Infertility, Urology FAQ

Understanding Semen Analysis: Common Concerns and Questions

Semen Analysis Report and Questions Hello, Doctor: 1. After our last consultation, the analysis report has come out. The urologist mentioned that it is rare; I have over 187 million of that substance. At that time, I wasn't sure if I ejaculated twice, which might explain t...

Dr. Fu Shizhang Reply:
1. Even a single ejaculation containing 180 million sperm is not considered abnormal. 2. Infertility is a matter of probability. 3. If the semen analysis is normal, the cause of infertility is not due to the male partner. 4. Research on the genetic correlation of mental dis...

Understanding Varicocele: Key Questions About Symptoms and Treatment

Questions about varicocele? Doctor, please, I need you to answer my questions. I have noticed several soft lumps above my testicles when I exert myself or hold my breath. 1. Is this a varicocele? 2. If it is, will treatment require surgery? 3. Could this lead to infertility? 4. I...

Dr. Xu Weikai Reply:
Hello, 1. It is possible, but varicocele generally feels like a worm rather than a few lumps. 2. The severity needs to be assessed. 3. Semen analysis and male hormone levels can be checked. 4. The severity and test results will determine the next steps. If there are any un...

Understanding Testicular Pain: Causes, Concerns, and Treatment Options

Testicular pain Hello doctor, on Thursday while playing soccer, I accidentally hit my groin (it should be the testicles) against someone else's thigh. At that moment, I was rolling on the ground in pain. Later, I went to the restroom to check, and there was no redness or swe...

Dr. Xu Weikai Reply:
Ignorance: Hello, it will not cause testicular torsion. Unless there is vascular damage, it will not lead to testicular atrophy. If you are concerned, you can undergo a semen analysis. If there are any unclear points, feel free to ask again, and we can discuss and research furthe...

Understanding Epididymitis and Seminal Cysts: Symptoms and Concerns

Epididymitis or Seminal Vesicle Cyst Hello, Doctor: 1. Can masturbation (five times a week) cause epididymitis or seminal vesicle cysts? 2. What are the main symptom differences between epididymitis and seminal vesicle cysts? 3. Could resting more potentially alleviate the pa...

Dr. Xu Weikai Reply:
Hi Fi: 1. No. 2. The symptoms of the two conditions are completely different. 3. Epididymitis is painful; a spermatocele is not painful. I'm not sure why you are asking. If it is epididymitis, I recommend seeking medical attention as soon as possible, as it can lead to...

Understanding Testicular Calcification: Causes, Risks, and Fertility Impact

Testicular calcification I discovered pain in the left groin and went to the hospital for an ultrasound examination, which revealed calcification in both the left testicle and the epididymis. The doctor advised me to return for regular follow-ups. What is the likelihood of this c...

Dr. Xu Weikai Reply:
Hello, it is recommended to perform a semen analysis to determine if there are any impacts on fertility. Seminal cysts and calcifications have different underlying causes. If there are any unclear aspects, feel free to ask again for further discussion and research. Information ob...

Microdissection Testicular Sperm Extraction: A Solution for Male Infertility?

Microsurgical Epididymal Sperm Aspiration (MESA) Hello, Dr. Fu! At the beginning of the month, my husband was diagnosed with varicocele by a urologist at Linkou Chang Gung Memorial Hospital. He underwent ultrasound, urinalysis, and semen analysis, which indicated that both sides ...

Dr. Fu Shizhang Reply:
Basically, with this quality of sperm, it is very difficult, if not nearly impossible, to conceive naturally; artificial reproduction methods are necessary. For in vitro fertilization (IVF), only one motile sperm is needed, and it is not mandatory to use MESA (Microsurgical Epidi...

Understanding Testicular Atrophy: Causes and Health Implications

Testicular issues Testicular atrophy can lead to several issues, including reduced testosterone production, which may result in symptoms such as decreased libido, erectile dysfunction, and infertility. Additionally, it can affect sperm production, leading to potential challenges ...

Dr. Xu Weikai Reply:
Hello Mr. Wang, let's discuss the causes of testicular atrophy. Testicular atrophy does not lead to the development of male characteristics. For example, there may be less facial hair, less pubic hair, and there will be no change in voice. Note: this is similar to the condit...

Understanding Glandular Discharge: Symptoms and Treatment Options

Issues with the glans penis? Hello doctor, a few days ago I had sexual intercourse with my girlfriend. During the first time, we didn't use a condom, but we did during the second time. Before we went to bed, we didn't clean our genitals. As a result, within a few days, ...

Dr. Xu Weikai Reply:
Monkey: Hello! 1. It should be urethritis, most likely caused by gonorrhea. 2. Usually, both partners need to be treated together. 3. If left untreated, it can lead to complications such as urethral stricture in men and infertility in women. If there are any unclear points, feel ...

Understanding Varicocele: Symptoms, Diagnosis, and Fertility Implications

Varicocele Hello doctor, I have a question about varicocele. I can still feel the spermatic cord when I touch it. I want to know if everyone has a spermatic cord. You mentioned that not everyone has one, and that only normal individuals have it. What does that mean? Is varicocele...

Dr. Fu Shizhang Reply:
The spermatic cord can typically be palpated, but this does not mean that all normal males have varicocele, as females do not have this condition, and males with abnormal development may also lack it. The diagnosis of varicocele is not determined by quantity but rather through ph...

