Infertility, Urology FAQ

Understanding Urinary Tract Infections and Varicocele: Key Insights

Urinary tract infection and varicocele? Hello Director Du, About three months ago, I experienced painful urination and pus discharge, and after examinations at the hospital, the results were normal. I began treatment at that time, but my condition has been fluctuating. After und...

Dr. Du Shixi Reply:
Hello: Prolonged standing or engaging in leg-intensive activities should refer to several hours rather than just a few minutes. This helps with vascular circulation. 1. Walking is beneficial; intense exercise is not recommended. 2. If there are no issues, sexual activity is permi...

Recovery Time After Varicocele Surgery for Improved Sperm Count

Sperm count Hello Dr. Du: Due to family planning, my husband and I have experienced infertility issues during the two years since our marriage, and after examinations, it was found that he has a varicocele. He underwent varicocele surgery in early November last year, and he has b...

Dr. Du Shixi Reply:
Hello: You may need to go back to the same hospital (the one where you had your semen analysis done last time) to repeat the semen analysis and check for improvements in count, motility, and morphology. It is important to use the same facility to ensure that the standard instrume...

Understanding Semen Morphology: Can 3% Shape Lead to Natural Conception?

Semen morphology Hello Doctor, I had a semen analysis at Hsinchu Dongyuan Hospital, and most of the results were normal except for the morphology, which is only 3%. However, the doctor told me not to worry too much! I would like to ask if 3% morphology is sufficient for natural c...

Dr. Sun Hongshun Reply:
Hello: Generally speaking, infertility is defined as not achieving pregnancy after one year of unprotected intercourse. The reference values for semen analysis can vary between hospitals, so if the physician says there are no issues, please trust their assessment. If there is sti...

Understanding Masturbation: Frequency, Techniques, and Health Concerns

When can I start masturbating, and how should I do it? Hello doctor, I have been masturbating since I was in sixth grade. How many times a week is it okay to masturbate? Is it okay if I do it up to five times a week? Also, will this affect my ability to achieve an erection when I...

Dr. Du Shixi Reply:
Hello: It is best not to engage in masturbation too frequently, as it may affect your studies and daily life. Generally, normal masturbation does not have adverse effects; however, if it significantly impacts your life and normal interactions with the opposite sex, it could affec...

Understanding Gonorrhea: Symptoms, Risks, and Partner Testing

Gonorrhea Issues I have been diagnosed with gonorrhea and chlamydia. Logically, my boyfriend should also be infected, but even though we always use condoms, I'm hesitant to directly tell him about my sexually transmitted infection. I asked him if he has experienced symptoms ...

Dr. Du Shixi Reply:
Hello: Gonorrhea and chlamydia infections can present with symptoms, but if there are no symptoms, it is temporarily safe. If your boyfriend hasn't been tested, it's advisable to drink plenty of water and limit spicy foods and alcohol. It's important to use condoms...

Understanding Intermittent Pain: Urology Insights on Fertility Concerns

The left side hurts for a moment and then stops hurting? I started experiencing pain last Tuesday. Sometimes it hurts a little, or it doesn't hurt at all. Could this be related to infertility, or is it possible that the sperm is not viable? I just visited a urologist; he exa...

Dr. Fu Shizhang Reply:
I'm sorry, I don't understand what is meant by "left" or "left meeting," so I cannot respond.

Understanding Testicular Issues: Infertility and Chromosomal Defects Explained

Testicular issues Hello Dr. Fu: I am an infertility patient with a semen volume of 0, and a biopsy showed no sperm. My testicles are half the size of normal ones, and there is a defect in the Y chromosome at the SY157 region. I would like to ask you, some doctors say that my symp...

Dr. Fu Shizhang Reply:
Current research indicates that azoospermia is associated with deletions in regions such as AZFa, AZFb, and AZFc on the Y chromosome. Further studies have pointed out that the deletion of sY157 is related to azoospermia. Therefore, it can be said that your symptoms are related to...

Understanding Semen Analysis: Key Factors for Male Fertility Improvement

Semen Analysis Report You have concerns about infertility with your wife and recently conducted a sperm analysis. You would like to know if the values are within an acceptable range and how to normalize sperm parameters. Here are the results from your sperm analysis: - Volume:...

Dr. Du Shixi Reply:
Hello: Your numbers are okay, no medication is needed. Just avoid smoking, take daily walks, wear loose-fitting underwear (not tight), avoid prolonged sitting, and maintain a normal sleep schedule. There is still potential for improvement. You can retest in three months.

Understanding Testicular Atrophy and Varicocele: When to Consider Surgery?

One side is larger while the other side is smaller? Hello Doctor, I would like to inquire about my condition. I have been diagnosed with varicocele since childhood, and I had an examination around middle school. Recently, I feel that the left side has become more severe, and the ...

Dr. Du Shixi Reply:
Hello: There is a possibility of recurrence after surgery, and there is no chance of the testicles increasing in size post-surgery (many people have the issue of one testicle being larger than the other). There may also be issues with wound pain after the surgery. It is recommend...

Low-Frequency Therapy Devices: Safe for Penile and Testicular Use?

Low-frequency therapy device Can low-frequency therapy devices be used on the penis or testicles? If used, will it lead to infertility?

Dr. Lin Wenxu Reply:
Currently, low-energy extracorporeal shock wave therapy is being used to treat erectile dysfunction and chronic pelvic pain syndrome, and it does not affect fertility.

