of w...

Understanding Your Semen Analysis Report: Key Insights and Concerns

Semen analysis Hello Doctor, I would like to inquire about this semen analysis report. I underwent this test due to left-sided varicocele. I would like to know if this is considered serious. Thank you for your response. Semen volume: 2 ml Abstinence period: 2 days Sperm co...

Dr. Li Xinyi Reply:
The Kruger strict morphology standard seems to be low. It is recommended to first improve lifestyle habits, such as quitting smoking, reducing alcohol intake, avoiding prolonged sitting, not wearing tight-fitting underwear, and avoiding high-temperature environments. After making...

Understanding Yellow Semen: Causes and Concerns for Men's Health

Yellow semen Since I started masturbating, my semen has always been slightly yellow. At first, I didn't find it strange until recently when I heard a friend mention that semen is white. I was skeptical and researched a lot online, and most sources say it could be due to prol...

Dr. Du Shixi Reply:
Hello: Semen is not necessarily always white; it can vary in shades. You can rest assured about that. However, it may be advisable to maintain a lighter diet and try to reduce spicy foods.

Does Health Insurance Cover Semen Analysis for Infertility Testing?

Is semen analysis covered by health insurance? Hello, doctor. I have been trying to conceive for over two years, and my sperm count has consistently been on the borderline without improvement. I am wondering if I might have a varicocele and would like to see a urologist for an ex...

Dr. Fu Shizhang Reply:
Some.

Understanding Sperm Analysis: Interpreting Results for Fertility Concerns

Semen Analysis Report Hello doctor, my spouse and I are experiencing infertility issues. We went to a laboratory for a sperm analysis, and the results are as follows: sperm count 41 million/mL, total motility 82%, progressive motility 86%, vitality 29% (with <58% being conside...

Dr. Du Shixi Reply:
Hello: It is advisable to visit a hospital for an examination, as it may be better to stick to one hospital for easier comparison, since different facilities may yield different results. To enhance sperm quality, avoid smoking and alcohol, refrain from sitting for prolonged perio...

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