Understanding Varicocele: Common Concerns and Questions for Teens

Varicocele Hello doctor, I am 15 years old. 1. I have a varicose vein on the left side that has been surgically treated, but it still hasn't healed after four months. What could be the reason? 2. Does everyone have a spermatic cord? I mean the blood vessels. I also have one ...

Dr. Fu Shizhang Reply:
1. What does it mean to have no good quality? 2. Not everyone has it; only normal males have it. 3. It is not certain. 4. In addition to blood vessels, the spermatic cord also contains the vas deferens and the cremaster muscle.

Does Frequent Masturbation Cause Urinary Issues and Prostate Problems?

Chronic masturbation and frequent urination? I would like to ask the doctor, I have a long-term habit of masturbation (4 to 5 times a week). Recently, over the past 2 to 3 months, I have experienced decreased urine output and increased frequency of urination. Could this be caused...

Dr. Xu Weikai Reply:
Hello, having decreased urine output and frequent urination may be related to nerve stimulation. If it is caused by masturbation, it typically occurs within a few hours after ejaculation. Benign prostatic hyperplasia should be considered when you reach the age of 55-60. Western m...

Understanding Scrotal Enlargement: Causes, Symptoms, and Recommendations

Enlargement of the scrotum? Due to the left testicle being larger and hanging lower than the right, and the left scrotum being significantly larger than the right, I sought medical attention. After an ultrasound scan, the doctor stated that both testicles were normal, with no sig...

Dr. Xu Weikai Reply:
Anonymous: Hello. 1. There are many things inside the scrotum. 2. Some people are naturally larger. It is possible for the two sides to be different sizes. Both doctors said it is normal, and an ultrasound was performed, so you should feel reassured. Your kidneys are also differe...

Does Frequent Masturbation Cause Urinary Issues and Prostate Problems?

Masturbation. Frequent urination? Hello, I would like to ask the doctor about my long-term habit of masturbation (4 to 5 times a week). Recently, I have been experiencing decreased urination and increased frequency. Could this be caused by masturbation? Does excessive masturbatio...

Dr. Fu Shizhang Reply:
Irrelevant, frequent urination is not caused by masturbation.

Does Varicocele Always Lead to Infertility? Understanding Bilateral Cases

Varicocele issues Does having bilateral varicocele necessarily lead to infertility?

Dr. Fu Shizhang Reply:
It does not necessarily guarantee infertility, but it does increase the likelihood of it.

Understanding Varicocele Surgery: Insights for Young Athletes

Venous congestion in the pelvic region? I have venous dilation on my left side. After undergoing high ligation surgery on the right side in the groin, I experienced some issues. I am considering having another surgery and would like to know about microsurgery. I am on a baseball ...

Dr. Fu Shizhang Reply:
Microsurgery techniques cannot be explained in detail here. If adequate rest is not possible, surgery is not recommended, as it is essential to combine surgery with appropriate rest for optimal therapeutic outcomes. This condition is not related to diet.

Understanding Semen Quality and Testicular Calcification Concerns

Semen issues Is it normal for a doctor to have calcification in the testicles, with semen consistently appearing thin and watery, almost transparent? Could this potentially lead to infertility? Additionally, with an erection measuring 10.9 cm in length and 9.6 cm in circumference...

Dr. Xu Weikai Reply:
Hello, you may need to consult a urologist for diagnosis and treatment. If there are any unclear points, feel free to ask again, and we can discuss and research further. Online responses should only be used as a reference; if necessary, it is important to seek medical care at a h...

Can Varicocele Affect Your Baseball Performance and Fertility?

Varicocele Is it suitable to play baseball with bilateral varicose veins? Will it worsen the condition? Is there a higher risk of infertility?

Dr. Xu Weikai Reply:
Hello, it is advisable to first check the semen and male hormones. If there are already effects, it is recommended to correct them as soon as possible. If there are any unclear points, feel free to ask again so we can discuss and research further. Answers found online should only...

Can Varicocele Cause Infertility in Teens? Understanding the Risks

Varicocele Bilateral varicocele can lead to infertility, but not everyone with varicocele experiences fertility issues. It's understandable to be concerned, especially at 15 years old. Engaging in physical activities like running and playing sports is generally safe and can ...

Dr. Xu Weikai Reply:
Hello, you have bilateral varicocele. If the condition is severe, it may lead to defects in sperm motility and count, which can potentially cause infertility. However, some individuals may be completely unaffected. 1. It is recommended to perform a semen analysis for confirmati...

Can Varicocele Cause Infertility? Exploring Treatment Options and Lifestyle

Varicocele issues Bilateral varicocele does not necessarily lead to infertility. It is possible to improve the condition through traditional Chinese medicine or exercise. Playing baseball is generally permissible, but it is advisable to consult with a healthcare professional for ...

Dr. Xu Weikai Reply:
Hello, exercising and playing baseball can generally increase abdominal pressure, which may exacerbate the condition, but it is not absolutely contraindicated. It still depends on the individual's situation. Bilateral varicocele does not necessarily cause infertility; it dep...

Understanding Sertoli Cell-Only Syndrome: Diagnosis and Testing Options

Sertoli cell-only syndrome To diagnose Sertoli cell-only syndrome, a testicular biopsy is typically performed to assess the presence of germ cells. Additionally, hormonal evaluations, including serum testosterone and follicle-stimulating hormone (FSH) levels, may be conducted. ...

Dr. Xu Weikai Reply:
Hello, Sertoli cell-only syndrome should be diagnosed through testicular biopsy. Varicocele has completely different symptoms. If there are any unclear points, feel free to ask again, and we can discuss and research further. Online answers can only serve as a reference; if necess...

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