Low Testosterone: Effects on Fertility and Treatment Options

Hypogonadism I have had low testosterone for a long time. After reviewing my report, the doctor prescribed testosterone replacement therapy, but it doesn't seem to be effective. Will testosterone supplementation cause infertility?

Dr. Fu Shizhang Reply:
It is recommended to investigate the causes of low testosterone levels. For males of reproductive age, supplementation with high testosterone may indeed lead to a decline in sperm quality. Online consultations cannot replace an in-person evaluation and physical examination by a p...

Understanding Changes in Semen Odor: Prostate Health and Fertility Concerns

Semen has no odor? I used to have a fishy smell in my semen, but now it’s gone. I used to masturbate frequently, but now I do it less often. Is the absence of smell related to prostatitis? Could it lead to sexual dysfunction or infertility? How can I restore that smell?

Dr. Sun Hongshun Reply:
Hello, have there been any changes in your recent diet and lifestyle? The amount of hydration and the types of food can both have an impact. Additionally, any issues with sexual function should be assessed based on duration, firmness, and sperm quality. Infertility also requires ...

Understanding Prostate and Urinary Tract Infections: Impact on Fertility

Prostate or urinary tract infection? Hello Doctor, I would like to ask if prostate and urinary tract infections (as well as chlamydia) are said to cause infertility online. How long after an infection, without treatment, can it lead to infertility? If infertility occurs, is it pe...

Dr. Sun Hongshun Reply:
Hello, an infection does not necessarily lead to infertility; it depends on the type of microorganism involved and the duration of the infection. Additionally, there is no definitive answer in medicine. Based on your current condition, it still leans towards a urinary tract infec...

Can Varicocele Affect Erectile Dysfunction and Testicular Pain?

Varicocele and erectile function Hello, I have issues with venous leakage on both sides, and I also experience erectile dysfunction (initially I can achieve an erection, but it softens shortly after). I would like to ask the doctor: 1. Could erectile dysfunction be influenced by ...

Dr. Sun Hongshun Reply:
Hello, what you described is indeed possible. Furthermore, severe varicocele can lead to infertility. It is recommended to consult a urologist for evaluation to determine if further treatment is necessary. Wishing you good health.

Can Varicocele Cause Pain After Masturbation? Understanding the Connection

Varicocele issues Hello, doctor! I would like to ask if varicocele can cause soreness after masturbation?

Dr. Sun Hongshun Reply:
Hello, there is a possibility that this could lead to serious conditions, including infertility. If you still have concerns, please consult a urology clinic.

Post-Varicocele Surgery: Understanding Recovery and Fertility Concerns

Postoperative care for varicocele surgery? Hello Dr. Fu: Due to family planning, we have experienced infertility during the two years after marriage and have undergone examinations, which revealed that my husband has a varicocele issue. He underwent varicocele surgery in mid-Marc...

Dr. Fu Shizhang Reply:
Postoperative pressure pain is a normal condition and is not related to sperm quality. If fertility is desired, it is recommended to check sperm quality. Generally, improvement is expected three months after the surgery.

Does Occasional Nocturnal Emission Affect Sperm Quality?

Is this considered erectile dysfunction? Hello, doctor. I usually do not have the habit of masturbation, so I experience nocturnal emissions, but the frequency is about 2 to 3 times a month. Will this affect the quality of my sperm and potentially lead to infertility in the futur...

Dr. Xu Wencang Reply:
There shouldn't be any issues; please consult the outpatient clinic for further examination.

Understanding Semen Analysis Results: What They Mean for Fertility

Semen analysis Hello Doctor: Due to the inability to conceive, my wife underwent some tests, and I also had a semen analysis. I have some questions regarding the report. - Liquefaction time: Normal / <60 - Viscosity: Normal / <2cm - Semen volume: 2.0ml / >1.5ml - pH...

Dr. Sun Hongshun Reply:
Hello, the normal values for the report are at the end. Essentially, the semen analysis shows no abnormalities. Infertility is defined as not achieving pregnancy after one year of unprotected intercourse. The causes of infertility can be influenced not only by physical factors bu...

Can You Have Gonorrhea Without Discharge? Understanding Early Symptoms

Is purulent discharge always present in the early stages of gonorrhea? Hello, doctor: About 7 days ago, I had unprotected sexual intercourse, and since then I have experienced a burning sensation in the urethra and slight pain, but there is no discharge or pus. Could this possibl...

Dr. Sun Hongshun Reply:
Hello: The clinical symptoms differ between genders. In males, symptoms typically appear 2 to 7 days after infection, including purulent urethral discharge, painful or burning sensation during urination. Some patients may resolve the infection on their own, while others may becom...

Understanding Your Semen Analysis Report: Key Insights for Concerns

Semen Analysis Report Hello Doctor, this is my semen analysis report from 2013 before marriage. The doctor said it was normal at that time, but I still feel uneasy about some of the values. Could you please help me evaluate it? Thank you! Volume: 2 ml Color: Milk-like pH: 8....

Dr. Sun Hongshun Reply:
Hello: Your report falls within the normal range. In medicine, it is not necessary to be 100% normal to be considered normal. For example, a semen analysis showing 72 million sperm per milliliter with 30% normal morphology means that there are 24 million normal sperm in 1 millili...

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